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Training Notes - Day 1
State of Florida Administrator CORE
Training Notes - Day 1
How often does the CORE certification need to be renewed? - ANSWER every two years
adult family care home - ANSWER max 5 beds and licensee has to live in house
How are deficiencies classified per AHCA? - ANSWER in four levels with class one being the worst
________ is voluntary; ________ is mandatory - ANSWER "may"; "shall"
test details - ANSWER 100 multiple choice questions; duration of two hours; must have 75% or higher to pass; 4 different test versions; no best practice or policy questions, only minimum policy
How many days prior to admission can the AHCA 1823 assessment be performed? - ANSWER up to sixty days
Assisted Living Federation of America's definition for an ALF - ANSWER A special combination of housing, personalized supportive services and health care designed to meet both scheduled and unscheduled service needs of those requiring help with ADLs. Assisted living promotes maximum independence and dignity for each Resident and encourages the involvement of a Resident's family, neighbors, and friends.
An ALF is not a _________ ______; _________ _______ ______ is a better word - ANSWER nursing home; personal care home
ADLs go hand in hand with... - ANSWER "personal services"
four words to remember pertaining to level of care - ANSWER independence- self sufficient
supervision- reminders and safety
Training Notes - Day 1
assistance- needs physical help and cueing
total assistance/care- unable to do it at all
There is no such thing as total assistance with which two ADLs? - ANSWER eating or ambulation
Are we allowed to feed residents in an ALF? - ANSWER Yes, but we cannot label or identify them in any way that violates their dignity rights
Which two ADLs are very important one on one activities and are usually time consuming? - ANSWER toileting and bathing
what does bedridden mean? - ANSWER total assistance with transfer
How many days can a resident be "bedridden" in a standard ALF? ECC licensed? Resident on hospice? - ANSWER 7 days; 14 days; indefinitely
Do all residents need personal space? - ANSWER yes, whether demented or not
What kind of lifts are permitted in an ALF? What kind are not? - ANSWER lifts that can be operated independently without assistance of staff is permitted; "mechanical" lifts not allowed (exception is hospice and only used by hospice staff)
How much are the fines for class 1 and 2 deficiencies? - ANSWER 5-10K for class 1; 1-5K for class 2
Can a resident that needs total assistance with ADLs be admitted to an ALF? - ANSWER yes, only if the resident is on hospice or the facility is ECC licensed (assuming more risk though)
What does PITA stand for? - ANSWER P- patience
I- information
Training Notes - Day 1
What are the two ways to manage risk and limit liability? - ANSWER 1) proactive- preventing risk before it becomes a problem; optimal way
- reactive- now a problem has occurred, what do we do moving forward?
ALF license capacity is defined as - ANSWER the number of licensed beds
capacity is determined by - ANSWER zoning and floor space
floor space requirements - ANSWER common area- 35 sq ft per resident
bed rooms- single 80 sq ft usable floor space; double 60 sq ft per person; max 2 residents per room
"usable space" does not include - ANSWER closet, bathroom, or door opening into room (egress)
standard ALF license - ANSWER all ALFs in Florida must apply for this; based on minimum standards; limited to about 8 nursing services; base fee plus a per bed charge; not required to have a nurse
Standard licensed ALFs are limited to about what eight nursing services? - ANSWER 1) basic vitals/weights
assist/administer medications including insulin injections
document in nursing progress notes
enemas
manage oxygen
assistance with Ted hose
routine colostomy care
change a bandage for minor cut or abrasion
Training Notes - Day 1
When is a standard ALF required to do a care plan? - ANSWER If the resident is on hospice or if the resident has a physical restraint (Medicaid also requires one but the provider would be responsible for it)
limited nursing services (LNS) license - ANSWER a specialty license that is nothing more than a nursing license, it allows nurses to do more than under a standard license; extra fee per bed; not required to do care plans; subject to one survey per year
extended congregate care (ECC) license - ANSWER specialty license that involves two components to care: personal care (total help w/ ADLs) and nursing (all nursing services allowed including skilled care); all beds can be licensed this way or a distinct part; specific admission standards; administrator must go through extra training; required to do a care plan; subject to two surveys per year
Is being able to stand and pivot or bear weight a requirement for ALF? - ANSWER No, if they can transfer and are not "bedridden", then they are permitted
How can you help your residents "age in place"? - ANSWER Through home health, therapy, and continuity of care
shared responsibility - ANSWER shared risk whether outcomes be good or bad
How many people can you care for in your home (if you live there) without a license? - ANSWER two, once you have three, licensure is necessary (not having it is felony offense); this rule does not apply if they are relatives
ALF resident vs boarder - ANSWER one or more personal care services provided on a 24-hour basis classifies the ALF resident
It is good to know which residents for survey purposes? - ANSWER residents on oxygen, on hospice, has bed rails, etc.
Training Notes - Day 1
Can AHCA survey history be viewed by the public? - ANSWER Yes at Floridahealthfinder.gov
How often does the Department of Health survey an ALF? - ANSWER annually; if there are 11+ residents, there will be quarterly assessments for dietary
