Download Healthcare Facility Licensing and Influenza Policies and more Exams Nursing in PDF only on Docsity!
COLORADO NHA EXAM NURSING HOME
ADMINISTRATOR EXAM | ALL QUESTIONS
AND CORRECT ANSWERS | ALREADY
GRADED A+ | VERIFIED ANSWERS | JUST
RELEASED
When should staff re-evaluate a resident after placement in a secured unit - -----CORRECT ANSWER---------------30 days after initial placement and no less than 180 days thereafter How many square feet per resident is required in the common space of a secured unit ------CORRECT ANSWER---------------10 sq ft How much capacity must a facility have for laundry/linen ------CORRECT ANSWER---------------enough to process 7 day supply based on 10 lbs/dry laundry per bed/per day When does the facility need to report a name change ------CORRECT ANSWER---------------30 days prior to the change If a license is issued to a new owner when does the previous owner need to return their license to the department ------CORRECT ANSWER------------ ---within 5 days
What is a fitness review ------CORRECT ANSWER---------------department review the applicants fitness to conduct or maintain licensed operation What is the process of a fitness review ------CORRECT ANSWER------------- --The Department performs an on site inspection and investigation of compliance with statues and regulations For what time period can the Department allow admissions above the licensed capacity ------CORRECT ANSWER---------------one month In a health emergency how long may a facility exceed its bed capacity ------ CORRECT ANSWER---------------14 days If a facility exceeds its bed capacity due to a health emergency what must it remain in compliance with ------CORRECT ANSWER---------------life safety codes patient staffing regulations existing emergency/disaster plan Is an extension allowed for a health emergency regarding exceeding its bed capacity ------CORRECT ANSWER---------------yes for 14 days What must the facility do if it exceeds its bed capacity ------CORRECT ANSWER---------------provide the Department with verbal notice with time of implementation and a written report within 14 calendar days after implementation explaining the emergency situation and actions taken
How often does the soiled linen need to be removed from the resident care unit ------CORRECT ANSWER---------------at least every 8 hours For infection control what is the temperature that linen/clothing needs to be washed in ------CORRECT ANSWER---------------140 F in an independent care facility how many days a week is a licensed registered nurse required to work ------CORRECT ANSWER--------------- 7 days a week during the day shift If an independent care facility is using and LPN as its DON how many hours per week is required for consultation by a licensed nurse ------ CORRECT ANSWER---------------4 hours/week If a resident has 60 or more residents, can it use it's DON, SDC and other support as part of computing ratio for nursing hours per day ------ CORRECT ANSWER---------------no A Two hour fire wall is required between what areas ------CORRECT ANSWER---------------facility and all adjoining occupancy areas A one hour fire wall is required for which type of facilities ------CORRECT ANSWER---------------board and care, ambulatory care or business occupancy
If a new facility is seeking a license when do they need to submit their application ------CORRECT ANSWER---------------90 days before the anticipated start up A list of the governing body and officers is provided for what type of facility when seeking licensure ------CORRECT ANSWER---------------non-profit A list of the names of officers and stockholders (owners control 50% or more of the shares) is provided for what type of facility when seeking licensure ------CORRECT ANSWER---------------for profit Proof of lawful presence in the U.S. is provided for what type of facility when seeking licensure ------CORRECT ANSWER---------------sole proprietorship When proof of liability is presented who must bee listed as a certificate holder ------CORRECT ANSWER---------------The Department When the Department conducts a preliminary assessment and has notified the applicant of any defects, how long does the applicant have to respond? ------CORRECT ANSWER---------------14 days How long is a provisional license good for ------CORRECT ANSWER--------- ------90 days
When is it considered a change of ownership? ------CORRECT ANSWER--- ------------a xfer of at least 50% of the licensed health care facilities direct/indirect ownership interest to one or more new owners When is it considered a change of ownership for a sole proprietorship ------ CORRECT ANSWER---------------when there is a transfer of 50% of ownership to another individual when is it not considered a change of ownership for a sole proprietorship --- ---CORRECT ANSWER---------------forming a corporation when is it considered a change of ownership for a partnership ------ CORRECT ANSWER---------------when there is a dissolution of partnership and conversion to another legal structure when there is a transfer of at least 50% of ownership to new owners when is it not considered a change of ownership for a partnership ------ CORRECT ANSWER---------------Dissolution of partnership When is it considered a change of ownership for a corporation ------ CORRECT ANSWER---------------consolidation of 2 or more corporations to form a new corporation must involved a xfer of at least 50% ownership formation of corporation from a partnership, sole proprietor, or LLC (with a transfer of at least 50%ownership) Xfer, purchase or sale of shares in corporation of at least 50% is shifted to one or more new owners
When is it considered a change of ownership with a LLC ------CORRECT ANSWER---------------xfer of 50% ownership interest termination or dissolution of company and conversion into any other entity (needs to include at least 50% of ownership to new owners) What does change of ownership not include ------CORRECT ANSWER------ ---------xfers of ownership between existing members if transaction does not involve acquisition of ownership interest by a new member When is it considered a change of ownership when dealing with management contracts, leases or other operating arrangements ------ CORRECT ANSWER---------------a lease or management agreement where owner retains no authority or responsibility for the operation and management of healthcare facility How often is the Administrator responsible for reviewing the Resident care Policy and procedures ------CORRECT ANSWER---------------Annually Occurrence reporting needs to be done in what time frame ------CORRECT ANSWER---------------24 hours How many days is the facility required to provide job specific orientation to new employees ------CORRECT ANSWER---------------Within 90 days of hire
how often after the initial discharge assessment should the facility evaluate the discharge potential of the resident ------CORRECT ANSWER--------------
- every 3 months or when there is a change of condition Who is responsible for performing the discharge potential of a resident ------ CORRECT ANSWER---------------nursing, dietary and activity When does the nursing care plan need to be completed ------CORRECT ANSWER---------------within 24 hours what departments participate in the care plan ------CORRECT ANSWER---- -----------nursing, social services and activities how long does the activities department have to complete the history and assessment ------CORRECT ANSWER---------------2 weeks who is responsible for the anticipated schedule of visits for a patient ------ CORRECT ANSWER---------------attending physician how often should the physician see the patient ------CORRECT ANSWER--- ------------no less than every 6 months how often should the attending physician write a progress note ------ CORRECT ANSWER---------------after each visit
how often should the attending physician perform a written evaluation ------ CORRECT ANSWER---------------once a year How many hours are required in a nursing care facility per resident/per day ------CORRECT ANSWER---------------2 hours How often should written policies be evaluated ------CORRECT ANSWER-- -------------at least annually When should med errors and drug interactions be reported ------CORRECT ANSWER---------------within 30 minutes After a med error or drug interaction how long should the resident be monitored? ------CORRECT ANSWER---------------72 hours How often should a resident be evaluated for tardive dyskina (because of psychoactive meds) ------CORRECT ANSWER---------------every 3 months When a resident is in physical restraints how often should they be monitored ------CORRECT ANSWER---------------every 15 minutes when a resident is in physical restraints how often should the restraints be removed ------CORRECT ANSWER---------------every 2 hours during waking hours
How many hours can a facility have between the beginning of the evening meal and breakfast ------CORRECT ANSWER---------------no more than 14 What time does breakfast need to be served ------CORRECT ANSWER----- ----------no later than 8am what time does dinner need to be served ------CORRECT ANSWER---------- -----no earlier than 5pm How often does dietary need to perform a progress note ------CORRECT ANSWER---------------at least 6 month intervals How current does the dietary manual need to be ------CORRECT ANSWER---------------within 5 years how often are menus planned? ------CORRECT ANSWER---------------Once a week How long does the facility need to retain menus? ------CORRECT ANSWER---------------4 weeks after use how big can the milk container be ------CORRECT ANSWER--------------- cannot exceed 1 pint
what temperature does the milk need to be maintained at ------CORRECT ANSWER---------------45 degrees F or less How many hours are required for the feeding assistant training program ---- --CORRECT ANSWER---------------no less than 12 hours how many students are allowed in the feeding assistant class ------ CORRECT ANSWER---------------no more than 20 what is the passing score for the feeding assistant class ------CORRECT ANSWER---------------80% or better when should the individual receive their receipt of completion from the feeding assistant class ------CORRECT ANSWER---------------within 10 days how many times can the individual take the test for the feeding assistant program ------CORRECT ANSWER---------------twice if the individual does not pass the feeding assistant test after the second attempt what must they do ------CORRECT ANSWER---------------repeat the feeding assistant training program The training provider for the feeding assistant program must renew the annual attenstation when ------CORRECT ANSWER---------------not less than 60 days in advance of expiration
If facility administration does not agree with the findings of the ED of the Department how long do they have to request a hearing ------CORRECT ANSWER---------------30 days How many members are on the resident advisory committee ------ CORRECT ANSWER---------------no less than 5 how much notice must a facility give for a xfer/discharge/room change ------ CORRECT ANSWER---------------30 days how much notice must a facility give to a resident for a room change without a resident consent ------CORRECT ANSWER---------------5 days prior if the facility intends to close or change bed classification how long do they have to notify the department of public health and environnment and the Colorado department of healthcare policy and financing ------CORRECT ANSWER---------------60 days and 7 days prior to notifying families how often should the facility perform simulated fire drills ------CORRECT ANSWER---------------at least 3x/year Who should countersign the TO'S ------CORRECT ANSWER--------------- physician
how soon should the TO be placed in the health record ------CORRECT ANSWER---------------within 2 weeks of receipt how often should xray, lab, EKG and other diagnostic tests bee placed in the health record ------CORRECT ANSWER---------------within 2 weeks of receipt How long does the facility have to complete the health records following a discharge ------CORRECT ANSWER---------------30 days How often should the PAC committee receive reports on the status of pharmacy services ------CORRECT ANSWER---------------quarterly Upon inventory destruction of controlled substances how long should the facility keep the inventory copy on file ------CORRECT ANSWER--------------
- at least 2 years How many residents can you have in a resident care unit ------CORRECT ANSWER---------------no more than 60 How big should the bedroom exterior window be ------CORRECT ANSWER---------------no less than 1/8 of the floor area no more than 32" above floor level How much of the window in a resident room should be openable without tools ------CORRECT ANSWER---------------1/
how wide does the door need to be for a bathing facility ------CORRECT ANSWER---------------36" wide If a facility has centralized toilet facilities how many residents per toilet ------ CORRECT ANSWER---------------one toilet for 8 residents of each sex if the centralized toilet facility is between adjacent bedrooms one facility can serve how many beds? ------CORRECT ANSWER---------------no more than 4 beds When does the facility need to inform patients of closure and how and were to obtain records ------CORRECT ANSWER---------------within 10 calendar days of closure If the facility has an increase in licensed capacity, change in its management company or change in license category, when does it need to notify the Department ------CORRECT ANSWER---------------within 30 days New Survey Process - extended survey done every ___ years ------ CORRECT ANSWER---------------3 years The new survey process will be fully implemented by what date ------ CORRECT ANSWER---------------7/1/
To be eligible for the new survey process what are the requirements? ------ CORRECT ANSWER---------------licensed at least 3 years no enforcement activity within 3 years no patterns of deficient practices within 3 years no substantiated complaints that resulted in deficiencies within 3 years If deficient practice is found during survey the department may perform what? ------CORRECT ANSWER---------------extended survey What must be included in the plan of correction? ------CORRECT ANSWER---------------how it will be corrected how it will be monitored timeline for implementation and change (no longer than 30 days from mailing date of deficiency) signed by director, administrator submitted to department within 10 days (after written notice of deficiencies) Quality Management program is required for all facilities but... ------ CORRECT ANSWER---------------personal care boarding home of 19 beds or few and community residential home for persons with developmental disabilities What is a quality management program ------CORRECT ANSWER------------ ---evaluates the quality of patient/resident care and safety When does the quality management program need to be submitted to the Department for approval ------CORRECT ANSWER---------------within 90 days of the effective date of registration or within 90 days of license issuance
