Study Guide 25 Flashcards
Each resident must be provided a statement of their trust account how often?
1. Daily
2. Weekly
3. Monthly
4. Quarterly
5. Annually
4
Must notify all Medicaid residents when their resident trust fund account (which is
considered an asset) reaches $_____ of their Medicaid asset limit or SSI resource
amount.
1. $50
2. $100
3. $200
4. $500
3
True or False - Upon discharge, eviction, or the death of a resident, all resident funds deposited
with the facility must be refunded to the resident or their estate within ___ days.
1. 7
2. 14
3. 21
4. 30
5. 60
4
True or False - A facility may deduct from the personal funds of a resident for any item or
service that is not covered by Medicare or Medicaid, including insurance deductibles and
coinsurance amounts.
1. True 2. False
1
The facility may charge the resident for which of the following services?
1. Personal telephone
2. Personal cellular phone.
3. Personal television/radio
4. Personal computer or other electronic device
5. Personal comfort items, including smoking materials, notions and novelties, and confections.
6. Personal cosmetic and grooming items
7. Personal clothing.
8. Personal reading matter.
9. Gifts purchased on behalf of a resident.
10. Flowers and plants.
11. All of the above
11
True or False - A facility may charge for the cost of residents to participate in social events
and entertainment outside the scope of the facility activities program.
1. True 2. False
1
A resident does or does not have the right to participate in activities outside of the nursing facility?
1. Does 2. Does not
1
Private insurance, Medicare or Medicaid will or will not pay for a private room, other than for
isolation purposes?
1. Will 2. Will not
2
A facility may or may not charge for special foods and meals, including medically prescribed
dietary supplements, ordered by the resident’s physician?
1. May 2. May not
2
True or False - A facility must take Into consideration residents’ needs and preferences,
and the overall cultural and religious make-up of the facility’s population when planning
meals.
1. True 2. False
1
The facility must provide residents access to personal and medical records upon an oral or
written request, and in the format requested within _____ hours (excluding weekends and
holidays).
1. 8
2. 12
3. 24
4. 36
5. 48
6. 72
3
Must provide residents a copy of their personal records, within _____ hours.
1 8
2 . 1 2
3. 24
4. 36
5. 48
6. 72
5
True or False - Access to resident records means being able to read the chart or records
without physical copies to take with them.
1. True 2. False
1
The facility may impose a reasonable, cost-based fee to provide residents copies of their
records for which of the following services?
1. Labor for copying the records requested by the individual (in paper or electronic form).
2. Supplies for creating the paper copy
3. The electronic media if the individual requests that the electronic copy be provided
on portable media.
4. Postage, when the individual has requested the copy be mailed.
5. All of the above
5
True or False - Summaries of resident records may not be made available to the patient at
their request and expense.
1. True 2. False
2
True or False - The resident does not have the right to receive all notices from a facility both
orally and in writing (including Braille), and in a format and a language he or she understands.
1. True 2. False
2
True or False - Must provide each resident a list of the names, addresses (mailing and email),
and telephone numbers of all pertinent State regulatory and informational agencies, resident
advocacy groups (State Survey Agency), the State license office, and the State Long-Term
Care Ombudsman program.
1. True 2. False
1
True or False - Must inform residents that they may file a complaint with the State Survey Agency
concerning any suspected violation of state or federal nursing facility regulations, including
resident abuse, neglect, exploitation, misappropriation of resident property in the facility, non-
compliance with the advance directives and information on how to return to the community.
1. True 2. False
1
True or False - Residents do not have the right to retain and use a cellular phone at the resident’s
own expense.
1. True 2. False
2
The facility is or is not required to provide residents REASONABLE access to:
(i) A telephone, including TTY and TDD services
(ii) The internet, to the extent available to the facility
(iii) Stationery, postage, writing implements and the ability to send mail.
1. Is 2. Is not
1
True or False - The resident does not have the right to send and receive mail, letters, and packages
through a means other than a postal service.
1. True 2. False
2
True or False - Residents do not have the right to privacy in their communications.
1. True 2. False
2
True or False - A facility must pay for the stationery, postage, and writing
implements for residents so they can correspond with family and friends.
1. True 2. False
2
True or False - A facility must provide residents electronic copies of records only in the format
available at the facility.
1. True 2. False
2
Residents have the right to privacy in electronic communications such as email and
video communications and for Internet research under which of the the following
conditions?
1. If the access to email and video is available to the facility
2. At the resident’s expense if additional expense is incurred by the facility to provide
such access
3. Such use must comply with state and federal law.
4. All of the above
4
True or False - The resident has the right to examine the results of the most recent facility
survey, but not the facility plan of correction in effect with respect to the facility.
1. True 2. False
2
True or False - The facility must post in a place readily accessible to residents, and family
members, and representatives of a resident, the most recent survey of the facility.
1. True 2. False
1
The resident has the right to any surveys, certifications, and complaint investigations made
during the preceding years, and any plan of correction in effect.
1. 3
2. 5
3. 7
4. 10
2
True or False - The facility can publicly disclose identifying information
about complainants or residents.
1. True 2. False
2
True or False - The facility must inform residents of the right to accept or refuse
medical or surgical treatment and, at the resident’s option, and to formulate an
advance directive.
1. True 2. False
1
True or False - A facility may contract with other entities to furnish copies of surveys but are
still legally responsible to ensure that the information is properly released.
1. True 2. False
1
True or False - If an adult is incapacitated at the time of admission, and is unable to
receive information or indicate if they have executed an advance directive, the
facility may not give advance directive information to the individual’s resident
representative.
1. True 2. False
2
True or False - The facility must provide information about advance directives to an
individual previously incapacitated but is now able to receive such information.
1. True 2. False
1
True or False - The facility must inform residents on how to apply for and use Medicare and
Medicaid benefits.
1. True 2. False
1
The facility must inform the resident, the resident’s physician and legal representative of
any accident which results in injury and has the potential for requiring physician intervention
within what time-frame?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
1
The facility must inform the resident, the resident’s physician and legal representative, of a
significant change in physical, mental, or psycho-social status that are life-threatening or
present clinical complications within what time-frame?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
1
The facility must inform the resident, the resident’s physician and legal representative of a
need to alter treatment significantly or to commence a new form of treatment within what
time-frame?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
1
The facility must inform the resident, the resident’s physician and legal representative
of a decision to transfer or discharge the resident from the facility within what time-
frame?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
1
The facility must notify the resident of a change in room or roommate assignment within
what time-frame?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
5
The facility must notify the resident of a change in resident rights under Federal or State
law or regulation within what time-frame?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
5
The facility must notify the resident within what time frame of changes made to facility services
and charges?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
5
True or False - If a resident dies, is hospitalized or transferred or does not return to the facility,
the facility must refund to the resident any deposit or charges already paid, less the facility’s
per diem rate, for the days the resident actually resided or reserved or retained a bed in the
facility.
1. True 2. False
1
The facility is or is not required to allow representatives of the State Long-Term Care
Ombudsman to examine a resident’s medical, social, and administrative records in
accordance with State law?
1. Is 2. Is not
1
True or False - The facility must establish a grievance policy to ensure the resolution of all
grievances regarding the residents’ rights.
1. True 2. False
1
True or False - Upon request, the provider may but is not required to give a copy of the
grievance policy to each resident.
1. True 2. False
2
True or False - The grievance policy must include notifying residents individually or
through postings in prominent locations throughout the facility, of the right to file
grievances only in writing?
1. True 2. False
2
True or False - The grievance policy does not include the right to file grievances anonymously.
1. True 2. False
2
True or False - The facility must provide each resident the contact information of the
grievance official with whom a grievance can be filed, including their name, business
address (mailing and email), and their business phone number and the reasonable
expected time frame for completing the review of the grievance.
1. True 2. False
1
True or False - Residents do not have the right to obtain a written decision regarding their
grievance, and the contact information of independent entities with whom grievances
may be filed.
1. True 2. False
2
True or False - The facility must identify the Grievance Official who is responsible for
overseeing the grievance process, and receiving and tracking grievances to their
conclusion.
1. True 2. False
1
True or False - The Grievance Official must conduct any necessary investigations and
maintain the confidentiality of all information associated with each grievance.
1. True 2. False
1
True or False - The identity of a resident anonymously submitting a grievance must be
strictly confidential.
1. True 2. False
1
True or False - The Grievance Official may but is not required to issue a grievance decision
to the resident.
1. True 2. False
2
True or False - The Grievance Official must coordinate with state and federal
agencies as necessary, in light of specific allegations.
1. True 2. False
1
True or False - The Grievance Official must take immediate action to prevent further
potential violations of any resident right while an alleged violation is being investigated.
1. True 2. False
1
The Grievance Official must report all alleged violations involving neglect, abuse, including
injuries of unknown source, and/or misappropriation of resident property, by anyone furnishing
services on behalf of the provider, to the administrator and as required by State law within
what time-frame?
1. Immediately
2. 2 hours
3. 24 hours
4. 48 hours
5. Promptly
1
True or False - The Grievance Official must ensure all written grievance decisions include: 1) the
date the grievance was received, 2) a summary statement of the resident’s grievance, 3) the
steps taken to investigate the grievance, and 4) a summary of the pertinent findings or
conclusions regarding the resident’s concerns.
1. True 2. False
1
True or False - The Grievance Official is not required to indicate whether a grievance was
confirmed or not confirmed, any corrective action taken or to be taken by the facility as a
result of the grievance, and the date the written decision was issued.
1. True 2. False
2
True or False - The Grievance Official must take corrective action if an alleged violation of
the residents’ rights is confirmed by the facility, or if an outside entity having jurisdiction,
confirms a violation of any of residents’ rights.
1. True 2. False
1
The Grievance Official must maintain evidence demonstrating the results of all grievances
for a period of no less than from the issuance of the grievance decision.
1. 1 year
2. 3 years
3. 5 years
4. 7 years
2
A facility can or cannot prohibit in any way or discourage a resident from communicating
with federal, state, or local officials.
1. Can 2. Cannot
2
A facility can or cannot use physical or chemical restraints if required to treat their
medical condition and not for staff convenience or discipline.
1. Can 2. Cannot
1
True or False - When the use of restraints is indicated, the facility must use the least
restrictive alternative for the least amount of time and document the ongoing re-evaluation of
the continued need for the restraints.
1. True 2. False
1
Can or cannot employ staff found guilty of abuse, neglect, exploitation,
misappropriation of resident property, or mistreatment as determined by a court of law.
1. Can 2. Cannot
2
True or False - Cannot employ staff who have had a finding entered into the State nurse
aide registry concerning abuse, neglect, exploitation, mistreatment of residents or
misappropriation of their property.
1. True 2. False
1
A facility can or cannot employ staff with disciplinary action in effect against their professional
license by a state license body as a result of a finding of abuse, neglect, exploitation,
mistreatment of residents or misappropriation of resident property.
1. Can 2. Cannot
2
True or False - The facility must report to the State nurse aide registry or licensing authorities
any knowledge it has of actions by a court of law against an employee, which would indicate
unfitness for service as a nurse aide or other facility staff.
1. True 2. False
1
A facility can or cannot request or require residents or potential residents to waive
potential liability for losses of personal property.
1. Can 2. Cannot
2
The facility can or cannot request or require a third party guarantee of payment as a
condition of admission or expedited admission, or continued stay in the facility.
1. Can 2. Cannot
2
In the case of a person eligible for Medicaid, a facility may or may not request any gift,
money, donation, or other consideration as a precondition of admission.
1. May 2. May not
2
A nursing facility is or is not required to disclose and provide to a resident or potential
resident, prior to time of admission, a notice of special characteristics or service limitations
of the facility.
1. Is 2. Is not
1
True or False - A facility must establish, maintain and implement identical policies and
practices regarding transfer and discharge, for all individuals regardless of source of
payment.
1. True 2. False
1
The facility may or may not charge any amount for services furnished to non-Medicaid
residents unless otherwise limited by state law.
1. May 2. May not
1
True or False - The facility must permit residents to remain in the facility, and not transfer or
discharge the resident involuntarily except for 6 legal reasons to be forced to leave the
facility with appropriate notice.
1. True 2. False
1
True or False - A resident cannot be involuntarily transferred because the resident’s
welfare and needs cannot be met in the facility.
1. True 2. False
2
A resident cannot be involuntarily discharged due to which of the following reasons?
1. The safety of individuals in the facility is endangered due to the clinical or behavioral status of the resident.
2. The resident’s payor source changed
3. The health of individuals in the facility would otherwise be endangered.
4. The resident has failed, after reasonable and appropriate notice, to pay for (or to have
paid under Medicare or Medicaid) a stay at the facility.
5. The facility ceases to operate and is closing.
6. The resident’s health has improved sufficiently and no longer needs the services
provided by the facility.
7. All of the above.
2
True or False - The facility must document a transfer or discharge in the resident’s medical record.
1. True 2. False
1
True or False - Where a transfer is based on a facility unable to meet a resident’s needs, a facility
must document the specific resident needs that cannot be met, and all attempts to meet the
resident needs, and how the receiving facility can meet those same needs.
1. True 2. False
1
True or False - The administrator can sign a discharge of a resident involuntarily
when the transfer is due to any type of medical necessity.
1. True 2. False
2
The notice of discharge or transfer must include all of the following except:
1. Contact information of the practitioner responsible for the care of the resident.
2. Resident representative information including contact information.
3. Advance Directive information.
4. All special instructions or precautions for ongoing care
5. A notice to the resident that they are barred from re-admission to the facility in the
future based on state and federal laws
6. The comprehensive care plan goals.
7. The resident’s discharge summary
5
True or False - The administrator can sign a transfer due to non payment.
1. True 2. False
1
True or False - A facility is not required to notify the resident of the transfer or discharge, and
the reasons for the move in writing, and in a language and manner they understand.
1. True 2. False
2
True or False - The facilitymay but is not required to send a copy of the discharge notice to
State Long-Term Care Ombudsman.
1. True 2. False
2
True or False - The facility must record the reasons for the transfer or discharge in the
resident’s medical records.
1. True 2. False
1
A notice of transfer or discharge must be made by the facility at least ____ days before the
resident is transferred or discharged.
1. 10
2. 20
3. 30
4. 60
3
In an emergency transfer, an individual can be transferred without prior notice in which of
the following circumstances?
1. The safety of individuals in the facility would be endangered.
2. The health of individuals in the facility would be endangered.
3. Failure to pay their bills.
4. The resident’s health improves sufficiently to allow a more immediate transfer or discharge.
5. An immediate transfer or discharge is required by the resident’s urgent medical needs.
6. All of the above
6
If the information in a notice of involuntary discharge changes prior to transfer or discharge,
the facility is or is not required to update the recipients of the notice once, the updated
information becomes available.
1. is 2. Is not
1
True or False - A facility is not required to provide and document sufficient preparation
and orientation of residents to ensure a safe and orderly transfer or discharge from the
facility.
1. True 2. False
2
True or False - In the case of a facility closure, the administrator of the facility must provide prior
written notification of the impending closure to the State Survey Agency, the Ombudsman,
residents of the facility, and the resident representatives, as well as the plan for the transfer
and adequate relocation of the residents.
1. True 2. False
1
True or False - Before a nursing facility transfers a resident to a hospital or the resident goes on
therapeutic leave, the nursing facility must provide written information to the resident that
specifies the duration of the state bed-hold policy, if any, during which the resident is permitted
to return and resume residence in the nursing facility.
1. True 2. False
1
True or False - At the time of the transfer of a resident for hospitalization or therapeutic leave,
a nursing facility is not required to provide the resident a written notice of a bed-hold.
1. True 2. False
2
True or False - A resident, whose hospitalization or therapeutic leave exceeds the bed-hold
period under the State plan, may return to the facility to their previous room if available, or
immediately upon the first availability of a bed in a semi-private room, if the resident wants to
come back.
1. True 2. False
1
True or False - At the time each resident is admitted, the facility must have physician orders
for the resident’s immediate care.
1. True 2. False
1
True or False - A facility is not required to complete a comprehensive assessment of a
resident’s needs, strengths, goals, life history and preferences using the resident assessment
instrument (RAI).
1. True 2. False
2
True or False - A facility must coordinate assessments with the pre-admission screening and
resident review (PASARR) program to the maximum extent practicable to avoid duplicative testing
and effort.
1. True 2. False
1
Within how many days of completing a resident’s assessment, must a facility be
capable of transmitting to the CMS the MDS assessment?
1. 3 days
2. 5 days
3. 7 days
4. 10 days
5. 30 days
3
Within how many days after a facility completes a resident’s assessment must the facility
electronically transmit the fully encoded and complete MDS data to the CMS?
1. 7
2. 14
3. 21
4. 48
5. 72
2
True or False - Each individual who completes a portion of the MDS assessment must sign
and
certify the accuracy of the assessment.
1. True 2. False
1
True or False - A PASSAR must document that an individual with a physical and mental
condition requires the level of services provided by a nursing facility.
1. True 2. False
1
True or False - A facility must develop and implement a baseline care plan for each resident that
includes the instructions needed to provide effective and person-centered care of the resident
that meet professional standards of quality care.
1. True 2. False
1
The baseline care plan must be developed within hours of a resident’s admission.
1. 24
2. 48
3. 72
4. 96
2
A baseline care plan must Include the minimum healthcare information necessary to properly
care for a resident and include which of the following?
1. Initial goals based on admission orders.
2. Physician orders.
3. Dietary orders.
4. Therapy services.
5. Social services.
6. PASARR recommendation, if applicable.
7. All of the above
7
The facility may develop a comprehensive care plan in place of the baseline care plan if the
comprehensive care plan is developed within ___ hours of the resident’s admission.
1. 24
2. 48
3. 72
4. 96
2
The facility must provide the resident a summary of the baseline care plan that includes which
of the following?
1. The initial goals of the resident.
2. A summary of the resident’s medications and dietary instructions.
3. Any services and treatments to be administered by the facility and personnel
acting on behalf of the facility.
4. Any updated information based on the details of the comprehensive care plan.
5. All of the above
5
True or False - The facility must develop and implement a comprehensive p e r s o n - c e n t e r e d
care plan for each resident, that includes measurable objectives and time-frames to meet a
resident’s medical, nursing, and mental and psycho-social needs that are identified in the
comprehensive assessment.
1. True 2. False
1
True or False - A facility must document that the resident’s desire to return to the community
was
assessed and any referrals to local contact agencies and/or other appropriate entities, for this purpose.
1. True 2. False
1
A comprehensive care plan must be developed by a interdisciplinary team, that includes all
of the following except:
1. The attending physician.
2. A registered nurse with responsibility for the resident.
3. A nurse aide with responsibility for the resident.
4. Administrator
5. A member of food and nutrition services staff.
6. To the extent practicable, the participation of the resident and the resident’s representative(s).
4
An explanation must be included in a resident’s medical record if the participation of the
resident and their resident representative is determined not practicable for the development of the
resident’s care plan.
1. True 2. False
1
True or False - The comprehensive care plan is reviewed and revised by the
interdisciplinary team after each assessment, including both the comprehensive and quarterly
review assessments.
1. True 2. False
1
True or False - A resident care.plan must be culturally-competent and trauma-infomed.
1. True 2. False
1
True or False - A resident discharge plan is not required to be regularly re-evaluated to
identify changes that require modification of the discharge plan.
1. True 2. False
2
True or False - Care plans must involve the resident and resident representative in the
development of the discharge plan, and inform the resident and their representative of the
final plan.
1. True 2. False
1
True or False - A care plan does not need to document that a resident was asked about their interest
in receiving information regarding returning to the community.
1. True 2. False
2
True or False - If the resident indicates an interest in returning to the community, the facility is
not required to make referrals to local agencies or other appropriate entities to assist them.
1. True 2. False
2
Under Medicare and Medicaid, an individual who willfully and knowingly certifies a
material and false statement in a resident assessment is subject to a civil money penalty of not more than
1. $250
2. $500
3. $750
4. $1000
5. $1500
4
If an individual causes another person to certify a material and false statement in a
resident assessment, they are subject to a civil money penalty of not more than $
1. $1000
2. $2000
3. $5000
4. $10000
3
True or False - If a resident has not resided in the facility for 30 days, a written notice
of discharge is still required.
1. True 2. False
2
True or False - A facility must establish and follow a policy permitting residents to return
to the facility after they are hospitalized or placed on therapeutic leave.
1. True 2. False
1
True or False - Residents have the right to internet video communication if available in the facility.
1. True 2 False
1
True or False - A facility must have an advance directive in each resident chart.
1. True 2. False
2
Who must coordinate an MDS assessment?
1. The DON
2. The attending physician
3. A registered nurse
4. An MDS coordinator
3
Must provide residents a copy of their personal records„ within business
days. 1. 1
2. 2
3. 3
4. 7
5. 10
2
True or False - A facility must only provide residents a copy of their records in the electronic format available at the facility.
1. True 2. False
2
A facility may or may not release resident identifiable information to the public.
1. May 2. May not
2
A registered nurse must or must not sign and certify that a comprehensive assessment is completed.
1. Must 2. Must not
1
A _ _ _ _ _ _ nurse must coordinate the MDS assessment.
1. LPN 2. LVN 3. RN 4. Nurse Practitioner
3
True or False - Must provide records in a format and language the resident understands.
1. True 2. False
1
