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COLORADO NHA FINAL EXAM 2025 LATEST EDITION WITH
CURRENTLY TESTING RATIONALES ACCURATELY SOLVED
When the Department conducts a preliminary assessment and has notified the applicant of any defects, how long does the applicant have to respond? 14 days How long is a provisional license good for 90 days how long is a regular license good for one year when does a facility need to submit their license renewal 60 days prior to the expiration of its existing license If a facility has a license with an insurance policy and any portion of self insured retention or alternate form of security, when should they submit their license application and fee to the Department at least 90 days prior to expiration
If a renewal is not submitted to the department at least 30 days prior to expiration what happens there is a late fee When the Department performs a preliminary assessment for renewal how long does the applicant have to respond? 14 days when does a facility need to submit a change of ownership 90 days before the change 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 within 30 days When is it considered a change of ownership? a xfer of at least 50% of the licensed 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 when there is a transfer of 50% of ownership to another individual
termination or dissolution of company and conversion into any other entity (needs to include at least 50% of ownership to new owners) What does change of ownership not include xfers of ownership between existing 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 a lease or management agreement where owner retains no authority or responsibility for the operation and management of healthcare facility When does the facility need to report a name change 30 days prior to the change If a license is issued to a new owner when does the previous owner need to return their license to the department within 5 days What is a fitness review department review the applicants fitness to conduct or maintain licensed operation
What is the process of a fitness review The Department performs an on site inspection and investigation of compliance with statues and regulations For what time period can the Department allow admissions above the licensed capacity one month In a health emergency how long may a facility exceed its bed capacity 14 days If a facility exceeds its bed capacity due to a health emergency what must it remain in compliance with life safety codes patient staffing regulations existing emergency/disaster plan Is an extension allowed for a health emergency regarding exceeding its bed capacity yes for 14 days What must the facility do if it exceeds its bed capacity
When does the facility need to inform patients of closure and how and were to obtain records within 10 calendar days of closure If the facility has an increase in licensed capacity, change in its management company or change in license category, when does it need to notify the Department within 30 days New Survey Process - extended survey done every ___ years 3 years The new survey process will be fully implemented by what date 7/1/ To be eligible for the new survey process what are the requirements? licensed at least 3 years no enforcement activity within 3 years no patterns of deficient practices within 3 years no substantiated complaints that resulted in deficiencies within 3 years If deficient practice is found during survey the department may perform what? extended survey
What must be included in the plan of correction? how it will be corrected how 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... personal care boarding home of 19 beds or few and community residential home for persons with developmental disabilities What is a quality management program evaluates the quality of patient/resident care and safety When does the quality management program need to be submitted to the Department for approval 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 the department?
What are the types of occurrences that need to be reported within 24 hours Death of patient/resident that is required to be reported to the coroner (unexplained cause or under suspicious circumstance) Injury - brain/spinal cord, life threatening complication of anesthia or life threatening complication from a transfusion errors/reaction Patient/Resident cannot be found following search of facility grounds and surrounding area Physical/sexual/verbal abuse misappropriation of property drugs intended for use by patients are diverted to use by other persons malfunction or intentional or accidental misuse of patient/resident care equipment that occurs during treatment/diagnosis and that adversely affects or would have affect patient/resident. What policy must the facility have regarding death of a resident deaths reportable to local county coroner (consistent with coroners policy) What policy must the facility have regarding occurrences
Requiring employees to report occurences What must be included in the occurrence reporting
- 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 to allow them to inspect their record within 24 hours of request for inpatient within 10 days after discharge Is there a charge for inspecting the records no what must the patient do when inspecting the records 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
What are the Department targets for getting employees vaccinated for 2012, 2013, and 2014 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 have a defined procedure to prevent spread of influenza from it's unvaccinated workers How long should the facility maintain supporting documents regarding vaccinations of its employees 3 years When should the report to the Department stating the qualifying % of its employees vaccinated by 12/31 be submitted March 31st What should the policy for hospitals, ambulatory surgical centers, and long term care facilities include regarding the influenza vaccination? proof of immunization med exemption signed by Dr., PA
Advice from a Practical Nurse or nurse midwife that vaccine for that individual is medical contraindicated Ensuring that each health care worker who does not have proof of immunization wears a mask during flu season when in direct contact with patients and in common areas What should the written policy for the influenza vaccine address ensure each employee is offered an opportunity to receive the vaccine maintain record of each employee's annual immunization, declination or exemption form Ensure all employees are provided info regarding: benefits and risks availability importance of adhering to standard precautions What is the facility required to do during the influenza vaccine period track and report vaccination rate for employees thru 12/ submit report to department by 3/ what is an icf intermediate care facility - for individuals with developmental disabiities What is a revisit
One hour separation wall between the occupancies on the condition that all shall meet the 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? Letter of intent What are the requirements for liability insurane for the owener? Must be held in the name of the licensed applicant with the department listed as a certificate holder. What must the signed statement include for the individual obtaining licensure Has the individual: been convicted of a felony had disciplinary action imposed upon them by an agency in another jurisdiction that registers or licenses health facilitieis had limitation, revocation or suspension by any state board, municipality, federal or state agency of any health care related licensure Received refusal to grant a new license for operation of a health care eneity, contract for participation 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 30 calendar days prior to expiration? 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? increase in licensed capacity change in management company or porposed use of a management agreement not previously disclosed Change in license category or classification What are teh benefits of the extended survey cycle or tiered inspection system Reduce 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 submit or provide to the Department in connection with the licensure inspection
If an extension is needed on a plan of correction, how is it presented? in writing prior to the plan of correction due date. How does the licensee know if the plan of correction is accepted The Department issues a written notice of acceptance$ What is the renewal license fee? $ What is the initial license fee? $ What is the fee for a conditional license $1, What is the fee for the first provisional license? $1, What is the fee for the second provisional license?
What is the fee for change of ownership? $ What is the fee for change in licensed capacity? $ What is the fee for a change of name? $ What is the renewal application late fee? Equal to the applicable renewal license fee including bed fees or operation/procedure room fees What type of facilities are not required to have a Quality Management Program? personal care boarding homes of 19 beds or fewer and community residential homes for persons with developmental disabilities When is a facility required to submit to the Department a Quality Management Program?
