Resident Care Management Flashcards
How many days does the facility have to complete a comprehensive care plan of a resident?
Within 7 days after completion of the comprehensive assessment (whether it be an admission assessment, annual or a significant change).
The facility must complete a performance review of every nurse aide at least once every ____ months.
12 (annually)
What five pieces of information are closely associated with a resident’s initial admission into the nursing facility?
(i) the advanced directive
(ii) resident’s rights and all rules governing resident conduct during their stay in the facility
(iii) the baseline care plan within 48 hours
(iv) physician’s orders
(v) the services provided and the charges for those services
How many hours of RN coverage is the facility required to have per day?
8 hours of RN coverage, 7 days a week
Ms. Loretta Thompson desires to work as a CNA in your facility. During the interview, she mentions that she has 12 years of experience as a nurse aide. However, last year she had some health complications which made her unable to work at all. Should you hire Ms. Loretta Thompson?
It depends on whether Ms. Thompson is willing to undergo a brand new training and competency evaluation program.
In what 3 circumstances must the facility make a comprehensive assessment of a resident’s needs?
(i) Within 14 calendar days of admission
(ii) Within 14 calendars days of a significant change
(iii) Once every 12 months
How many hours of in-service training is the facility required to provide for the nurse’s aides?
No less than 12 hours per year
What is the average daily occupancy rate in which the DON could serve as a charge nurse?
An average daily occupancy rate of 60 or fewer residents
How long does the facility have to complete the baseline care plan for a newly admitted resident?
Within 48 hours of admission
As a part of the Nurse Staffing Information, what 4 pieces of information must the facility post on a daily basis?
(i) Facility name
(ii) Current Date
(iii) Total number and hours worked of staff directly responsible for resident care
(a) registered nurses
(b) LPNs or LVNs
(c) CNAs
(iv) Resident Census
How long does the facility have to complete a comprehensive assessment of a newly admitted resident?
Within 14 calendar days of admission
Ms. Smith, the administrator at West-Wood Nursing & Rehab desires to shut down a wing and consolidate by moving a few residents from the south wing to the north wing. This move would require a few room changes. To initiate the changes, what action should Ms. Smith take?
When a resident is being moved at the request of the facility, the resident, family and/or resident representative must receive an explanation in writing of why the move is required and be given as much advance notice as possible. (F559)
Daniel and Alfreda George, known in the facility as the “Georges” were married for 30 years prior to entering the facility. George desires to continue to share a room with his wife, but Alfreda wants to share a room with Claudette, a friend she met at a knitting activity. Should the facility require Daniel and Alfreda to continue to room together?
No, residents have the right to share a room with his or her spouse when married residents live in the same facility and BOTH spouses CONSENT to the arrangement. (F559).
Additionally, Claudette has to give her consent to share a room with Alfreda.
True or False. All facilities must have an active resident council.
False. While the resident has a right to organize and participate in resident groups in the facility, this requirement does not require that residents organize a family or resident group. (F565)
How many months of assessments need to be in the resident’s active clinical record?
15 months
