Download Florida ALF Core Exam 200 Questions Complete with Correct Answers 2023-2024 and more Exams Nursing in PDF only on Docsity!

Florida ALF Core Exam 200 Questions

Complete with Correct Answers 2023-

2024 Already Graded A

What should you do if a resident refuses to comply with a therapeutic diet? - ANS_______________ Document & notify the health care provider The facility shall maintain the facility's written work schedules for how long? - ANS_______________ 6 months With an LNS license, AHCA RN conducts monitoring visits how often? - ANS_______________ annually With an ECC license, AHCA RN conducts monitoring visits how often? - ANS_______________ quarterly An ALF shall keep a ___ day supply of non-perishable food on hand. - ANS_______________ 3 An ALF shall provide safekeeping for resident funds and property of how much? - ANS_______________ $200 in personal funds $500 in personal property T or F: A facility whose owner, administrator or staff serves as the representative payee or attorney-in-fact for facility residents, must maintain a surety bond? - ANS_______________ True If serving as a representative payee, the minimum surety bond must equal... - ANS_______________ 2x the average monthly aggregate income of personal funds due to a resident. T or F: A facility must maintain liability insurance - ANS_______________ True, no amount required An up to date record of major incidents must be kept for file for how long? - ANS_______________ 2 years The facility shall maintain the facility's written work schedules and staff time sheets for how long? - ANS_______________ 6 months A preliminary adverse incident report must be submitted within how many days? - ANS_______________ 1 business day A full adverse incident report must be submitted within how many days? - ANS_______________ 15 business days

Newly-licensed facilities and facilities whose ownership has been transferred, must submit an emergency management plan within ___ days after obtaining a license? - ANS_______________ 30 Any facility intending to admit 3 or more mental health residents must obtain what type of license? - ANS_______________ Limited Mental Health (LMH) license PRIOR to accepting the 3rd resident. Each mental health resident shall be provided with a Community Living Support Plan within ___ days of admission - ANS_______________ 30 days Requirements for an Abbreviated Biennial survey - ANS_______________ Does not have any class I or II violations No uncorrected class II violations No LTC Ombudsman Council complaints No licensing complaints all within the two licensing periods (4 years) Perishable food shall be kept at what temperatures? - ANS_______________ 41 degrees F or below; or 140 degrees F or above Potentially hazardous foods shall be reheated to what temperature and for how long? - ANS_______________ 165 degrees F for at least 15 seconds What is a moratorium? - ANS_______________ A prohibition of new clients. What is biennial licensure? - ANS_______________ A license that must be renewed every other year. Operating a facility without a valid license, knowingly files a false or misleading license is guilty of... - ANS_______________ Felony of the 3rd degree The applications for a renewal license must be received by AHCA at least ___ days but no more than ___ days before the expiration of the current license? - ANS_______________ 60, 120 The applicant for initial licensure due to a CHOW must be received by the agency ___ days prior to the date of change of ownership - ANS_______________ 60 For initial, renewal or CHOW, a facility must file a surety bond for what amount? - ANS_______________ $500, During a CHOW, the transferor shall notify the agency at least ___ days before the change in ownership. - ANS_______________ 60 days

During a CHOW, the transferee must file an application with the agency ___ days before the change of ownership. - ANS_______________ 60 days A provisional license is defined as and limited to... - ANS_______________ An applicant whom a proceeding denying or revoking a license is pending at the time of renewal; 12 months Level II background check is required for the following persons... - ANS_______________ The licensee The administrator The financial officer Any person with controlling interest Any person providing personal care services directly to a resident A level 2 background check must be submitted how often? - ANS_______________ Every 5 years The licensee must inform AHCA not less than ___ days prior to the discontinuance of operation and inform clients. - ANS_______________ 30 days The agency shall publish a minimum of a ___ day advance notice of a change in the toll- free numbers (complaints, abuse, neglect or exploitative practices; medicaid fraud). - ANS_______________ 90 days A deficiency must be corrected within ___ calendar days after the provider is notified of the inspection results? - ANS_______________ 30 calendar days The ALF provider must provide a plan of correction within ___ calendar days? - ANS_______________ 10 calendar days Agency reports shall be retained in the records of the provider for how long? - ANS_______________ 5 years What type of deficiency affects one or a very limited number of clients or staff, or a situation that occurred in a very limited number of locations? - ANS_______________ Isolated Deficiency What type of deficiency affects more than a very limited number of clients or staff, or a situation that occurred in several locations by repeated occurrences? - ANS_______________ Patterned Deficiency What type of deficiency represents systemic failure that has the potential to affect of large portion of the providers clients? - ANS_______________ Widespread Deficiency

What type of violation presents imminent danger or a substantial probability that dealt or serious physical or emotion harm would result? - ANS_______________ Class I violation What type of violation directly threatens the physical or emotional health, safety or security of a resident? - ANS_______________ Class II violation What type of violation indirectly or potentially threaten the physical or emotional health, safety or security of a resident? - ANS_______________ Class III violation What type of violation does not threaten the health, safety or security of a resident? - ANS_______________ Class IV violation When a license is denied, revoked or set to terminate, AHCA will allow ___ days to allow for a proper discharge? - ANS_______________ 30 days Once AHCA implements a new rule, providers are given ____ months to comply? - ANS_______________ 6 months A facility may temporarily exceed its licensed capacity for ___ days due to emergency management planning? - ANS_______________ 15 days Contingency funding covers... - ANS_______________ the cost of events not considered in financial projections. Contingency funding will be a minimum of... - ANS_______________ One months average operating expense over the first year of operations. A proforma for ___ years must be provided for start up purposes. - ANS_______________ 2 years Change of Administrator must be reported within how many days - ANS_______________ 10 days Insurance coverage or bond renewal must be reported within how many days - ANS_______________ 21 days Annual sanitation inspections and fire inspections must be reported within how many days - ANS_______________ 21 days Approval of revisions of emergency management plans must be reported within how many days - ANS_______________ 21 days An Administrator must be how old? - ANS_______________ 21 years old T or F: An ALF that serves 3 or more mental health residents must obtain a LMH license. - ANS_______________ True

T or F: To obtain a LMH license, a facility does not need to hold a standard license. - ANS_______________ False The transferee shall notify residents in writing, of a CHOW within ___ days after receipt of the new license. - ANS_______________ 7 days T or F: LNS, ECC and LMH license expire at the same time of a facility's Standard License. - ANS_______________ True T or F: If the facility has 17 or more residents, they must have an awake staff member on duty all hours of the day and night. - ANS_______________ True If a facility has fewer than 17 residents they must... - ANS_______________ Have an awake staff member on duty; or have mechanisms in place to monitor and ensure safety Class III violation fines - ANS_______________ $1,000 to $ Class II violation fines - ANS_______________ $5,000 to $1, Class IV violation fines - ANS_______________ $200 to $ Class I violation fines - ANS_______________ $10,000 to $5, An event in which personnel could exercise control and results in death; brain or spinal damage; permanent disfigurement; fracture of dislocation of bones; or any event that requires medical attention. - ANS_______________ Adverse Incident ALF must provide a preliminary adverse incident report within how many days? - ANS_______________ 1 business day ALF must provide a full adverse incident report within how many days? - ANS_______________ 15 days Resident contracts must be kept for how long after expiration? - ANS_______________ 5 years An AED is required in an ALF with how many beds? - ANS_______________ 17 or more beds Who is responsible for determining the appropriateness of admission for a resident. - ANS_______________ The administrator If an ALF is holding a residents funds, they must provide reporting to the guardian, trustee, etc how often? - ANS_______________ Every 3 months or quarterly

T or F: The Administrator must maintain liability insurance at all times? - ANS_______________ True An ALF must provide how many days notice to discharge a resident? - ANS_______________ 45 days AHCA inspection reports must be kept on file for how long? - ANS_______________ 5 years Prompt fire evacuation - ANS_______________ 3 minutes or less Slow fire evacuation - ANS_______________ More than 3 minutes, not more than 13 minutes Impractical evacuation - ANS_______________ More than 13 minutes Facilities are required to conduct ___ elopement drills per year. - ANS_______________ 2 CE for ALF Administrators - ANS_______________ 12 credits every 2 years What is the minimum number of square feet of living and dining space per resident? - ANS_______________ 35 sq. ft. Can a resident choose their own roommate? - ANS_______________ Yes Single occupancy rooms shall provide a minimum of how many square feet? - ANS_______________ 80 sq. ft. What is the maximum occupancy per bedroom? - ANS_______________ 2 persons Multiple occupancy rooms shall provide a minimum of how many square feet per resident? - ANS_______________ 60 sq. ft per occupant Maximum water temperature in an ALF for restroom and bathing is? - ANS_______________ 120 degrees F With a standard license, a resident can be bedridden for how many days? - ANS_______________ 7 days Limited Nursing Services shall only be provided by... - ANS_______________ LPN, RN, ARNP Residents must give the facility at least ___ days notice of termination. - ANS_______________ 30 days

Administrators and managers must complete CORE training within ___ days/months of being appointed to their position. - ANS_______________ 90 days or 3 months 1/2 bedside rails are allowed only if... - ANS_______________ they are ordered by an MD the resident and/or legal representative signs consent the MD order is renewed bi-annually With a standard license, the sink to toilet ratio is... - ANS_______________ 1: With an ECC license, the sink to toilet ratio is... - ANS_______________ 1: An 1823 must be completed ___ days prior to admission or ___ days after admission. - ANS_______________ 60, 30 days T or F: A limited mental health resident must receive OSS or SSDI. - ANS_______________ True Residents can be left alone without supervision. - ANS_______________ False Menus must be reviewed how often? - ANS_______________ Annually ALF menus must be reviewed by... - ANS_______________ RD, LD A list of menu substitutions must be kept for... - ANS_______________ 6 months What are the minimum staffing hours per week for a facility with a census of 4? - ANS_______________ 168 hours No resident shall be in any inside area that exceeds what temperature? - ANS_______________ 90 degrees F Those facilities also serving as an adult day care center must provide how many additional square feet of living and dining space per client? - ANS_______________ 35 sq. ft. T or F: non-slip safety bath mats or peel off stickers are required in an ALF. - ANS_______________ True T or F: Grab bars shall be required in showers and bathtubs. - ANS_______________ True Fire Safety Inspection reports must be kept on record for how long? - ANS_______________ 2 years All sanitation inspection reports issued by the county health department must be kept on record for how long? - ANS_______________ 2 years

All completed survey, inspection and complaint investigation reports, and issues of moratoriums issues by the agency must be kept on file for how long? - ANS_______________ 5 years With a facility that acts as a Representative Payee, they receive income of the resident's. How large must their surety bond be? - ANS_______________ At least 2x their monthly income. Documentation for training must include... - ANS_______________ Title of training program Subject matter Training agenda

of hours of program

Trainee's name, dates of participation, & location Providers names, credentials and license # What items should be included in the facility's records? - ANS_______________ license displayed in a conspicuous place up to date admission and discharge list log listing emergency placement and respite care up to date record of major incident over the last 2 years facility's emergency management plan documentation of radon testing documentation of liability insurance copy of surety bond copy of advertisements if offer Alz care grievance procedure food service records fire, sanitation and AHCA inspections What items should be included in the staff's records? - ANS_______________ copy of original application with references verification with freedom with communicable diseases compliance with required training copies of all licenses or certifications compliance with background checks copy of job description participation in resident elopement drill What items should be included in the resident's records - ANS_______________ name, sex, race, DOB, place of birth, ss#, Medicaid/Medicare number, contact info for next of kin, copy of medical examination, orders for medications, nursing services, dies, DNR. Recommended daily allowance - ANS_______________ Protein: 6 ounces or 2 or more servings

Vegetables: 3-5 servings Fruits: 2-4 servings Bread/Starches: 6-11 or more servings Milk or equivalent: 2 servings Fats, oils, sweets: use sparingly Water Menus shall be dated and planned - ANS_______________ at least one week in advance Regular or therapeutic menus (with substitutions) shall be kept on file for how long? - ANS_______________ 6 months The applicant for initial licensure shall... - ANS_______________ 1. demonstrate financial ability to operate - Assets, Credit and Projected Revenue must exceed projected Liability and Expenses.

2. Submit projected financial statements - balance sheets, income and expense, & statement of cash flows for the first 2 years of operation.
3. Submit a statement of estimated start up costs through break even; applicant must have at min 3 months average projected expenses to cover start up. When discontinuing an operation, the provider must... - ANS_______________ 1. Make arrangements to forward resident records
4. Publish a notice in the newspaper to inform clients about how to obtain their records; must appear at least once a week for 4 weeks The right to report complaints; abusive, neglectful or exploitative practices; medicaid fraud shall be provided to the client when? - ANS_______________ On or before the first day services are provided. A controlling interest shall notify the agency ___ days after a court action to initiate bankruptcy, foreclosure, or eviction proceedings. - ANS_______________ 10 days T or F: The agency may not issue a license to a health care provider subject to a CON, if the provider has not been issued a CON or exemption - ANS_______________ True Inspections for relicensure shall be conducted how often? - ANS_______________ Biennially Are Agency inspection records are available to the public? - ANS_______________ Yes T or F: If someone is aware of an unlicensed operation, they are not required to report that provider? - ANS_______________ False, they are must report A class I violation shall be abated or eliminated when? - ANS_______________ Within 24 hours

Can the agency impose a fine that is not a class I, II, III or IV violation? - ANS_______________ Yes, but the fine may not exceed $500 for each violation. All fees and fines collected by the agency shall be deposited into what fund? - ANS_______________ Health Care Trust Fund Requests to amend a license, licensed capacity and other specifications must be received by the agency ___ to ____ days in advance. - ANS_______________ 60; 120 A source of funding to cover the cost of events not considered in the financial projections ex: drop in patient volume, delay in Medicare/Medicaid certification, major repairs, purchase of capital equipment. - ANS_______________ Contingency Funding T or F: An inactive license will not be issued until all clients are properly discharged. - ANS_______________ True An Inactive License will be issued for a period not to exceed... - ANS_______________ 12 months Violation of a moratorium issued by the agency is considered a class ___ violation with a fine of how much? - ANS_______________ Class 1 violation; $500 per day until the violation is corrected. T or F: 24 hour care can be provided in an ALF - ANS_______________ False Form 1823 must be completed by who? - ANS_______________ MD, PA or ARNP Standardized recipes are required for facilities of what size? - ANS_______________ 17 residents and up Standardized recipes are NOT required for facilities of what size - ANS_______________ 16 and below Intervals between meals - ANS_______________ Not less than 2 hours; not more than 6 hours Assistance with self-medication includes: - ANS_______________ Taking meds and bring it to the resident; read labels, open container, removed prescribed amount; placing dose in mouth and lifting container to mouth; apply topicals, return meds to proper storage When must a facility comply with CLIA? - ANS_______________ ... Assistance with self-medication does NOT include: - ANS_______________ mixing, compounding, converting or calculating med doses except for measuring a prescribed

amount of liquid OR breaking a scored tablet or crushing a tablet. Preparation of syringes. As needed unless written with specific instructions. During CHOW, transferee shall notify residents within ___ days after receipt of new license. - ANS_______________ 7 days T or F: a facility offers care for Alzheimer's disease, it must disclose it in advertisements.

• ANS_______________ True Level 1 Alzheimer's Training - ANS_______________ Direct Care Staff & Staff with Regular Contact 4 hours within 3 months of employement Level 2 Alzheimer's Training - ANS_______________ Direct Care Staff 4 hours within 9 months of employement Alzheimer's Continuing Education - ANS_______________ Direct Care Staff 4 hours per year Training for Assistance with Self-Administered Medication requirements. - ANS_______________ Unlicensed staff assisting with self admin 4 hour class 2 CE hours per year Before providing care, Direct Care Staff should be provided with what training? - ANS_______________ Infection Control, Universal Precautions & Facility Sanitation Procedures - 1 hour Within 30 days of employment, Direct Care Staff should be provided with what training? - ANS_______________ 1. Reporting major incidents, adverse incidents, & emergency procedures - 1 hour

2. Resident Rights & Abuse, Neglect & Exploitation - 1 hour 3 Resident Behavior & Need & ADLs - 3 hours Safe Food Handling Practices should be completed for staff within how many days? - ANS_______________ 30 days Elopement, HIV/AIDS, and DNR training must be completed within how many days? - ANS_______________ 30 days Supplemental Security Income (SSI) - ANS_______________ a person worked a brief period or did not work at all (formal job), points in SSA very low or zero (federal income; Social Security Administration) Optional State Supplementation (OSS) - ANS_______________ a person who receives SSI and moves into an ALF (state income)

Social Security Disability Income (SSDI) - ANS_______________ a person who has worked a long time (formal job), points in SSA are high; SSA has considered them to have a mental illness, their level of income from SSA is much higher because of points. A facility must keep resident records for how long? - ANS_______________ 2 years A facility must keep a resident contract for how long? - ANS_______________ 5 years A facility must keep an AHCA inspection for how long? - ANS_______________ 5 years If a facility advertises or has business cards, must include what? - ANS_______________ Assisted Living Facility, License #xxxx If a facility serves 3 or more mental health residents they must: - ANS_______________ 1. hold a standard license

2. not have any uncorrected deficiencies
3. within 6 months, the administrator and staff in direct contact with mental resident must complete training of no less than 6 hours (provided by Dept. of Children & Family Svcs). Staff are required to do 3 hours of CE every 2 years. A facility does not need to provide a 45 day notice if: - ANS_______________ 1. physician requires that resident needs a higher level of care
4. resident engages in a pattern of conduct that is harmful or offensive to other residents T or F: Elopement is considered an adverse incident. - ANS_______________ Yes, if it presents the resident at risk of harm or injury A facility can accept a resident who requires administration of medication if: - ANS_______________ 1. the facility has a nurse
5. resident's legal rep contracts with 3rd party What is the admission criteria for an ALF? - ANS_______________ 1. 18 y/o
6. free of communicable diseases
7. can perform ADLs
8. be able to transfer
9. can take own meds
10. not be a danger to others
11. not require mental health treatment 24 hours/day
12. not be bedridden
13. not have stage 3 or 4 pressure sore
14. not require 24 hour nursing services Contiguous Property - ANS_______________ a facility with more than one building under 1 license, separated by no more than a two-lane street that traverses the property

A resident may be bedridden for up to how many days? - ANS_______________ 7 days A resident must have a face-to-face medical examination by a health care provider how often? - ANS_______________ every 3 years after the initial assessment, or after a significant change, whichever comes first. A resident with a stage 2 pressure sore may be retained if: - ANS_______________ 1. facility has LNS license with plan of care

2. is documented in file
3. Given 30 days to get rid of T or F: If a stage 2 pressure sore fails to improve within 30 days the resident shall be discharged. - ANS_______________ True Activities shall be available how often? - ANS_______________ 6 days a week for a total of not less than 12 hours A facility may employ or contract a nurse to: - ANS_______________ 1. take or supervise the taking of vital signs
4. manage pill-organizers and administer meds
5. give prepackaged enemas
6. maintain nursing progress notes A CLIA certificate is required when: - ANS_______________ a facility performs clinical lab tests A CLIA certificate is not required when: - ANS_______________ If resident performs glucose tests themselves; or a third party assists; or staff assist residents in performing test with residents equip Medication Observation Record (MOD) - ANS_______________ used to record residents who receive assistance with self-med or medication administration T or F: a stock supply of OTC products for multiple residents is permitted in a facility - ANS_______________ False T or F: if a nurse provides assistance with self-admin or admin of meds, a healthcare provider's order is required. - ANS_______________ True T or F: a resident can keep prescription and OTC meds in their apartment. - ANS_______________ True T or F: Medication administration includes testing such as blood glucose. - ANS_______________ True

T or F: Administrators who supervise more than one facility shall appointment a separate manager for each - ANS_______________ True Freedom from tuberculosis must be documented how often? - ANS_______________ Anually For facilities with a licensed capacity of 17 residents or more, they shall: - ANS_______________ 1. develop a written job description for each position

2. Maintain time sheets for all staff Staffing Standards (0-5 residents) - ANS_______________ 168 hours Staffing Standards (6-15 residents) - ANS_______________ 212 hours Staffing Standards - For every 20 residents over 95 how many staff hours should be added? - ANS_______________ 42 hours per week T or F: An administrators or managers time cannot be counted to meet staffing requirements - ANS_______________ False Assisted Living Core Training Requirements - ANS_______________ 26 hours of training plus a competency test 12 hours of CE every 2 years T or F: A facility is not required to have a staff member trained in First Aid and CPR at all times. - ANS_______________ False Hospice services are allowed in an ALF and coordinated through the development of what? - ANS_______________ Interdisciplinary Care Plan Which of the following is not an antipsychotic medication? Haldol, Mellaril, Lithium, Thorazine - ANS_______________ A: Lithium Define Assisted Living Facility - ANS_______________ any building or buildings, section or distinct part of a building, private home, boarding home, home for the aged, or other residential facility, whether operated for profit or not, which undertakes through its ownership or management, to provide housing, meals, and one or more personal services for a period exceeding 24 hours to one or more adults who are not relatives of the owner or administrator. The ALF capacity is the ___ of residents the ALF licensed to care for. - ANS_______________ number Resident records for mental health residents (LMH license) must include: - ANS_______________ 1. documentation by DCF within 30 days; receiving SSD or SSI, OSS
3. An 1823

3. Community Living Support Plan within 30 days or 30 days after placement in ALF
4. Cooperative Agreement within 30 days How long can a resident be bedridden with an ECC license? - ANS_______________ 14 days T or F: With an ECC license, nursing service may be performed within the scope of their license including 24 hour nursing supervision and total help with ADLs. - ANS_______________ True With an ECC license and once admitted, a new health assessment must be obtained how often? - ANS_______________ annually Distance requirement 1-6 residents - ANS_______________ 1000 ft. radius Distance requirement 7-14 residents - ANS_______________ 1200 ft. radius Nutrition and Food Service Continuing Education Requirements - ANS_______________ 2 hours of CE every year Stand License Services - ANS_______________ assistance with self med or admin meds; vital signs; manage pill organizer; prepackaged enemas, catheters (no insert or remove); resident self maintain o2; stage 2 pressure sore (no 3 or 4) Limited Nursing Services - ANS_______________ any service under standard license; passive range of motion; ice caps or collars; apply heat related things; cut toe nails; ear and eye irrigations; urine dipstick; replace indwelling urinary catheter; digital stool therapy, care for casts, braces and splints; conduct nurse assessments; for hospice residents 24 hour supervision and total help with ADLs, anti-embolism stockings, portable o2, nerve stimulator; colostomy ECC - ANS_______________ Any nursing service within the scope of nurse's license; total catheter care; any o2 service; feeding tube except nasogastric; hospice residents 24 hour supervision and total help with ADLs; ECC Training Requirements - Initial - ANS_______________ 4 hours ECC Training Requirements - Cont. Ed - ANS_______________ 4 hours every 2 years LMH Training Requirements - ANS_______________ Provided by DCF within 6 months of licensure or 6 months of employement 6 hours; 3 hours CE What are the 5 types of surveys by AHCA - ANS_______________ initial, standard, abbreviated, complaint and followup