Facility Policies Flashcards
If a nursing facility has been certified by Medicare and Medicaid under Final Rules and federal requirements, in effect, it
Must still meet all state and local licensure requirements
Establishing and implementing policies regarding the management of the facility are assigned to
The governing body or persons designated as such
In order to begin collecting better data about the nursing home industry, federal legislation mandated development and use of
A Minimum Data Set
The comprehensive care plan does not include a
Medical director
Nurse’s aides who have completed a training and competency evaluation program and passed the required competency test(s)
Must still be judged by surveyors as competent to provide services
Responsibility for ascertaining professional performance standards for licensed, certified, or registered allied health persons used by the facility rests with the
Facility
Organizations that actually pay the Medicare claims submitted by doctors and other medical suppliers are called
Carriers
The facility is not required to use its resources effectively and efficiently to attain the highest practical
Profitability
A person who is determined by the state mental health authority to need nursing facility service but is receiving active treatment for mental illness
Can be admitted
Each facility must designate a physician to serve as medical director
On a part time or full time basis
The administrator believes that once the obligation to meet federal, state, and local laws is met the requirements applicable to the operation of the facility have been satisfied. The administrator is
Only partially correct
The terms for Medicare and Medicaid participating homes used in the Final Rules effect are
Skilled nursing facility and nursing facility
Having a transfer agreement with one or more hospitals is
A condition of participation requirement
Nursing homes are licensed by
The states
Regulations such as those implementing Medicare and Medicaid; Requirements for Long Term Care Facilities, are first published in the
Federal Register
All facilities are required to
Have a governing body or designated persons functioning as a governing body
The facility administrator establishes written transfer agreements with their local hospitals, one of which is approved only for participation under the Medicare program, and the second approved only for participation under Medicaid. The administrator has
Failed to meet transfer agreement requirements
The transfer agreements signed by the administrator ensure that the medical and other information needed for care and treatment of the resident is available and that a bed will be available for the resident on return from the hospital. This is the entire agreement. A visiting surveyor would
Require changes to the transfer agreement
The discharge social worker at the hospital determines that the resident cared for under the transfer agreement should return, not to the facility, but be placed din an assisted living facility that is a less expensive setting. Normally
This is appropriate
If persons with controlling interest in the facility, the company owning the facility or the administrator or DON change, the facility should
Inform the state licensing agency in writing
The administrator decides the trained therapeutic recreation specialist is too costly for the facility and hires instead a less expensive qualified occupational therapy assistant. This is
Within the federal hiring guidelines
The recently graduated social worker job applicant for a 140 bed facility states that she has a bachelor’s degree in psychology and 1 year’s experience as supervisor of four social workers at a nearby nursing hospital. The administrator should
Explore the applicant’s experience in more depth
The administrator of a 50 bed facility asks the director of nursing to serve as both director of nursing and as a charge nurse on the weekend shift
This is appropriate
If a facility provides the state minimum number of hours per resident day of care a state or federal inspector
May still cite nursing for insufficient staffing