State Standards Flashcards
An individual serving a Department approved internship within the facility type for which he is seeking licensure/certification under the supervision of a preceptor ‘certified’ by the Department. Individuals serving an AIT internship may also be referred to her in as “intern/trainee”
Administrator-in-Training
The administrator licensed by this Department who has the authority and responsibility for the total operation of the facility, subject only to the policies adopted by the governing authority.
Administrator on Record (AOR)
Department
Oklahoma State Department of Health
Licensing year begins and ends when?
Jan 1 - Dec 31
Administrators of Intellectual Disabilities home with less than ____ beds, can operate more than one facility. They can operate a total of ____ facilities, with a max bed count of _____ and they have to be within a __ mile radius of each other.
16 beds
6 facilities
64 beds
15 mile radius
Tier 2 RC/AL Administrator License cost per year
Tier 2 RC Administrator License cost per year
State Standards Exam Cost
RC/AL -$175
RC- $100
State Standards $100
How many hours of continuing education hours are required yearly to maintain licensure for RC/AL?
For RC?
RC/AL - 18 hours
RC- 16 hours
Offenses that will not allow you to ever get an administrators license?
Abuse, neglect or financial exploitation of any person entrusted to the care or possession of such person. Rape, incessant or sodomy, child abuse, murder or attempted murder, manslaughter, kidnapping, aggravated assault and battery, assault and battery with a dangerous weapon, arson in the first degree.
Department will not issue or renew a license for any applicant if less than SEVEN (7) years have passed since the completion of sentence of the following:
Assault, battery, indecent exposure or exhibition, pandering, burglary in the first or second degree, robber or attempted robbery with a. Dangerous weapon or imitation firearm, arson in the second degree, unlawful manufacture, distribution, prescription or dispensing of a Schedule I through V drug, grand larceny or petit larceny or shoplifting
How long is a provisional RC license good for?
Max of 6 moths
The long-term care administration will manage the ______, ________, ________ and ________ of the day-to-day functions of the facility in which they are the licensed administrator. The administrator should have adequate _______, to comply with ______, ______, and ________ related to the management of the facility
Planning, organizing, direction and control
Authority, laws, rules and regulations
RCAL administrators are limited to serving concurrently as AOR of ____ Assisted Living Facilities. The facilities must be located within ____ miles of each other and have less than _______ occupied beds.
2 facilities
60 miles
130 occupied beds
Any home or establishment offering, coordinating or providing services to 2 or more persons who are
D______ therin
U_______ to the operator
By choice or functional impairments, need assistance with p______ c_______, or n______ s________.
May need _________ or _________ nursing care
May need assistance with t_______ and/or a________
Domiciled therin
Unrelated to the operator
Personal care or nursing supervision
Intermittent or unscheduled nursing care
Transfer or ambulation
Who promulgates the rules necessary to implement the provisions of the Continuum of Care and Assisted Living Act?
State Board of Health
What is the maximum application fee and a license for the establishment of an assisted living center or continuum of care facility? How is the fee determined?
$1,000 max
Application fee - sliding scale based on bed capacity
License Fee- $10/bed
How long does the initial license for an assisted living facility last? How long for the renewal license?
Initial - 180 days
Renewal- 12 months to 3 years
How long does the initial license for an assisted living facility last? How long for the renewal license?
Initial - 180 days
Renewal- 12 months to 3 years
The continuum of Care and Assisted Living Act shall not apply to …
Residential care homes, adult companion homes, domiciliary care units operated by the Dept of Veteran Affairs, private residences of persons with developmental disabilities receiving services…… or hotels, motels, boardinghouses, rooming houses, a home or facility approved and annually reviewed by the US Dept of Veterans Affairs as a medical foster home in which care is provided exclusively to 3 or fewer veterans, or other places that furnish board or room to their residents.
Maximum administrative penalties to a facility for violations….
$500 / day
What are the 4 levels of graduated penalties for violations
No actual harm with the potential of minimal harm
No actual harm with the potential for more than minimal harm
Actual harm that is not immediate jeopardy- FINE
Immediate jeopardy to resident health and safety- FINE
Upon the discovery of violations of the AL center, the Dept shall provide a _______________. The facility shall be required to correct these violations and submit a _________________, that details how the facility or center will correct each violation not to exceed ______ days.
Statement of deficiencies
Plan of Correction
60 days
Residents of an assisted living center may receive home care services and intermittent, periodic, or recurrent nursing care through a home care agency under the provisions of the ___________.
Home Care Act
Residents of an assisted living center may receive hospice home services under the provisions of the ___________.
Oklahoma Hospice Licensing Act
________Care Services and __________, periodic or _________ nursing care through a _____ ______ ______ or _______ home services may be delivered to residents of assisted living centers with a resident with a condition consistent with the facilities discharge criteria? Who shall monitor and assure the delivery of those services?
Home care services and intermittent, periodic or recurrent nursing care through a home care agency or hospice home services. The assisted living center shall monitor and assure the delivery of those services.
Within ____ days prior to the termination of a RC probationary license, the Dept shall completely inspect the home and, if the home meets the applicable rules for licensure, shall issue a license pursuant to the provisions of the _________________ and rules promulgated pursuant thereto. If at the end of an extension of probationary license, the home is not in substantial compliance with the provisions of the RCA and the rules, the license shall be denied and the Dept shall take such action as necessary and as authorized pursuant to the provisions of the RCA for the protection of the health, safety and welfare of the residents
30 days
Residential Care Act
If an applicant for licensure under the Residential Care Act has not been previously licensed, or if a home is not in operation at the time application is made, the State Department of Health shall issue a _______ __________ that shall be valid for _______ days unless sooner suspended or revoked.
Probationary license
120 days
Prior to the issuance of a RC probationary license, the Dept shall:
- Ascertain whether the applicant is qualified
- Inspect the home and inform the applicant of any conditions which require correction prior to issuance of a license.
Violations of the RC Act shall be subject to to the following penalties:
License ________, ________ or ___________
_______ of residents
____________ manager
Injunctive ___________
Civil _______
________ penalties as provided in Section 1-832 of this title
Revocation, suspension or non-renewal
Transfer of residents
Temporary manager
Injunctive proceedings
Civil fines
Criminal penalties
Who performs fire inspections for an RC and how often?
State Fire Marshall or a designee on a “regular basis”
How often with the Dept inspect, survey, and evaluate each RC home to determine compliance?
At least one time a year and whenever it deems necessary
If a resident of an assisted living center develops a disability or a condition that is consistent with the facility’s discharge criteria:
1. The personal or attending _________ of a resident, a representative of the ___________, and the _______ or ___________ _____________ of the resident shall determine through a consensus or the foregoing persons any _________ and ___________ accommodations, in accordance with the current building ________, the rules of the State ______ _________, and the requirements of the local fire jurisdiction, and additional services required to permit the resident to _______ in ________ in the AL as the ________ restrictive environment and with ________ and ________.
Physician, Assisted Living Center, resident or designated representataive
Reasonable and necessary, codes
Fire Marshall, remain in place, least, dignity and privacy
If a resident of an assisted living center develops a disability or a condition that is consistent with the facility’s discharge criteria:
2. All accommodations or additional services shall be described in a _______ _____ ___ ____________, signed by physician, resident, and AL rep.
3. The person or persons responsible for p_________, m___________ and a________ compliance with the plan of accommodation shall be expressly specified in the plan of accommodation and shall include the assisted living center and any of the following: 1. 2. 3. 4.
The plan of accommodations shall be reviewed at least __________ by a _____________.
Physician, home care agency, hospice or other designated person
Quarterly by a licensed health care professional
When an antipsychotic drug is prescribed to a resident, the ALC shall do all of the following:
1. Ensure that the resident is _____________ by a _________, ___________, __________ or _______ as needed, but at least _____________ for the ____________ and _______ ________ of the medication.
2. Ensure all resident care staff administering medications understand the potential _______ and ____ ______ of the medications.
PRN (as needed)- 1. Document __________ for use and detailed description of the condition which indicates the need
1. ________ the use of PRN drugs for potential ________ to the resident, including side effects, use of drugs for inappopriate purposes such as ______ or ________. The monitoring shall be conducted by a licensed health care professional and done _________.
Reassessed; physician / PA / APRN / RN /
quarterly / effectiveness / side effects
Benefits / side effects
Rationale /
Monitor / harm / discipline / staff convenience
Monthly
Any assisted living facility that employs an individual who is in nurse aide training shall ensure that such individual is supervised by no less than a consulting nurse __________ to practice in the state.
Licensed
Abuse
The willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, impairment or mental anguish.
Chemical Restraint means the use of a medication for the purpose of ________, ___________, or in an __________ situation to control _______ or ___________ and not required to treat the resident’s symptoms.
Discipline,
convenience,
emergency situation
To control mood or behavior
NOT medication prescribed to maintain emotional stablity
Qualified nursing, activity, social and therapy staff employed by or under the direct supervisory control of the assisted living center.
Direct Care Staff
Neglect
Failure to provide good and services necessary to avoid physical harm, mental anguish, or mental illness
A major change in the resident’s status that is not self limiting; affects more than one area of the resident’s health status; and requires interdisciplinary review and/or revision of the care plan.
Significant Change
A physical restraint is any manual _______ or physical or mechanical _______, _______ or ________ attached or adjacent to the resident’s body that the resident cannot remove easily, that is not used for the purpose of ___________ intervention or body ___________ as determined by resident assessment and care planning, and which _________ the resident’s desired freedom of __________ and ________ to his or her body
Method
Device, material or equipment
Therapeutic intervention or body alignment
Restricts
Movement and access
Smoking or possessing a lighted tobacco product is prohibited in a continuum of care or assisted living facility and within _____ feet of each _________ to a facility and of any ________; provided the facility may provide a smoking room not available to the public for use by residents.
15 feet / entrance / air intake
Temperature in the medication room?
Not over 86 F
Temperature in the refrigerator in the medication room?
36-48 degrees
Square feet of a single occupancy room and a multi bed occupancy room?
Single- 80 sq ft of floor space
Multiple 60 sq ft per bed
Square feet required in the dining room in RC?
15 sq ft per resident
An individual applying for a provisional license shall not be required to pass what examination to be provisionally licensed?
NAB
Who can the State Dept of Health or State Commissioner report a final adverse action against an LTC Admin to pursuant to federal regulations?
Healthcare Integrity and Protections Data Bank (HIPDB)
Disciplinary action for a licensee that fails to attain the required # of CEU’s could be reported to the National Practitioners Data Bank (NPDB)? T or F
True
If a person violates provisions of the Res. Care Act they could receive a civil penalty of not more than $______ per day, not to exceed $_______.
$100 per day / not to exceed $10,000
How frequently should meds be destroyed?
RC - Discontinued meds may be kept up to 3 months
Charting in RC is done in Pen? T or F
True - Ink or Pen
Who does the fire inspection and how often?
State Fire Marshall or designee / regular basis / report to State Dept of Health
What document must a pet owner have on record at the home before the pet is allowed into the facility?
Record of Service / Rabies Vacs
Milk storage Temperature
41 F or below but not frozen
Time frame to report any form of abuse to the licensing board ________ calendar days or business days?
5 business days
Leftovers that are potentially hazardous foods shall be used, or disposed of within how many hours?
24 hours
How many days of food reserve should be maintained for emergency purposes?
3 days
When the state accepts your plan of correction, it is accepting you will?
The AL center indicated a willingness to make timely corrections
Leftovers that are non-potentially hazardous foods that have been heated or cooked can be kept refrigerated for how many hours?
48 hours
In foods that have powdered or evaporated milk added, and are not cooked, the food should be consumed within how many hours?
24 hours
What is done with completed CEU’s before December 31? Is it emailed to the board, is it recorded in the system before then????
Uploaded to the portal before submitting an renewal application
What is the water temperature range in RC?
RC is 100-120 F. AL is 115 Bath / 120 Dietary / 160 Laundry
What document is given to residents before at the time of admission?
Copy of Resident’s Rights and Responsibilities
What is the timeframe for the completion of the comprehensive assessment and how often are they redone?
Within 14 days of admission / once every 12 months or promptly after a significant change
Time frame after you have done training until how long you have to get your license before you can take the training again?
24 months
Who needs to be on the QA Committee?
RN or Physician, Administrator, Direct Care Staff or CMA & Pharmacy Consultant (if needed)
If a medication is to be reviewed at a QA meeting, who should be in attendance?
Pharmacy Consultant
Who reconciles meds and how often?
Reconciles?? (Student answer was RN and at least quarterly - don’t think it is right)
Manual says AL - Reviewed monthly by RN or pharmacists and quarterly by consultant pharmacist.
Section 2 pg 25
DC meds can be kept up to 3 months. If a resident dies, kept for 1 month
A resident on antipsychotic meds must be evaluated how often and by whom?
At least quarterly by a physician, PA, APRN, or RN.
A final adverse action against a long term administrator will be reported to the ___________ pursuant to federal regulatory requirements. Disciplinary action taken against a license/certificate holder and reported to the _______ shall be reported on the ________ as provided in 63O.S. 330.64. The Department may report disciplinary action taken against this person to all appropriate state ________ authorities, federal ________ authorities, and professional ______ organizations.
National Practitioner Data Bank (NPDB). 310:679-5-8
Healthcare Integrity and Protection Data Bank (HIPDB). 63-1-1491.4
NPDB / registry
State licensing authorities, federal regulatory authorities and professional certification organizations
Complaints against an administrator reported to the Department shall be initiated within _____ days from the date the complaint is received by the Department. Each complaint investigation shall be completed within _____ months of initiation. This time period may be extended by the Dept for good cause.
90 days
12 months
Who issues licenses or certifications to qualified persons as long term administrators
State Department of Health
The _______ shall have the authority to determine the qualifications, skill, and fitness of any person to serve as a long-term care administrator under the applicable provisions of ALL of the ACTS. The _____ shall promulgate rules to determine the qualifications for licensure or certification
Commissioner
If an administrator is determined to have substantially failed to conform to the requirements of such standards, the Department or Commissioner may warn, censure, impose administrative fines or use other remedies that may be considered less than revocation and suspension. Administrative fines imposed pursuant to this section shall not exceed maximum of _______. (63-1-1941.4 Administrators Act)
Any person who has been determined by the Commissioner to have violated any provision of the Cont. of Care and Assisted Living Act or any rule promulgated here under shall be liable for an administrative penalty of not more than ______ for each day that the violation occurs. (63-1-890.6 Cont. of Care & Assisted Living Act)
$1000
$500/day
An administrator can submit a request for hearing OR an informal dispute resolution within _____ days from a the date of notice from the Department.
30 Days
Renewal Fee for Tier-2 RC/AL Administrator
Tier-2 Adult Day Care License & RC Admib
RCAL -$175
ADC - $100
Tier-2 RCAL Administrators continuing education?
Tier-2 RC Administrators continuing education?
RCAL -18
RC - 16
The Department may waive re-completion of the training requirement if the applicant was previously licensed in OK as any Tier-2 Amdin type, was in good standing, and has been active in LTC for at least _____ of the last ____ years.
2 of the last 5 years
Res Care Provisional license can be granted to fill an unexpected vacancy. This license is good for ___ months. The Department shall not grant another provisional licence to fill a vacancy at the same facility for a period of ______ after the date the provisional license is granted.
6 months
One year
Requirements for a provisional license: Formal study program AND bachelor’s degree, has another LTC administrator with _____ experience act as on-site consultant, has provided documentation showing ____ years experience in LTC facility, has received a passing score on the ________, submitted application and paid the fee.
2 years experience, 2 years, State Standards
NOT the NAB
In establishing a continuum of care facility or assisted living center, the State Commissioner of Health shall develop a sliding fee scale not to exceed _________ for each application.
Application Fee
License Fee
$1000
$10/bed
An admission assessment shall be completed ___________, or _________.
The comprehensive assessment shall occur
a. within ______ days after admission
b. Once every ______months
C. Promptly after a _______________
Within 30 days before or at the time of admission
Within 14 days
Once every 12 months
Promptly after a significant change in the resident’s condition
Who completes the assessments? Coordinates the assessments? Must include what? Must be kept for how long?
Completed by appropriate participation of health professionals trained in the assessment process
Must be coordinated by a registered nurse or the resident’s personal physician
Must include a personal interview between resident and person completing the form.
Kept for 5 years
What are the uses for the assessments?
Determining appropriateness of placement
Developing a care plan
In Assisted Living, medications shall be reviewed _________ by _________ or _________ and __________by a ________.
Monthly / registered nurse or pharmacists
Quarterly by consultant pharmacist
Quality assurance committee shall include at least the following:
RN or DR if a medical problem is to be monitored or investigated
AL administrator
DC Staff person or staff person administering meds
Pharmacists consultant IF a med problem is to be monitored or investigated
Every nurse aide shall complete a performance review at least every _____ months and provide ____ hours of inservice training specific to their job assignment each _______.
Have in service education generally supervised by a registered nurse who has at least ____ years of nursing experience with at least ___ year in LTC facility.
12 months / 2 hours / month
2 years / 1 year
A certified medication aide shall be eligible to perform the duties of a certified med aide for the following employers:
Nursing facility or cont. of care facility
Specialized facility
Res care home
Adult Day Care
AL center
Res Care aides shall be deemed a certified res care aide to meet the adult day care program aides certification requirements after successful completion of at least _____ hours of training specific to the facility population
16 hours?
After the Department has issued a Statement of Deficiencies, how many days until the facility has to submit a plan of correction?
10 days or 60 days??????
What is included in a plan of correction for a cont of care or AL facility?
1. Details of how the facility will _________ each violation
2. Ensure that the violation will not occur in the future.
3. A period to correct each violation, not to exceed ___ days.
Correct each violation
60 days
How often should a plan of accommodation be reviewed and by whom?
Quarterly by a licensed health care professional.
An AL center shall not care for any resident needing care in _______ of the level that the AL is licensed to provide OR ________ of providing.
Excess
Capable
Management of Risk - if a resident’s preference or decision places the resident or others at risk or is likely to lead to an _________ consequences, the assisted living center shall advise the resident and the resident’s representative of such risk or consequences. Assisted-living center shall specify the.__________, Discuss the concern with the resident and representative, if any, and attempt to ______ a written ___________ that minimizes risk and adverse consequences and offers_________ while respecting resident preferences the assisted-living center shall document any ________ ___ _____________ and shall provide a copy to the resident.
Adverse consequences
Cause for concern
Negotiate a written agreement
alternatives
lack of agreement
Assisted living assessments, shall be completed by appropriate participation of__________ _________ trained in the assessment process.
Health professionals (does not have to be licensed if they have been trained by a licensed professional)
In the residents contract, there is a provision stating that, in the event that a resident’s condition merits transfer, the transfer shall be initiated within ______ working days. (310:663-12-2)
5 working days
All reports to the Department shall be made within ______ Department business day of the reportable incident’s _________. A follow up report of the incident shall be submitted to the Department within ____ Department business days after the incident. The final report shall be filed with the Department when the full investigation is ________, not to exceed _____ Dept. business days.
1, discovery
5 days
Complete / 10 days
Notifications to the ____________ using form ______ must be made within _____ Department business day of the reportable incident’s discovery.
Nurse Aid Registry
ODH Form 718
One day
Each AL shall report allegations and incidents of resident abuse, neglect, or misappropriation of resident’s property by LICENSED personnel to the appropriate ____________ within _____ business days.
Licensing board
5 business days
Records from previous 12 months shall be ___________.
Records more than 12 months old, shall be made available within _______ hours.
Readily available upon request
72 hours
If an ALC cease his operation, the department shall be notified within _______ business days of the arrangements for preserving the residence record.
5
The assisted-living center shall provide staff, within _____ days of employment, training in the identification of abuse and neglect of residence and misappropriation of resident property and the facilities, ______ and _______ concerning the same. Verification of the provision of training shall be written, signed by staff attending and retained in the personnel files.
90 days
Policies and procedures
Incident reports required shall be retained, filed, and stored to protect against lost, destruction, or unauthorized use for a period of ______ years.
2 years
An initial license for an assisted-living center shall expire ______ days after the date of issuance. Prior to the termination of an initial license, the department shall fully and completely _______ the facility and if it does not meet the requirements, the initial license may be extended ONCE for a period not to exceed _______ days from the expiration of the initial license.
180 days
Inspect
120 days
Acceptance of the plan of correction by the department does not absolve the facility of the responsibility for compliance. Should the implementation not result in correction and compliance. Acceptance indicates the departments acknowledgment that the continuum of care facility or assisted-living center indicated a _________________________.
Willingness to make timely corrections
A special care facility means any facility that publicly ________, intentionally ______, or otherwise engages in __________ campaigns for the purpose of communicating that said facility offers care or treatment methods within the facility that distinguish it as being especially applicable to or suitable to a person with Alzheimer’s dementia, or other forms of dementia.
Advertises
Markets
Promotional
The Alzheimer’s dementia disclosure form shall be made using a form developed by the ___________, and shall be made to the ________,
any ___________ of a person with Alzheimer’s dementia who is considering placement within a special care unit, program or facility, and
the state, _________________. 
State Dept of Health
Department
Representative
Long term care Ombudsman
Residential care homes can consist of multiple units or buildings as long as the buildings or units are within __________ feet of the building housing the main kitchen and dining room.
175 feet
Residential care homes can consist of multiple units or buildings as long as the buildings or units are within 175 feet of the building housing the main kitchen and dining room
According to the residential care act, maintenance means ______, _______, ________.
Meals, shelter and laundry services
According to the residential care act and operator means the person who is not the administrator, but who _______ the home.
Manages
According to the residential care act and to improve patient care, the state board of health shall hold a public meeting, at least once every ______ years in each of the licensed homes to advise and to facilitate communication and cooperation between personnel of the home and the residence. Administrators, employees of the home, residence, friends, and relatives of the residence, representatives of the residence, and employees from appropriate state and federal agencies shall be invited and encouraged to attend such meetings.
4 years
According to the residential care act, a probationary license shall be valid for _______ days. Within _____ days prior to the termination of the probationary license, the department shall completely inspect the home and if the home is not in ________ compliance with the provisions of the residential care act, the license shall be _________, and the department shall take such action as necessary, and as authorized pursuant to the provisions of the residential care act for the protection of the health, safety, and welfare of the residents of the home.
120 days
30 days
Substantial
Denied
Any person who violates any of the provisions of the residential care act shall be subject to the following penalties and liabilities
1. License ________, suspension or nonrenewal
2. ________ of residents
3. Temporary _________
4. _________ proceedings
5. __________ penalties
6. __________ penalties
Revocation
Transfer
Manager
Injunctive
Civil
Criminal
Any person who violates any of the provisions of the residential care act, upon conviction, shall be guilty of a _____________. Each day upon which such violation occurs, shall constitute a separate _________.
Misdemeanor
Violation
All direct care staff who are responsible for the administration of medication to residents and a residential care home, shall be required to begin training in the administration of medication within _____ days of employment with the home and to satisfactory complete at least _____ hours of training in the administration of medication within the first ______ of employment.
90 days
15 hours
First year
All direct care staff who are not administering medication in a residential care home, within ____ days of employment with the home, shall be required to begin ____ hours of in-service training, to be administered by the _________ of the home or other person designated by the administrator of the home and completed within _____ months of such person‘s date of employment, and ________ thereafter. Such direct care staff, and the direct care staff responsible for administering medication to residents shall, annually, be required to receive at least ______ hours of training by the _________ of the home.
90 days
8 hours
Administrator
12 months
Annually
8 hours
Administrator
Supportive assistance means the service rendered to any person which is sufficient to ______ the person to meet an adequate level of ____ ______. The term supportive assistance shall not be interpreted or applied as to _______ the participation of residence in housekeeping or meal preparation task as a part of the written treatment plan.
Enable
Daily living
Prohibit
The following items must be renewed annually at a residential care facility
1. An agreement with a physician, physicians, assistant, or advanced registered nurse to provide clinical consultation.
2. Agreements with registered nurse, registered dietitian, and registered pharmacist, as required based on the needs of the residence.
3. Licensed plumber or building inspectors report.
4. Licensed electrician or municipal inspectors report. 
A notice of violation for a residential care home shall be returned with a plan of ______ within _____ days after the receipt of the notice of violation. The plan of correction shall include a fixed time, not in excess of _____ days, within which the violations are to be corrected. An additional _____ days may be requested and approved by the Departmen
Correction
10 days
30 days
30 days
Any person who has been determined by the state department of health to have violated any provision of the residential care act may be liable for a civil penalty of not more than _______ for each day that the violation continues. The maximum civil penalty shall not exceed _________ for any related series of violations.
$100
$10,000
A residential care home means any establishment or institution other than a hotel, motel, fraternity or sorority house, or college or university dormitory, which offers or provides residential accommodations, _______, ________, and _________ assistance to any of its residence or houses any resident requiring supportive assistance who are not related to the owner or administrator of the home by blood or marriage. Said resident shall be _______ and essentially capable of managing their own ______, but do not routinely require skilled ______ care or intermediate care care.
Food, service, supportive
Ambulatory / affairs
All administrators and certified administrative assistants must registered with the _____ __ ________.
NAB CE Registry
The Administrator of Record shall spend at least __ hours per calendar week on site in the facility, providing guidance and direction to the CAA. On site supervisory visits shall not be more than ___ days apart.
10 hours
10 days
CAA- Certified Assistant Administrator
