A
VI
TU
IS
M
O
A
NAB NHA Exam Compiled Cards:
N
Human Resources, Leadership and
JP
Management, Physical, Environmental,
and Atmosphere, Resident Care
Management and Quality of Life And
Financial Management
,the physical plant - ANSWER all designed, constructed, equipped, and maintained
to protect health and safety of residents, personnel, public
Life Safety Code (LSC) - ANSWER Entire construction plan and materials meet LSC
standards|||CMS requires unless have waiver or exception. CMS grants waivers on
SNFs; states on NFs
(NFPA) - ANSWER National Fire Protection Association ||established LSC
A
Purpose of LSC - ANSWER to provide reasonable degree of safety from fire.
VI
Waivers for Life Safety Code - ANSWER If CMS finds a state fire and safety code
adequately protects residents and personnel thenLSC does not apply. OLder facilities
TU
may obtain a waiver if they are and have been in compliance with an older addition of
LSC as specified by CMS.||Before a nursing home may be built it must present
architectural plant to State Medicaid or designated agency that approves construction.
All major renovations, such as additional beds, change in utilization of space, and so on
must receive approval. The state provides guidelines on what must be a approved.
IS
Upkeep and repairs do not require prior approaval.
Blue Prints - ANSWER keep as-built plans available for surveyors who do LSC
M
inspection as well as for repair persons who may need prints for big jobs.
O
LSC and other standards - ANSWER Building and contact standards are set by
LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local
codes. ||- for handicapped|-follow which on specific state requires (ANSI/ADAAG)
A
LSC and ANSI/ADAAG - ANSWER LSC accepts both standards so they are
N
essentially all LSC standards. Administrator does not need to know EVERY standard,
but must keep a copy of the "LSC Handbook" as reference. The architect who designs
JP
the facility must know and incorporate all LSC and other standards, but it is advisable
for the NHA to check his building to ensure compliance.
LSC, ANSI/ADAAG, and CMS - ANSWER **- building materials - fire-rate according
to number of stories. 2 hour and 1 hour rating|**- sprinklers - new buildings have
automatically activated by smoke/heat|- exits - no room more than 100 feet from exit.
Lighted exit signs of specific size. |- walls extend continuously to roof deck of next floor.
wall finish must meet flame-spread requirements ( have certificate of this)|- furnishings -
,curtains and carpet must meet fire rating|- rooms - CMS requirements - 4 residents to
room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single occupancy.
requirement for rooms| - ANSWER - direct access to corridor|- outside window
(CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and height|
bedding appropriate to climate| individual closet space| bedside table| comfortable chair|
enough overbid tables to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing
facilities (CMS)|- resident call system (CMS, LSC) 24/7 - back up system available|-
temperature range (71-81 degree F) (three feet above floor), states set actual, A/C not
A
required
VI
Doors - ANSWER All 44" or more in new construction (41.5 opening)|outside doors
open egress.|no locks on resident door except staff has key (LSC)||Bathroom door 32"
(ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in corridors||(over
TU
bed tables not required for patient)
corridors - ANSWER no dead-ends (LSC)||8 feet wide (CMS)
Floors - ANSWER at or above ground level. (LSC) |Fire rating if carpeted.
IS
(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
Fire alarms - ANSWER flashing and audible. |connect with local fire dept, if
M
possible|must have NFPA 71 certification of fire alarm service|
O
smoke detectors - ANSWER approved detectors requried
smoking - ANSWER written regulations, enforced. |smoking ares with
A
non-combustible ashtrays, metal containers with self-closing lids.|Prohibited areas
include resident rooms and beds, oxygen, flammable liquid storage.|proper signs
N
posted.|supervise non-responsible.
JP
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) - ANSWER
Make building available to and usable by physically handicapped, no mental (blind,
deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG = MAKE BUILDINGS
AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG standards to
nursing homes
accessible route - ANSWER no incline more than 10%
Wheelchair passage - ANSWER 32" bathroom doors||36" elsewhere
, parking - ANSWER 13 FEET||cannot block sidewalk; alley for 2 cars.|The number of
handicap parking places is determined from a grid issued by ANSI. It MUST BE NOTED
THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST BE VAN
ACCESSIBLE.||If the facility only has one handicapped place, it must be van accessible.
ramps - ANSWER maximum rise 30". Slope not more than 1:10
What items must be accessible to wheelchair residents?| - ANSWER WATER
A
FOUNTAINS, telephones (non-Braille), light switches
VI
Toilets and handrails - height - ANSWER toilets (Also ADA for staff) seat **17" to 19"
height;||hand rails/grab bars 33" to 36". |5% or more meet standards as determined by
state and CMS||(easier to replace with handicapped toilet)
TU
Handrails - ANSWER outside ramp, stairwell, bathroom required by ANSI, and
specific height.||CMS requires in corridors.||ADAAG specifies all 34" to 38" in public
places. |On stairwell must be 32" and MUST EXTEND 12" beyond last step. (ANSI|
IS
Monitored - ANSWER monitored nationally the Office of Civil Rights monitors ANSI.
States may assign to Fire Marshall, Medicaid Agency, other. |ADAAG is monitored by
State Agency handling LSC and ANSI.
M
Alarms - ANSWER flashing alarms for deaf, sound alarms for blind, tactile warnings
O
for blind to identify danger areas.
Grating - ANSWER No greater than one-half inch; openings perpendicular to travel
A
rout, if elongated.
N
Threshold - ANSWER no more than 1/2 inch on entrance and exit doors, except
exterior sliding door can be 3/4 inch in height
JP
GROUNDS and parking - ANSWER Maintenance cost-mowing biggest. State
decides on number of parking spaces per bed.
Water - ANSWER water must have backup source of supply. Temperature
established by state. Automatic Control Valves. (surveyors will ask for contract) (110
degrees in GA)
VI
TU
IS
M
O
A
NAB NHA Exam Compiled Cards:
N
Human Resources, Leadership and
JP
Management, Physical, Environmental,
and Atmosphere, Resident Care
Management and Quality of Life And
Financial Management
,the physical plant - ANSWER all designed, constructed, equipped, and maintained
to protect health and safety of residents, personnel, public
Life Safety Code (LSC) - ANSWER Entire construction plan and materials meet LSC
standards|||CMS requires unless have waiver or exception. CMS grants waivers on
SNFs; states on NFs
(NFPA) - ANSWER National Fire Protection Association ||established LSC
A
Purpose of LSC - ANSWER to provide reasonable degree of safety from fire.
VI
Waivers for Life Safety Code - ANSWER If CMS finds a state fire and safety code
adequately protects residents and personnel thenLSC does not apply. OLder facilities
TU
may obtain a waiver if they are and have been in compliance with an older addition of
LSC as specified by CMS.||Before a nursing home may be built it must present
architectural plant to State Medicaid or designated agency that approves construction.
All major renovations, such as additional beds, change in utilization of space, and so on
must receive approval. The state provides guidelines on what must be a approved.
IS
Upkeep and repairs do not require prior approaval.
Blue Prints - ANSWER keep as-built plans available for surveyors who do LSC
M
inspection as well as for repair persons who may need prints for big jobs.
O
LSC and other standards - ANSWER Building and contact standards are set by
LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local
codes. ||- for handicapped|-follow which on specific state requires (ANSI/ADAAG)
A
LSC and ANSI/ADAAG - ANSWER LSC accepts both standards so they are
N
essentially all LSC standards. Administrator does not need to know EVERY standard,
but must keep a copy of the "LSC Handbook" as reference. The architect who designs
JP
the facility must know and incorporate all LSC and other standards, but it is advisable
for the NHA to check his building to ensure compliance.
LSC, ANSI/ADAAG, and CMS - ANSWER **- building materials - fire-rate according
to number of stories. 2 hour and 1 hour rating|**- sprinklers - new buildings have
automatically activated by smoke/heat|- exits - no room more than 100 feet from exit.
Lighted exit signs of specific size. |- walls extend continuously to roof deck of next floor.
wall finish must meet flame-spread requirements ( have certificate of this)|- furnishings -
,curtains and carpet must meet fire rating|- rooms - CMS requirements - 4 residents to
room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single occupancy.
requirement for rooms| - ANSWER - direct access to corridor|- outside window
(CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and height|
bedding appropriate to climate| individual closet space| bedside table| comfortable chair|
enough overbid tables to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing
facilities (CMS)|- resident call system (CMS, LSC) 24/7 - back up system available|-
temperature range (71-81 degree F) (three feet above floor), states set actual, A/C not
A
required
VI
Doors - ANSWER All 44" or more in new construction (41.5 opening)|outside doors
open egress.|no locks on resident door except staff has key (LSC)||Bathroom door 32"
(ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in corridors||(over
TU
bed tables not required for patient)
corridors - ANSWER no dead-ends (LSC)||8 feet wide (CMS)
Floors - ANSWER at or above ground level. (LSC) |Fire rating if carpeted.
IS
(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
Fire alarms - ANSWER flashing and audible. |connect with local fire dept, if
M
possible|must have NFPA 71 certification of fire alarm service|
O
smoke detectors - ANSWER approved detectors requried
smoking - ANSWER written regulations, enforced. |smoking ares with
A
non-combustible ashtrays, metal containers with self-closing lids.|Prohibited areas
include resident rooms and beds, oxygen, flammable liquid storage.|proper signs
N
posted.|supervise non-responsible.
JP
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) - ANSWER
Make building available to and usable by physically handicapped, no mental (blind,
deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG = MAKE BUILDINGS
AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG standards to
nursing homes
accessible route - ANSWER no incline more than 10%
Wheelchair passage - ANSWER 32" bathroom doors||36" elsewhere
, parking - ANSWER 13 FEET||cannot block sidewalk; alley for 2 cars.|The number of
handicap parking places is determined from a grid issued by ANSI. It MUST BE NOTED
THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST BE VAN
ACCESSIBLE.||If the facility only has one handicapped place, it must be van accessible.
ramps - ANSWER maximum rise 30". Slope not more than 1:10
What items must be accessible to wheelchair residents?| - ANSWER WATER
A
FOUNTAINS, telephones (non-Braille), light switches
VI
Toilets and handrails - height - ANSWER toilets (Also ADA for staff) seat **17" to 19"
height;||hand rails/grab bars 33" to 36". |5% or more meet standards as determined by
state and CMS||(easier to replace with handicapped toilet)
TU
Handrails - ANSWER outside ramp, stairwell, bathroom required by ANSI, and
specific height.||CMS requires in corridors.||ADAAG specifies all 34" to 38" in public
places. |On stairwell must be 32" and MUST EXTEND 12" beyond last step. (ANSI|
IS
Monitored - ANSWER monitored nationally the Office of Civil Rights monitors ANSI.
States may assign to Fire Marshall, Medicaid Agency, other. |ADAAG is monitored by
State Agency handling LSC and ANSI.
M
Alarms - ANSWER flashing alarms for deaf, sound alarms for blind, tactile warnings
O
for blind to identify danger areas.
Grating - ANSWER No greater than one-half inch; openings perpendicular to travel
A
rout, if elongated.
N
Threshold - ANSWER no more than 1/2 inch on entrance and exit doors, except
exterior sliding door can be 3/4 inch in height
JP
GROUNDS and parking - ANSWER Maintenance cost-mowing biggest. State
decides on number of parking spaces per bed.
Water - ANSWER water must have backup source of supply. Temperature
established by state. Automatic Control Valves. (surveyors will ask for contract) (110
degrees in GA)
