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A comprehensive overview of essential requirements and regulations for rcfe administrators, covering topics such as resident care, facility management, staff training, and legal compliance. It includes a series of questions and answers that can be used for exam preparation and to gain a deeper understanding of rcfe administration.
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minimum drawer space? - ✔✔ 8 cu ft Residents per room? - ✔✔ 2 bathrooms per resident? - ✔✔ 1 bathroom per 6 residents bathtub or shower per resident? - ✔✔one bathtub/shower per 10 residents hot water temperature? - ✔✔ 105 to 120 F comfortable room temp? - ✔✔ 78 to 85 F Minimum room temp? - ✔✔ 68 F First Aid training frequency? - ✔✔Annually Staff performing ADL s need training at what amount of time annd frequency? - ✔✔10hrs upon hire and 4hrs annually Personnel records should be retained for how long following termination? - ✔✔ 3 yrs
Records for centrally stored nedications should be retained for how long? - ✔✔ 1 year Records for waisted medication should be retained for how long? - ✔✔ 3 yrs How many hour can pass between dinner and lunch? - ✔✔<15 hrs What are prohibited health conditions? - ✔✔Stage 3 and 4 pressure injuries, G-tubes, NG tubes, tracheostomies, total care, infectious diseases What are restricted health conditions? - ✔✔oxygen, catheters, ostomies, IPAP, injections, diabetes, incontinence, enema or suppositories What percent of your RCFE population can be less than 60 yrs old? - ✔✔25% TB sceening frequency? - ✔✔Within 7 days of hiring, yearly per OSHA in large facilities, not required by DSS after hire, testing not older than 6 months. Staff Training requirement prior to hands on work? - ✔✔20hrs After how many hours of work are you required to give a 30 min meal period? - ✔✔ 5 hrs
What refrigerator temperature is required? - ✔✔less than 40 F What freezer temperature is required? - ✔✔ 0 F How many days of food do you need in stock at all times? - ✔✔nonperishable 7 days, perishable 2 days How often do you check refrigerator temperature? - ✔✔Daily What temperature is required to do final rinse of dishes in order to disinfect? - ✔✔ 170 degrees F If not using dishwasher, how do you disinfect dishes? - ✔✔Use sanitizing agent on final rinse What modified diets must you provide? - ✔✔Cardiac, diabetic? texture modified Can seniors become malnourished regardless of weight? - ✔✔yes Do you believe as a business owner once a resident goes on hospice, the hospice company is more responsible for the resident than you? - ✔✔No By law, to evict a resident, you can only site 5 reasons based on DSS? - ✔✔True I must have 2 days of perishable and 7 days of nonperishable food on site at all times? - ✔✔True
How many hours can lapse between dinner and lunch? - ✔✔ 15 Meal menues should be archived for how long? - ✔✔ 30 days You can have pesticides in the kitchen as long as they are stored separate from food? - ✔✔False Home canned food can be used if approved by your LPA? - ✔✔False If you have 75 residents, how much training must your food service managers have based on title 22? - ✔✔There is no specific time framed specified. How many days do you have to report to your LPA that your resident has initiated hospice? - ✔✔ 5 days What do you report to your LPA regarding hospices services? - ✔✔When started, interrupted, refused, or discharged. How long do you have to report to the fire department that a resident is now bedridden? - ✔✔ 2 days How long do you have to report to the fire department after a resident gets started on oxygen? - ✔✔ 2 days
Bed linen shall be changed at a minimum of...? - ✔✔Once per week (87307) For night supervision staff, what training is required? - ✔✔Emergency procedures, CPR (at least one staff), first aid training (all) It is required to post weekly staff schedules for facilities with how many residents? - ✔✔ 16 or greater You must keep on record one month sample menu in what size facility? - ✔✔<6 beds Must post planned activities in what size facility? - ✔✔7+ beds Must post procedure for resident or family complaits in facilities of what size? - ✔✔7+ Must post copy of resident rights in facility of what size? - ✔✔7+ Starting at what size facility is it required to post a meal menu? - ✔✔16+ What size facility must post meal menu one week in advance? - ✔✔16+ What are the rules around meal menu availability for facilities 16+? - ✔✔Must be posted one week in advance.
A 16 bed facility needs to file meal menu for how long? - ✔✔ 30 days What size facility must have an administrative office, public phone, restroom, laundry room? - ✔✔16+ What size facility is required to have an administrative office? - ✔✔16+ What size facility is required to have a public laundry room? - ✔✔16+ What size facility is required to have public restroom? - ✔✔16+ What size facility is required to have a public phone? - ✔✔16+ What size facility is required to have a designated activities coordinator? - ✔✔16+ What size facility is required to have a designated food planning coordinator? - ✔✔16+ What training is required of a designaded food planning coordinator in a 16 bed facility? - ✔✔ 6 months experience To manage a 16 to 49 bed facility, an administrator requires what type of training and experience? - ✔✔ 15 units/ 1 yr experience
Within how many hours must you report theft or loss of >$100 to your local law enforcement? - ✔✔ 36 hours Administrator certification is required how often? - ✔✔Every 2 years How many CEUs are required to qualify for recertification? - ✔✔ 40 hours How many CEU s in dementia are required for administrator recertification? - ✔✔ 8 hours How many CEU in Law and Regulations are required for administrator recertification? - ✔✔ 4 hours How long can a oxygen cannula be? - ✔✔ 7 feet. What size facility requires a designated employee to assist with medications, give first aid and be trained in CPR? - ✔✔16+ What medication training is required of employee in a facility with 1 - 15 residents? - ✔✔ 10 hrs lecture+ 6 hrs supervised+ 4hrs other within 2 weeks os employment. What medication training is required of employee in a facility with 16+ residents? - ✔✔24hrs lecture+ 16 hrs supervised+ 8hrs other within 4 weeks employment
How often do you test residents ability to manage their medications? - ✔✔Quarterly and in change in condition Medication Administration Record should be stored/filed for how long? - ✔✔ 12 months Medication Destruction Record must be stored/filed fir what time period? - ✔✔ 3 years
What is the maximum amount of time a licensee has to correct a deficiency? - ✔✔ 10 days How many days do you have to report to DSS a change in your Chief Executive Officer? - ✔✔ 15 days How many days do you have to appeal a penalty assessment? - ✔✔ 15 days How many days in advance do you provide residents a notice of eviction? - ✔✔ 30 days Within how many days must you notify DSS a change in Administrator? - ✔✔ 30 days How many days in advance must you renew your facility license before its expiration? - ✔✔ 30 days Notify DSS a change in Licensee within how many days? - ✔✔ 30 days Notify DSS if there is a change in the type of license within how many days? - ✔✔ 30 days Notify DSS intent to sell facility within how many days? - ✔✔ 30 days Notify DSS administrator change of address within how many days? - ✔✔ 30 days Must notify residents of change in rates how far in advance? - ✔✔ 60 days
What is the maximum amount of time you get under an Emergency Aporoval to Operate? - ✔✔ 60 days Employees must complete Elder Abuse Training within how many days of employment? - ✔✔ 60 days Must provide residents a notice of eviction, when changing use of facility, how many days in advanced? - ✔✔ 60 days How many days of operating cost must a licensee have on hand before being approved an operator license? - ✔✔90 days. After licensure, DSS will inspect your facility after how many days? - ✔✔ 90 days Employee Theft and Loss training must be completed within how many days of employment? - ✔✔ 90 days How often must you update a Physician's Report for dementia residents? - ✔✔ 12 months When does a provisional license expires? - ✔✔ 12 months How often do employees need TB testing? - ✔✔yearly per OSHA For how long do store/file resident records? - ✔✔ 3 years
A resident on oxygen must be on what type of device when getting out of their room? - ✔✔Portable tank Emergency approval to operate (EAO) is for a max term of how many days? - ✔✔ 60 days Minimum age to qualify for admission into an RCFE? - ✔✔ 60 years old Can the licensee act as DPOA or surrogate decision maker for residents? - ✔✔No When do you use a Health Condition Relocation order? - ✔✔When resident develops a prohibited health condition. Basic services should include? - ✔✔care, observation, supervision; help with ADL and IADL; activities, food, help with medical or dental care. Delayed egress device? - ✔✔Device that adds a time delay to when a door opens used in facilities with dementia patiets Under what conditions can you implement a delayed egress device on a door? - ✔✔Automatic sprinklers and smoke detectors in place that, if triggered, deactivate the device Egress alert device? - ✔✔Bracelet that triggeres door alarm Emergency approval to operate is for how many days max? - ✔✔ 60 days
Facility Hospice Care Waiver allows for what? - ✔✔Bedridden patients that require more care and supervision. Health condition relocation order? - ✔✔Written notice by DSS to licensee requiring relocation of resident to higher level of care Mild Cognitive Impairment - ✔✔Not normal for age, but not quite dementia Non-ambulatory? - ✔✔Unable to exit without help, in need of assistive devices, unable to respond mentally Non-conpliance conference? - ✔✔DSS and licensee meeting to discuss deficiencies What is the current average preadmission fee? - ✔✔$ When does a provisional license expire? - ✔✔ 12 months What percent of residents must be 60yrs of age or older in a ALF? - ✔✔ 75 percent Simplified Exemption? - ✔✔Granted exemption by DDS if criminal history meets criteria Terminally ill resident? - ✔✔Life expectancy less than 6 months
The administrator or Resident Council should review theft and loss efforts at least how often? - ✔✔Q months Within how many days must DSS make a decision to give new license for person purchasing the business? - ✔✔Within 60 days What theft or loss value should be reported to local law enforcement and within what time frame? - ✔✔>$100 within 36hrs If the licensee dies, within how many days must DSS be notified? - ✔✔one day In a ALF with 1 - 6 residents, what staff FTE is designated to the rec therapist? - ✔✔No rec therapist required, only posted activities How many days do you get to operate a facility under the Emergency Approval to Operate? - ✔✔ 60 days. In an ALF with 7 - 49 residents, what staff FTE is allocated to the rec therapist? - ✔✔0.5 FTE If the licensee dies and the assigned designee chooses to not operate the ALF, what should the designee do? - ✔✔Notify DSS within one day of the death, notify DSS if NOT planning to apply for licensure, apply for an Emergency Approval to Operate allowing DSS up to 60 days to help relocate residents.
How much experience is required of the rec therapist in a 6 bed, 7-49, or >50 bed facility? - ✔✔less than 6 none, 7-49 6-months, >50 one year experience Within how many days must the designee provide a death certificate to DSS? - ✔✔ 20 days In an ALF with >50 residents, what FTE is allocated to the rec therapist? - ✔✔ 1 FTE The licensee is considered to have abandoned the ALF if? - ✔✔They are nowhere to be found and don't answer phone x5 consecutive working days or to mail within 7 working days. Can residents run an activity program? - ✔✔Yes Within how many days should the licensee notify DSS a change in their personal address? - ✔✔Within 10 calendar days Can volunteers run an activity program? - ✔✔Yes, under direction and supervision, not as substitute of staff Requirements for emergency APS placements into your ALF? - ✔✔Agreement letter by APS, permission by DSS, addendum to Plan of Operations, private room with on-call staff Can your ALF specialize in a group of people identified to be in a protected class? - ✔✔Yes, as long as you dont deny admission to others.