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Colorado NHA Exam Questions And
Answers @ 2024
How often is the Administrator responsible for reviewing the Resident care Policy andprocedures - Answer Annually Occurrence reporting needs to be done in what time frame - Answer 24 hours How many days is the facility required to provide job specific orientation to newemployees - Answer Within 90 days of hire How often is the facility required to access ambulation - Answer monthlyHow often is the facility required to evaluate the appropriateness of indwelling catheter care? - Answer monthlyFor excoriation prevention and care how often is the facility required to do a skin evaluation - Answer weeklyIf a resident has an excoriation how often should the facility evaluate the progress - Answer Daily When should the resident assessment be completed - Answer within 24 hours ofadmission who is responsible to perform the resident assessment? - Answer Licensed NurseWhat areas are covered in the resident assessment of a new resident? - Answer physical, mental and functionalHow many days does the facility have to access the discharge of a patient - Answer 7 dayshow often after the initial discharge assessment should the facility evaluate the discharge potential of the resident - Answer every 3 months or when there is a change of condition Who is responsible for performing the discharge potential of a resident - Answer nursing,dietary and activity When does the nursing care plan need to be completed - Answer within 24 hourswhat departments participate in the care plan - Answer nursing, social services and
activitieshow long does the activities department have to complete the history and assessment - Answer 2 weeks who is responsible for the anticipated schedule of visits for a patient - Answer attendingphysician
how often should the physician see the patient - Answer no less than every 6 months how often should the attending physician write a progress note - Answer after each visit how often should the attending physician perform a written evaluation - Answer once ayear
How many hours are required in a nursing care facility per resident/per day - Answer 2hours
How often should written policies be evaluated - Answer at least annually When should med errors and drug interactions be reported - Answer within 30 minutes After a med error or drug interaction how long should the resident be monitored? -Answer 72 hours
How often should a resident be evaluated for tardive dyskina (because of psychoactivemeds) - Answer every 3 months
When a resident is in physical restraints how often should they be monitored - Answerevery 15 minutes
How often does dietary need to perform a progress note - Answer at least 6 monthintervals
How current does the dietary manual need to be - Answer within 5 years how often are menus planned? - Answer Once a week How long does the facility need to retain menus? - Answer 4 weeks after use how big can the milk container be - Answer cannot exceed 1 pint what temperature does the milk need to be maintained at - Answer 45 degrees F or less How many hours are required for the feeding assistant training program - Answer no lessthan 12 hours
how many students are allowed in the feeding assistant class - Answer no more than 20 what is the passing score for the feeding assistant class - Answer 80% or better when should the individual receive their receipt of completion from the feeding assistantclass - Answer within 10 days
how many times can the individual take the test for the feeding assistant program -Answer twice
if the individual does not pass the feeding assistant test after the second attempt whatmust they do - Answer repeat the feeding assistant training program
The training provider for the feeding assistant program must renew the annualattenstation when - Answer not less than 60 days in advance of expiration
how long must the provider of the feeding assistant training program keep the trainingrecord - Answer not less than 3 years
when should staff receive a copy of resident rights - Answer no later than the first payperiod
when should a grievance be filed - Answer within 14 days how long does the staff have to confer with the persons involved with a grievance -Answer 3 days
if the party is unsatisfied with the findings of a grievance, how long to they have to filethe grievance with the grievance committee - Answer 10 days
How long does the grievance committee have to present written findings of a grievance -Answer 10 days
If the individual is not happy with the written explanation from the grievance committeehow long do they have to file the grievance with the ED of the Department? - Answer 10 days If facility administration does not agree with the findings of the ED of the Department howlong do they have to request a hearing - Answer 30 days
How many members are on the resident advisory committee - Answer no less than 5 how much notice must a facility give for a xfer/discharge/room change - Answer 30 days
no more than 32" above floor level How much of the window in a resident room should be openable without tools - Answer1/
How thick should the bedroom corridor door be - Answer 1 3/4" How wide should the bedroom corridor door be - Answer 3'8" Can the bedroom door swing into the corridor - Answer no how many toilets can you have to serve 2 resident rooms - Answer one for two residentrooms but no more than 4 beds
In a room that contains a water closet how big should the room be - Answer 3'6" what is the size of a door for a room with a water closet - Answer 2'10" can the door in the water closet swing into the toilet room - Answer no how many residents can share a tub/shower in a bathing facility - Answer 15 how wide does the door need to be for a bathing facility - Answer 36" wide If a facility has centralized toilet facilities how many residents per toilet - Answer onetoilet for 8 residents of each sex
if the centralized toilet facility is between adjacent bedrooms one facility can serve howmany beds? - Answer no more than 4 beds
When should staff re-evaluate a resident after placement in a secured unit - Answer 30days after initial placement and no less than 180 days thereafter
How many square feet per resident is required in the common space of a secured unit -Answer 10 sq ft
How much capacity must a facility have for laundry/linen - Answer enough to process 7day supply based on 10 lbs/dry laundryper bed/per day
What is the washing machine temperature I(washing and rinse cycle) and how long -Answer 130 F 25 minutes how many changes per bed (top and bottom sheets, pillowcases, washcloths, bath andface towels) must thee facility have - Answer 3 complete sets
How often does the soiled linen need to be removed from the resident care unit - Answerat least every 8 hours
For infection control what is the temperature that linen/clothing needs to be washed in -Answer 140 F
in an independent care facility how many days a week is a licensed registered nurserequired to work - Answer 7 days a week during the day shift
If an independent care facility is using and LPN as its DON how many hours per week isrequired for consultation by a licensed nurse - Answer 4 hours/week
when does a facility need to submit their license renewal - Answer 60 days prior to theexpiration of its existing license
If a facility has a license with an insurance policy and any portion of self insured retentionor alternate form of security, when should they submit their license application and fee to the Department - Answer at least 90 days prior to expiration If a renewal is not submitted to the department at least 30 days prior to expiration whathappens - Answer there is a late fee
When the Department performs a preliminary assessment for renewal how long does theapplicant have to respond? - Answer 14 days
when does a facility need to submit a change of ownership - Answer 90 days before thechange
A change of ownership for a health care agency, facility for the developmentally disabled,outpatient mental health, extended care facility or hospice with 16 or fewer beds - including nursing homes and rehab facilities need to submit a change of ownership -Answer within 30 days
When is it considered a change of ownership? - Answer a xfer of at least 50% of thelicensed health care facilities direct/indirect ownership interest to one or more new owners When is it considered a change of ownership for a sole proprietorship - Answer whenthere is a transfer of 50% of ownership to another individual
when is it not considered a change of ownership for a sole proprietorship - Answerforming a corporation
when is it considered a change of ownership for a partnership - Answer when there is adissolution of partnership and conversion to another legal structure
when there is a transfer of at least 50% of ownership to new owners when is it not considered a change of ownership for a partnership - Answer Dissolutionof partnership
When is it considered a change of ownership for a corporation - Answer consolidation of2 or more corporations to form a new corporation must involved a xfer of at least 50% ownershipformation of corporation from a partnership, sole proprietor, or LLC (with a transfer of at least 50%ownership)Xfer, purchase or sale of shares in corporation of at least 50% is shifted to one or more new owners When is it considered a change of ownership with a LLC - Answer xfer of 50% ownershipinterest termination or dissolution of company and conversion into any other entity (needs toinclude at least 50% of ownership to new owners)
What does change of ownership not include - Answer xfers of ownership betweenexisting members if transaction does not involve acquisition of ownership interest by a new member When is it considered a change of ownership when dealing with management contracts,leases or other operating arrangements - Answer a lease or management agreement where owner retains no authority or responsibility for the operation and management ofhealthcare facility
When does the facility need to report a name change - Answer 30 days prior to thechange
If a license is issued to a new owner when does the previous owner need to return theirlicense to the department - Answer within 5 days
If the license is not renewed due to cease of operation, final agency action tosuspend/revoke license) when does the license need to be returned - Answer within 10 days to the Department If a health care facility surrenders its license when do they need to inform the departmentregarding the storage and retrieval plan of health records - Answer 10 calendar days prior to closure When does the facility need to inform patients of closure and how and were to obtainrecords - Answer within 10 calendar days of closure
If the facility has an increase in licensed capacity, change in its management company orchange in license category, when does it need to notify the Department - Answer within 30 days New Survey Process - extended survey done every ___ years - Answer 3 years The new survey process will be fully implemented by what date - Answer 7/1/ To be eligible for the new survey process what are the requirements? - Answer licensedat least 3 years no enforcement activity within 3 years no patterns of deficient practices within 3 yearsno substantiated complaints that resulted in deficiencies within 3 years
If deficient practice is found during survey the department may perform what? - Answerextended survey
What must be included in the plan of correction? - Answer how it will be correctedhow it will be monitored
timeline for implementation and change(no longer than 30 days from mailing date of deficiency) signed by director, administrator submitted to department within 10 days (after written notice of deficiencies) Quality Management program is required for all facilities but... - Answer personal careboarding home of 19 beds or few and community residential home for persons with developmental disabilities What is a quality management program - Answer evaluates the quality of patient/residentcare and safety
When does the quality management program need to be submitted to the Department forapproval - Answer within 90 days of the effective date of registration or within 90 days of license issuance What shall the quality management program include when it is submitted to thedepartment? - Answer Description of types of cases, problems or risks, to be reviewed and criteria for identifying potential risks Identification of personnel or community responsible for coordinating qualitymanagement activities
Method for reporting info within prescribed time Method for investigating and analyzing frequency and causes of problems and patternsof problems
Method for taking corrective action including prevention and minimizing problems/risks Method for follow-up of corrective action
occurs during treatment/diagnosis and that adversely affects or would have affectpatient/resident.
What policy must the facility have regarding death of a resident - Answer deathsreportable to local county coroner (consistent with coroners policy)
What policy must the facility have regarding occurrences - Answer Requiring employeesto report occurences
What must be included in the occurrence reporting - Answer 1. summary of findings -whether violation of licensing standard was noted or whether deficiency notice was issued.whether health care entity acted appropriately if investigation wasn't conducted on site how was it conducted
- summary report - shall not identify patient, resident or health care professional While the patient is in the facility and upon discharge how long does the facility have toallow them to inspect their record - Answer within 24 hours of request for inpatient within 10 days after discharge Is there a charge for inspecting the records - Answer no what must the patient do when inspecting the records - Answer sign and date request sign and date record upon inspection what are the charges for a patient/resident (or personal rep) to get copies of their records- Answer $14.00 for the first 10 pages .50 pages 11-40.33 every additional page
what are the charges for a representative (other than a personal rep) with the patientswritten authorization, to get copes of the patients/resident records - Answer $16.50 for the first 10 pages .75 pages 11-40.50 every additional page
What are the charges to get copies of microfilm? - Answer $1.50 per page Is there a charge for copies of a health care record to another healthcare provider -Answer no
How must change/corrections be done to a health record - Answer must note in recorddate, time, nature, reason, correction, deletion or modification, his/her name and name of witness to change, correction, deletion or modification When is the influenza season - Answer Nov 1 - March 31 What are the Department targets for getting employees vaccinated for 2012, 2013, and2014 - Answer 12/31/2012 - 60% vaccinated 12/31/2014 - 75% vaccinated 12/31/2014 - 90% vaccinated What must the facility due regarding employees who do not get vaccinated - Answer havea defined procedure to prevent spread of influenza from it's unvaccinated workers
How long should the facility maintain supporting documents regarding vaccinations of itsemployees - Answer 3 years
When should the report to the Department stating the qualifying % of its employeesvaccinated by 12/31 be submitted - Answer March 31st
What must an individual have to operate a governmental facility - Answer certificate ofcompliance
What is a person guilty of if they are operating a health care facility without a provisional,conditional or regular license from the Department? - Answer misdemeanor and upon conviction shall be punished by a fine of not less than $50 and not more than $500. Eachday of operation shall be consiered a seperate offense.
When are alternatives available for the two hour fire separation wall? - Answer Whenthere are adjoining occupancies by licensed health care entities and all are directly owned by one of the licencess or share the same governing body. What arer the alternatives avaialbe for the two hour fire separation wall? - Answer Installa one hour rated separation wall, between each occupancy if all occupancies are board and care, amculatory care or business occupancy. One hour separation wall between the occupancies on the condition that all shall meetthe applicable standards and the citing of a life safety code deficiencey in one occupany shall result in the citing of all adjoining occupancies. What must a person seeking a license submit to the Department? - Answer Letter ofintent
What are the requirements for liability insurane for the owener? - Answer Must be held inthe name of the licensed applicant with the department listed as a certificate holder.
What must the signed statement include for the individual obtaining licensure - AnswerHas the individual: been convicted of a felony had disciplinary action imposed upon them by an agency in another jurisdiction thatregisters or licenses health facilitieis
had limitation, revocation or suspension by any state board, municipality, federal or stateagency of any health care related licensure
Received refusal to grant a new license for operation of a health care eneity, contract forparticipation in Medicaid, Meidcare or other pulci health or social services payment programs. Had a civil judgement conviction resulting from conduct or an offense in the operation,management of ownership of a health facility related to patient or resident care or fraud in public health or social service payment program. What is the fee for a failure to complete a renewal application to the Department 30calendar days prior to expiration? - Answer Late fee in an amount equal to the applicable renewal fee including any bed fees or opratin/procedure room fees What changes cannot be implemented without Department approval? - Answer increasein licensed capacity
change in management company or porposed use of a management agreement notpreviously disclosed
Change in license category or classification What are teh benefits of the extended survey cycle or tiered inspection system - AnswerReduce the time needed for and costs of licensure inspections for both the Department and the licensed health care entity Reduce the number, frequency and duration of on-site inspections Reduce the scope of data and information that health care entities are required to submitor provide to the Department in connection with the licensure inspection
