State Review Flashcards
What is the “code” that empowers the licensing and certification of nursing homes in Michigan?
Public act 368 of 1978
What state department is responsible for licensure and certification of nursing homes?
Bureau of health systems
In the nursing home rules originally promulgated by the Michigan Department of Community Health and now enforced by the Bureau of Health Services defines an adult as a person _______________
15 years of age or older
An application for renewed licensure of a nursing home shall be submitted to the department not less than _______ days before expiration of the current license.
90
The term of a nursing home license is the date shown on its face or ___________
One year, whichever is sooner
An administrator with a substance abuse problem is subject to what and eligible for what program?
Is subject to revocation of license and is eligible for the health recovery program
To be eligible for licensure as a Nursing Home Administrator, the candidate must
- 18 years of age and have working knowledge of English
- Complete an approve course of instruction
- Pass both state and federal exams.
When the “code” of a nursing home rules requires a document be printed, such document shall be printed in _____ point font.
12
Full legal responsibility for the overall conduct and operation of a nursing home shall be assumed by?
The governing body
The governing body shall ______ an administrator to whom they delegate the responsibilities for operating the home according to the policies of the governing body.
Appoint
The administrator who accepts delivery of a television to his home as a gift of a vendor accepted a _________?
Kickback
Patients rights and responsibilities policies shall include________
- Provisions regarding smoking
- Printing in 12 point font type
- Assurance of reasonable access to records for copying or inspection
Patient care policies shall be reviewed at least________
Annually
Pharmaceutical services, patient activities, and clinical records are examples of what type of policy?
patient care policies
In a nursing home, oxygen therapy may only be administered by_______
Persons who have undergone training in oxygen administration
A patient admitted on Friday shall be examined by a licensed physician within _______ hours
72
According to the nursing home rules, a resident in a license only facility must be visited and to the extent necessary examined by a physician every _______
60 days unless justified otherwise.
A person employed in a nursing home giving care on the night shift shall be dressed awake and at least ______ years of age?
18
A _________ offense does not have revocation of licenses or consequences
Misrepresentation
The bed linen for a bed-fast resident shall be changed at least ________
Twice daily
What is the staffing ratio in a nursing home for each shift in order to be in compliance with staffing requirements
1: 8 for days
1: 12 for afternoons
1: 15 for midnights
A complete tub bath or shower shall be taken by or given to an ambulatory resident under supervision at least _______ a week.
Once
A resident room shall have not less than ______ clearance
3 foot on both sides and at the foot
Each resident shall be provided with the following equipment
A reading light
Flameproof cubicle curtains
Bedside stand
Individual and group diversional activities for residents shall be available _______ days a week
Seven
The written plan of care for a resident shall be available to
To all individuals involved in the care of the residents
A resident care conference shall be held periodically but not less than once every _________ days
90
Menus as actually served to the resident meals shall be retained for at least _______ months
Three
The food acceptance of a resident shall be recorded
On all admissions for 14 days and for 14 days following a change in diet
Medication for external use shall be
Kept in a locked cabinet and separate from other medications
All medication in a nursing home shall be
- Prescribed by a physician
- Labeled and dispensed by a pharmacist
- Administered under the direct supervision of a licensed nurse of medical personnel
An emergency kit shall be maintained
In all nursing homes
A written report of the results of each diagnostic test shall be included in the residents clinical record within _____ week
One
A diagnostic test or service may only be ordered by a
Physician
According to the nursing home rules, clinical records shall be retained for a minimum of ________ years from the date of ________
Six year from the date of discharge
Incident reports shall be filed for
- Medication errors
- Accidents or incidents involving life threatening change
- Accident or incidents involving staff, residents, or visitors
Licensure requirements that an internal complaint procedure be developed that assures investigation within _____ days and a written report to the complainant within _____ days
15, 30
Complaint and investigation reports must be retained for _____ years
3
When an administrator violates his/her general duty and is found guilty of negligence the NHA board may
- Revoke his license
2. Issue a reprimand
A nursing home license in the State of Michigan shall have the following number of handicapped accessible entrances
At least one
A room used for living or sleeping purposes shall have a minimum window glass area of ______% of total floor space which ______% shall open.
10, 45
After August 1969 new construction shall provide for a minimum ceiling height of _________ feet
8
Elevators utilized for residents shall have a minimum dimension of
5 feet x 7 feet, 6 inches
After August 1969, resident rooms shall have not less than
100 square feet if used as a single room
Usable floor space shall not include
- A toilet room
- A closet
- A vestibule
A door to a resident water closet compartment shall be not less than
2 feet 10 inches in width
Emergency electrical service for nursing homes shall be capable or providing
Not less than four hours at full load
A residents room shall provide a minimum storage for wardrobe and closet space of ______ square feet of ______ space per _____
6 square feet of floor space per bed
An isolation room shall be equipped with an attached _________ which can be used by only ______ occupant of the isolation room.
Lavatory, one
A nursing station shall be located no more than _____ feet from any resident room it serves
120
A sink with a goose neck inlet supplied with hot and cold water shall be provided in ________ and ________ rooms
Medication storage and prep rooms
The temperature of hot water at plumbing fixtures used by residents shall be regulated to provide tempered water not less than ________ degrees Fahrenheit or more than ______ degrees Fahrenheit
105 degrees to 120 degrees
A bathing facility shall be provided for every _______ resident beds on the floor
20
A home shall provide a safe heating system capable of maintains a daytime temperature of not less than ______ degrees Fahrenheit
72
Departure from or failure to conform to minimal standards of acceptable and prevailing practice for a health profession is called__________?
Incompetence
A medical provider must render __________ services to an eligible recipient in the same scope quality and manner as to the general public.
Covered
To calculate amount owed for a Medicaid resident who stays less then the entire month, you use ___________
The Medicaid rate for days stayed
The Medicaid program provides for ___________ hospital leave days for unexpected admissions with anticipated return if the resident returns in ten(10) days
10 hospital leave days
Medicaid claims for services rendered must be submitted and received for payment within __________ months of date of service
12
CMS requires that each state conduct an inspection of care every year to determine if nursing home residents receive ___________ and are ___________?
Appropriate services and are properly placed
The inspection of care is conducted by what department?
BHS surveyors during annual survey (Bureau of Health Systems)
Which state department is responsible for administration of Medicaid program
Michigan Department of Community Health with the Medical Services Administration
According to Medical Services Administration Policy you must discharge a resident if
They are admitted to an acute care hospital for a short stay
What is usually exempt when computing assets for Medicaid eligibility
Value of residents single dwelling home and vehicle
The Medicaid program provides for _______ therapeutic leave days in a 365 day rolling calendar providing the facility holds the bed and “home visits” are in the residents care plan
18
Medicaid providers must file a Michigan statistical and operating cost report within _______ days of accounting year end
90
When a resident files an application for Medical Assistance the local case worker responsible for determining eligibility is within what department?
MDHS - Michigan Department of Health and Human Services
The facility that renders or arranges for services from another provider upon order of the physician must maintain that record for a period of ______ years
6
Prior authorization must be obtained from Medicaid to receive payment for what services
- Occupational therapy
- Physician therapy
- Durable medical equipment
A signed order must be received from the attending physician for what type of services
Occupational therapy
Recreational activities level
Speech therapy
Before the county case worker evaluates a residents applications for Medicaid you must submit what form?
The 2565
The term of a facility’s certification is generally _______ year
1
How many CEU’s are required for a nursing home administration for recertification
36 every two years
A nursing home administrators license may be revoked or suspended for what reasons
- Guilty of fraud
- Convicted of a felony
- Unfit by reason of negligence
Which state department is responsible for administration of Medicaid program is
Michigan Department of Human Services
Smoke barriers or horizontal exits shall divide corridors into sections of not more than ________ feet in length
150
In a new building the smoke barrier shall have a fire resistant rating of _______ hour
1
For each floor of fire section there shall be at least ______ exits remote from each other
2
For new construction he corridor must be at least _______ inches in clear width
96
In new construction the door width for any door to a residents sleeping room shall be ______ inches in clear width
44
A residents room door may be locked from the inside if
Under no circumstance shall a residents room door be allowed to lock from the inside
Required emergency lighting must be
Automatic
The workers compensation rate for each facility is the product of multiplying the
Experience rate and the manual rate
Modification rate is based on
Experience within a given employer group
Form 100 is distributed to
- Employer
- Employee
- The WCA
- Insurance carrier
The proportion of the unemployment contribution paid by the employer is
All
Minimal number of weeks an employee must work to receive UIA benefit must be ______ weeks
20
Who can the administrator contact if they had a question concerning union elections procedure
The national labor relations board
The percentage of potential bargaining unit employee required to sign authorization cards before a union election is
30%
What department would the administration or union file charges for “unfair labor practice “
National Labor Relations Board
The infection control committee must meet
Periodically
You do not need an approved contract for pest control for which committee
Infection control
Who must serve on the infection control committee
- Director of nursing
- Someone from dietary
- Maintenance
- Administration
Complaints of BHS shall be within _____ months of discovery of violation
12
The amount of the surety bond for the resident trust shall be the greater of $_______ or not less than _________ times the average balance.
$2000 or not less than 1-1/4 times the average balance
State guidelines
Act number ______ of public acts of _______
368 of 1978
___________________ means the ownership or control of 5% or more of the equity in the capital of, or stock in, or profits of, a nursing home.
Ownership interest
When the statute of these rules require a document or parts of a document be printed in a _____ point font.
12
The _________________ _________________ of a nursing home shall assume full legal responsibility for the overall conduct and operation of the home.
Governing body
