2026 NJ CALA QUESTIONS AND ANSWERS SURE
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✔✔Use of Restraints - ✔✔1.) The facility shall develop policies and procedures that
support a restraint-free environment for all residents.
2.) The use of any restraining devices shall be based on an assessment and shall
require a physician, advanced practice nurse, or physician assistant order.
3.) The least restrictive device shall be used, in compliance with the prescriber's order.
4.) A specific plan of care shall be developed for the use of any restraining device.
✔✔N.J.A.C. 8:36 - ✔✔Regulations: Standards for Licensure of Assisted Living
Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.
✔✔N.J.A.C. 8:43E - ✔✔General Licensure Procedures and Enforcement of Licensure
Regulations
✔✔Commissioner - ✔✔Refers to the Commissioner of the New Jersey Department of
Health and Senior Services.
✔✔Curtailment - ✔✔An order by the Department which requires a licensed health care
facility to cease and desist all admissions and readmissions of patients or residents to
the facility or affected service.
✔✔Deficiency - ✔✔A determination by the Department of one or more instances in
which a State licensing regulation or Federal certification regulation has been violated.
✔✔Department - ✔✔Refers to the New Jersey Department of Health and Senior
Services.
✔✔Division - ✔✔Refers to the Division of Health Care Systems Analysis, New Jersey
Department of Health and Senior Services.
,✔✔Facility - ✔✔The entity which has been issued a license to operate a health care
facility pursuant to N.J.S.A. 26:2H-1 et seq. For the purposes of this chapter, this
includes ambulance and invalid coach services.
✔✔Immediate and Serious Threat - ✔✔A deficiency or violation that has caused or will
imminently cause any time serious injury harm, impairment, or even death to residents
or patients of the facility and therefore requires immediate corrective action.
✔✔Patient - ✔✔An individual under the medical and nursing care and supervision of a
licensed health care facility.
✔✔Resident - ✔✔An individual residing in a licensed health care facility and under the
supervision of that facility for the purpose of receiving medical, nursing, and/or personal
care services.
✔✔Survey - ✔✔The evaluation of the quality of care and/or the fitness of the premises,
staff, and services provided by a facility as conducted by the Department and/or
designees to determine compliance or non-compliance with applicable State licensing
regulations, statutes, or Federal Medicare/Medicaid certification regulations or statutes.
✔✔10 business days - ✔✔At the conclusion of a survey or within ______________
thereafter, the Department shall provide a facility with a written summary of the factual
findings used as a basis to determine that a licensure violation has occurred, and a
statement of each licensure regulation to which the finding of deficiency relates.
Following completion of the survey, an acute care facility may contact the Inspections,
Complaints and Compliance Program and a long term care facility may contact the Long
Term Care Assessment Survey Program to request an informal review of deficiencies
cited. The request must be made in writing within _______________ of the receipt of
the written survery findings. The plan of correction shall be submitted within
______________ of the facility's receipt of the notice of violations, unless the
Department specifically authorizes an extension for cause. Where deficiencies are the
subject of informal dispute resolution pursuant to N.J.A.C. 8:43E-2.3, the extension shall
pertain only to the plans of correction for the deficiencies under review.
✔✔Suspension of a license - ✔✔The Commissioner may order the summary
suspension of a license of a health care facility or a component or distinct part of a
facility upon a finding that violations pertaining to the care of patients or to the
hazardous or unsafe conditions of the physical structure pose an immediate threat to
the health, safety, and welfare of the public or the residents of the facility. Except in the
case of life-threatening emergency, the notice shall provide the facility with a 72-hour
period from receipt to correct the violations and provide proof to the Department of such
correction. If the Department determines the violations have not been corrected, and the
facility has not filed notice requesting a hearing to contest the notice of suspension
within 48 hours of receipt of the Commissioner's notice pursuant, then the license shall
be deemed suspended. Upon the effective date of the suspension, the facility shall
, cease and desist the provision of health care services and effect an orderly transfer of
patients. If the facility requests a hearing within 48 hours of receipt of the Notice of
Proposed Suspension of License in accordance with N.J.S.A. 26:2-H-14, the
Department shall arrange for an immediate hearing to be conducted by the
Commissioner and a final agency decision shall be issued within 48 hours by the
Commissioner.
✔✔Pain - ✔✔An unpleasant sensory and emotional experience associated with actual
or potential tissue damage or described in terms of such damage.
✔✔Pain Rating Scale - ✔✔A tool that is age cognitive and culturally specific to the
patient or resident population to which it is applied and which results in an assessment
and measurement of the intensity of pain.
✔✔Pain Treatment Plan - ✔✔A plan based on information gathered during a
patient/resident pain assessment, that identifies the patient's/resident's needs and
specifies appropriate interventions to alleviate pain, to the extent feasible and medically
appropriate.
✔✔Pain Assessment Procedure - ✔✔A facility shall formulate a system for assessing
and monitoring patients'/residents/ pain using a pain rating scale. Pain should be
assessed at minimum upon admission, on the day of a planned discharge, and when
warranted by changes in a patients'/residents' condition, self-reporting of pain and/or
evidence of behavioral cues indicative of the presence of pain. If pain is identified, a
pain treatment plan shall be developed and implemented within the health care facility
or the patient/resident shall be referred for treatment or consultation.
✔✔Pain and Home Health Care Services - ✔✔In the case of individuals receiving home
health care services, assessment shall coincide with a visit by staff of the home health
service agency and assessment on the day of discharge is not required if the individual
has been admitted to an inpatient or residential health care facility and discharge from
the home health service agency takes place after the admission.
✔✔Staff Education and Training Programs - ✔✔1.) Orientation of new staff to the
facility's policies and procedures on pain assessment and management.
2.) Training of staff in pain assessment tools; behaviors potentially indicating pain;
personal, cultural, spiritual and/or ethnic beliefs that may impact a patient's/resident's
perception of pain; new equipment and new technologies to assess and monitor a
patient's/resident's pain status.
3.) Incorporation of pain assessment, monitoring and management into the initial
orientation and ongoing education of all appropriate staff.
4.) Patient/resident rights.
5.) Implementation of the plan shall include records of attendance for each program.
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✔✔Use of Restraints - ✔✔1.) The facility shall develop policies and procedures that
support a restraint-free environment for all residents.
2.) The use of any restraining devices shall be based on an assessment and shall
require a physician, advanced practice nurse, or physician assistant order.
3.) The least restrictive device shall be used, in compliance with the prescriber's order.
4.) A specific plan of care shall be developed for the use of any restraining device.
✔✔N.J.A.C. 8:36 - ✔✔Regulations: Standards for Licensure of Assisted Living
Residences, Comprehensive Personal Care Homes, and Assisted Living Programs.
✔✔N.J.A.C. 8:43E - ✔✔General Licensure Procedures and Enforcement of Licensure
Regulations
✔✔Commissioner - ✔✔Refers to the Commissioner of the New Jersey Department of
Health and Senior Services.
✔✔Curtailment - ✔✔An order by the Department which requires a licensed health care
facility to cease and desist all admissions and readmissions of patients or residents to
the facility or affected service.
✔✔Deficiency - ✔✔A determination by the Department of one or more instances in
which a State licensing regulation or Federal certification regulation has been violated.
✔✔Department - ✔✔Refers to the New Jersey Department of Health and Senior
Services.
✔✔Division - ✔✔Refers to the Division of Health Care Systems Analysis, New Jersey
Department of Health and Senior Services.
,✔✔Facility - ✔✔The entity which has been issued a license to operate a health care
facility pursuant to N.J.S.A. 26:2H-1 et seq. For the purposes of this chapter, this
includes ambulance and invalid coach services.
✔✔Immediate and Serious Threat - ✔✔A deficiency or violation that has caused or will
imminently cause any time serious injury harm, impairment, or even death to residents
or patients of the facility and therefore requires immediate corrective action.
✔✔Patient - ✔✔An individual under the medical and nursing care and supervision of a
licensed health care facility.
✔✔Resident - ✔✔An individual residing in a licensed health care facility and under the
supervision of that facility for the purpose of receiving medical, nursing, and/or personal
care services.
✔✔Survey - ✔✔The evaluation of the quality of care and/or the fitness of the premises,
staff, and services provided by a facility as conducted by the Department and/or
designees to determine compliance or non-compliance with applicable State licensing
regulations, statutes, or Federal Medicare/Medicaid certification regulations or statutes.
✔✔10 business days - ✔✔At the conclusion of a survey or within ______________
thereafter, the Department shall provide a facility with a written summary of the factual
findings used as a basis to determine that a licensure violation has occurred, and a
statement of each licensure regulation to which the finding of deficiency relates.
Following completion of the survey, an acute care facility may contact the Inspections,
Complaints and Compliance Program and a long term care facility may contact the Long
Term Care Assessment Survey Program to request an informal review of deficiencies
cited. The request must be made in writing within _______________ of the receipt of
the written survery findings. The plan of correction shall be submitted within
______________ of the facility's receipt of the notice of violations, unless the
Department specifically authorizes an extension for cause. Where deficiencies are the
subject of informal dispute resolution pursuant to N.J.A.C. 8:43E-2.3, the extension shall
pertain only to the plans of correction for the deficiencies under review.
✔✔Suspension of a license - ✔✔The Commissioner may order the summary
suspension of a license of a health care facility or a component or distinct part of a
facility upon a finding that violations pertaining to the care of patients or to the
hazardous or unsafe conditions of the physical structure pose an immediate threat to
the health, safety, and welfare of the public or the residents of the facility. Except in the
case of life-threatening emergency, the notice shall provide the facility with a 72-hour
period from receipt to correct the violations and provide proof to the Department of such
correction. If the Department determines the violations have not been corrected, and the
facility has not filed notice requesting a hearing to contest the notice of suspension
within 48 hours of receipt of the Commissioner's notice pursuant, then the license shall
be deemed suspended. Upon the effective date of the suspension, the facility shall
, cease and desist the provision of health care services and effect an orderly transfer of
patients. If the facility requests a hearing within 48 hours of receipt of the Notice of
Proposed Suspension of License in accordance with N.J.S.A. 26:2-H-14, the
Department shall arrange for an immediate hearing to be conducted by the
Commissioner and a final agency decision shall be issued within 48 hours by the
Commissioner.
✔✔Pain - ✔✔An unpleasant sensory and emotional experience associated with actual
or potential tissue damage or described in terms of such damage.
✔✔Pain Rating Scale - ✔✔A tool that is age cognitive and culturally specific to the
patient or resident population to which it is applied and which results in an assessment
and measurement of the intensity of pain.
✔✔Pain Treatment Plan - ✔✔A plan based on information gathered during a
patient/resident pain assessment, that identifies the patient's/resident's needs and
specifies appropriate interventions to alleviate pain, to the extent feasible and medically
appropriate.
✔✔Pain Assessment Procedure - ✔✔A facility shall formulate a system for assessing
and monitoring patients'/residents/ pain using a pain rating scale. Pain should be
assessed at minimum upon admission, on the day of a planned discharge, and when
warranted by changes in a patients'/residents' condition, self-reporting of pain and/or
evidence of behavioral cues indicative of the presence of pain. If pain is identified, a
pain treatment plan shall be developed and implemented within the health care facility
or the patient/resident shall be referred for treatment or consultation.
✔✔Pain and Home Health Care Services - ✔✔In the case of individuals receiving home
health care services, assessment shall coincide with a visit by staff of the home health
service agency and assessment on the day of discharge is not required if the individual
has been admitted to an inpatient or residential health care facility and discharge from
the home health service agency takes place after the admission.
✔✔Staff Education and Training Programs - ✔✔1.) Orientation of new staff to the
facility's policies and procedures on pain assessment and management.
2.) Training of staff in pain assessment tools; behaviors potentially indicating pain;
personal, cultural, spiritual and/or ethnic beliefs that may impact a patient's/resident's
perception of pain; new equipment and new technologies to assess and monitor a
patient's/resident's pain status.
3.) Incorporation of pain assessment, monitoring and management into the initial
orientation and ongoing education of all appropriate staff.
4.) Patient/resident rights.
5.) Implementation of the plan shall include records of attendance for each program.
