NAB NHA Exam- Physical, Environmental,
and Atmosphere
1.the physical plant: all designed, constructed, equipped, and
maintained to pro- tect health and safety of residents, personnel, public
2.Life Safety Code (LSC): Entire construction plan and materials meet
LSC stan- dards|||CMS requires unless have waiver or exception. CMS
grants waivers on SNFs; states on NFs
3.(NFPA): National Fire Protection Association ||established LSC
4.Purpose of LSC: to provide reasonable degree of safety from fire.
5.Waivers for Life Safety Code: If CMS finds a state fire and safety code
ade- quately 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 construc- tion. 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.
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17
,6.Blue Prints: keep as-built plans available for surveyors who do LSC
inspection as well as for repair persons who may need prints for big
jobs.
7.LSC and other standards: 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
8.LSC and ANSI/ADAAG: 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.
9.LSC, ANSI/ADAAG, and CMS: **- 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.
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, 10.requirement for rooms|: - 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
11.Doors: 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 corri- dors||(over bed tables not required
for patient)
12.corridors: no dead-ends (LSC)||8 feet wide (CMS)
13.Floors: at or above ground level. (LSC) |Fire rating if carpeted.
(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
14.Fire alarms: flashing and audible. |connect with local fire dept, if
possible|must have NFPA 71 certification of fire alarm service|
15.smoke detectors: approved detectors required
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17
and Atmosphere
1.the physical plant: all designed, constructed, equipped, and
maintained to pro- tect health and safety of residents, personnel, public
2.Life Safety Code (LSC): Entire construction plan and materials meet
LSC stan- dards|||CMS requires unless have waiver or exception. CMS
grants waivers on SNFs; states on NFs
3.(NFPA): National Fire Protection Association ||established LSC
4.Purpose of LSC: to provide reasonable degree of safety from fire.
5.Waivers for Life Safety Code: If CMS finds a state fire and safety code
ade- quately 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 construc- tion. 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.
1/
17
,6.Blue Prints: keep as-built plans available for surveyors who do LSC
inspection as well as for repair persons who may need prints for big
jobs.
7.LSC and other standards: 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
8.LSC and ANSI/ADAAG: 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.
9.LSC, ANSI/ADAAG, and CMS: **- 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.
2/
17
, 10.requirement for rooms|: - 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
11.Doors: 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 corri- dors||(over bed tables not required
for patient)
12.corridors: no dead-ends (LSC)||8 feet wide (CMS)
13.Floors: at or above ground level. (LSC) |Fire rating if carpeted.
(LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
14.Fire alarms: flashing and audible. |connect with local fire dept, if
possible|must have NFPA 71 certification of fire alarm service|
15.smoke detectors: approved detectors required
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17
