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40 hours, 16 hours ____ is the minimum number of hours for administrator training, plus ____ hours at a license facility 30 hours, three years ____ number of continuing education units every ____ years to renew administrator's license 44 inches minimum width of passageways, aisles, and corridors at ALRs 36 inches minimum width of passageways, aisles, and corridors at CPCH 150 square feet Clear usable floor area for one person in an ALR 80 square feet Space required for an additional person in ALR 80 square feet Clear usable floor area for one person in an CPCH 50 square feet

Space required for an additional person in CPCH 30 square feet Common or community space per resident - dining and activities 50 feet Maximum travel space to a fire extinguisher 75 feet Maximum travel space to a Class A extinguisher 1, 1 There should be ___ personal care assistant awake at times and ____ additional employee 72 hours Time given to provide written confirmation following a reportable event (immediate notification - 3 hour interruption (heat, light, power, food, staff) 15 days How many does an administrator have to give a reason of denial of a prospect if requested in writing? 30 days Minimum notice for involuntary discharge 30 days Time prior to admission a physician, nurse practitioner, or PA can authorize a resident as appropriate for AL

14 days of admission Resident service plan must be developed within what period of time 14 days Health services plan must be completed within what period of time 3 months Health services/care plan must be reviewed when 6 months Resident service plan must be reviewed when 30 days Menus must be kept on file for how long monthly Fire drills must be done 72 degrees Temperature must be kept at what temp during the day during heating season 68 degrees Temperature must be kept at what temp during the night during heating season 82 degrees Temperature not to exceed what temp during the cooling system

105 to 120 degrees Bathing and hand washing water temperatures should be kept between what temperatures 180 degrees Dishwasher/laundry water temperature should be what 21 Minimum age required for an administrator 20 percent Nursing home level of care within 3 years 4 days Emergency food supply Ombudsman's office Notify what office for issues with residents 60 + of age 10 years Records must be maintained after discharge for how long

Accelerated depreciations a method of depreciation which allocates a greater position of cost to the early years of the life of an asset. Double-declining balance and sum-of the years digits are two types of this method Accounting the process used to identify, measure, record, and report financial information Accounts Payable amounts owed to suppliers for goods and services to be purchased on credit Accounts Receivable Amounts due from residents and customers Accrual Basis Accounting income is recognized when earned rather than when cash is received, and expenses are recognized as incurred regardless of whether payment is made Accumulated Depreciation Total depreciation taken to date on a depreciable asset

amortiazation the allocation of the original cost of non-current intangible asset over a period of time specified by the Federal Government Asset things of value, things owned as cash, equipment, buildings, and accounts receivable Audit Checking , reviewing, testing, and verifying the accuracy of accounting records by a third party Balance Sheet Financial statement summarizing assets, liabilities, and retained earnings or net worth bank statement Periodic statement from the bank summarizing deposits, checks paid, bank charges, balances, etc. Surety Bond type of insurance covering employees who handle money Book Value

cost of a depreciable asset less accumulated depreciation Break-even analysis determining the break-even point when revenues equal expenses capital funds acquired for use in a business Cash Basis Accounting revenues and expenses are not recognized until cash is received or paid out, except for depreciation expense Cash Flow Statement financial report showing cash receipts and disbursements leading to a net change in cash in a given period Chart of Accounts complete listing of the names of all categories in the ledger consignee a person or party to whom merchandise is consigned or shipped Corporation

a business that is owned by either a few persons or thousands, and incorporated under the laws of a given state Cost Management an ongoing, active program of management costs in a facility Credit an entry on the right side of an account which increases liability, owner's equity, and revenue accounts current liability debts generally due within one year that usually requires use of current assets Debit an entry on the left side of an account that increases assets and expense accounts and decreases liability, owner's equity, and revenue accounts deficit a debit balance in retained earning accounts depreciation the allocation of the original cost of a tangible asset over the period of anticipated useful life of the asset

dividend earnings distributed to stockholders double-declining balance a method of accelerated depreciation in which the percent used in the straight-lined method is doubled double-entry accounting procedure in which each financial transaction is recorded so that each entry has equal debits and equal credits cost-related those costs in a nursing facility related to providing resident care earnings generated revenues which are generally not recognized until all activities to create them have been completed earnings statement compares revenues with expenses incurred to produce the income (also called profit lost statements) equities

rights of the owners in the assets of the business expenses costs of operating a business, including capital, administrative, and other operating expenditures Financial Accounting Standards Board (FASB) establishes the standards to guide accounting practice fiscal year the twelve-month period for which budgets are compiled and expenditures authorized, and at the end of which accounting books are balanced fixed assets long-lived assets to be used in a business on a long-term basis, including land, buildings, and equipment fixed expenses those that remain constant without regard to volume of business, as rent and mortgage note payments Freight the property carried by a transporter. Also the cost of transporting goods

Federal Insurance Contributions Act (FICA) established the Social Security program Federal Unemployment Tax Act (FUTA) established the unemployment insurance program Garnishment legal proceedings that direct employers to withhold a designated portion of an employees pay and remit it to the proper government agency Goodwill an intangible asset resulting from the provision of superior services and earnings and from high resident loyalty intangible asset non current, non physical assets such as leaseholds, copyrights, patients, and goodwill inventory the amount of goods and materials on hand which are to be currently used producing services or held for resale invoice

a document prepared by the seller of merchandise or services and given or sent to the buyer journal a book of original entries ledger a complete listing of accounts payable and receivable lien a claim on particular property for payment of a debt or obligation liability debts or obligations owed by a business limited partnership one in which there is one or more special partners who are not liable for partnership debts beyond the amount of funds contributed liquidity denotes how quickly an asset can be converted to cash without appreciable loss

long-term liability an obligation not due for more than one year marginal return the point at which income equals expenses, the break-even point Master Budget one that includes cash budget, capital budget, liquidity ratio, and pro- forma financial statement net profit income over expenses before taxes and dividends are paid net worth assets less liabilities note an unconditional written promise to pay a definite swum of money at a certain date operating budget one that includes anticipated income by source and anticipated expenditures by category

partnership a business owned and usually operated by two or more persons associated as partners par value the value amount printed on a stock certificate, the amount per share at which par value stock is recorded in accounts petty cash fund a fund maintained to provide quickly available funds to make small purchases that may be urgently needed Posting transfer of a journal entry to the ledger Profitability the ability of a business to generate revenues to pay all expenses and realize a profit 14 days health care assessments shall be conducted by a RN within how many days of admission RN

initial nursing assessments must be completed by who physician or nurse practitioner/ clinical nurse specialist An annual physical examination must be completed by 60 days An initial nursing assessment is not required if a physician within ___ days prior to admission that the resident has no health care service needs and is appropriate for assisted living every quarter (3 months) Health service plan needs to be reassessed by RN at a minimum of how often 6 months General service plan needs to be reassessed by RN at a minimum of how often 72 hours In the event of loss of service (food, electricity, water), you have how long to report it, but should really report immediately RN assesses pain. RN then needs to reassess pain after. Then discuss with physician How should RN assess pain?

Generally Accepted Accounting Principles (GAAP) What does GAAP mean? the recording of a debit and a credit for each transaction (debits must always equal credits). Debits and credits are used when making entries in journals, general ledger and trial balances What is double-entry accounting? an entry made on the left side of a standard account What is a debit? an entry made on the right side of a standard account What is a credit? assets = liabilities + equity formula for assets assets - liabilities = net worth or equity formula for net worth or equity once a year you are required to have an electrical inspection how often by a licensed electrician

Once a month and one out of 12 drills needs to be on a different shift (ex: night shift) You are required to have a fire drill how often? Once a year Disaster/evacuation drills need to be done how often? Right resident Right medication Right time Right dose Right route What are the 5 R's of Nursing? 72 hours Residents receiving short-term scheduled medications for analgesia, and injections, other than pre-dawn insulin, must be reassessed by the RN at least every ___ hours to determine if the medication is still required weekly, quarterly It is recommended that supervision of medication administration occur at least ___________ during the first month after certification and ________ thereafter

register a log of where resident is (date/time/name/where they went) Department of Health CNA's are licensed by who? New Jersey Board of Nursing Home Health Aide's are licensed by who? One Required to have a written agreement with at least how many acute care hospitals? One Required to have a written agreement with how many psych units or other AL that they will accept your residents as needed? Presbyobia Usually occurs in the 40's and results in difficulty reading fine print and seeing nearby objects clearly Cataracts A clouding of the normally clear lens of the eye. It is an actual change within the lens, not a growth or film over the eye

glaucoma gradual loss of peripheral vision, which is what makes you aware of things beside, above and around you, even when you look straight ahead macular degeneration damage or breakdown of the macular, an area 3/16 inch in diameter, in the retina. It causes loss of central or straight-ahead vision conductive loss sound waves are not conducted to the inner ear. The cause may be an obstruction in the outer ear (an accumulation of wax or blockage caused by swelling and pus) or a problem in the middle ear (fluid in the middle ear or fixation of one or more of the middle ear bones) sensorineural loss sound waves reach the inner ear, but are not properly transmitted to the brain rheumatoid arthritis the synovial membrane surrounding the joint becomes inflamed. The disease shifts from one part of the body to another, but affects both sides similarly. It usually involves the small joints of the wrists, knuckles of the hands, and balls of the feet, at different times reduce pain and inflammation and preventing muscles from wasting away

How do you treat rheumatoid arthritis? Osteoarthritis involves the major moveable, weight-bearing joints (hips, knees, lower spine) and the joints nearest the fingertips and at the base of the thumb big toe manage pain (and inflammation), reduce stress on joints, maintain flexibility and muscle strength, and prevent further harm to joints. Treatment plan usually involves a combination of exercise, medication, heat and cold treatments, and joint protection How do you treat osteoarthritis? Increased thirst, frequent urination (increased volume), rapid weight loss, blurred vision Symptoms of DM 1 tiredness/fatigue; blurred vision/difficulty focusing; numbness and tingling hands and feet; frequent infections, slow healing cuts and sores; dry, itching skin; increased thirst (less common); frequent urination (less urination) Symptoms of DM 2 rashes, redness, itching, yellow color, nausea/vomiting, heartburn, abdominal fullness, gas, diarrhea, fever, tiredness, sore throat, unusual bleeding, decreased appetite Hypoglycemic medication side effects