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State Review Flashcards

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0
Q

What is the “code” that empowers the licensing and certification of nursing homes in Michigan?

A

Public act 368 of 1978

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1
Q

What state department is responsible for licensure and certification of nursing homes?

A

Bureau of health systems

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2
Q

In the nursing home rules originally promulgated by the Michigan Department of Community Health and now enforced by the Bureau of Health Services defines an adult as a person _______________

A

15 years of age or older

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3
Q

An application for renewed licensure of a nursing home shall be submitted to the department not less than _______ days before expiration of the current license.

A

90

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4
Q

The term of a nursing home license is the date shown on its face or ___________

A

One year, whichever is sooner

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5
Q

An administrator with a substance abuse problem is subject to what and eligible for what program?

A

Is subject to revocation of license and is eligible for the health recovery program

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6
Q

To be eligible for licensure as a Nursing Home Administrator, the candidate must

A
  1. 18 years of age and have working knowledge of English
  2. Complete an approve course of instruction
  3. Pass both state and federal exams.
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7
Q

When the “code” of a nursing home rules requires a document be printed, such document shall be printed in _____ point font.

A

12

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8
Q

Full legal responsibility for the overall conduct and operation of a nursing home shall be assumed by?

A

The governing body

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9
Q

The governing body shall ______ an administrator to whom they delegate the responsibilities for operating the home according to the policies of the governing body.

A

Appoint

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10
Q

The administrator who accepts delivery of a television to his home as a gift of a vendor accepted a _________?

A

Kickback

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11
Q

Patients rights and responsibilities policies shall include________

A
  1. Provisions regarding smoking
  2. Printing in 12 point font type
  3. Assurance of reasonable access to records for copying or inspection
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12
Q

Patient care policies shall be reviewed at least________

A

Annually

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13
Q

Pharmaceutical services, patient activities, and clinical records are examples of what type of policy?

A

patient care policies

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14
Q

In a nursing home, oxygen therapy may only be administered by_______

A

Persons who have undergone training in oxygen administration

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15
Q

A patient admitted on Friday shall be examined by a licensed physician within _______ hours

A

72

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16
Q

According to the nursing home rules, a resident in a license only facility must be visited and to the extent necessary examined by a physician every _______

A

60 days unless justified otherwise.

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17
Q

A person employed in a nursing home giving care on the night shift shall be dressed awake and at least ______ years of age?

A

18

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18
Q

A _________ offense does not have revocation of licenses or consequences

A

Misrepresentation

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19
Q

The bed linen for a bed-fast resident shall be changed at least ________

A

Twice daily

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20
Q

What is the staffing ratio in a nursing home for each shift in order to be in compliance with staffing requirements

A

1: 8 for days
1: 12 for afternoons
1: 15 for midnights

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21
Q

A complete tub bath or shower shall be taken by or given to an ambulatory resident under supervision at least _______ a week.

A

Once

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22
Q

A resident room shall have not less than ______ clearance

A

3 foot on both sides and at the foot

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23
Q

Each resident shall be provided with the following equipment

A

A reading light
Flameproof cubicle curtains
Bedside stand

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24
Individual and group diversional activities for residents shall be available _______ days a week
Seven
25
The written plan of care for a resident shall be available to
To all individuals involved in the care of the residents
26
A resident care conference shall be held periodically but not less than once every _________ days
90
27
Menus as actually served to the resident meals shall be retained for at least _______ months
Three
28
The food acceptance of a resident shall be recorded
On all admissions for 14 days and for 14 days following a change in diet
29
Medication for external use shall be
Kept in a locked cabinet and separate from other medications
30
All medication in a nursing home shall be
1. Prescribed by a physician 2. Labeled and dispensed by a pharmacist 3. Administered under the direct supervision of a licensed nurse of medical personnel
31
An emergency kit shall be maintained
In all nursing homes
32
A written report of the results of each diagnostic test shall be included in the residents clinical record within _____ week
One
33
A diagnostic test or service may only be ordered by a
Physician
34
According to the nursing home rules, clinical records shall be retained for a minimum of ________ years from the date of ________
Six year from the date of discharge
35
Incident reports shall be filed for
1. Medication errors 2. Accidents or incidents involving life threatening change 3. Accident or incidents involving staff, residents, or visitors
36
Licensure requirements that an internal complaint procedure be developed that assures investigation within _____ days and a written report to the complainant within _____ days
15, 30
37
Complaint and investigation reports must be retained for _____ years
3
38
When an administrator violates his/her general duty and is found guilty of negligence the NHA board may
1. Revoke his license | 2. Issue a reprimand
39
A nursing home license in the State of Michigan shall have the following number of handicapped accessible entrances
At least one
40
A room used for living or sleeping purposes shall have a minimum window glass area of ______% of total floor space which ______% shall open.
10, 45
41
After August 1969 new construction shall provide for a minimum ceiling height of _________ feet
8
42
Elevators utilized for residents shall have a minimum dimension of
5 feet x 7 feet, 6 inches
43
After August 1969, resident rooms shall have not less than
100 square feet if used as a single room
44
Usable floor space shall not include
1. A toilet room 2. A closet 3. A vestibule
45
A door to a resident water closet compartment shall be not less than
2 feet 10 inches in width
46
Emergency electrical service for nursing homes shall be capable or providing
Not less than four hours at full load
47
A residents room shall provide a minimum storage for wardrobe and closet space of ______ square feet of ______ space per _____
6 square feet of floor space per bed
48
An isolation room shall be equipped with an attached _________ which can be used by only ______ occupant of the isolation room.
Lavatory, one
49
A nursing station shall be located no more than _____ feet from any resident room it serves
120
50
A sink with a goose neck inlet supplied with hot and cold water shall be provided in ________ and ________ rooms
Medication storage and prep rooms
51
The temperature of hot water at plumbing fixtures used by residents shall be regulated to provide tempered water not less than ________ degrees Fahrenheit or more than ______ degrees Fahrenheit
105 degrees to 120 degrees
52
A bathing facility shall be provided for every _______ resident beds on the floor
20
53
A home shall provide a safe heating system capable of maintains a daytime temperature of not less than ______ degrees Fahrenheit
72
54
Departure from or failure to conform to minimal standards of acceptable and prevailing practice for a health profession is called__________?
Incompetence
55
A medical provider must render __________ services to an eligible recipient in the same scope quality and manner as to the general public.
Covered
56
To calculate amount owed for a Medicaid resident who stays less then the entire month, you use ___________
The Medicaid rate for days stayed
57
The Medicaid program provides for ___________ hospital leave days for unexpected admissions with anticipated return if the resident returns in ten(10) days
10 hospital leave days
58
Medicaid claims for services rendered must be submitted and received for payment within __________ months of date of service
12
59
CMS requires that each state conduct an inspection of care every year to determine if nursing home residents receive ___________ and are ___________?
Appropriate services and are properly placed
60
The inspection of care is conducted by what department?
BHS surveyors during annual survey (Bureau of Health Systems)
61
Which state department is responsible for administration of Medicaid program
Michigan Department of Community Health with the Medical Services Administration
62
According to Medical Services Administration Policy you must discharge a resident if
They are admitted to an acute care hospital for a short stay
63
What is usually exempt when computing assets for Medicaid eligibility
Value of residents single dwelling home and vehicle
64
The Medicaid program provides for _______ therapeutic leave days in a 365 day rolling calendar providing the facility holds the bed and "home visits" are in the residents care plan
18
65
Medicaid providers must file a Michigan statistical and operating cost report within _______ days of accounting year end
90
66
When a resident files an application for Medical Assistance the local case worker responsible for determining eligibility is within what department?
MDHS - Michigan Department of Health and Human Services
67
The facility that renders or arranges for services from another provider upon order of the physician must maintain that record for a period of ______ years
6
68
Prior authorization must be obtained from Medicaid to receive payment for what services
1. Occupational therapy 2. Physician therapy 3. Durable medical equipment
69
A signed order must be received from the attending physician for what type of services
Occupational therapy Recreational activities level Speech therapy
70
Before the county case worker evaluates a residents applications for Medicaid you must submit what form?
The 2565
71
The term of a facility's certification is generally _______ year
1
72
How many CEU's are required for a nursing home administration for recertification
36 every two years
73
A nursing home administrators license may be revoked or suspended for what reasons
1. Guilty of fraud 2. Convicted of a felony 3. Unfit by reason of negligence
74
Which state department is responsible for administration of Medicaid program is
Michigan Department of Human Services
75
Smoke barriers or horizontal exits shall divide corridors into sections of not more than ________ feet in length
150
76
In a new building the smoke barrier shall have a fire resistant rating of _______ hour
1
77
For each floor of fire section there shall be at least ______ exits remote from each other
2
78
For new construction he corridor must be at least _______ inches in clear width
96
79
In new construction the door width for any door to a residents sleeping room shall be ______ inches in clear width
44
80
A residents room door may be locked from the inside if
Under no circumstance shall a residents room door be allowed to lock from the inside
81
Required emergency lighting must be
Automatic
82
The workers compensation rate for each facility is the product of multiplying the
Experience rate and the manual rate
83
Modification rate is based on
Experience within a given employer group
84
Form 100 is distributed to
1. Employer 2. Employee 3. The WCA 4. Insurance carrier
85
The proportion of the unemployment contribution paid by the employer is
All
86
Minimal number of weeks an employee must work to receive UIA benefit must be ______ weeks
20
87
Who can the administrator contact if they had a question concerning union elections procedure
The national labor relations board
88
The percentage of potential bargaining unit employee required to sign authorization cards before a union election is
30%
89
What department would the administration or union file charges for "unfair labor practice "
National Labor Relations Board
90
The infection control committee must meet
Periodically
91
You do not need an approved contract for pest control for which committee
Infection control
92
Who must serve on the infection control committee
1. Director of nursing 2. Someone from dietary 3. Maintenance 4. Administration
93
Complaints of BHS shall be within _____ months of discovery of violation
12
94
The amount of the surety bond for the resident trust shall be the greater of $_______ or not less than _________ times the average balance.
$2000 or not less than 1-1/4 times the average balance
95
State guidelines Act number ______ of public acts of _______
368 of 1978
96
___________________ means the ownership or control of 5% or more of the equity in the capital of, or stock in, or profits of, a nursing home.
Ownership interest
97
When the statute of these rules require a document or parts of a document be printed in a _____ point font.
12
98
The _________________ _________________ of a nursing home shall assume full legal responsibility for the overall conduct and operation of the home.
Governing body

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