Page |1
NAB NHA Exam Compiled Cards Questions
with Detailed Verified Answers (100%
Correct Answers) /Already Graded A+
the physical plant
Ans: all designed, constructed, equipped, and maintained to protect health and safety of
residents, personnel, public
Life Safety Code (LSC)
Ans: Entire construction plan and materials meet LSC standards|||CMS requires unless have
waiver or exception. CMS grants waivers on SNFs; states on NFs
(NFPA)
Ans: National Fire Protection Association ||established LSC
Purpose of LSC
Ans: to provide reasonable degree of safety from fire.
Waivers for Life Safety Code
Ans: If CMS finds a state fire and safety code adequately protects residents and personnel
thenLSC does not apply. OLder facilities 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. Upkeep and repairs do not require prior approaval.
Blue Prints
Ans: keep as-built plans available for surveyors who do LSC inspection as well as for repair
persons who may need prints for big jobs.
LSC and other standards
Ans: 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)
, Page |2
LSC and ANSI/ADAAG
Ans: LSC accepts both standards so they are 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 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
Ans: **- 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|
Ans: - 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 required
Doors
Ans: 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 bed tables not required for
patient)
corridors
Ans: no dead-ends (LSC)||8 feet wide (CMS)
Floors
Ans: at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet
(ANSI, LSC)|Asphalt tile best
Fire alarms
Ans: flashing and audible. |connect with local fire dept, if possible|must have NFPA 71
certification of fire alarm service|
smoke detectors
Ans: approved detectors requried
, Page |3
smoking
Ans: written regulations, enforced. |smoking ares with non-combustible ashtrays, metal
containers with self-closing lids.|Prohibited areas include resident rooms and beds, oxygen,
flammable liquid storage.|proper signs posted.|supervise non-responsible.
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines)
Ans: 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
Ans: no incline more than 10%
Wheelchair passage
Ans: 32" bathroom doors||36" elsewhere
parking
Ans: 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
Ans: maximum rise 30". Slope not more than 1:10
What items must be accessible to wheelchair residents?|
Ans: WATER FOUNTAINS, telephones (non-Braille), light switches
Toilets and handrails - height
Ans: 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)
Handrails
Ans: 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|
Monitored
, Page |4
Ans: 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.
Alarms
Ans: flashing alarms for deaf, sound alarms for blind, tactile warnings for blind to identify
danger areas.
Grating
Ans: No greater than one-half inch; openings perpendicular to travel rout, if elongated.
Threshold
Ans: no more than 1/2 inch on entrance and exit doors, except exterior sliding door can be
3/4 inch in height
GROUNDS and parking
Ans: Maintenance cost-mowing biggest. State decides on number of parking spaces per bed.
Water
Ans: water must have backup source of supply. Temperature established by state. Automatic
Control Valves. (surveyors will ask for contract) (110 degrees in GA)
Ventilation
Ans: All areas ventilated to outside - window, mechanical ventilation, or combination. | a.
good movement (state determines| b. acceptable humidity/temperature levels (state
determines)| c. surveyor rating:| A= Good movement; acceptable temp/humidity/odor
levels| B= Little movement; temp/humidity/odor levels less acceptable.| C= No movement;
temp/humidity/odor levels unacceptable. Residents and staff apprea distressed due to levels.
Pest control
Ans: PREVENTION PROGRAM BEST; use contractor and staff||no traps, poisons, sticky fly
paper.||advantage - to use pest control service:||licensed and trained in use of all
pesticides, how to rotate chemicals to prevent buildup of resistance. ||(close garbage bin:
attracts pests)
Space and Equipment
Ans: Facility must provide sufficient space and equipment for dining, healthcare services,
recreation and rehabilitation. ||Sufficient means enough to enable staff to provide residents
with needed services as identified in the plan of care.| - space large enough to accommodate
usual number that use it; must be accessible.| - accommodate wheelchairs, walkers, other
ambulatory devices.| - rehab areas have exercise equipment, storage for supplies and
equipment.
NAB NHA Exam Compiled Cards Questions
with Detailed Verified Answers (100%
Correct Answers) /Already Graded A+
the physical plant
Ans: all designed, constructed, equipped, and maintained to protect health and safety of
residents, personnel, public
Life Safety Code (LSC)
Ans: Entire construction plan and materials meet LSC standards|||CMS requires unless have
waiver or exception. CMS grants waivers on SNFs; states on NFs
(NFPA)
Ans: National Fire Protection Association ||established LSC
Purpose of LSC
Ans: to provide reasonable degree of safety from fire.
Waivers for Life Safety Code
Ans: If CMS finds a state fire and safety code adequately protects residents and personnel
thenLSC does not apply. OLder facilities 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. Upkeep and repairs do not require prior approaval.
Blue Prints
Ans: keep as-built plans available for surveyors who do LSC inspection as well as for repair
persons who may need prints for big jobs.
LSC and other standards
Ans: 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)
, Page |2
LSC and ANSI/ADAAG
Ans: LSC accepts both standards so they are 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 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
Ans: **- 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|
Ans: - 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 required
Doors
Ans: 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 bed tables not required for
patient)
corridors
Ans: no dead-ends (LSC)||8 feet wide (CMS)
Floors
Ans: at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet
(ANSI, LSC)|Asphalt tile best
Fire alarms
Ans: flashing and audible. |connect with local fire dept, if possible|must have NFPA 71
certification of fire alarm service|
smoke detectors
Ans: approved detectors requried
, Page |3
smoking
Ans: written regulations, enforced. |smoking ares with non-combustible ashtrays, metal
containers with self-closing lids.|Prohibited areas include resident rooms and beds, oxygen,
flammable liquid storage.|proper signs posted.|supervise non-responsible.
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines)
Ans: 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
Ans: no incline more than 10%
Wheelchair passage
Ans: 32" bathroom doors||36" elsewhere
parking
Ans: 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
Ans: maximum rise 30". Slope not more than 1:10
What items must be accessible to wheelchair residents?|
Ans: WATER FOUNTAINS, telephones (non-Braille), light switches
Toilets and handrails - height
Ans: 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)
Handrails
Ans: 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|
Monitored
, Page |4
Ans: 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.
Alarms
Ans: flashing alarms for deaf, sound alarms for blind, tactile warnings for blind to identify
danger areas.
Grating
Ans: No greater than one-half inch; openings perpendicular to travel rout, if elongated.
Threshold
Ans: no more than 1/2 inch on entrance and exit doors, except exterior sliding door can be
3/4 inch in height
GROUNDS and parking
Ans: Maintenance cost-mowing biggest. State decides on number of parking spaces per bed.
Water
Ans: water must have backup source of supply. Temperature established by state. Automatic
Control Valves. (surveyors will ask for contract) (110 degrees in GA)
Ventilation
Ans: All areas ventilated to outside - window, mechanical ventilation, or combination. | a.
good movement (state determines| b. acceptable humidity/temperature levels (state
determines)| c. surveyor rating:| A= Good movement; acceptable temp/humidity/odor
levels| B= Little movement; temp/humidity/odor levels less acceptable.| C= No movement;
temp/humidity/odor levels unacceptable. Residents and staff apprea distressed due to levels.
Pest control
Ans: PREVENTION PROGRAM BEST; use contractor and staff||no traps, poisons, sticky fly
paper.||advantage - to use pest control service:||licensed and trained in use of all
pesticides, how to rotate chemicals to prevent buildup of resistance. ||(close garbage bin:
attracts pests)
Space and Equipment
Ans: Facility must provide sufficient space and equipment for dining, healthcare services,
recreation and rehabilitation. ||Sufficient means enough to enable staff to provide residents
with needed services as identified in the plan of care.| - space large enough to accommodate
usual number that use it; must be accessible.| - accommodate wheelchairs, walkers, other
ambulatory devices.| - rehab areas have exercise equipment, storage for supplies and
equipment.
