NAB NHA Exam Compiled Cards/Human IIll IIll IIll IIll
Resources Leadership and Management
IIll IIll IIll IIll
Physical, Environmental, and
IIll IIll IIll
Atmosphere Resident Care Management
IIll IIll IIll IIll
and Quality of Life Financial Mangement
IIll IIll IIll IIll IIll IIll
Updated
IIll IIll
the physical plant - Correct Answers all designed, constructed, equipped, and
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
maintained to protect health and safety of residents, personnel, public
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll Life Safety Code (LSC) - Correct Answers Entire construction plan and materials meet
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll LSC standards|||CMS requires unless have waiver or exception. CMS grants waivers on
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll SNFs; states on NFs IIll IIll IIll
IIll (NFPA) - Correct Answers National Fire Protection Association ||established LSC
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll Purpose of LSC - Correct Answers to provide reasonable degree of safety from fire.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Waivers for Life Safety Code - Correct Answers If CMS finds a state fire and safety
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
code adequately protects residents and personnel thenLSC does not apply. OLder
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
facilities may obtain a waiver if they are and have been in compliance with an older
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
addition of LSC as specified by CMS.||Before a nursing home may be built it must present
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
architectural plant to State Medicaid or designated agency that approves construction. All
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major renovations, such as additional beds, change in utilization of space, and so on
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must receive approval. The state provides guidelines on what must be a approved.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Upkeep and repairs do not require prior approaval.
IIll IIll IIll IIll IIll IIll IIll IIll
IIll Blue Prints - Correct Answers keep as-built plans available for surveyors who do LSC
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll inspection as well as for repair persons who may need prints for big jobs. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
LSC and other standards - Correct Answers Building and contact standards are set by
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
codes. ||- for handicapped|-follow which on specific state requires (ANSI/ADAAG)
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
LSC and ANSI/ADAAG - Correct Answers LSC accepts both standards so they are
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
essentially all LSC standards. Administrator does not need to know EVERY standard, but
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
must keep a copy of the "LSC Handbook" as reference. The architect who designs the
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
facility must know and incorporate all LSC and other standards, but it is advisable for the
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NHA to check his building to ensure compliance.
IIll IIll IIll IIll IIll IIll IIll IIll
, LSC, ANSI/ADAAG, and CMS - Correct Answers **- building materials - fire-rate
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
according to number of stories. 2 hour and 1 hour rating|**- sprinklers - new buildings
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
have automatically activated by smoke/heat|- exits - no room more than 100 feet from
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
exit. Lighted exit signs of specific size. |- walls extend continuously to roof deck of next
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
floor. wall finish must meet flame-spread requirements ( have certificate of this)|-
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
furnishings - curtains and carpet must meet fire rating|- rooms - CMS requirements - 4
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
residents to room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
occupancy.
IIll
requirement for rooms| - Correct Answers - direct access to corridor|- outside window
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
(CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and height| bedding
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appropriate to climate| individual closet space| bedside table| comfortable chair| enough
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
overbid tables to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing facilities
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
(CMS)|- resident call system (CMS, LSC) 24/7 - back up system available|- temperature
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
range (71-81 degree F) (three feet above floor), states set actual, A/C not required
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Doors - Correct Answers All 44" or more in new construction (41.5 opening)|outside
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
doors open egress.|no locks on resident door except staff has key (LSC)||Bathroom door
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
32" (ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in
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corridors||(over bed tables not required for patient)
IIll IIll IIll IIll IIll IIll IIll
IIll corridors - Correct Answers no dead-ends (LSC)||8 feet wide (CMS) IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Floors - Correct Answers at or above ground level. (LSC) |Fire rating if carpeted.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
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IIll Fire alarms - Correct Answers flashing and audible. |connect with local fire dept, if
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IIll possible|must have NFPA 71 certification of fire alarm service| IIll IIll IIll IIll IIll IIll IIll IIll
IIll smoke detectors - Correct Answers approved detectors requried
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
smoking - Correct Answers written regulations, enforced. |smoking ares with non-
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combustible ashtrays, metal containers with self-closing lids.|Prohibited areas include IIll IIll IIll IIll IIll IIll IIll IIll
resident rooms and beds, oxygen, flammable liquid storage.|proper signs
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posted.|supervise non-responsible.
IIll IIll
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) - Correct
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Answers Make building available to and usable by physically handicapped, no mental
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(blind, deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG = MAKE
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BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG
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standards to nursing homes
IIll IIll IIll IIll
IIll accessible route - Correct Answers no incline more than 10% IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll Wheelchair passage - Correct Answers 32" bathroom doors||36" elsewhere IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
, IIll parking - Correct Answers 13 FEET||cannot block sidewalk; alley for 2 cars.|The
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IIll number of handicap parking places is determined from a grid issued by ANSI. It MUST
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IIll BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST
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IIll BE VAN ACCESSIBLE.||If the facility only has one handicapped place, it must be van
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IIll accessible.
IIll ramps - Correct Answers maximum rise 30". Slope not more than 1:10
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
What items must be accessible to wheelchair residents?| - Correct Answers WATER
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
FOUNTAINS, telephones (non-Braille), light switches
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IIll Toilets and handrails - height - Correct Answers toilets (Also ADA for staff) seat **17" to
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll 19" height;||hand rails/grab bars 33" to 36". |5% or more meet standards as determined
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll by state and CMS||(easier to replace with handicapped toilet)
IIll IIll IIll IIll IIll IIll IIll IIll
Handrails - Correct Answers outside ramp, stairwell, bathroom required by ANSI, and
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
specific height.||CMS requires in corridors.||ADAAG specifies all 34" to 38" in public
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
places. |On stairwell must be 32" and MUST EXTEND 12" beyond last step. (ANSI|
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll Monitored - Correct Answers monitored nationally the Office of Civil Rights monitors IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll ANSI. States may assign to Fire Marshall, Medicaid Agency, other. |ADAAG is monitored
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll by State Agency handling LSC and ANSI.
IIll IIll IIll IIll IIll IIll
IIll Alarms - Correct Answers flashing alarms for deaf, sound alarms for blind, tactile
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll warnings for blind to identify danger areas. IIll IIll IIll IIll IIll IIll
Grating - Correct Answers No greater than one-half inch; openings perpendicular to
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travel rout, if elongated.
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IIll Threshold - Correct Answers no more than 1/2 inch on entrance and exit doors, except IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll exterior sliding door can be 3/4 inch in height IIll IIll IIll IIll IIll IIll IIll IIll
IIll GROUNDS and parking - Correct Answers Maintenance cost-mowing biggest. State IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll decides on number of parking spaces per bed. IIll IIll IIll IIll IIll IIll IIll
IIll Water - Correct Answers water must have backup source of supply. Temperature
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll established by state. Automatic Control Valves. (surveyors will ask for contract) (110 IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll degrees in GA) IIll IIll
Ventilation - Correct Answers All areas ventilated to outside - window, mechanical
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
ventilation, or combination. | a. good movement (state determines| b. acceptable
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humidity/temperature levels (state determines)| c. surveyor rating:| A= Good movement;
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acceptable temp/humidity/odor levels| B= Little movement; temp/humidity/odor levels
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less acceptable.| C= No movement; temp/humidity/odor levels unacceptable. Residents
IIll IIll IIll IIll IIll IIll IIll IIll IIll
and staff apprea distressed due to levels.
IIll IIll IIll IIll IIll IIll IIll
, Pest control - Correct Answers PREVENTION PROGRAM BEST; use contractor and
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
staff||no traps, poisons, sticky fly paper.||advantage - to use pest control
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service:||licensed and trained in use of all pesticides, how to rotate chemicals to prevent
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buildup of resistance. ||(close garbage bin: attracts pests)
IIll IIll IIll IIll IIll IIll IIll IIll
Space and Equipment - Correct Answers Facility must provide sufficient space and
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equipment for dining, healthcare services, recreation and rehabilitation. ||Sufficient
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means enough to enable staff to provide residents with needed services as identified in
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
the plan of care.| - space large enough to accommodate usual number that use it; must be
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
accessible.| - accommodate wheelchairs, walkers, other ambulatory devices.| - rehab
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
areas have exercise equipment, storage for supplies and equipment.
IIll IIll IIll IIll IIll IIll IIll IIll IIll
Monitoring - Correct Answers States decide who will monitor LSC and ANSI/ADAAG
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
standards. the monitor may be the State Medicaid Agency, State Fire Marshall, or other. If
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
it is an agency other than State Medicaid, the monitoring agency must coordinate its
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
findings with the Medicaid agency.
IIll IIll IIll IIll IIll
Preventative Maintenance definition. - Correct Answers checking all systems, including
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
roof, on regular basis and documenting.||roof protects all other assets. (log or cards)
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll 3 points of Preventative Maintenance - Correct Answers 1. Value:| Everything safe and
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll operative for resident care (#1)| saves downtime| small reparis cost less than complete IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll breakdown| equipment and systems last longer|2. personnel - major error in hiring|3. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll work orders IIll
environmental quality - clean, attractive, home. - Correct Answers 1. housekeeping -
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
procedures for floors, rooms, aseptic cleaning, storage of materials, ODOR CONTROL,
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
role in infection control, equipment care, safety|2. homelike - residents brings own
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
belongings as long as it does not interfere with staff work or infringe on other residents'
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
rights. de-emphasize institutional look. | a. sound - comfortable, does not interefre with
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
hearing. background noise under resident control. Level not require staff to raise voices.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
consider differences in room assignments.| b. lighting - adequate for resident/staff to
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
perform. comfortable - minimize glare, GIVE RESIDENT CONTROL.
IIll IIll IIll IIll IIll IIll IIll IIll
IIll environmental design - Correct Answers now part of all new construction. Must be IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll designed to provide most attractive, comfortable, usable environment. | a. landscaping - IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll all grounds, nursing home sign.| b. choice of colors.| c. room size- too small?, adequately
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll designed?| d. medical records storage| e. parking - inconspicuous| f. functional IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll equipment - not just fancy. IIll IIll IIll IIll
linen supply and laundry - Correct Answers clean linens in good condition, not ragged,
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
stained. what resident clothing will launder?| a. monitoring costs - bulk soap,
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
temperatures, overloading/under loading, overydrying, filters| GUIDELINES- after 10
IIll IIll IIll IIll IIll IIll IIll IIll
years of use, maintenance cost usually justify replacement of equipment| b. Theft|
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Resources Leadership and Management
IIll IIll IIll IIll
Physical, Environmental, and
IIll IIll IIll
Atmosphere Resident Care Management
IIll IIll IIll IIll
and Quality of Life Financial Mangement
IIll IIll IIll IIll IIll IIll
Updated
IIll IIll
the physical plant - Correct Answers all designed, constructed, equipped, and
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
maintained to protect health and safety of residents, personnel, public
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll Life Safety Code (LSC) - Correct Answers Entire construction plan and materials meet
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll LSC standards|||CMS requires unless have waiver or exception. CMS grants waivers on
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll SNFs; states on NFs IIll IIll IIll
IIll (NFPA) - Correct Answers National Fire Protection Association ||established LSC
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll Purpose of LSC - Correct Answers to provide reasonable degree of safety from fire.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Waivers for Life Safety Code - Correct Answers If CMS finds a state fire and safety
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
code adequately protects residents and personnel thenLSC does not apply. OLder
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
facilities may obtain a waiver if they are and have been in compliance with an older
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
addition of LSC as specified by CMS.||Before a nursing home may be built it must present
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
architectural plant to State Medicaid or designated agency that approves construction. All
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
major renovations, such as additional beds, change in utilization of space, and so on
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
must receive approval. The state provides guidelines on what must be a approved.
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Upkeep and repairs do not require prior approaval.
IIll IIll IIll IIll IIll IIll IIll IIll
IIll Blue Prints - Correct Answers keep as-built plans available for surveyors who do LSC
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll inspection as well as for repair persons who may need prints for big jobs. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
LSC and other standards - Correct Answers Building and contact standards are set by
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
codes. ||- for handicapped|-follow which on specific state requires (ANSI/ADAAG)
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
LSC and ANSI/ADAAG - Correct Answers LSC accepts both standards so they are
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
essentially all LSC standards. Administrator does not need to know EVERY standard, but
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
must keep a copy of the "LSC Handbook" as reference. The architect who designs the
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
facility must know and incorporate all LSC and other standards, but it is advisable for the
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
NHA to check his building to ensure compliance.
IIll IIll IIll IIll IIll IIll IIll IIll
, LSC, ANSI/ADAAG, and CMS - Correct Answers **- building materials - fire-rate
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
according to number of stories. 2 hour and 1 hour rating|**- sprinklers - new buildings
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
have automatically activated by smoke/heat|- exits - no room more than 100 feet from
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
exit. Lighted exit signs of specific size. |- walls extend continuously to roof deck of next
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
floor. wall finish must meet flame-spread requirements ( have certificate of this)|-
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
furnishings - curtains and carpet must meet fire rating|- rooms - CMS requirements - 4
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
residents to room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
occupancy.
IIll
requirement for rooms| - Correct Answers - direct access to corridor|- outside window
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
(CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and height| bedding
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
appropriate to climate| individual closet space| bedside table| comfortable chair| enough
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
overbid tables to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing facilities
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
(CMS)|- resident call system (CMS, LSC) 24/7 - back up system available|- temperature
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
range (71-81 degree F) (three feet above floor), states set actual, A/C not required
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Doors - Correct Answers All 44" or more in new construction (41.5 opening)|outside
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
doors open egress.|no locks on resident door except staff has key (LSC)||Bathroom door
IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
32" (ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in
IIll IIll IIll IIll IIll IIll IIll IIll IIll
corridors||(over bed tables not required for patient)
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IIll corridors - Correct Answers no dead-ends (LSC)||8 feet wide (CMS) IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
Floors - Correct Answers at or above ground level. (LSC) |Fire rating if carpeted.
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(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
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IIll Fire alarms - Correct Answers flashing and audible. |connect with local fire dept, if
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IIll possible|must have NFPA 71 certification of fire alarm service| IIll IIll IIll IIll IIll IIll IIll IIll
IIll smoke detectors - Correct Answers approved detectors requried
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smoking - Correct Answers written regulations, enforced. |smoking ares with non-
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combustible ashtrays, metal containers with self-closing lids.|Prohibited areas include IIll IIll IIll IIll IIll IIll IIll IIll
resident rooms and beds, oxygen, flammable liquid storage.|proper signs
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posted.|supervise non-responsible.
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ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) - Correct
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Answers Make building available to and usable by physically handicapped, no mental
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(blind, deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG = MAKE
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BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG
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standards to nursing homes
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IIll accessible route - Correct Answers no incline more than 10% IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll Wheelchair passage - Correct Answers 32" bathroom doors||36" elsewhere IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
, IIll parking - Correct Answers 13 FEET||cannot block sidewalk; alley for 2 cars.|The
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IIll number of handicap parking places is determined from a grid issued by ANSI. It MUST
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IIll BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST
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IIll BE VAN ACCESSIBLE.||If the facility only has one handicapped place, it must be van
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IIll accessible.
IIll ramps - Correct Answers maximum rise 30". Slope not more than 1:10
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What items must be accessible to wheelchair residents?| - Correct Answers WATER
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FOUNTAINS, telephones (non-Braille), light switches
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IIll Toilets and handrails - height - Correct Answers toilets (Also ADA for staff) seat **17" to
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IIll 19" height;||hand rails/grab bars 33" to 36". |5% or more meet standards as determined
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IIll by state and CMS||(easier to replace with handicapped toilet)
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Handrails - Correct Answers outside ramp, stairwell, bathroom required by ANSI, and
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specific height.||CMS requires in corridors.||ADAAG specifies all 34" to 38" in public
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places. |On stairwell must be 32" and MUST EXTEND 12" beyond last step. (ANSI|
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IIll Monitored - Correct Answers monitored nationally the Office of Civil Rights monitors IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll ANSI. States may assign to Fire Marshall, Medicaid Agency, other. |ADAAG is monitored
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IIll by State Agency handling LSC and ANSI.
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IIll Alarms - Correct Answers flashing alarms for deaf, sound alarms for blind, tactile
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IIll warnings for blind to identify danger areas. IIll IIll IIll IIll IIll IIll
Grating - Correct Answers No greater than one-half inch; openings perpendicular to
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travel rout, if elongated.
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IIll Threshold - Correct Answers no more than 1/2 inch on entrance and exit doors, except IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll exterior sliding door can be 3/4 inch in height IIll IIll IIll IIll IIll IIll IIll IIll
IIll GROUNDS and parking - Correct Answers Maintenance cost-mowing biggest. State IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll decides on number of parking spaces per bed. IIll IIll IIll IIll IIll IIll IIll
IIll Water - Correct Answers water must have backup source of supply. Temperature
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IIll established by state. Automatic Control Valves. (surveyors will ask for contract) (110 IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll degrees in GA) IIll IIll
Ventilation - Correct Answers All areas ventilated to outside - window, mechanical
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ventilation, or combination. | a. good movement (state determines| b. acceptable
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humidity/temperature levels (state determines)| c. surveyor rating:| A= Good movement;
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acceptable temp/humidity/odor levels| B= Little movement; temp/humidity/odor levels
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less acceptable.| C= No movement; temp/humidity/odor levels unacceptable. Residents
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and staff apprea distressed due to levels.
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, Pest control - Correct Answers PREVENTION PROGRAM BEST; use contractor and
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staff||no traps, poisons, sticky fly paper.||advantage - to use pest control
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service:||licensed and trained in use of all pesticides, how to rotate chemicals to prevent
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buildup of resistance. ||(close garbage bin: attracts pests)
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Space and Equipment - Correct Answers Facility must provide sufficient space and
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equipment for dining, healthcare services, recreation and rehabilitation. ||Sufficient
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means enough to enable staff to provide residents with needed services as identified in
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the plan of care.| - space large enough to accommodate usual number that use it; must be
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accessible.| - accommodate wheelchairs, walkers, other ambulatory devices.| - rehab
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areas have exercise equipment, storage for supplies and equipment.
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Monitoring - Correct Answers States decide who will monitor LSC and ANSI/ADAAG
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standards. the monitor may be the State Medicaid Agency, State Fire Marshall, or other. If
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it is an agency other than State Medicaid, the monitoring agency must coordinate its
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findings with the Medicaid agency.
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Preventative Maintenance definition. - Correct Answers checking all systems, including
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roof, on regular basis and documenting.||roof protects all other assets. (log or cards)
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IIll 3 points of Preventative Maintenance - Correct Answers 1. Value:| Everything safe and
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IIll operative for resident care (#1)| saves downtime| small reparis cost less than complete IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll breakdown| equipment and systems last longer|2. personnel - major error in hiring|3. IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
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environmental quality - clean, attractive, home. - Correct Answers 1. housekeeping -
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procedures for floors, rooms, aseptic cleaning, storage of materials, ODOR CONTROL,
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role in infection control, equipment care, safety|2. homelike - residents brings own
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belongings as long as it does not interfere with staff work or infringe on other residents'
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rights. de-emphasize institutional look. | a. sound - comfortable, does not interefre with
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hearing. background noise under resident control. Level not require staff to raise voices.
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consider differences in room assignments.| b. lighting - adequate for resident/staff to
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perform. comfortable - minimize glare, GIVE RESIDENT CONTROL.
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IIll environmental design - Correct Answers now part of all new construction. Must be IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll designed to provide most attractive, comfortable, usable environment. | a. landscaping - IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll all grounds, nursing home sign.| b. choice of colors.| c. room size- too small?, adequately
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IIll designed?| d. medical records storage| e. parking - inconspicuous| f. functional IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll equipment - not just fancy. IIll IIll IIll IIll
linen supply and laundry - Correct Answers clean linens in good condition, not ragged,
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stained. what resident clothing will launder?| a. monitoring costs - bulk soap,
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temperatures, overloading/under loading, overydrying, filters| GUIDELINES- after 10
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years of use, maintenance cost usually justify replacement of equipment| b. Theft|
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