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