NHA LINE OF SERVICE QUESTIONS WITH CORRECT ANSWERS.

NHA LINE OF SERVICE QUESTIONS
WITH CORRECT ANSWERS 2025
WhereAchangesAareAmadeAtoAchargesAforAotherAitemsAandAservicesAthatAtheAfacilityAoffers,AtheA
facilityAmustAinformAtheAresidentAinAwritingAatAleastA-
AcorrectAanswers60AdaysApriorAtoAimplementationAofAtheAchange.



TheAfacilityAmustAprovideAtheAresidentAwithAaccessAtoApersonalAandAmedicalArecordsApertainin
gAtoAtheirAself,AuponAanAoralAandAwrittenArequest,AinAtheAformAandAformatArequestedAbyAtheAin
dividual,AifAitAisAreadilyAproducibleAinAsuchAformAandAformatA(includingAinAanAelectronicAformAor
AformatAwhenAsuchArecordsAareAmaintainedAelectronically)AorAifAnot,AinAaAreadableAhardAcopyAf


ormAorAsuchAotherAformAagreedAtoAbyAtheAfacilityAandAtheAindividualAwithinA-
AcorrectAanswers24Ahours



TheAfacilityAmustAallowAtheAresidentAtoAobtainAaAcopyAofAtheArecordsAorAanyAportionAthereAofAu
ponArequestAandA-AcorrectAanswers2AworkingAdaysAadvanceAnoticeAtoAtheAfacility

TheAfacilityAmustAhaveAreportsAwithArespectAtoAanyAsurveys,Acertifications,AandAcomplaintAinve
stigationsAmadeArespectingAtheAfacilityAalongAwithAplansAofAcorrectionAinAeffectAwithArespectAt
oAtheAfacility,AavailableAforAanyAindividualAtoAreviewAuponArequest.A-
AcorrectAanswers3AprecedingAyears



TheAfacilityAmustAnotifyAeachAresidentAthatAreceivesAMedicaidAbenefitsAwhenAtheAamountAinAt
heAresidentsAaccountAreachesA-AcorrectAanswers$200AlessAthanAtheASSIAresourceAlimit

TheAfacilityAmustAdepositAtheAresident'sApersonalAfundsAinAexcessAofA$_____AinAanAinterestAbea
ringAaccountAthatAisAseparateAfromAanyAofAtheAfacility'sAoperatingAaccounts,AandAthatAcreditsAal
lAinterestAearnedAonAresident'sAfundsAtoAthatAaccount.A-AcorrectAanswers$50

(iv)ATheAfacilityAmustArefundAtoAtheAresidentAorAresidentArepresentativeAanyAandAallArefundsAdu
eAtheAresidentAwithinA-
AcorrectAanswers30AdaysAfromAtheAresident'sAdateAofAdischargeAfromAtheAfacility.



ComfortableAandAsafeAtemperatureAlevels.AFacilitiesAinitiallyAcertifiedAafterAOctoberA1,A1990Am
ustAmaintainAaAtemperatureArangeAofA-AcorrectAanswers71AtoA81A°F

MaintainingAevidenceAdemonstratingAtheAresultsAofAallAgrievancesAforAaAperiodAofAnoAlessAthan
A-AcorrectAanswers3AyearsAfromAtheAissuanceAofAtheAgrievanceAdecision.



(B)AEachAcoveredAindividualAshallAreportAimmediately,AbutAnotAlaterAthanA_______________Aaf
terAformingAtheAsuspicion,AifAtheAeventsAthatAcauseAtheAsuspicionAresultAinAseriousAbodilyAinjur
y,AorAnotAlaterAthanA__________AifAtheAeventsAthatAcauseAtheAsuspicionAdoAnotAresultAinAseriou
sAbodilyAinjury.A-AcorrectAanswers2AhoursAorA24Ahours

EnsureAthatAallAallegedAviolationsAinvolvingAabuse,Aneglect,AexploitationAorAmistreatment,Aincl
udingAinjuriesAofAunknownAsourceAandAmisappropriationAofAresidentAproperty,AareAreportedAi

,mmediately,AbutAnotAlaterAthanA________________AafterAtheAallegationAisAmade,AifAtheAevents
AthatAcauseAtheAallegationAinvolveAabuseAorAresultAinAseriousAbodilyAinjuryA-


AcorrectAanswers2Ahours



notAlaterAthanA_________AhoursAifAtheAeventsAthatAcauseAtheAallegationAdoAnotAinvolveAabuseA
andAdoAnotAresultAinAseriousAbodilyAinjury,AtoAtheAadministratorAofAtheAfacilityAandAtoAotherAoffi
cialsA(includingAtoAtheAStateASurveyAAgencyAandAadultAprotectiveAservicesAwhereAstateAlawApro
videsAforAjurisdictionAinAlong-
termAcareAfacilities)AinAaccordanceAwithAStateAlawAthroughAestablishedAprocedures.A-
AcorrectAanswers24



ReportAtheAresultsAofAallAinvestigationsAtoAtheAadministratorAorAhisAorAherAdesignatedArepresen
tativeAandAtoAotherAofficialsAinAaccordanceAwithAStateAlaw,AincludingAtoAtheAStateASurveyAAgen
cy,AwithinA________________________AofAtheAincident,AandAifAtheAallegedAviolationAisAverifie
dAappropriateAcorrectiveAactionAmustAbeAtaken.A-AcorrectAanswers5AworkingAdays

theAnoticeAofAtransferAorAdischargeArequiredAunderAthisAsectionAmustAbeAmadeAbyAtheAfacilityA
atAleastA_______AdaysAbeforeAtheAresidentAisAtransferredAorAdischarged.A-AcorrectAanswers30

ComprehensiveAcareplan.AWithinA______AcalendarAdaysAafterAadmission,AexcludingAreadmissi
onsAinAwhichAthereAisAnoAsignificantAchangeAinAtheAresident'sAphysicalAorAmentalAcondition.A(Fo
rApurposesAofAthisAsection,A"readmission"AmeansAaAreturnAtoAtheAfacilityAfollowingAaAtemporar
yAabsenceAforAhospitalizationAorAforAtherapeuticAleave.)A-AcorrectAanswers14

ComprehensiveAcareAplan.AWithinA_______AcalendarAdaysAafterAtheAfacilityAdetermines,AorAsh
ouldAhaveAdetermined,AthatAthereAhasAbeenAaAsignificantAchangeAinAtheAresident'sAphysicalAorA
mentalAcondition.A(ForApurposesAofAthisAsection,AaA"significantAchange"AmeansAaAmajorAdeclin
eAorAimprovementAinAtheAresident'sAstatusAthatAwillAnotAnormallyAresolveAitselfAwithoutAfurthe
rAinterventionAbyAstaffAorAbyAimplementingAstandardAdisease-
relatedAclinicalAinterventions,AthatAhasAanAimpactAonAmoreAthanAoneAareaAofAtheAresident'sAhe
althAstatus,AandArequiresAinterdisciplinaryAreviewAorArevisionAofAtheAcareAplan,AorAboth.)A-
AcorrectAanswers14



QuarterlyAreviewAassessment.AAAfacilityAmustAassessAaAresidentAusingAtheAquarterlyAreviewAins
trumentAspecifiedAbyAtheAStateAandAapprovedAbyACMSAnotAlessAfrequentlyAthanA-
AcorrectAanswersonceAeveryA3Amonths.



AAfacilityAmustAmaintainAallAresidentAassessmentsAcompletedAwithinAtheApreviousA__________
______AmonthsAinAtheAresident'sAactiveArecordAandAuseAtheAresultsAofAtheAassessmentsAtoAdev
elop,Areview,AandAreviseAtheAresident'sAcomprehensiveAplanAofAcare.A-
AcorrectAanswers15Amonths



TheAbaselineAcareAplanAmustAbeAdevelopedAwithinA______Ahours.AandAmustAinclude:A-
AcorrectAanswers48AhoursAofAaAresident'sAadmission.



(A)AInitialAgoalsAbasedAonAadmissionAorders.

, (B)APhysicianAorders.

(C)ADietaryAorders.

(D)ATherapyAservices.

(E)ASocialAservices.

(F)APASARRArecommendation,AifAapplicable.

AAcomprehensiveAcareAplanAmustAbeA-
AcorrectAanswers(i)ADevelopedAwithinA7AdaysAafterAcompletion AofAtheAcomprehensiveAassessm


ent.

TheAcomprehensiveAcareAplanAmustA-
AcorrectAanswers(ii)APreparedAbyAanAinterdisciplinaryAteam,AthatAincludesAbutAisAnotAlimitedAto


—

(A)ATheAattendingAphysician.

(B)AAAregisteredAnurseAwithAresponsibilityAforAtheAresident.

(C)AAAnurseAaideAwithAresponsibilityAforAtheAresident.

(D)AAAmemberAofAfoodAandAnutritionAservicesAstaff.

(E)AToAtheAextentApracticable,AtheAparticipationAofAtheAresidentAandAtheAresident'sArepresentat
ive(s).AAnAexplanationAmustAbeAincludedAinAaAresident'sAmedicalArecordAifAtheAparticipationAofA
theAresidentAandAtheirAresidentArepresentativeAisAdeterminedAnotApracticableAforAtheAdevelop
mentAofAtheAresident'sAcareAplan.

(F)AOtherAappropriateAstaffAorAprofessionalsAinAdisciplinesAasAdeterminedAbyAtheAresident'sAne
edsAorAasArequestedAbyAtheAresident.

TheAactivitiesAprogramAmustAbeAdirectedAbyAaAqualifiedAprofessionalAwhoAisAaAqualifiedAtherap
euticArecreationAspecialistAorAanAactivitiesAprofessionalAwho—A-
AcorrectAanswers(i)AIsAlicensedAorAregistered,AifAapplicable,AbyAtheAStateAinAwhichApracticing;Aan


dAIs:

(A)AEligibleAforAcertificationAasAaAtherapeuticArecreationAspecialistAorAasAanAactivitiesAprofessio
nalAbyAaArecognizedAaccreditingAbodyAonAorAafterAOctoberA1,A1990;Aor

(B)AHasA2AyearsAofAexperienceAinAaAsocialAorArecreationalAprogramAwithinAtheAlastA5Ayears,AoneA
ofAwhichAwasAfull-timeAinAaAtherapeuticAactivitiesAprogram;Aor

(C)AIsAaAqualifiedAoccupationalAtherapistAorAoccupationalAtherapyAassistant;Aor

(D)AHasAcompletedAaAtrainingAcourseAapprovedAbyAtheAState.

CertifiedANursingAAideAdementiaAtrainingA-AcorrectAanswers8AhoursAaAyear