NHA LINE OF SERVICE EXAM WITH
VERIFIED SOLUTIONS
Where vchanges vare vmade vto vcharges vfor vother vitems vand vservices vthat vthe
vfacility voffers, vthe vfacility vmust vinform vthe vresident vin vwriting vat vleast v- vcorrect
vanswers v-60 vdays vprior vto vimplementation vof vthe vchange.
The vfacility vmust vprovide vthe vresident vwith vaccess vto vpersonal vand vmedical
vrecords vpertaining vto vtheir vself, vupon van voral vand vwritten vrequest, vin vthe vform
vand vformat vrequested vby vthe vindividual, vif vit vis vreadily vproducible vin vsuch vform
vand vformat v(including vin van velectronic vform vor vformat vwhen vsuch vrecords vare
vmaintained velectronically) vor vif vnot, vin va vreadable vhard vcopy vform vor vsuch vother
vform vagreed vto vby vthe vfacility vand vthe vindividual vwithin v- vcorrect vanswers v-24
vhours
,The vfacility vmust vallow vthe vresident vto vobtain va vcopy vof vthe vrecords vor vany
vportion vthere vof vupon vrequest vand v- vcorrect vanswers v-2 vworking vdays vadvance
vnotice vto vthe vfacility
The vfacility vmust vhave vreports vwith vrespect vto vany vsurveys, vcertifications, vand
vcomplaint vinvestigations vmade vrespecting vthe vfacility valong vwith vplans vof
vcorrection vin veffect vwith vrespect vto vthe vfacility, vavailable vfor vany vindividual vto
vreview vupon vrequest. v- vcorrect vanswers v-3 vpreceding vyears
The vfacility vmust vnotify veach vresident vthat vreceives vMedicaid vbenefits vwhen vthe
vamount vin vthe vresidents vaccount vreaches v- vcorrect vanswers v-$200 vless vthan vthe
vSSI vresource vlimit
The vfacility vmust vdeposit vthe vresident's vpersonal vfunds vin vexcess vof v$_____ vin
van vinterest vbearing vaccount vthat vis vseparate vfrom vany vof vthe vfacility's voperating
vaccounts, vand vthat vcredits vall vinterest vearned von vresident's vfunds vto vthat
vaccount. v- vcorrect vanswers v-$50
(iv) vThe vfacility vmust vrefund vto vthe vresident vor vresident vrepresentative vany vand
vall vrefunds vdue vthe vresident vwithin v- vcorrect vanswers v-30 vdays vfrom vthe
vresident's vdate vof vdischarge vfrom vthe vfacility.
Comfortable vand vsafe vtemperature vlevels. vFacilities vinitially vcertified vafter vOctober
v1, v1990 vmust vmaintain va vtemperature vrange vof v- vcorrect vanswers v-71 vto v81 v°F
Maintaining vevidence vdemonstrating vthe vresults vof vall vgrievances vfor va vperiod vof
vno vless vthan v- vcorrect vanswers v-3 vyears vfrom vthe vissuance vof vthe vgrievance
vdecision.
(B) vEach vcovered vindividual vshall vreport vimmediately, vbut vnot vlater vthan
v_______________ vafter vforming vthe vsuspicion, vif vthe vevents vthat vcause vthe
vsuspicion vresult vin vserious vbodily vinjury, vor vnot vlater vthan v__________ vif vthe
vevents vthat vcause vthe vsuspicion vdo vnot vresult vin vserious vbodily vinjury. v- vcorrect
vanswers v-2 vhours vor v24 vhours
Ensure vthat vall valleged vviolations vinvolving vabuse, vneglect, vexploitation vor
vmistreatment, vincluding vinjuries vof vunknown vsource vand vmisappropriation vof
vresident vproperty, vare vreported vimmediately, vbut vnot vlater vthan
v________________ vafter vthe vallegation vis vmade, vif vthe vevents vthat vcause vthe
vallegation vinvolve vabuse vor vresult vin vserious vbodily vinjury v- vcorrect vanswers v-2
vhours
not vlater vthan v_________ vhours vif vthe vevents vthat vcause vthe vallegation vdo vnot
vinvolve vabuse vand vdo vnot vresult vin vserious vbodily vinjury, vto vthe vadministrator vof
vthe vfacility vand vto vother vofficials v(including vto vthe vState vSurvey vAgency vand
vadult vprotective vservices vwhere vstate vlaw vprovides vfor vjurisdiction vin vlong-term
, vcare vfacilities) vin vaccordance vwith vState vlaw vthrough vestablished vprocedures. v-
vcorrect vanswers v-24
Report vthe vresults vof vall vinvestigations vto vthe vadministrator vor vhis vor vher
vdesignated vrepresentative vand vto vother vofficials vin vaccordance vwith vState vlaw,
vincluding vto vthe vState vSurvey vAgency, vwithin v________________________ vof vthe
vincident, vand vif vthe valleged vviolation vis vverified vappropriate vcorrective vaction
vmust vbe vtaken. v- vcorrect vanswers v-5 vworking vdays
the vnotice vof vtransfer vor vdischarge vrequired vunder vthis vsection vmust vbe vmade vby
vthe vfacility vat vleast v_______ vdays vbefore vthe vresident vis vtransferred vor
vdischarged. v- vcorrect vanswers v-30
Comprehensive vcareplan. vWithin v______ vcalendar vdays vafter vadmission, vexcluding
vreadmissions vin vwhich vthere vis vno vsignificant vchange vin vthe vresident's vphysical
vor vmental vcondition. v(For vpurposes vof vthis vsection, v"readmission" vmeans va
vreturn vto vthe vfacility vfollowing va vtemporary vabsence vfor vhospitalization vor vfor
vtherapeutic vleave.) v- vcorrect vanswers v-14
Comprehensive vcare vplan. vWithin v_______ vcalendar vdays vafter vthe vfacility
vdetermines, vor vshould vhave vdetermined, vthat vthere vhas vbeen va vsignificant
vchange vin vthe vresident's vphysical vor vmental vcondition. v(For vpurposes vof vthis
vsection, va v"significant vchange" vmeans va vmajor vdecline vor vimprovement vin vthe
vresident's vstatus vthat vwill vnot vnormally vresolve vitself vwithout vfurther vintervention
vby vstaff vor vby vimplementing vstandard vdisease-related vclinical vinterventions, vthat
vhas van vimpact von vmore vthan vone varea vof vthe vresident's vhealth vstatus, vand
vrequires vinterdisciplinary vreview vor vrevision vof vthe vcare vplan, vor vboth.) v- vcorrect
vanswers v-14
Quarterly vreview vassessment. vA vfacility vmust vassess va vresident vusing vthe
vquarterly vreview vinstrument vspecified vby vthe vState vand vapproved vby vCMS vnot
vless vfrequently vthan v- vcorrect vanswers v-once vevery v3 vmonths.
A vfacility vmust vmaintain vall vresident vassessments vcompleted vwithin vthe vprevious
v________________ vmonths vin vthe vresident's vactive vrecord vand vuse vthe vresults
vof vthe vassessments vto vdevelop, vreview, vand vrevise vthe vresident's vcomprehensive
vplan vof vcare. v- vcorrect vanswers v-15 vmonths
The vbaseline vcare vplan vmust vbe vdeveloped vwithin v______ vhours. vand vmust
vinclude: v- vcorrect vanswers v-48 vhours vof va vresident's vadmission.
(A) vInitial vgoals vbased von vadmission vorders.
(B) vPhysician vorders.
(C) vDietary vorders.
(D) vTherapy vservices.
(E) vSocial vservices.
(F) vPASARR vrecommendation, vif vapplicable.
VERIFIED SOLUTIONS
Where vchanges vare vmade vto vcharges vfor vother vitems vand vservices vthat vthe
vfacility voffers, vthe vfacility vmust vinform vthe vresident vin vwriting vat vleast v- vcorrect
vanswers v-60 vdays vprior vto vimplementation vof vthe vchange.
The vfacility vmust vprovide vthe vresident vwith vaccess vto vpersonal vand vmedical
vrecords vpertaining vto vtheir vself, vupon van voral vand vwritten vrequest, vin vthe vform
vand vformat vrequested vby vthe vindividual, vif vit vis vreadily vproducible vin vsuch vform
vand vformat v(including vin van velectronic vform vor vformat vwhen vsuch vrecords vare
vmaintained velectronically) vor vif vnot, vin va vreadable vhard vcopy vform vor vsuch vother
vform vagreed vto vby vthe vfacility vand vthe vindividual vwithin v- vcorrect vanswers v-24
vhours
,The vfacility vmust vallow vthe vresident vto vobtain va vcopy vof vthe vrecords vor vany
vportion vthere vof vupon vrequest vand v- vcorrect vanswers v-2 vworking vdays vadvance
vnotice vto vthe vfacility
The vfacility vmust vhave vreports vwith vrespect vto vany vsurveys, vcertifications, vand
vcomplaint vinvestigations vmade vrespecting vthe vfacility valong vwith vplans vof
vcorrection vin veffect vwith vrespect vto vthe vfacility, vavailable vfor vany vindividual vto
vreview vupon vrequest. v- vcorrect vanswers v-3 vpreceding vyears
The vfacility vmust vnotify veach vresident vthat vreceives vMedicaid vbenefits vwhen vthe
vamount vin vthe vresidents vaccount vreaches v- vcorrect vanswers v-$200 vless vthan vthe
vSSI vresource vlimit
The vfacility vmust vdeposit vthe vresident's vpersonal vfunds vin vexcess vof v$_____ vin
van vinterest vbearing vaccount vthat vis vseparate vfrom vany vof vthe vfacility's voperating
vaccounts, vand vthat vcredits vall vinterest vearned von vresident's vfunds vto vthat
vaccount. v- vcorrect vanswers v-$50
(iv) vThe vfacility vmust vrefund vto vthe vresident vor vresident vrepresentative vany vand
vall vrefunds vdue vthe vresident vwithin v- vcorrect vanswers v-30 vdays vfrom vthe
vresident's vdate vof vdischarge vfrom vthe vfacility.
Comfortable vand vsafe vtemperature vlevels. vFacilities vinitially vcertified vafter vOctober
v1, v1990 vmust vmaintain va vtemperature vrange vof v- vcorrect vanswers v-71 vto v81 v°F
Maintaining vevidence vdemonstrating vthe vresults vof vall vgrievances vfor va vperiod vof
vno vless vthan v- vcorrect vanswers v-3 vyears vfrom vthe vissuance vof vthe vgrievance
vdecision.
(B) vEach vcovered vindividual vshall vreport vimmediately, vbut vnot vlater vthan
v_______________ vafter vforming vthe vsuspicion, vif vthe vevents vthat vcause vthe
vsuspicion vresult vin vserious vbodily vinjury, vor vnot vlater vthan v__________ vif vthe
vevents vthat vcause vthe vsuspicion vdo vnot vresult vin vserious vbodily vinjury. v- vcorrect
vanswers v-2 vhours vor v24 vhours
Ensure vthat vall valleged vviolations vinvolving vabuse, vneglect, vexploitation vor
vmistreatment, vincluding vinjuries vof vunknown vsource vand vmisappropriation vof
vresident vproperty, vare vreported vimmediately, vbut vnot vlater vthan
v________________ vafter vthe vallegation vis vmade, vif vthe vevents vthat vcause vthe
vallegation vinvolve vabuse vor vresult vin vserious vbodily vinjury v- vcorrect vanswers v-2
vhours
not vlater vthan v_________ vhours vif vthe vevents vthat vcause vthe vallegation vdo vnot
vinvolve vabuse vand vdo vnot vresult vin vserious vbodily vinjury, vto vthe vadministrator vof
vthe vfacility vand vto vother vofficials v(including vto vthe vState vSurvey vAgency vand
vadult vprotective vservices vwhere vstate vlaw vprovides vfor vjurisdiction vin vlong-term
, vcare vfacilities) vin vaccordance vwith vState vlaw vthrough vestablished vprocedures. v-
vcorrect vanswers v-24
Report vthe vresults vof vall vinvestigations vto vthe vadministrator vor vhis vor vher
vdesignated vrepresentative vand vto vother vofficials vin vaccordance vwith vState vlaw,
vincluding vto vthe vState vSurvey vAgency, vwithin v________________________ vof vthe
vincident, vand vif vthe valleged vviolation vis vverified vappropriate vcorrective vaction
vmust vbe vtaken. v- vcorrect vanswers v-5 vworking vdays
the vnotice vof vtransfer vor vdischarge vrequired vunder vthis vsection vmust vbe vmade vby
vthe vfacility vat vleast v_______ vdays vbefore vthe vresident vis vtransferred vor
vdischarged. v- vcorrect vanswers v-30
Comprehensive vcareplan. vWithin v______ vcalendar vdays vafter vadmission, vexcluding
vreadmissions vin vwhich vthere vis vno vsignificant vchange vin vthe vresident's vphysical
vor vmental vcondition. v(For vpurposes vof vthis vsection, v"readmission" vmeans va
vreturn vto vthe vfacility vfollowing va vtemporary vabsence vfor vhospitalization vor vfor
vtherapeutic vleave.) v- vcorrect vanswers v-14
Comprehensive vcare vplan. vWithin v_______ vcalendar vdays vafter vthe vfacility
vdetermines, vor vshould vhave vdetermined, vthat vthere vhas vbeen va vsignificant
vchange vin vthe vresident's vphysical vor vmental vcondition. v(For vpurposes vof vthis
vsection, va v"significant vchange" vmeans va vmajor vdecline vor vimprovement vin vthe
vresident's vstatus vthat vwill vnot vnormally vresolve vitself vwithout vfurther vintervention
vby vstaff vor vby vimplementing vstandard vdisease-related vclinical vinterventions, vthat
vhas van vimpact von vmore vthan vone varea vof vthe vresident's vhealth vstatus, vand
vrequires vinterdisciplinary vreview vor vrevision vof vthe vcare vplan, vor vboth.) v- vcorrect
vanswers v-14
Quarterly vreview vassessment. vA vfacility vmust vassess va vresident vusing vthe
vquarterly vreview vinstrument vspecified vby vthe vState vand vapproved vby vCMS vnot
vless vfrequently vthan v- vcorrect vanswers v-once vevery v3 vmonths.
A vfacility vmust vmaintain vall vresident vassessments vcompleted vwithin vthe vprevious
v________________ vmonths vin vthe vresident's vactive vrecord vand vuse vthe vresults
vof vthe vassessments vto vdevelop, vreview, vand vrevise vthe vresident's vcomprehensive
vplan vof vcare. v- vcorrect vanswers v-15 vmonths
The vbaseline vcare vplan vmust vbe vdeveloped vwithin v______ vhours. vand vmust
vinclude: v- vcorrect vanswers v-48 vhours vof va vresident's vadmission.
(A) vInitial vgoals vbased von vadmission vorders.
(B) vPhysician vorders.
(C) vDietary vorders.
(D) vTherapy vservices.
(E) vSocial vservices.
(F) vPASARR vrecommendation, vif vapplicable.
