1
Q
What is an Annual Survey called?
A
Standard Survey
2
Q
What is a complaint survey called?
A
Abbreviated standard survey
3
Q
Actual harm on an annual survey triggers what?
A
Extended survey
4
Q
Actual harm on the complaint survey triggers?
A
Partial extended survey.
5
Q
What is a resurvey?
A
Check compliance with plan of correction
6
Q
What is severity level 1?
A
No harm, no potential. (A–C)
7
Q
What is severity level 2?
A
No harm, potential harm. (D–F?)
8
Q
What is severity level 3?
A
Actual harm. (G–I)
9
Q
What is severity level 4?
A
Immediate jeopardy. (J–L)
10
Q
When do the surveyors deliver the 2567
A
10 calendar days of exit
11
Q
POC due within?
A
10 calendar days of receiving 2567
12
Q
Earliest resurvey after a citation?
A
30 days after exit.
13
Q
Formal hearing request deadline?
A
20 calendar days
14
Q
Substandard care begins at which letter?
A
G
15
Q
Survey file types:
F
N
K
A
F - Federal
N - State
K - Life safety
16
Q
Public posting of survey/POC?
A
Within 14 days of approval
17
Q
MDS transmission to the state?
A
Within 7 days of completion
18
Q
Care plan must involve?
A
Resident, family, MD, RN
19
Q
Hot water dishwasher:
Wash temp?
Rise temp?
Final rinse temp?
A
Wash temp 150F
Rise temp: 160F
Final rinse temp: 180
20
Q
For chemical sanitizing:
The water temperature:
PPM for bleach:
PPM for Iodine:
A
The water temperature: 75F
PPM for bleach: 50 ppm
PPM for Iodine: 12.5 ppm
21
Q
Pots/pans wash temp and time?
A
170°F for 30 seconds
22
Q
Hot food temp?
A
135°F+
23
Q
Cold food temp?
A
41°F or below
24
Q
Freezer temp?
A
0°F
25
Milk storage temp?
41°F or below
26
Meat cooking temps:
- Poultry
- Hamburger/hot dogs
- Meats
- Reheat food
- Poultry - 165°F
- Hamburger/hot dogs - 155°F
- Meats - 145°F
- Reheat food - 165°F
27
Kitchen open hours?
At least 12 hours/day.
28
Max hours between dinner & breakfast w/o snack?
14 hours
29
Max hours between dinner & breakfast with a snack?
16 hours
30
Storage rule for pots/pans?
Must be 6 inches off floor.
31
Menus:
- Must be kept for how long?
- Must be prepared how far in advance?
Retained for: 1 month (4 weeks / 30 days)
Preared in advance: 1 month (4 weeks / 30 days)
32
Diets:
Who orders it?
Who approves it?
The Physican orders the diets
The dietician must approve the specifics
33
Dietary Manager requirement?
Full time. If not RD → monthly RD consult.
34
MDS Dietary section?
Section K.
35
Errors in performance review:
- Central Tendency:
- Halo Effect:
- Leniency:
- Central Tendency: Rates all workers average.
- Halo Effect: Judge based on single trait
- Leniency: Rates poor employee as acceptable, does not want to be the bad guy
36
Management style:
- Autocratic?
- Paternal?
- Laissez-faire?
- Democratic?
- Autocratic: Dictatorial. Micromanage.
- Paternal: Supportive; best style.
- Laissez-faire: Little involvement unless needed.
- Democratic: Manage by consensus.
37
Employment applications retained for?
6 months
38
Job description includes?
Title, duties, requirements, salary, reporting.
39
What is Job analysis?
Collecting info on duties & skills.
40
What is Job specification?
Skills, knowledge, experience required.
41
Refund deceased/discharged funds?
Within 30 days.
42
Average length of stay formula?
Total patient days ÷ admissions.
43
General journal used for?
- Prepaid expenses
- Corrections
- Odd entries
44
What does a P&L include?
P&L frequency?
- Profit, Income, Loss, Expenses, Revenue (money made)
- Monthly. Must match that month’s revenues/expenses.
45
What does a balance sheet include?
Balance sheet frequency?
- Liabilities, Assets, Net worth, Capital, Equity (Financial well-being)
- Every 3 months
46
Accounting equation:
- Assets =
- Working capital =
- Current ratio =
- Acid test ratio =
- Assets = Liabilities + Capital.
- Working capital = Current assets – current liabilities. Tells you how much liquid resource is left after paying bills due within 12 months.
- Current ratio = Current assets ÷ current liabilities
- Acid test ratio = Cash + AR + MMF ÷ current liabilities. Shows immediate ability to pay debts using only the most liquid assets.
47
What is the Chart of Accounts?
- Chart of accounts = List of all information found on general ledger and P&L + codes
47
AHCA represents?
For-profit nursing homes
(American Health Care Association)
48
AAHSA represents?
Non-profit nursing homes
(American Association of Homes and Services for the Aging)
49
What is the False Claims Act?
Prohibits fraudulent Medicare claims.
50
What is the Federal Employer Liability Act (FELA)?
Covers employee injuries on the job.
(workers comp)
51
What is the Fair Credit Reporting Act?
Must notify applicant if denied due to credit report.
52
What is the CLIA waiver required for?
When is the CLIA renewal?
- Blood glucose testing.
- Annually
CLIA - Clinical Laboratory Improvement Amendments
53
What is ERISA and what does it protect?
- Employee Retirement Income Security Act
- Pension funds via Pension Guaranty Corp.
54
What is intestate =
What is Testate =
Intestate = Dies without a will.
Testate = Dies with a will
55
What is the Mission statement =
What is Philosophy =
Mission statement = Purpose of company.
Philosophy = Foundation of company
56
Employees needed for OSHA
11
57
OSHA: record non-fatal injuries within?
7 days on form 300.
58
OSHA: Hospitalizations/fatalities must be reported within?
8 hours by phone
59
Year-end OSHA summary?
300A (posted Feb 1–Apr 30).
60
What is the OSHA Form 301
OSHA Form 301 = Full investigation report.
61
How long are OSHA medical records retained?
Duration of employment + 30 years.
62
OSHA Violations:
- Imminent danger
- Serious violations
- Non-serious violations
- Deminimis
- Most common deficiency
- OSHA citations must be posted where?
- Imminent danger -- Can close the facility
- Serious violations -- Major fine
- Non-serious violations -- No harm, small fine
- Deminimis -- No harm, no fine
- Most common deficiency -- Missing MSDS/SDS
- On the front door for 3 days.
63
What is NIOSH, and what does it do?
- NIOSH -- National Institute for Occupational Safety and Health
- provides research for OSHA
64
What is NLRB
Who does the NLRB have jurisdiction over?
What does the NLRB approve?
Union Grivences go to?
- National Labor Relations Board
- The NLRB has jurisdiction over all labor unions.
- The NLRB approve Barganing Unites + Elections
- NLRB
65
What does the Wagner Act require?
The management must sign the collective bargaining union agreements.
66
Taft-Hartley: union must give?
10-day strike notice
67
Taft-Hartley: contract change notice?
90 days.
68
Taft-Hartley: President can halt strike for?
80 days.
69
Union election requires what % interest?
To unionize, need?
- 30%
- 50% + 1 votes.
70
Landrum-Griffin protects?
Union members from union corruption.
71
Largest union representing NH workers?
- SEIU (Service Employees International Union)
72
1) Nursing services must be available?
2) RN must be on duty?
3) ADON required at?
4) Nursing HPPD requirement?
5) Max residents per nurse?
6) Max residents per CNA?
7) Charge nurse required?
8) Nursing staff max work days?
9) Social worker full-time required at?
1) 24 hours/day
2) 8 consecutive hours daily
3) 121+ beds
4) 3.0 per resident per day.
5) 20
6) 40
7) On all 3 shifts.
8) 16 hrs/day for 3 consecutive days.
9) 121+ beds
73
- CNA training hours?
- CNA curriculum includes?
- 75 hours minimum
- Basic nursing, personal care, mental health, dementia, restorative, residents’ rights
74
How long are Resident Records kept?
5 years after discharge
75
How long are Resident Records for minors kept?
3 years after reaching the age of 18
76
When can residents review their records?
Within 24 hours of the oral and/or written request.
77
When must the copies of the resident records be provided?
48 hours or 2 working days (excluding holidays and weekends)
78
Are charges allowed for copying the records?
Yes, per page + labor
79
CMS Report: CMS 671
Medicare / Medicaid Certification Application
80
CMS Report: CMS 672
Resident Census & Condition
81
CMS Report: CMS 801
Offsite survey prep worksheet
82
CMS Report: CMS 802
Roster / Sample Matrix
83
CMS Report: CMS 803
Facility observation
84
CMS Report: CMS 805
Resident review worksheet.
85
What is the OSCAR Report 3?
Facility survey history (5 years)
86
What is the OSCAR Report 4?
Resident characteristics.
87
What is the Care Area Assessment?
MDS + Care Area Triggers
88
How many triggers are in Care Area Triggers?
20
89
How often is the pain assessment is done?
Quarterly
90
What is the max smoke compartment size?
22,500 sq ft
91
What is the minimum number of smoke compartments per foor?
2
92
What is the maximum travel distance within the smoke compartment?
200 ft
93
What is the max length of a smoke compartment?
150 ft
94
What is the maximum travel distance from any point in the resident's room to the hallway?
no more than 50ft
95
What is the width of the resident door?
44 inches
96
What is the width of the bathroom door?
32 inches
97
What is the thickness of the door in a smoke compartment?
1.75 (1 3/4) inches
98
What is the door made of?
Solid wood core
99
What is the fire rating of the door?
20 minutes
100
What is the width of the double doors in a smoke compartment?
41.5 inches
101
What is the fire rating of the double doors in a smoke compartment?
1 1/2 hours (90 minus)
102
What is the fire rating of the walls in a smoke compartment?
2 hours
103
How must the exit signs be illuminated?
1 candle foot at the floor level
104
What is the wheelchair clear access width?
36 inches
105
What is the Forward reach height?
48 inhces
106
What is the side reach height?
9 - 54 inches
107
What is the knee space?
19 inches
108
What is the Toe clearance?
9 inches
109
What is the maximum railing strenght?
250 lbs
110
What are the dimensions of a handicapped parking space?
13 feet wide. A parking lot must have 1 handicap space for every 25 spaces
111
What is the ambient temperature of a facility?
71 - 81F
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