Assisted Living Facility Regulations and Requirements, Exams of Nursing

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NJ CERTIFIED ASSISTED LIVING

ADMINISTRATOR (CALA) FINAL EXAM

AND PRACTICE QUESTIONS EXAM 2024-

2025 COMPLETE ACCURATE QUESTIONS

WITH DETAILED VERIFIED ANSWERS

(100% CORRECT ANSWERS) /ALREADY

GRADED A+

Each resident shall receive his or her personal needs allowance within ____________ of the receipt of the check by the administrator. - ....ANSWER... hours

The resident or, if the resident is not competent, the resident's representative with ________________________, shall sign to acknowledge receipt of funds, goods or services purchased with such funds at the time of disbursement. - ....ANSWER...Financial Power of Attorney

Upon admission, each resident shall receive an initial assessment by a RN to determine the resident's needs. If this initial assessment indicates

the resident has general needs, a general service plan shall be developed within ____________ of the resident's admission. - ....ANSWER...14 days

1.) The resident's need, if any, for assistance with ADLs.

2.) The resident's need, if any, for assistance with recreational and other activities.

3.) The resident's need, if any, for assistance with transportation. - ....ANSWER...General Service Plan

Within ____________ prior to admission to the assisted living residence, comprehensive personal care home, or assisted living program, a physician, advanced practice nurse or physician assistant shall specify in writing that the resident is appropriate for this level of care to have a health service plan. - ....ANSWER...30 days

At the time of admission, arrangements shall be made between the administrator and the resident, guardian, or responsible person regarding the _______________and ______________ to be called in case of illness, or the individual to be called for a resident who, because of religious affiliation, is opposed to

medical treatment. - ....ANSWER...Physician and Dentist

If the initial assessment of N.J.A.CC. 8:36-7.1(a) indicates that the resident requires health care services, a health care assessment shall be completed within __________ of admission by RN using an assessment instrument available from the Department, or an assessment instrument adopted by the facility or program, equivalent to the instrument available from the Department, and which meets the requirements. - ....ANSWER... days

1.) Need for assistance with ADLs.

2.) Cognitive patterns.

3.) Communication/hearing patterns.

4.) Vision Patterns.

5.) Physical functioning and structural problems.

6.) Continence.

7.) Psychosocial well-being.

8.) Mood and behavior problems.

9.) Activity pursuit patterns.

10.) Disease diagnoses.

11.) Health conditions and preventative health measures, including, but limited to, pain, falls, and lifestyle.

12.) Oral/nutritional status.

13.) Oral/dental status.

14.) Skill conditions.

15.) Medication Use*

16.) Special treatment and procedures.

17.) Restraint use.

18.) Outside service utilization. - ....ANSWER...Health Care Assessment

1.) Orders to treatment or services, medications, and diet, if needed.

2.) The resident's needs and preferences for himself or herself.

3.) The specific goals of treatment or services, if appropriate.

4.) The time intervals at which the resident's response to treatment will be reviewed.

5.) The measures to be used to assess the effects of treatment. - ....ANSWER...Health Service Plan

The resident general service plan shall be reviewed and, if necessary, revised _______________, and more frequently as needed based upon the resident's response to the care provided and any changes in the resident's physical or cognitive status. - ....ANSWER...Semi-annually

The resident health service plan shall be reviewed, and if necessary, revised ________________, and as needed, based upon the resident's response to the care provided and any changes in the resident's physical or cognitive status. - ....ANSWER...Quarterly

The facility shall be responsible for reassessing residents who have neither a general service or health service plan in response to changes in the resident's functional and/or cognitive status at least ______________ and more frequently if such reassessment is predicted to change in the resident's functional and/or cognitive status. - ....ANSWER...Annually

If a resident who has not been receiving a health care service requires a health care service on a temporary basis (meaning a period of time reasonably expected to be _____________________ and

not involving a significant change in condition or a life-threatening illness), neither a health care assessment nor a health service plan be required. The administrator shall develop a system to identify the residents receiving a health care service on a temporary basis. - ....ANSWER...14 days or less

Each resident shall have an ____________ physical examination by a physician, advanced practical nurse or physician assistant which shall be documented in the resident's record. The physician advanced practical nurse or physician assistant shall certify _________________ that the resident does not have any needs which exceed the are of that facility or program is capable of providing. - ....ANSWER...Annual, Annually

If it is determined that there is a medical need for a transfer of a resident to another health care facility because of the assisted living residence, comprehensive personal care home, or assisted living program cannot meet the resident's needs, such transfers shall be initiated promptly. The RN shall be notified to ensure that the resident is receiving appropriate care during the transfer period. If the resident is not transferred within _____________, the Department shall be notified and

assistance shall be requested from the Department to arrange for transfer of the resident. - ....ANSWER...7 day

A facility shall have a least one registered professional nurse available at all times. - ....ANSWER...Nursing Staff Requirments

A nurse aide training course approved by the New Jersey State Department of Health and Senior Services in accordance with N.J.A.C. 8:39-43, and shall have passed the New Jersey Nurse Aide Certification Examination. - ....ANSWER...CNA

A homemaker-home health aide training program approved by the New Jersey Board of Nursing and shall be certified by the Board in accordance with N.J.A.C. 13:37-14. - ....ANSWER...CHHA

A personal care assistant training course approved by the New Jersey Department of Health and Senior Services and the competency evaluation program approved by the Department result in personal care assistant certification. - ....ANSWER...PCA

Must be a CNA, CHHA, PCA. No individual shall be certified as a PCA pursuant unless that individual has completed the criminal history background check required by N.J.A.C. 8:43I. Each PCA and each direct caregiver shall receive orientation prior to or upon employment and on-going in-service education regarding the concepts of assisted living. - ....ANSWER...Qualifications of PCA, CMA, and Direct Caregivers

Personal care assistant certification shall be valid for a period of __________ from the date of issue. At least once every ____________, on a schedule to be determined by the Department, a certified personal care assistant shall file an application for renewal of current certification and shall complete an updated criminal history background check as required by N.J.A.C. 8:43I. - ....ANSWER...2 years

In order to be eligible to renew a current certification, the certified personal care assistant shall complete at least ____________ every two years of continuing education in assisted living concepts, and related topics, including cognitive and physical impairment and dementia. - ....ANSWER...20 hours

Certified as a CNA, CHHA, or PCA; Successfully completion of medication administration training coursed approved by the Department; Successful completion of a Department of Health and Senior Services approved standardized examination regarding medication administration for PCAs. An oral examination shall not substitute for the written component of this examination. - ....ANSWER...CMA (Certified Medical Assistant)

Medication aide certification shall be valid for a period of ___________ from the date of issue. At least once every __________, on a schedule to be determined by the Department, a medication aide shall file an application for renewal of current certification. - ....ANSWER...2 years

In order to be eligible to renew for a current certification, the medication aide have completed at least _________ of continuing education, seminars, or in-service training every two year certification period. This includes continuing education for review of the fundamental principles of medication administration, the skills and knowledge necessary for the task of medication administration, and topics of current drug use relevant to the elderly. - ....ANSWER...30 hours

An applicant for medication aide certification shall sit for the standardized examination within __________ of successful completion of an approved medication administration training course. - ....ANSWER... Months

The facility shall provide on the premises at all times (per building) the following minimum numbers of employees:

1.) At least one awake PCA in accordance with N.J.A.C. 8:36-9.1(a).

2.) At least one additional employee. - ....ANSWER...Minimum PCA Staffing

The dietitian shall possess a bachelor's degree from an accredited collage or university with a major area of concentration in a nutrition-related field of study, and one year of full-time professional experience or graduate-level training in nutrition. - ....ANSWER...Dietician Qualifications

The assisted living residence or comprehensive personal care home shall provide dining services to

meet the daily nutritional needs of residents, directly in the facility. - ....ANSWER...Provision of Meals

The facility shall designate a food service coordinator who, if not a dietitican, functions with scheduled consultation from a dietician. When meals are prepared in the facility, the food service coordinator or designee shall be present in the facility. The food service coordinator shall ensure that dining services are provided as specified in the dining portion of the health care plan. - ....ANSWER...Designation of a Food Coordinator

If indicated, according to residents' needs, a dietitian shall be responsible for providing resident care, including, but not limited to, the following: 1.) Assessing the nutritional needs of the resident. If indicated, preparing the dietary portion of the health care plan on the basis of the assessment, providing dietary services to the resident as specified in the dietary portion of the health plan, reassessing the resident, and revising the dietary portion of the health care plan. Each of these activities shall be documented in the resident's record; and 2.) Providing nutritional counseling and education to residents. - ....ANSWER...Responsibilities of Dietitians

Written, dated menus shall be planned at least _________ days in advance for all diets. - ....ANSWER...14 days

The same menu shall not be used more than once in any continuous __________ period. - ....ANSWER...7 day

Menus, with changes or substitutes, shall be kept on file in the facility for at least _____________. - ....ANSWER...30 days

1.) The facility or program shall document the provision of training (received from the RN or licensed pharmacists, and documented) to each employee who has been designated to provide resident supervision of self-administration of medications.

2.) The facility or program shall document any instances where medications are not taken in accordance with the prescribers orders.

3.) The facility shall keep a record of all prescribed medications for which the resident is receiving supervision of medication administration. -

....ANSWER...Supervision of Medication Administration

_____________ solid and liquid dosage forms may be dispensed in a non unit-of-use or non unit-dose medication distribution system. - ....ANSWER...OTC (Over the Counter)

______________ conventional bottles or concentrates may be dispensed in a non unit-of-use, non unit- dose, or conventional medication distribution system. - ....ANSWER...Prescription Liquid Medications

If the appropriate delegation is made, and in accordance with the facility's policies and procedures and all applicable State and Federal laws and regulations, the CMA may: i.) Administer medications through the routes of oral, ophthalmic, otic, inhalant, nasal, rectal, vaginal, topical, and by the percutaneous endoscopic gastrostomy (PEG) (g- tube) tube route of administration; ii.) Administer any prescription or OTC medication according to regulations; iii.) Administer regularly scheduled medications, including prescription, OTC, and Schedule II-V medications; iv.) Administer "PRN" or

as needed medication, OTC, and Schedule II-V. - ....ANSWER...Delegation to CMA.

CMAs can adminster "PRN" or as needed prescription, OTC and Schedule II-V medications EXCEPT that residents receiving the following medications shall be assessed by the RN at least once every ______________:

1.) Residents receiving PRN Schedule II narcotic analgesics.

2.) Residents receiving Schedule III-IV narcotic analgesics.

3.) Residents receiving Schedule III-IV central nervous system agents. - ....ANSWER...7 days

1.) Administer any injection other than pre-drawn properly packaged labeled insulin.

2.) Calculate a medication dosage.

3.) Pre-pour medication for more than one resident at a time.

4.) Contact prescribers for changes in medication, to clarify an order, or contact the pharmacist for questions regarding a dispensed medication.

5.) Administer bolus doses of enteral feedings, or stop and/or start an existing enteral feeding pimp or gravity-fed system. - ....ANSWER...CMAs Cannot

At least ____________ a RN shall review and sign off on any modifications or additions to the MAR that were made by the CMA under the RN's delegation. - ....ANSWER...Weekly

Registered professional nurses and pharmacists who participate in certification medication aide training shall attend a Department offered ___________ Train-the-Trainer Medication Aide Workshop prior to providing such training to a Certified Medication Aides. - ....ANSWER...One Day

Designation of Pharmacist

1.) Training of employees.

2.) Educating residents regarding medications.

3.) Establishing policies and procedures which ensure safe appropriate self-administration of medications.

4.) Reviewing medication administration records on ____________ basis, and at least ___________, inspecting all common areas of the facility or program where

medication are stored or administered, documenting any problems and proposing solutions to these problems, and maintaining records of such inspections. - ....ANSWER...Quarterly

1.) The storage area shall be kept locked when not in use.

2.) The storage area shall be used only for storage of medication and medical supplies.

3.) The key to the storage area shall be kept on the person of the employee on duty who is responsible for resident supervision. - ....ANSWER...Storage and Control of Medications

Discontinued or expired medications shall be destroyed within _____________ in the facility, or, if unopened and properly labeled, returned to the pharmacy for credit, if allowable, and in conformance with N.J.A.C. 13:39 and other State and Federal laws, codes, and regulations. - ....ANSWER...30 days

All ________________________________ in the facility shall be witnessed and documented by two individuals, each of whom shall either be the

administrator, the registered professional nurse, the licensed practical nurse, or the provider or consultant pharmacist. - ....ANSWER...Medication Destruction

Residents shall have the opportunity to organize and participate in a ______________________ that presents the resident's concerns to the administrator of the facility. - ....ANSWER...Resident Council

The facility shall arrange for the provision of social work services to residents who require them, by social workers licensed. Each social worker shall be licensed or certified by the New Jersey State Board of Social Work Examiners in accordance with N.J.A.C. 13:44G and N.J.S.A. 45:15BB. - ....ANSWER...Social Worker

Emergency medical services shall be available to or arranged for residents requiring these services. The facility shall develop a written plan for arranging for emergency transportation of residents for medical care and returning them to the assisted living residence. - ....ANSWER...Emergency Medical Services

At least _______ employee trained in cardiopulmonary resuscitation (CPR) and the Heimlich maneuver shall be available in the facility at all times. The facility shall have an automatic external defibrillator (AED) on site. At least _______ employee trained in the use of the AED shall be available in the facility at all times. - ....ANSWER...One

The facility shall develop written emergency plans, policies, and procedures which shall include plans and procedures to be followed in case of medical emergencies, power failures, fire, and natural disasters. The emergency plan shall be filed with the Department and the Department shall be notified when the plans are changed. Copies of the emergency plans shall also be forwarded to other agencies in accordance with State and municipal laws. Nothing in these rule shall supersede or imply non-compliance with the Uniform Fire Act or Uniform Fire Code, N.J.A.C. 5:70, or NFPA 101. - ....ANSWER...Emergency Plan and Procedures

The facility shall conduct at least one drill of the emergency plans every _____________. - ....ANSWER...Month

The 12 drills shall be conducted on a rotating basis, to ensure that _______drills occur during each working shift on an annual basis. - ....ANSWER...

The facility shall maintain documentation of all drills, including the date, hour, description of the drill, participating staff, and signature of the person in charge. In addition to the drills for emergencies due to fire, the facility shall conduct at least one drill per _________ for emergencies due to a disaster other than fire, such as storm, flood, other natural disaster, bomb threat, or nuclear accident (a total of 12 drills). - ....ANSWER...Year

All staff shall participate in at least one drill ______________, and select residents may participate in drills. - ....ANSWER...Annually

The facility shall request of the local fire department that at least one joint fire drill shall be conducted _______________. Upon scheduling a joint fire drill, the facility shall notify first aid and civil defense agencies of this drill and shall participate in community-wide disaster drills. - ....ANSWER...Annually

The facility shall test at least one _______________ each month of the year and maintain documentation of test dates, location of each tested, persons testing the alarms, and its condition. - ....ANSWER...Manual Pull Alarm

These shall be hung conspicuously, kept easily accessible, shall be visually examined monthly and shall be recorded on a tag which is attached to it. It shall also be inspected and maintained in accordance with manufacturers' and applicable NFPA requirements and N.J.A.C. 5:70. Each shall be labeled to show the date of such inspection and maintenance. - ....ANSWER...Fire Extinguishers

All resident records shall be maintained for a period of _______________ after the discharge of a resident from the assisted living residence, comprehensive personal care home, or assisted living. - ....ANSWER...10 years

The register shall be kept up-to-date at all times. Admissions, discharges and discharge destination, and other changes shall be recorded within ____________. - ....ANSWER...48 hours

1.) The resident's completed admission application and all records forwarded to the facility;

2.) The resident's name, last name, date of birth, name and address of sponsor or interested agency, date of admission, date of discharge (and discharge destination) or death, the name, address and telephone number of physician to be called, and the name, address and of nearest relative, guardian, responsible person, or interested agency, together with any other information the resident wishes to have recorded;

3.) A copy of the resident's advanced directive, if applicable; and

4.) A copy of the resident's general service plan and/or health service plan, if applicable. - ....ANSWER...Residents' Individual Records

1.) Promptly notify a family member, guardian, or other designated person of the death of the resident. Notification shall be made at the time of the occurrence, and the time between the resident's death and notification shall not exceed one hour; and

2.) Including in the resident's record written documentation from the physician of the date and time of death, the name of the person who pronounced the death, disposition of the body, and a

record of notification of the family. The administrator or administrator's designee shall include in the record of notification of the family confirmation and written documentation of that notification.

3.) A physician, registered nurse or paramedic may make a determination and pronouncement of death in accordance with N.J.A.C. 13:35-6.2(d) and (e). - ....ANSWER...Record of Death

Means of _______________shall be provided in accordance with the Uniform Construction Code, N.J.A.C 5:23, either by windows or by mechanical ________________ for every habitable room. Means of ________________ shall be provided for every bathroom or water closet (toilet) compartment. ________________ shall be provided either by a window with an openable area or by mechanical _______________. - ....ANSWER...Ventilation

The width of passageways, aisles and corridors shall have a minimum of ___________ of clear space. - ....ANSWER...44 inches

These shall be provided in all residents' bedrooms, living rooms, and "studio apartment" units, whether or not the facility contains a comprehensive

automatic fire suppression system throughout. - ....ANSWER...Smoke Detectors

Residential units occupied by one person shall have minimum of ______________ of clear and usable floor area. This excludes closets, bathroom, kitchenette, hallways, corridors, vestibules, alcoves, and foyers (unless the Department grants such a request). - ....ANSWER...150 square feet

In units occupied by more than one resident, there shall be a minimum of ______________________ for an additional occupant. - ....ANSWER...80 additional square feet

No residential unit in an assisted living shall be occupied by more than ________ individuals. - ....ANSWER...Two

Total amount of clear and usable floor area for two person occupied assisted living residence. - ....ANSWER...230 square feet

Residential units shall be lockable by the occupant(s). All residential units shall be accessible

by means of a master key or similar system which is available at all times in the facility, and available at all times for use by designated staff. - ....ANSWER...Lockable Residential Units

The facility shall provide a minimum of ___________ per resident of community spaces for dining and for active and passive recreation. - ....ANSWER...30 square feet

Each assisted living facility shall provide at least ________ non-commercial washer and dryer to be used exclusively for the residents' personal items. - ....ANSWER...One

When a commercial type laundry equipment is utilized, it shall be installed in a separate laundry room. The remainder of the shall be protected from the laundry room by fire separation assemblies of a least ___________ rated construction. - ....ANSWER...One hour

1.) A grade level barrier-free entrance, sheltered from the weather and able to accommodate wheelchairs shall be provided, and shall include a

reception and information counter or desk and waiting space for eating.

2.) Space for private interviews shall be provided.

3.) An individual mailbox for each resident shall be provided.

4.) General or individual offices for records, administrative and professional staff shall be provided.

5.) Space shall be provided for storing employee's personal possessions.

6.) Separate space shall be provided or storage of office supplies, sterile or pharmaceutical supplies, and housekeeping supplies.

7.) A room(s) for examination and treatment of residents, which is adequate for an overnight stay and include toilet facilities, may be provided. The room shall have a minimum floor area of 100 square feet, excluding space for vestibule, toilet and closet. The room shall contain a lavat - ....ANSWER...Administration and Public Areas

A room(s) for examination and treatment of residents, which is adequate. The room shall have a minimum floor area of __________________, excluding space for vestibule, toilet and closet. The room shall