NHA-TX Flashcards
pass the damn TX NHA! (106 cards)
1
Q
Prior to removing equipment or features of a building that may now be in excess, a facility must get approval from who?
A
DHS
2
Q
How does a facility decide what are a particular residents ADL’s?
A
Comprehensive Assessment
3
Q
What does OBRA stand for what, and which year is most often referred?
A
Omnibus Budget Reconciliation Act 1987
4
Q
DADs Rapid Response Team has just visited Happy Trails Nursing Facility 5 days after the wait period required after a survey. How long was that wait period?
A
60 days
5
Q
As far as heating and coolness in a facility, what temperature is standard?
A
71 - 81 F
6
Q
Upon completing a residents assessment, how long after does a facility have to be ready to transmit data to CMS?
A
7 days
7
Q
Who is CMS?
A
Centers for Medicare and Medicaid
8
Q
Longhorn Convalescent is having a job fair, they must NOT employ anyone who has a ____
A
Criminal Record
9
Q
When checking for proper lighting, how high off the floor should the person be checking?
A
30 inches
10
Q
The Activities Director minimum qualifications are:
A
- therapeutic rec-therapist
- 2 yrs exp social/recreational
- OT
- activity director training
11
Q
Electrical and Lighting systems must conform to what standards?
A
NFPA 70 & Lighting Handbook Illuminating Engineering Society (LHIES)
12
Q
For new facility construction, what is the fee DADs charges for expedited Life Safety Code and physical plan inspections on single and multilevel per bed?
A
$30 at $3600 min. for single & $36 at $4500 for multilevel
13
Q
Emergency generators must be able to turn on after how long?
A
10 seconds
14
Q
How long must a facility retain menu’s for?
A
30 days
15
Q
How often must the facility give a statement to a resident regarding any funds the facility may be holding for the resident?
A
As requested and quarterly
16
Q
How often must a facility dispose of medications of resident who’ve passed away or when the medicine expires?
A
quarterly
17
Q
The nurse’s station must be equipped to receive calls from residents in what locations?
A
rooms and bathrooms
18
Q
It has come time for Mr. Adrian Beltre, a new resident at Hop-a-long Nursing Facility, is about to have his first quarterly assessment. Will the facility use the same instrument in the quarterly assessment as it used during the comprehensive assessment?
A
No
19
Q
A residents ADLs are derived from what?
A
Comprehensive Assessment
20
Q
The Quality Assessment and Assurance Committee must meet how often?
A
Quarterly
21
Q
Qualifications for a qualified speech-language therapist are:
A
Texas License or meets educational requirement
22
Q
Qualified audiologist
A
Texas Certified or meets educational requirement
23
Q
Resident bedrooms can accommodate no more than how many residents?
A
4
24
Q
For a facility of 60 or fewer residents, how many hours of dietary consultation must they have?
A
8 hrs
25
What is PASRR
Pre-Admission Screening & Resident Review
26
In the event a facility must close voluntarily, how soon must the facility notify it's residents
1 week
27
Every RN, LVN, and nurse assistant must each year receive at least 1 hr training on caring for what type of people?
Dementia
28
The DON may serve as a charge nurse when ___
there are 60 or less residents
29
The definition of Involuntary Seclusion is
against will
30
In the event of an electrical interruption, the facility must use batteries until service is restored. How long must the batteries hold out for?
1.5 hrs
31
After filing a phone report of abuse, the facility must conduct an investigation. A written report of the investigation must be sent no later than how many days after the oral report?
5 business days
32
If needed, restraints should be
released every 2 hrs for 10 minutes
33
All facilities must send the TX DHS a report of the deaths of all persons resideing in the facility within how many working days after the last day of the month in which the resident death occurs
5 WORKING days
34
ADLs
walking, bathing, grooming, eating, transfer, toilet, communicate
35
Certain requirements are specific to Medicaid cert facilities. The medicaid specific requirements apply to all residents included but not limited to ____
private pay, MCR, VA
36
Mental/Physical abuse is defined as ___
mistreatment not resulting in physical harm but resulting in humiliation, threat, harassment, etc.
37
In the event of an emergency and loss of electrical power to the facility, the fuel storage must be capable of running for ___
4 hrs
38
Licenses expire every ___ years
2
39
For initial applications and change of ownership only, evidence of the right to possessions of the facility at the time of the application will be granted, which may be satisfied by the submission of applicable portions of a lease agreement, deed or trust, or appropriate legal document - who is this certificate issued by?
Comptroller
40
During the license term, a license holder may not increase capacity without approval from TX DHS. The license holder must submit to DHS a complete application for increase in capacity and the fee required. If DHS approves the increase, what happens next?
new license is provided
41
If DADS decides to exclude a person from eligibility for a license, the exclusion must be for at least how many years?
2
42
In the event that a facility decides to voluntarily close, how much time must be given to it's residents for relocation
30 days
43
For medications that are self-administered by a resident, how must they be stored
locked cabinet
44
Emergency generators must be installed in accordance with what 2 NFPA standards?
NFPA 37 & 99
45
max amount of residents per room
4
46
Bedrooms must not be less than how many feet in the smallest dimension?
10 ft
47
What is a therapeutic diet?
ordered by a physician
48
How often must each facility conduct, review, and assess the facilities current risk classification according to the CDC Guidelines for Preventing the Transmission of Mycobacterium Tuberculosis in Health Care
annually
49
Heating, ventilating, and air-conditioning must be designed and installed in accordance with what two group standards?
NFPA 90A & Heating, Ventilating, and Air-Conditioning Agency
50
An application renewal will be considered timely after ____ days
15
51
A physician has up to ______ days to sign all discharge orders
20
52
A change of ownership license is only temporary and good for ___ days
90
53
A facility must comply with which version of NFPA Life Safety Code
2000
54
Heating and air conditioning must be designed and installed in accordance with NFPA 90A and Heating, Ventilating, and Air-Conditioning Guide was created by ____
American Society of Heating, Refrigeration, and Air-Conditioning Agency
55
As part of Self-Determination, the resident has the right to ____
choose, interact, and make decisions
56
When a facility performs and investigation of an alleged violation such as abuse, how soon must the results of the investigation be reported to the state survey agency
5 days
57
A facility must have a full-time qualified social worker if they have how many beds or more?
120+
58
How many hours of continuing education must an Activities Director have each year?
8 hrs
59
For a facility with 50 residents, how many hours of Dietary consultation must they have?
8 hrs
60
Menus must be prepared how far in advance?
1 week
61
When can the Director of Nursing serve as a change nurse?
60 residents or less
62
How many months worth of Resident Assessments must a facility keep in a patients Active Record?
15
63
What is considered a behavioral emergency
risk/harm to self or others
64
What is an Admission MDS assessment?
eligibility
65
A qualified dietitian is one who is qualified based upon either:
registration by the Commission on Dietetic Registration on the American Dietetic Association or licensure, or provisional licensure by the Texas State Board of Examiners of Dietitians with 1 year of supervisory experience in dietetic service of a health care facility
66
Sam Whitelow, a resident at Running Rivers SNF has a comprehensive care plan that must include measurable short and long-term ____ and ____
objectives and time tables
67
A resident has the right to participate in what, regarding their stay in a nursing facility?
care plan and refuse treatment and experimental research
68
Between what degrees Fahrenheit must the facility be maintained for the residents?
71 - 81
69
How many square feet per resident in single and multi-resident bedrooms must be measured?
80-100
70
The Department of Aging has staff based in regional offices that may make unannounced visits any time, day or night
Quality of Care Monitors
71
If a resident requires physical therapy in the treatment plan, but the facility does not provide physical therapy, what does the facility have to do, if anything?
find outside provider
72
The Diet Manual must not be older than ___ years
5
73
How often must a facility perform performance reviews of nurse aides?
yearly
74
If an applicant is determined to be eligible and in need of nursing facility care, what is the effective date of vendor coverage? Is it the date the individual entered the facility, the date of application, or the date the need for nursing facility care was established?
Whichever is the latest
75
Interest on civil money penalties accrue at what rate?
10%
76
How must a facility inform a resident of their rights?
in writing and language they understand
77
Resident rooms are designed to accommodate no more than how many residents?
4
78
For resident assessments of minors what should be included that is not included for adults?
pediatric assessment
79
The automatic fixed fire extinguishment system that is mounted in the kitchen rage hoods must be inspected and services how often?
at least every 6 months
80
Additional requirements for facilities or distinct parts of facilities that are certified for Medicare-only participation are where?
chapter 42 code of regs
81
What are Barrier Precautions
isolation
82
Every facility must keep a supply of how much staple food
7 days non-perishable and 2 days perishable
83
Water in the kitchen for sanitizing must be what degrees Fahrenheit?
180 F
84
In order to verify staffing, assurance of emergency egress, resident care, medication security, food service or nourishments, sanitation, and other items, a number of inspections take place between what times?
5pm - 8am
85
When a resident has a communicable disease, the facility must immediately report what to who?
physician, city health officer, county, health unit director
86
If a person is being referred to a court for guardianship, the facility must perform a
capacity assessment for self care and financial management
87
how much time can elapse between the evening meal and breakfast
16 hrs
88
A facility must retain the records of those who have completed a state approved training course for paid feeding assistants. What is the minimum content that should be on those records?
date & location of course, name of trainer, statement of completion
89
can unlicensed personnel administer drugs?
yes, under supervision of lincensed nurse
90
How does a facility decide on the content for the nurse-aids in-service?
based on performance reviews
91
A facility must keep a supply of how much perishable foods?
2 days
92
How often does a resident's drug regimen need to be assessed?
monthly
93
When a resident self-administers drugs, can they keep drugs in their rooms?
yes, locked
94
Resident bedrooms must have at least one ___ to the outside and flooring that is ____
outside, grade-level
95
the nursing home administrator is required to work at least how many hours
40
96
Passenger Elevators must be inspected how often?
6 months
97
Specialized services are physical, occupational and speech therapy -- how are these determined in regards to Medicaid?
PASARR
98
If a resident enters and leaves a facility on the same day, does DADS pay?
yes
99
Golden Cross SNF needs 5 members for their QA and Assurance committee. They currently have a physician, LVN, and 2 nurse aides - who are they missing?
DON
100
A facility must have a minimum of how many days supply of non-perishable stable foods
7 days
101
Auxiliary buildings located on the site within ____ of the main licensed structure and which contain hazardous operations or contents, must meet the same requirements for safety
20 feet
102
How many unannounced visits during a licensing period will DHS invite a citizen advocate to accompany them on survey?
2
103
How long should a facility keep the daily posted nurse staffing data?
2 years
104
Facility Medical Director is responsible for ____
implementation of resident care policies
105
Physician orders must be reviewed
every 60 days
106
How long can a facility use an individual as a nurse aid prior to completing their training?
4 months
