ALF Administrators CORE Questions and answers for ALF core training test for Florida compl, Exams of Nursing

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ALF Administrators CORE Questions and answers for ALF core

training test for Florida completed 2023| AGRADE

True or false, a facility can lack someone who can access facility and resident records for up to 4 hours. - ANSWER>> False, someone who can access those files must be present at all times in case of emergency In facilities with ____ or more residents, there must be a staff member awake all hours of day and night. - ANSWER>> 17 True or false, someone with first aid and CPR training (which is currently updated and valid) must be present at all times. - ANSWER>> True During a period of temporary absence of the administrator of more than 48 hours, what must be done? - ANSWER>> Staff who is at least 21 must be physically present and designated in writing to be in charge of facility. What staff doesn't count toward minimum staffing hours? - ANSWER>> Staff who exclusively deal with grounds or building maintenance, clerical, or food prep When can an administrator or manager's hours be counted toward minimum staffing hours? - ANSWER>> When they are actively involved in the day to day operation and is listed on the facility's staffing schedule. Upon request, does a facility have to make a direct care staff's schedule available to a resident or representative? - ANSWER>> Yes When may ACHA require additional staff? - ANSWER>> When facility fails to meet fire safety standards or ACHA decides facility doesn't have enough staff to provide resident supervision What training must be completed by staff who provide direct care to residents? - ANSWER>> Minimum of one hour in service training about infection control before providing personal care Minimum of one hour on the following subjects: reporting major and adverse incidents and the facility's emergency procedure; resident's rights and reporting abuse, neglect, and exploration Minimum of 3 hour training regarding resident behavior and needs and providing assistance with ADLs Must be completed within first 30 days What training must be completed by staff who serve and prepare food? - ANSWER>> One hour training in safe food handling practices within first 30 days What training should be provided to all staff? - ANSWER>> Elopement response policies and procedures

One time education course on HIV/AIDS Must be completed within first 30 days What are the training requirements for the person designated as responsible for the facility's food service?

• ANSWER>> A minimum of 2 hours of continuing education in topics of nutrition and food service in an ALF What training must an ECC admin or ECC supervisor complete? - ANSWER>> In addition to CORE training, 4 hours of initial training in ECC prior to receiving ECC license or within 3 months of employment & a minimum of 4 hours of continuing education every two years in topics relating to the needs of frail elderly or disabled persons or persons with Alzheimer & related disorders ECC staff must complete what training? - ANSWER>> 2 hours of in service training within 6 months of employment LMH staff must complete what training? - ANSWER>> 6 hours of specialized training with working with people with mental health diagnoses from DCF within 6 months of employment & a minimum of 3 hours of continuing education every 2 years in subjects dealing with mental health Staff in regular contact with residents who have Alzheimer's and related disorders must complete what training and when? - ANSWER>> Alzheimer's Disease and Related Disorders Level I Training within 3 months of employment. Staff who provide direct care with residents who have Alzheimer's and related disorders must complete what training and when? - ANSWER>> Level I within 3 months and then Alzheimer's Disease and Related Disorders Level II within 9 months of employment (4 additional training hours); 4 hours of continuing education annually What items must be documented for training requirements? - ANSWER>> Title of the program; the subject matter; training program agenda; the number of hours; trainee's name, date or participation, and location of program; and training provider's name, dated signature and credentials True or false, facility's meals must be offered in a variety of meals adapted to the food habits and preferences of the residents and be prepared through standardized recipes - ANSWER>> True Are standardized recipes required for facilities with 16 or fewer beds? - ANSWER>> No How often must menus be reviewed and by whom? - ANSWER>> Annually by a licensed or registered dietitian or licensed nutritionist Should portion sizes be determined and written down for the annual review? - ANSWER>> Yes, and they must be indicated on the menus or on a separate sheet How long must substitutions be kept on file? - ANSWER>> 6 months How long in advance must the menus be planned? - ANSWER>> 1 week True or false, menus do not need to be posted or easily available to residents. - ANSWER>> False Therapeutic diets must be identified on the menu. - ANSWER>> True

If a resident refused to comply with their therapeutic diet, what must the facility do? - ANSWER>> Document resident's refusal and notify HCP How much time can elapse between the end of an evening meal containing a protein food and the beginning of the morning meal? - ANSWER>> No more than 14 hours How much food must be on hand at all times? - ANSWER>> A 3-day supply of nonperishable foods Food hygiene inspection reports must be kept filed for how long? - ANSWER>> 2 years Is an owner able to co-mingle facility funds with resident funds? - ANSWER>> No, must have separate accounts. May put all resident funds together in one account if a separate written accounting is maintained. What is the minimum bond proceeds if facility is a representative payee for a resident receiving oss? - ANSWER>> Twice the value of residents's monthly aggregate income. What is the minimum bond proceeds if facility is a power of attorney for a resident receiving oss? - ANSWER>> Twice the value of residents's monthly aggregate income plus the value of any property belonging to the resident at the facility. When outside temp is 65F or below, what is the lowest the indoor temp can be during the hours residents are normally awake? - ANSWER>> At least 72F in all areas used you residents When outside temp is 65F or below, what is the lowest the indoor temp can be during the hours residents are normally asleep? - ANSWER>> 68F at least When indoor temps exceed 85F, what must be done? - ANSWER>> Use of mechanical cooling devices provided outside temps remain below 90F True or false, no resident will be in an inside area with a temp higher than 85 degrees. - ANSWER>> False, 90 degrees During daytime hours when outside temps exceed 90 degrees and anytime at night, the inside temp can be no more than what? - ANSWER>> No more than 81 degrees A room separate from bedrooms shall be provided for residents to read, engage in socialization or other leisure activities - ANSWER>> True An unlicensed ALF commits a felony of the __ Degree. - ANSWER>> Third Can a resident under hospice have 24-hour nursing if already admitted to an ALF? - ANSWER>> Yes, as long as 24 hour nursing is completed by hospice A service plan is required for each resident admitted under what license and program? - ANSWER>> ECC True or False, a home approved by the Department of Veteran Affairs that provides care exclusively to 3 or less veterans is exempt from acquiring a license - ANSWER>> True Can a resident chose their own roommate? - ANSWER>> The option to chose should be given if possible. Maximum occupancy for one room? - ANSWER>> Two residents

Can a resident's room directly open into another room so that they have to pass through another resident's room to access theirs? - ANSWER>> No. Must open directly into a common area. Cannot be considered a bedroom otherwise What are the minimum finishings for a bedroom? - ANSWER>> Closet or wardrobe, dresser, and bed. Upon request, a table, lamp, waste basket, and comfortable chair shall be provided. What is the bathroom (with one toilet and sink) ratio for bathroom to residents? - ANSWER>> 1 to six residents What is the shower ratio to residents? - ANSWER>> One bathtub or shower per 8 residents. What devices are required in showers and tubs? - ANSWER>> Grab bars, non-slip safety devices Do grab bars need to be installed next to toilets? - ANSWER>> Only in newly licensed facilities Residents must have access to a phone in each building residents reside. - ANSWER>> True but only for facilities licensed for 17 or more beds What should be done to the door to bathrooms with a single toilet? - ANSWER>> Installed with door that can lock from the inside with no key needed How long does a new facility or a facility with a new owner have to file an emergency management plan?

• ANSWER>> Within 30 days of attaining license The emergency management plan must be reviewed how often? - ANSWER>> Annually In the case of an emergency, a facility may exceed its licensed capacity for how many days? - ANSWER>> 15 days Aging in place - ANSWER>> The process of providing increased or adjusted services to a person to compensate for the physical or mental decline that may occur. How long does a facility have to resubmit a emergency management plan after receiving notice that the plan must be revised? - ANSWER>> 30 days What type of changes to the emergency management plan needs to be reported annually? - ANSWER>> Any substantive revisions, which must be submitted and approved, and any changes in identification of specific staff, which will be submitted as an addendum and not subject to review and approval. How long after an evacuation order must a facility evaluate its residents? - ANSWER>> 6 hours. If takes longer, facility must report when it's completed Facility must supply ACHA with a contact person in case of evacuation. How often must they be available? - ANSWER>> 24/ As long as ACHA is informed, a facility may exceed its licensed capacity in an emergency without any other approval. - ANSWER>> False. Fire Marshall can decide facility cannot meet the immediate need of the residents. How long does ACHA have to issue a statement of deficiency for violations? - ANSWER>> 10 days after inspection

With a class I, II, I uncorrected III deficiency involving medication, ACHA must what? - ANSWER>> notify facility in writing that the facility must employ or contract the services of a pharmacist or RN as a consultant to create a corrective action plan. After a class I, II, I uncorrected III deficiency involving medication is issued by ACHA, the facility must what? - ANSWER>> Correct deficiency with assistance by consultant RN or pharmacist and send ACHA quarterly onsite corrective action plans until ACHA determines facility is following regulations. True or false, mechanical assistance is considered assistance with transfer. - ANSWER>> False. Mechanical assistance is also not allowed to be completed by facility staff. Transferring is an ADL. - ANSWER>> False. Direct care staff - ANSWER>> Staff that provide personal or nursing services to residents Enrollment in hospice is considered a significant change in condition. - ANSWER>> True A major change consistent with a resident's diagnosis is a significant change in condition. - ANSWER>> False A stage two pressure sore is a significant change in condition. - ANSWER>> True Cooperative agreement - ANSWER>> Written statement of understanding between a mental health care provider and administrator that specifies directions for accessing emergency and after hours care for LMH residents. A single cooperative agreement may service all clients under the one provider. How long does facility have to have an on site consult with a RN or pharmacist after receiving written notice by ACHA for one due to a medication deficiency? - ANSWER>> 7 working days for class I or II; 14 for uncorrected class III Assistive Care Services - ANSWER>> Medicaid based, state plan that provides reimbursement for care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis (including assistance with self-administration of medication, assistance with ADLs) In Adult family care homes, care must be provided in the care provider's own home. - ANSWER>> True If a plan of correction is required by ACHA for a deficiency, how many days does the facility have to submit it? - ANSWER>> 10 days What level of background screening must be conducted? When? - ANSWER>> Level II; upon hire, every 5 years, and upon rehire if employee has a break in service of more than 90 days What paperwork should be in employee files regarding background screenings? - ANSWER>> eligibility statement, affidavit of compliance, privacy notice Class I Violation - ANSWER>> Conditions or occurrences related to the operation and maintenance of a provider or to the care of clients that present an imminent danger to the clients or a substantial probability that death or serious physical or emotional harm would result. A fine will be imposed regardless of correction. When must a Class I violation be resolved? - ANSWER>> Within 24 hrs unless a fixed period is required Class II Violation - ANSWER>> Conditions or occurrences that directly threaten the physical or emotional health, safety, or security of clients, other than class I violations. A fine shall be imposed regardless of correction.

Class III Violation - ANSWER>> Conditions or occurrences that potentially threaten the physical or emotional health, safety, or security of clients. A fine may not be imposed if violation is corrected within time specified on the citation. Class IV Violation - ANSWER>> Conditions or occurrences or required reports, forms, or documents that do not have the potential of negatively affecting clients; do not threaten the health, safety, or security of clients. A fine may not be imposed if violation is corrected within time specified on the citation. Unclassified violations - ANSWER>> A violation that is not a class I, II, III, or IV violation that holds an administrative fine of up to $500. Examples: exceeding licensed capacity, providing services beyond scope of license, violating moratorium Moratorium - ANSWER>> Emergency suspension, facility may not admit any new residents When are moratoriums imposed? - ANSWER>> When AHCA determines any condition that presents a threat to the health, safety, or welfare of client. When a moratorium is imposed, the provider of licensee must do what? - ANSWER>> Post a visible notice of the moratorium until the action is lifted Why may a license be denied or revoked? - ANSWER>> False information in application, negligent act affecting health and safety of client, violation of statues or rules, pattern of deficient performance, or if applicant, licensee, or controlling interest has been excluded, suspended, or terminated from participating in Medicaid and/or Medicare programs Activities of Daily Living - ANSWER>> Functions and tasks for self-care, including ambulation, bathing, dressing, eating, grooming, and toileting An administrator must be how old? - ANSWER>> 21 years Can an ALF be more than one building? - ANSWER>> Yes Service plan - ANSWER>> Written plan, developed and agreed upon by resident, that addresses the needs and preferences of a resident receiving extended congregate care services. Includes what services shall be provided, who shall provide them, when they will be rendered, and the purpose of the service. An ALF with one or more mental health resident must obtain what license? - ANSWER>> Limited Mental Health A mental health resident receives what? - ANSWER>> OSS What physical restraint can be used at a standard licensed ALF if attained all necessary documents? - ANSWER>> Half bed rails What must you have for a resident to use a physical restraint? - ANSWER>> Physician's order, resident's consent, order renewed annually What can CNA's do beyond unlicensed caretakers under a standard license? - ANSWER>> Take vital signs under the direction of a nurse Under what licenses can a CNA do everything they are certified for? - ANSWER>> ECC & LNS Liability Report - ANSWER>> ALFs must report any new lawsuits filed against them monthly to AHCA

What four documents should you always have on file with ACHA? - ANSWER>> Surety bonds, liability insurance, health inspections (within 30 days of inspection), fire inspection (within 30 days of inspection) Under a standard or LMH license, what services can a resident be assisted with by a nurse? - ANSWER>> Oxygen, TED hose, and colonoscopy bag When should a Health Assessment be completed? - ANSWER>> 1) Within 60 days before admission or 30 days after and 2) every 3 years after (annually for residents attaining assistive care services) or whenever the resident experiences a significant change in condition True or false, ALFs must always have liability insurance. - ANSWER>> True What forms should a resident have in an ALF with LMH? - ANSWER>> Community Living Support Plan & cooperative agreement Adverse incident - ANSWER>> An event over which a facility could exercise control over rather than as a result of the resident's condition What are examples of adverse incidents? - ANSWER>> Death, brain or spinal damage, permanent disfigurement, fracture or dislocation of bones, medical condition that resident has not given their consent for, any condition that requires resident be transferred to unit that provide more acute care, or resident elopement. When must the preliminary report of an adverse incident be filed? What should it include? - ANSWER>> One business day; includes identity of resident, type of incident, and status of investigation When must the full report of an adverse incident be filed with ACHA? What should it include? - ANSWER>> 15 days ; results of the investigation What is the termination date for a resident? - ANSWER>> The date that unit is vacated by the resident and cleared of all personal belongings. Resident must not be required to give more than __ days notice of termination - ANSWER>> 30 days How long must ALFs wait before disposing of unclaimed possessions? - ANSWER>> 45 days How long does ALFs have to refund money after termination? - ANSWER>> 45 days Provided a __ day notice is given, facility may clear room of personal belongings and charge resident for the moving and storing of items, not to exceed __% of regular rate of unit. - ANSWER>> 14; 20% In standard ALF, what may nurses do? - ANSWER>> Administer meds, take resident's vitals, manage weekly pill organizers, give prepackaged enemas ordered by physician, and write nursing progress notes. In emergency situations, licensed personal can do what until emergency medical personnel assume responsibility for care? - ANSWER>> All of their professional duties Assistance with the self-administration of medication does NOT include what 8 things? - ANSWER>> 1) mixing, compounding, or calculating doses, 2) Administering injections/prepping injections, 3) administering meds via tube inserted in body's cavity, 4) administering medication through breathing device or nebulizer, 5) administering of parenteral preps, 6) irrigations, 7) rectal, urethral, or vaginal preparations, 8) medications that require judgement or discretion regarding time given, frequency, amount, etc

Who is responsible for determining the appropriateness of admission & of continued residence of a resident? - ANSWER>> Owner or administrator How many days notice must a faciltiy give for relocation or termination of resident? - ANSWER>> 45 days (unless for medication reasons, the resident is certified by a physician to require emergency location, or the resident engages in a pattern of conduct that is harmful or offensive to other residents) How many days before closing should a facility give notice? - ANSWER>> At least 30 days A fire evacuation of three minutes or less is considered what? - ANSWER>> Prompt A fire evacuation of more than three minutes but no more than 13 minutes is considered what? - ANSWER>> Slow A fire evacuation of more than 13 minutes is considered what? - ANSWER>> Impractical Any new facilities must be equipped with what for fire safety? - ANSWER>> Fire sprinkler system How often must a facility conduct elopement prevention and response drills? - ANSWER>> Twice a year (for each employee) Comprehensive emergency management plan - ANSWER>> Updated annually, a plan that addresses emergency evacuation transport, sheltering arrangements, disaster activities, supplies, staffing, emergency equipment, etc. Who reviews the emergency management plan? - ANSWER>> The local emergency management agency What must be included in an advertisements before facility obtains license? - ANSWER>> "License pending" What must be included in all advertisements for facility? - ANSWER>> "Assisted Living Facility" and license number Significant change - ANSWER>> A sudden or major shift in behavior or mood inconsistant with the resident's diagnosis or a deterioration in health status such as unplanned weight change, stroke, heart condition, enrollment in hospise, or stage 2, 3, or 4 pressure sore. In what time period must ACHA be informed of a CHOW? - ANSWER>> At least 60 days How long does a copy of a resident's contract need to be kept? - ANSWER>> 5 years after resident leaves With the exception of residents' contracts, all residents' records much be kept for how long? - ANSWER>> 2 years after resident leaves How long does an ALF have to comply with new rules/regulations adopted by ACHA? - ANSWER>> Six months When a license has been denied, revoked, or set to terminated, in order to ensure the health, safety, and welfare of clients, ACHA may extend the license expiration up to how many days? - ANSWER>> 30 days After an inspection, how long as the facility have to correct a deficiency? - ANSWER>> 30 days True or false, the agency requires a plan of correction for any deficiencies. - ANSWER>> False, they may

How long does a facility have to file a plan of correction if required by ACHA? - ANSWER>> 10 days, unless alternative time frame is required Licensee must inform ACHA no less than __ prior to the discontinuance of operation of facility. - ANSWER>> 30 days What must a licensee do when planning to discontinue operation regarding client records? - ANSWER>> Make arrangements to forward records for each client or publish a notice in the newspaper of greatest general circulation in the county of the discontinuance and informing client that they may obtain copies of their records, running for 4 consecutive weeks Standard License - ANSWER>> Regular license issued when applicant is in complaint with all statutory requirements and ACHA rules Provisional License - ANSWER>> License that is effective until a final action not subject to appeal is decided upon that would affect the applicant's compliance with ACHA regulations--may be issued for applicant who has has a denial or revoking of license pending, applicant waiting on level II screening, or a facility that is experiencing a CHOW How long is a provisional license active? - ANSWER>> A specific period of time determined by ACHA, not to exceed 12 months. Inactive license - ANSWER>> License that can be issued for facility that will be temporarily unable to provide services but is reasonably expected to resume services within 12 months. Can an inactive license recieve an extention? - ANSWER>> Yes, for up to another additional 12 months if licensee demonstrates that progress has been made to reopen but will not be completed within the initial 12 months When must a facility's renewal licensed application be submitted? - ANSWER>> At least 60 days but not more than 120 days before expiration of license When must an applicant file for initial licensure due to a CHOW? - ANSWER>> At least 60 days prior to date of CHOW Upon receipt of application, ACHA will notify applicant of any errors or omissions in what time period? - ANSWER>> Within 30 days How long does the applicant have to file any additional information requested by ACHA to complete their application? - ANSWER>> 21 days ACHA has how long to approve or deny a complete application? - ANSWER>> 60 days Isolated deficiency - ANSWER>> A deficiency affecting one or a very limited number of clients or a situation that occurred only occasionally or in a very limited number of locations Patterned deficiency - ANSWER>> A deficiency affecting more than than a very limited number of clients or occurs in several locations or have occurred repetitively but is not found to be pervasive throughout the provider Widespread deficiency - ANSWER>> Deficiency that is pervasive in the provider or represents systemic failure and affects or have a potential to affect a large portion of the clients What is the use of chemical restraints limited to in an ALF? - ANSWER>> Prescribed doses of medication authorized by the resident's physician--must be consistent with resident's diagnosis

To use medication considered a chemical restraint, what must you have? - ANSWER>> Annual evaluation by physician to assess continued need for medication, the level of medication in resident's blood, and need for adjustment of medication. Conditional license - ANSWER>> Issued if AHCA determined an uncorrected violation is present at facility at time of license renewal; a license that is contingent upon agency approval or written plan of correction How long is a conditional license issued for? - ANSWER>> Only for the time period necessary to comply with licensing standards and complete license renewal process, not to exceed 6 months When is a conditional license revoked? - ANSWER>> If ACHA determines progress has not been made toward compliance during follow up surveys For an initial application for a license, does a provisional license act as a standard license for purposes of issuing a LMH, ECC, LNS license? - ANSWER>> No For an application for license due to a CHOW, does a provisional license act as a standard license for purposes of issuing a LMH, ECC, LNS license? - ANSWER>> Yes True or false, AHCA notice of license denial following a renewal license shall be posted and visible to the public at the facility. - ANSWER>> True If a facility plans to make a change in space that increases or decreases a facility's capacity, the facility must what? - ANSWER>> Gain prior approval by the agency's CENTRAL office. If a facility plans to make a change in use of space that involves converting an area to resident use, which has not been inspected for such use, the facility must what? - ANSWER>> Gain prior approval by the agency's FIELD office How long does a facility have to submit a copy of its annual fire safety and sanitation inspections? - ANSWER>> 30 calendar days True or false, resident must be able to transfer, with assistance if necessary, to be admitted to an ALF. - ANSWER>> True If unlicensed staff will be providing assistance with self administration of meds, the facility must obtain what from the resident for admission? - ANSWER>> Written informed consent to be assisted by unlicensed staff. Can someone with HIV be admitted to an ALF? - ANSWER>> Yes True or false, someone must be free from signs and symptoms of any communicable diseases for admission. - ANSWER>> True Can someone be admitted to an ALF if they require 24 hour licensed professional mental health treatment? - ANSWER>> No What stage pressure sores make someone ineligible to be admitted? - ANSWER>> Stage 3 or 4 Someone with a stage __ pressure sore can be admitted to an ALF provided that the facility does what? - ANSWER>> 2; resident contracts with license home health agency or resides in a LNS, the condition is documented in the resident's record and the admission and discharge log, and the resident's condition improves within 30 days

If a resident requires these nursing services, they are disqualified from admission. - ANSWER>> Oral, nasopharyngeal, or tracheotomy suctioning; tube feeding; monitoring of blood gases; intermittent positive pressure breathing therapy; and treatment of surgical incisions or wounds, unless the condition that causes it has been stabilized and plan of care developed Can a resident require 24 hour nursing supervision upon admission? - ANSWER>> No Can a resident be admitted if they require skilled rehabilitative services? - ANSWER>> No Who is responsible in determining the appropriateness of a resident for admission? - ANSWER>> The administrator or owner What must an administrator base their decisions of a resident's appropriateness of admission on? - ANSWER>> An assessment of strengths, needs, and preferences of the individual and from the medical exam; the facility's admission policy and services provided; and the ability of the facility to meet the fire safety standards What information must a facility make available to potential residents in their facility statement? - ANSWER>> Essentially, the admission and continued residency criteria, any offered activities or services, any fees attached to any services usually provided and then any fees for services that can be provided at additional cost, policy on DNRO's, policy on therapeutic diets, elopement response polices and procedures, ECC requirements if applicable (Full list:

1. facility's admission and continued residency criteria, 2) daily, weekly, or monthly charge for rent & services, 3) personal care services provided , 4) nursing services that facility can provide, 5) food services & ability for facility to accommodate specialty diets, 6) availability of transport, 7) any special services 8) activities generally offered, 9) any services that is not usually provided but can be at additional cost, 10) facility rules and regs that must be followed, 11) policy concerning DNROs, 12) criteria for admission into ECC and care offered, 13) elopement response policies and procedures) What must be provided before or at time of admission by facility? - ANSWER>> Copy of the resident's contract, copy of the facility statement, copy of resident's bill of rights, ombudsman program brochure that includes phone # and address of district office How long can a resident be bedridden? - ANSWER>> 7 days for most licenses, 14 for ECC What conditions must be met for a terminally ill resident who no longer meets continued residency criteria to stay at the facility? - ANSWER>> Admission to hospice, the continued residency is agreeable by both resident and facility, and an interdisciplinary care plan is developed and implemented--any services outside of facility's scope of practice must be completed by hospice If a resident exhibits a significant change in condition, what must be done? - ANSWER>> Inform health care provider (and get a new 1823) What are the resident care standards for supervision of residents? - ANSWER>> Monitor resident's diets, maintain general awareness of whereabouts, daily observations of activities and health, contacting health care provider regarding any changes in condition, and maintaining written record of significant changes

When must scheduled activities be available and for how much time? - ANSWER>> At least 6 days a week for a total of no less than 12 hours per week. Do day treatments count toward the required number of hours for activities? - ANSWER>> Yes If residents assist in the planning of an activity, how many hours can be counted toward required activity time? - ANSWER>> 3 hours True or false, the facility does not have to consult with the residents in selecting, planning, and scheduling activities. - ANSWER>> False Staff members are not responsible for knowing the general whereabouts of each resident, true or false. - ANSWER>> False. Grievance procedure - ANSWER>> Facility must have a written grievance procedure for resident complaints, facility must demonstrate that such a procedure is implemented upon receipt of a complaints What must be posted in full view in a freely accessible resident area? - ANSWER>> The Resident Bill of Rights, the telephone number for lodging complaints against a facility or facility staff (must be in 14 point font) Residents do not need to be encouraged to be as independent as possible. - ANSWER>> False Residents must have convenient access to a telephone. - ANSWER>> True Half bed rails aren't considered a physical restraint when the resident can what? - ANSWER>> When the resident can use and remove or avoid them without any assistance For residents that are at risk of elopement, what must facilities do daily? - ANSWER>> Make an effort for the residents to have ID on their persons that includes their name and the facility's name, address, and number. Upon the resident's admission or once they are assessed to be at risk for elopement, the facility has how long to ensure the resident's file contains a photo of the resident? - ANSWER>> 10 days How long can a facility keep abandoned/expired medication? - ANSWER>> 30 days When a resident leaves, what must the facility do with their medication? - ANSWER>> Give resident their medication. If resident leaves their meds, must store them for 15 days before meds are considered abandoned. If medication is centrally stored and a medication must be refrigerated, where must that med be? - ANSWER>> In a locked fridge, in a locked container in a fridge, or a fridge in a locked area How long after a nurse gets a medication order by phone does the facility need a signed order by the doctor? - ANSWER>> 10 days How much usable floor space must be in a private room? - ANSWER>> 80 square feet How much usable floor space must be in a double occupancy room? - ANSWER>> 120 square feet OSS - ANSWER>> Optional state supplementation Total help residents can only be admitted to facilities with what license? - ANSWER>> ECC Which residents can use pill organizers - ANSWER>> Residents who self-administer medication

Can a nurse or unlicensed staff open the pill organizer? - ANSWER>> No, resident must open the organizer themselves Who can fill a pill organizer? - ANSWER>> A nurse or friend or family who is not being compensated or the resident How can nurses help maintain a pill organizer? - ANSWER>> Obtain the labeled meds, fill it, sign off that the organizer was filled Menu substitutions must be kept for how long? - ANSWER>> 6 months When should a facility have a surety bond? - ANSWER>> When facility is a representative payee or power of attorney What are the minimum staffing hours per week for a facility with four residents? - ANSWER>> 168 For every 20 residents over 95, how many staff hours should be added per week? - ANSWER>> 42 How long does staff have to show they are free of communicable diseases? - ANSWER>> Within 30 days of hire How often does a negative tuberculosis have to be documented/completed? - ANSWER>> Annually Is an employee is suspected of having or has TB, what must the facility do? - ANSWER>> Immediately remove employee from duty until written statement clearing of TB is provided by a health care provider For facilities with a capacity of 17 or more residents, the facility must what for its job positions? - ANSWER>> Develop a job description and maintain time sheets for all staff How long must a facility keep all ACHA's completed survey, inspection and complaint investigation reports, and notices of sanctions and moratoriums for? - ANSWER>> 5 years A facility must always have liability insurance, true or false. - ANSWER>> True What must be present on a MOR sheet? - ANSWER>> Resident's name; known allergies; healthcare provider and number; name, strength, and directions of use for medications; and recording of observations If medication is stored in resident's room, it must be what? - ANSWER>> Kept in a locked room when resident is absent or in a secured place Can a alf require residents to execute a DNRO? - ANSWER>> No What is a DNRO - ANSWER>> Do not resuscitate order form: those trained in CPR may withhold CPR in event of cardiac or pulmonary arrest If resident has a DNRO and is hospice, what must the staff do in an event of a cardiac or pulmonary arrest? - ANSWER>> Contact hospice. Hospice procedures take precedence over alf's What are the continuing education requirements for alf admins? - ANSWER>> 12 hours in topics related to assisted living every 2 years How many facilities may an administrator supervise? - ANSWER>> 3 Administrators who supervise more than one facilities must appoint what? - ANSWER>> A separate manager for each facility

When can an administrator not have to appoint a manager for a single facility when the administrator supervises multiple facilities? - ANSWER>> For up to 3 facilities, when the facilities have 16 or fewer beds and are within a 15 mile radius How long does a facility owner have to notify ACHA of a change in administration? - ANSWER>> 10 days During a CHOW, facility has how many days to notify residents in writing? - ANSWER>> 7 days ACHA can deny or revoke a license if the ALF has two or more class I violations that are similar or identical within the past 2 years - ANSWER>> True An facility with 17 or more beds must have a functioning what? - ANSWER>> Automated External Defrillator How many staff hours a week must be completed for a facility licensed for 34 beds? - ANSWER>> 294 hours When does a resident not count toward the required minimum staffing hours? - ANSWER>> When the resident is an independent living resident Independent living resident - ANSWER>> Resident who occupies a bed but does not receive personal, limited nursing, and ECC services