LTC Basic Training Flashcards
What is the definition of Practicable?
Capable regardless of the circumstances or resources available to support an individual.
Individual’s abilities, limitations, and potentials
What is the definition of Practical
Capability based on resources available to support an individual’s abilities and potential.
What are the five CMS core values?
- Public Service
- Integrity
- Accountability
- Excellence
- Respect
What are the three primary survey core skills?
- Resident centered, outcome-oriented information gathering.
- Critical Thinking
- Teamwork
What is iactogenesis?
A problem caused by a treatment.
A caregiver causes a problem.
Types of Interview status
INRUO
Interviewable, Non-Interviewable, Refused, Unavailable, Out of Facility
What is a PASARR?
Pre-Admission Screening and Resident Review
True or False:
The completed Form CMS-2567 is a public document providing readily available information about the facility for all stakeholders, including plaintiffs’ attorneys pursuing legal action against a facility.
True
What is the final sample sized based on?
Facility census
Residents in nursing homes must receive care and services necessary to achieve or maintain their highest ________________ level of well-being.
Practicable
True or False:
If available, you should include in the inital pool at least one resident on transmission-based precautions.
True
What Regulatory Reform took place in 2016?
ACA and IMPACT Act
Improving Medicare Post-Acute Care Transformation
What does the new LTC survey process focus on?
Person-centered interventions
* Person-centered care
* Resident-centered outcomes
* Quality of Care and Quality of Life
What is Quality of Care?
Fundamental principle that applies to all care and treatment provided to a resident. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents’ choices.
What is Quality of Life?
Fundamental principle that applies to all care and services provided to a resident. Each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being, consistent with the resident’s comprehensive assessment and plan of care.
What are the six mandatory facility tasks?
- Dining
- Infection control
- Sufficient and Competent Nurse Staffing
- SNF Beneficiary Protection Notification Review
- Kitchen
- Medication Administration
- Medication Storage and Labeling
- Resident Council Interview
- Quality Assessment and Assurance (QAA) and Quality Assurance and Performance Improvement (QAPI)
Which mandatory facility tasks are all surveyors are assigned to?
- Infection control
- Dining
- Sufficient and Competent Nurse Staffing
One surveyor is responsible for completing the entire task
What are the three Triggered Facility Tasks?
- Personal funds
- Environment
- Resident Assessment
For environment, only complete the applicable section of the CE Pathway
When can facility tasks be completed?
Anytime during the survey except for QAA and QAPI which is done at the end of the survey.
What are the three components that are essential for surveyors to use in determining the presence of IJ?
- Noncompliance
- Serious Adverse Outcome or Likely Serious Adverse Outcome
- Need for Immediate Action
What is “Noncompliance”?
An entity has failed to meet one or more federal health, safety and/or quality regulations
What is “Serious Adverse Outcome or Likely Serious Adverse Outcome”?
As a result of the identified noncompliance, serious injury, serious harm, serious impairment or death as occured, is occurring, or is likely to occur to one or more identified recipients at risk.
What is “Need for Immediate Action”?
The noncompliance creates a need for immediate corrective action by the provider/supplier to prevent serious injury, serious harm, serious impairment, or death from occurring or recurring.
What are the seven parts of the survey process?
- Off-site prep
- Facility entrance
- Inital Pool
- Sample Selection
- Investigation
- Ongoing and other survey activities
- Potential Citations
What is the square footage requirements in multiple occupancy rooms?
80 square feet
What is the square footage requirements in single occupancy rooms?
100 square feet
How many hours of training does a CNA need every year?
12 hours
How many beds must a facility have to employ a full-time social worker?
120 beds
How many days notice must a provider give a resident when discharging them?
30 days
The MDS assessment must be conducted within how many days after admission?
14 days
When must a PASARR be completed?
Prior to admission
What must a facility develop for each resident within 48 hours of admission?
Baseline care plan
What CE Pathway should you use to investigate Quality of Care concerns that have no specific pathway?
The General CE Pathway
What is the first and most important way of gathering information?
Observations
For which residents should you do a limited record review for?
Newly admitted residents and all inital pool residents.
