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Nursing home administrator exam (James Allen) Questions With 100% Correct Answers.

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1. The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was ____. 1. Too small increases in government reimbursement rates 2. Paying too much for acquisitions in 1998 and 1999 3. Not taking advantage of falling interest rates 4. Thinking too small - 2 2. In a chance conversation with the owner of an eight-facility chain, the newly hired administrator for the oldest facility in the chain indicates that, because the mortgage is fully retired, the administrator will concentrate more on being effec- tive than efficient since the Quality Indicators are all at or above the state's aver-age. The owner would likely ____. 1. Be pleased 2. Be distressed 3. Be content 4. Praise the newly hired administrator - 2 3. Occupancy of Facility A has been a steady 70% since the Prospective Payment System was introduced. Two weeks ago, a new 120-bed, equally equipped facil- ity opened several blocks away. The Facility A administrator tells the admissions counselor to continue the usual recruitment approach. The chain owners ought to _____. 1. Rest comfortably 2. Seek a new administrator 3. Appoint a new admissions counselor 4. Take no action - 2 4. Bankruptcies among larger nursing home chains prior to 2000 _____. 1. Were frequent 2. Were ubiquitous 3. Were highly unusual4. Were routinely declared to avoid too much accumulated debt - 3 5. Under the Prospective Payment System, nursing facilities' reimbursed costs _____. 1. Were about the same as previously 2. Were more bundled 3. Used an unbundled cost structure 4. Were reimbursement for actual costs - 2

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