Term
| Who has the authority, under ordinary circumstances, to deny a resident a visitor? |
|
Definition
Only the resident; however, facility may establish & enforce visiting hours.
The Administrator may refuse access to any person if the presence of that person would be injurious to the health & safety of a resident or the facility or if the person seeks access for commercial purposes.
(o.s. 63-1-1919(D)) |
|
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Term
| How often shall the resident recieve an accounting of their personal finances when the facility manages their trust fund? |
|
Definition
Quarterly & on Request by resident or representative, the facility shall provide a written itemized statement of all financial transactions involving that resident's trust funds.
(O.S. 63-1-1918[4])
(O.S. 63-1-1920[5]) |
|
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Term
| Do you have to make your survey available to the public? |
|
Definition
Yes. A complete copy of every inspection report of the facility recieved from the Department during the last 3 years.
(O.S. 63-1-1910[1]) |
|
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Term
| Do you have to make resident's rights available to the public? |
|
Definition
Yes. Resident's rights must be posted in a conspicuous, easily accessible lobation in each facility.
Each resident and personally appointed representative shall be verbally advised and provided a copy of such principles prior to or upon admission.
(O.S. 63-1-1918[A]) |
|
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Term
| Do you have to have current licensure information available to the public? |
|
Definition
YES. Facilities' current license is required to be on display in an area of offices accessible to residents, emplyees and visitors. (O.S. 63-1-1909[9])
A record of personnel who are licensed, certified, or registered and employed or retained by the facility who are responsible for patient care must be made abailable to the public. (O.S. 63-1-1910[5])
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Term
| How many days notice must a facility not participating in Medicare/Medicaid, give before an involuntary transfer or discharge of a resident? |
|
Definition
10 day written notice according to the Nursing Home Care Act: (O.S. 63-1-1927)
OR
30 days written notice according to OK State Department of Health: (OAC 310:675-7-4) |
|
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Term
| Who destroys expired medications? |
|
Definition
*NON-CONTROLLED meds that have expired or been dc'd shall be destroyed by the DON and consulting pharmacist or another licensed nurse.
**CONTROLLED meds shall be destroyed by the DON and consulting licensed pharmacist.
(OAC 310:675-9-9.1) |
|
|
Term
Who are you required to notify when a LTC resident complains of an adverse reaction to a medication, according to Oklahoma State Department of Health?
|
|
Definition
You are required to report adverse reactions AT ONCE to the attending physician.
(OAC 310:675-9-9.1[c-4]) |
|
|
Term
| Concerning CEU's, if the NAB has approved a class for credit, can you assume that OSBELTCA will also approve that class? |
|
Definition
Yes. All programs approved by the National Continuing Education Review Service, NAB that recieve NCERS/NAB approval number, will be presumptively accepted by the Board for purposes of meeting Oklahoma's annual CEU requirements.
(OAC 490:1-9-11[e]) |
|
|
Term
| According to OSBELTCA, how many days do you have to notify them of the relocation of your business or personal mailing address? |
|
Definition
15 calendar days.
(OAC 490:10-13-2[f]) |
|
|
Term
| According to Health Department Standards, how frequently is your facility required to provide in-service training for Fire-Safety and First Aid? |
|
Definition
2 inservices of each per year.
(OAC 310:675-13-5[i]) |
|
|
Term
| What is the time-frame for reporting resident abuse, neglect and/or exploitation to the State Health Department, or allegations of abuse to the DHS/LTC Investigations units? |
|
Definition
Initial Report within 24 hours.
(OAC 310:675-7-5.1[1])
Follow-up Reports w/in 5 days.
Final Reports w/in 10 days. |
|
|
Term
| How many days do you have (in addition to telephone reporting) to make an initial report of any of resident abuse to the State Department of Health? |
|
Definition
All reportable incidents shall be made/reported by telephone or fax w/in 24 hours.
(OAC 310:675-7-5.1) |
|
|
Term
| If you have reasonable cause to believe that a vulnerable adult is suffering from abuse, neglect or financial exploitation, you will make your report to either the Department of Health or the office of the DA in the count the allegations occured. When do you make this report? |
|
Definition
As soon as the person is aware of the situation.
(Title 43A 10-104) |
|
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Term
| How long are a physician's oral orders for a chemical restraing valid without a written order? |
|
Definition
Physician's oral orders for chemical restraints, when an emergency neccessitates parenteral administration of such chemical restraint, but is valid only until a written order can be obtained w/in 48 hours.
(OAC 310:675-9-6.1) |
|
|
Term
| How frequently are circumstances requiring physical restraints re-evaluated? |
|
Definition
Facility staff should continually monitor the resident during the restrain period. Circumstances requiring restraints shall be re-evaluated q30mins and documented in the clinical record.
(OAC 310:675-9-6.1) |
|
|
Term
| How many days per Nursing Home Care Act, is an owner of a licensed facility required to give notice prior to voluntarily closing all or part of a facility that will require the transfer or discharge of more than 10% of it's residents? |
|
Definition
The owner must give 90 days notice prior to voluntarily closing any part of a facility if such closing will require the transfer or discharge of more than 10% of the residents.
(O.S. 63-1-1930) |
|
|
Term
| Who is allowed to administer medications? |
|
Definition
Meds shall only be administered by a physician, RN, LPN or CMA. CMA's may only inject insulin and vitamin B12 AND ONLY when spcifically trained to do so.
(OAC 310:675-9.9.1[d][12]) |
|
|
Term
| Where are Social Services rendered recorded, and how frequently are progress notes written? |
|
Definition
SS rendered shall be recorded in the residents record. Progress notes shall be written at least monthly, or when a significant change in the resident's condition occurs.
(OAC 376:675-9-11.1) |
|
|
Term
| What happens when you fail to renew your license on time (and when is that)? |
|
Definition
If the license is not renewed by the last day of the current licensing year, the license lapses and the licensee is considered to hve abandoned his/her license and does not hold a valid license as of 12:01 a.m. the first day of the ensuing licensing year and shall not hold a position or function in the capacity as a LTC Administrator in OK.
(OAC 490:10-3-5[d]) |
|
|
Term
| What does "inactive status" mean according to OSBELTCA? |
|
Definition
| "Inactive Status" means the licensee has voluntarily relinquished his/her priveledge to function in the capacity as a LTC administrator. The licensee retains license, but must meet conditions for re-instatement and Board must formally re-instate license prior to licensee resuming practice as a LTC administrator. |
|
|
Term
| Who issues Licenses to Long-Term Care Administrators? |
|
Definition
OSBELTCA carries out statutory authority for developing, imposing and enforcing standards that must be met by individuals in order for them to recieve, maintain or renew a LTC Administrator's License.
(OAC 490:1-1-1) |
|
|
Term
| How many days does a facility have to contest the non-renewal or revocation of a license or the assessment of administrative penalties by notifying the commissioner of it's request for a hearing? |
|
Definition
If a facility desires to contest the non-renewal or revocation of a license or the assessment of administrative penalties, the facility shall w/in 10 days after the reciept of notice for non-renewal, notify the commissioner in writing of it's request. The Commissioner shall send notice to the facility and hold a hearing.
(O.S. 63-1-1906[F][3]) |
|
|
Term
| What are you allowed to bulk dispense? |
|
Definition
Facilities may have only oral analgesics, antacids, and laxatives for bulk dispensing.
(OAC 310:675-9-9.1[i][8]) |
|
|
Term
| Who do you notify (per Nursing Home Care Act) upon the death of a resident who has no sources of payment for funeral services? |
|
Definition
Upon the death of a resident who has no sources of payment for funeral service, the facility shall notify appropriate county officials who shall be responsible for funeral and burial procedures of the deceased in the manner as with any indigent resident of the county.
(O.S. 63-1-1918[19][H]) |
|
|
Term
| Your facility will have an infection control policy, per Health Department regulations.. What is it that all personnel shall demonstrate their knowledge of through the performance of their duties? |
|
Definition
| All personnel shall demonstrate their konwledge of universal precautions through the performance of their duties. |
|
|
Term
| How frequently, per Health Department regulations, shall the written resident assessment and care plan be reviewed and updated? |
|
Definition
The written resident assessment and care plan shall be reviewed and updated, at least quarterly, and as needed when residents condition indicates.
(OAC 310:675-9-5.1 [b]) |
|
|
Term
Who can designate another person to act on your behalf in your absence (as administrator)?
|
|
Definition
The facility shall designate a person to act for the administrator during his/her absence. The designated person shall have the authority to exercise normal management responsibilities.
(OAC 310:675) |
|
|
Term
How long may your license be on "inactive status?"
|
|
Definition
A licensee's license may remain on inactive status for a period not to exceed two consecutive licensing years.
(OAC 490:10-1-9) |
|
|
Term
| How many hours do you have to notify the Health Department of all incidents pertaining to fire, storm damage, death other than natural causes, missing residents, a utility failiure of more than four hours, and incidents affecting the life and safety of a resident? |
|
Definition
All reports shall be made to the dept by phone or fax w/in 24 hours of occurance.
|
|
|
Term
How many days do you have to conduct an employee health examination for new employees? |
|
Definition
Record of health examination conducted w/in 30 days of employment which shall include, but not be limited to:
1. A Complete Medical History
2. A Physical Exam by Body System
3. A 2 Step TB Test.
(OAC 310:675-7-18.1) |
|
|
Term
| The Quality Assessment and assurance committee (QA) must meet how frequently? |
|
Definition
The QA and assurance committee shall meet at least quarterly to identify quality assessment and assurance activities.
(OAC 310:675-7-16.1) |
|
|
Term
| Facilities must adopt a policy that requires reporting of the loss of personal affect to whom, according to Health Department regulations? |
|
Definition
The facility shall adopt a policy that requires reporting of the loss of personal effects to the administrator, the resident, and the resident's representative. The policy shall require the staff to assist the resident in attempting to locate the lost property, and may at the request of the resident, require the reporting of such losses directly to law enforcement authorities w/out fear of reprisal from the failities administration or staff.
(OAC 310:675-7-9.1[p]) |
|
|
Term
| Does failure to recieve renewal application relieve the licensee of the responsibility of renewing the license, per OSBELTCA rules? |
|
Definition
It is the personal responsibility of each licensee to renew his/her license prior to the expiration date of the current license and further, to ensure that the information he/she provides for purposes of renewal is true and accurate.
(OAC 490:10-3-5) |
|
|
Term
| Maintenence and Housekeeping are required how much inservice (ahnd how frequently) in subjects relevant to services and practices? |
|
Definition
The maintenence staff shall complete one hour of inservice each quarter relevant to maintenence services.
(OAC 310:675-13-10)
Housekeeping staff shall complete one hour of inservice per quarter about housekeeping practices.
(OAC 310:675-13-11) |
|
|
Term
| Who is responsible, according to Health Department Standards, for reviewing the incident reports and including corrective action taken where health and safety are concerned? |
|
Definition
All incident reports shall be reviewed by the Director of Nursing and the Administrator and shall include corrective action taken where health and safety are affected.
(OAC 310:675-7-7.1) |
|
|
Term
Who can be on the residents' advisory council?
Who cannot be? |
|
Definition
** Who can be: Members of RAC shall consist of all current nursing facility residents OR their designated representative. A member of facility staff (designated by administrator) to coordinate and render assistance and respond to requests.
**Who cannot be: No employee or affilliate of the facility shall be a member of the council. The facility shall provide private meeting space.
(OAC 310:675-7-7.1) |
|
|
Term
| Safety glazing shall be of materials and at locations required by what? |
|
Definition
Safety glazing shall be of materials and at locations required by the Oklahoma Safety Glazing Law.
(OAC 310:675-5-18-2-H) |
|
|
Term
| If your ice machine is available to the residents or public, what is required? |
|
Definition
Ice machines available to the residents, or the public, shall be a dispenser type, or have locking enclosure.
(OAC 310:675-9-13.1) |
|
|
Term
| According to Health Department Standards, what is the minimum dietary storage space (how many days supply) including cold storage? |
|
Definition
| Storage space for 4 days supply including cold storage. (OAC 310:675-5-9[2]) |
|
|
Term
| Are the records of the residents advisory council mailed to the Health Department? |
|
Definition
No. Minutes of the residents advisory council meeting shall be prepared by the facility staff and maintained in the facility. A copy of meeting minutes shall be probided to those residents or representatives requesting them. Information identifying a resident shall not be included in the minutes.
(OAC 310:675-7-7.1[d]) |
|
|
Term
| Shall the residents' advisory council communicate opinions and concerns to the administrator? |
|
Definition
YES. The resident's advisory council shall communicate to the administrator the residents' opinions and concerns known to the council.
(OAC 310:675-7-7.1[e]) |
|
|
Term
| May the resident's advisory council communicate opinions and concerns to the administrator? |
|
Definition
Yes. The residents advisory council may present complaints to the Department on behalf of a resident.
(OAC 310:675-7-7.1[g]) |
|
|
Term
| A telephone report of all incidents pertaining to allegations of resident abuse, death other than natural causes, residents missing and other critical incidents to the Oklahoma State Department of Health shall be made within how many hours? |
|
Definition
Initial reports are to be made w/in 24 hours.
Follow up reports w/in 5 days.
Final Reports w/in 10 days.
(OAC 310:675-7-5.1)
|
|
|
Term
| Do employees at a nursing facility have to be properly identifiable to others concerned? |
|
Definition
Each facility shall ensure that each staff member wears an identification badge that clearly indicates the staff members name and title.
(OAC 310:675-1-3) |
|
|
Term
| How long does the Health Department require the facility to maintain employee time recoreds, signed by the employee? |
|
Definition
Copies of current employee time recoreds, signed by the emplyee, shall be maintained for at least 36 months.
(OAC 310:675-7-18.1[2]) |
|
|
Term
| What is the purpose of the Long-Term Care Facility Advisory Board? What does this Board Advise? |
|
Definition
The LTCF Advisory Board shall advise the STate Commissioner of Health.
1. Serve as advisory body to the Dept. for the development and improvement of services, care, and treatment of residents in LTC Facilities.
2. Review, make recommendations regarding and approve in its advisory capacity the system of standards developed by the Dept.
3. Eval and Review the standards, practices and procedures of the Dept.
4. Eval a& Review financial accountability standards, policies and practices of residential care facilities.
5. Publish and distribute an annual report of activities and recommendations for the improvement of services, care & treatment of LTC residents. |
|
|
Term
How soon must a physician be consulted with after the use of chemical or physical restraints, according to the Nursing Home Care Act?
|
|
Definition
Use of a chemical or physical restraint shall require the consultation of a physician within 24 hours of such emergency.
O.S. 63-1-1918 |
|
|
Term
| What is the responsibility of the Commissioner of Health? |
|
Definition
The Commissioner of Health shall take whatever steps necessary to protect the health, welfare, and safety of the residents, including if necessary, petitioning the court to pae the facility under the control lof a reciever to ensure that the residents recieve adequate care in circumstances such as:
1. Facility operating w/o a license.
2. DOH has suspended, revoked or refused to renew the existing license.
3. Facility is closing or has informed the Dept that it intends to close and adequate arrangements for relocation of residents have not been made at least 30 days prior to closure.
4. An emergency exists; whether or not the DOH has initiated revocation or non-renewal procedures, if b/c of the unwillingness or inability of the licensee to remedy the emergency, the appt of a reciever is necessary OR
5. It is necessary to ensure that the residents get adequate care in a situation in which the residents health and safety oare threatened.
(O.S. 63-1-1930.2) |
|
|
Term
| What is the minimum time between meals and the maximum time between the evening and morning meal? |
|
Definition
There shall be at least 4 hours between meals.
(OAC 310:675-9-12.1)
There must be no more than 14 hours between a substanstial evening meal and breakfast the following day; except when a nourishing snack is provided at bedtime, up to 16 hours may elapse between a substantial evening meal and breakfast the following day if a resident group agrees to this meal span, and a nourishing snack is provided.
(F368 CFR, 483.35[f][1][2][3][4]) |
|
|
Term
| Who much storage space (general storage) are you requred to have per bed? |
|
Definition
General Storage Room(s) shall have a total of no less than 10 sq. ft. (0.935 sq. m) per bed and shall be concentrated in one area.
(OAC 310:675-5-13[a]) |
|
|
Term
| Who prepares and signs the Incident Reports, per Health Department Standards? |
|
Definition
At the time of the incident, the administrator, or the person designated by the facility w/authority to exercise normal management responsibilites in the administrators absence, shall be notified of the incident and prepare the report. The report shall include the names of the persons witnessing the incident and their signatures where applicable.
(OAC 310:675-7-12.1[d]) |
|
|
Term
| What is the indoor SUMMER and WINTER design temperature requirement for all areas occupied by residents? |
|
Definition
| For all areas occupied by residents, the indoor winter design temerature shall be 75 degrees F. For all other areas, indoor winter design should be 72 degrees. The indoor summer design temp shall be 80 degrees F for all areas occupied by residents. |
|
|
Term
| Can your facility have a policy that excludes personnel and visitors with communicable infections in order to break the transmission of infection? |
|
Definition
The facility shall adopt a policy to prevent the transmission of infection. It shall include: [1] Excluding personnel and visitors with communicable infections.
(OAC 310:675 -7-17.1[1])
|
|
|
Term
| How far away from any building utilized by residents must fuel or oil for mowers or other yard implements be stored under cover? |
|
Definition
A separate room or building for yard maintenence equipment and supplies, if applicable. Any fuel or oil for mowers or other yard implements must be stored under cover at least 30 ft. away from any building utilized by residents.
(OAC 310:675-6-16[4]) |
|
|
Term
| How many residents can be in a room? |
|
Definition
Resident rooms shall have a maximum capacity of four residents.
(OAC 310:675-5-3[1]) |
|
|
Term
| Milk has to be stored at what maximum temperature? |
|
Definition
| According to the Oklahoma Grade A Milk and Milk Products Act, Title 2 OS 7-401 through OS 7-421, All potentially dangerous foods must be stored at temperature no greater than 41o F. |
|
|
Term
| How soon must the Health Department make their investigation of a complaint available? |
|
Definition
The formal report of a complaint investigation shall be issued to the facility and the complaint, if requested w/in 10 days after completion of the investigation.
(OAC 310-675-7-5.1[b][7][B]) |
|
|
Term
| What is the minimum square footage of a single bed room? |
|
Definition
Resident room with a minimum room area exclusive of toilet rooms, closets, lockers, wardrobes, alcoves or vestibules shall be 100 sq. feet in single bed rooms.
(OAC 310:675-5-3[2]) |
|
|
Term
| Who is delegated the authority and responsibility for the total operation of the facility, subject only to the policies adopted by the governing authority? |
|
Definition
The administrator shall be a person who has the authority and responsibility for the total operation of the facility, subject only to the policies adopted by the governing authority and who is licensed by OSBELTCA.
(OAC 310:675-7-1.1[A]) |
|
|
Term
| What is the maximum water temperature for resident bathing per Health Department standards? |
|
Definition
Maximum water temperature for resident bathing per DHS safety standards is 115 degrees F.
(OAC 310:675, appendix A) |
|
|
Term
What does "In-Charge" or "Supervision" mean as used in the Health Department's definition of Adminstrator?
|
|
Definition
"In-Charge" or "Supervision" meand the administrator must have the requisite authorization from the licensee to make those purchases and incur those necessarily attendant debts in order to comply with the rules promulgated by the board and all pertinent state statutes.
(OAC 310:675-1-1 Definitions) |
|
|
Term
| What is the minimum floor area for a room for examination and treatment of residents? What are the exceptions for the requirement of such a room? |
|
Definition
Room for exam and treatment of residents shall have a minimum floor area of 120 sq. ft. excluding space for vestibule, toilet, closets and work counters. The exception to this rule is in a facility where all rooms are private.
(OAC 310:675-5-4[3]) |
|
|
Term
| Which department, per the Health Department, is responsible for pest control? |
|
Definition
The facility shall have a pest control program provided by maintenence personnell, or by a contract with a pest control company using the least toxic, least flammable and most effective pesticides. If maintenence employees are used, they shall be currently licensed as commercial pesticide applicators.
(OAC 310:675-7-14.1) |
|
|
Term
| How many pounds (concentrated load) are grab bars required to be capable of sustaining? |
|
Definition
Grab bars shall be provided at all residents' toilets, showers and tubs and sitz baths. The bar shall have 1 1/2 clearance to walls and have sufficient strength to and anchorage to sustain a concentrated load of 250 pounds.
(OAC 310:675-5-18[J]) |
|
|
Term
| If animals are allowed in a facility, who are they the responsibility of? |
|
Definition
Residential pets are the responsibility of the administrator, who shall designate at least one attendant to supervise the care and maintenence of resident animals.
(OAC 310:675-7-19[7]) |
|
|
Term
| Who is responsible for preparation, supervision, and filing of administrative records, according to Health Department Standards? |
|
Definition
The administrator shall be responsible for the preparation, supervision and filing of records.
(OAC 310:675-7-8.1[9]) |
|
|
Term
| What injectables can a specifically trained certified medication aide lawfully administer? |
|
Definition
The only injectables which a CMA may administer are insulin and vitamin B12 and only when specifically trained to do so.
(OAC 310:675-9-9.1[d][14]) |
|
|
Term
| Installation of elevatores in nursing facilities, according to Health Department standards, shall comply with what? |
|
Definition
Installation of elevator in Nursing Facilities shall comply with ANSI 17.1-1971.
(OAC 310:675-5-19[8]) |
|
|
Term
| Who appointes members of OSBELTCA and under whose advice and consent are these appointments made? |
|
Definition
15 members. 12 members shall be appointed by the Governor, with the advice and consent of the Senate.
(Title 63, Chapter 12) |
|
|
Term
| Which public official(s) must be member of OSBELTCA? |
|
Definition
The other 3 members shall constitute the State Commissioner of Health, the Director of the Department of Human Services & the Director of the Department of Mental Health & Substance Abuse Services or their designees.
Title 63, Chapter 12. |
|
|
Term
| How many LTC administrators are required to be members of OSBELTCA? |
|
Definition
8 members shall be representatives of the professions and institutions of LTC, with representation from each type of administrator.
Title 63, Chap 12 |
|
|
Term
| How many years (or equivalent) must a LTC administrator appointed to serve on the OSBELTCA have, in addition to being currently licensed? |
|
Definition
In order to be eligible to serve as a member, such administrators shall be licensed or certified in their defined facility type and be in good standing and have a least 5 years of experience as an administrator.
Title 63, Chapter 12 |
|
|
Term
| Is it a felony to act or serve in the capacity of an administrator in a LTC facility without a license issued by OSBELTCA? |
|
Definition
No. It shall be unlawful and a misdemeanor for any person to act or serve in the capacity as a LTC administrator unless the person is the holder of a license or certification as LTC administration, issued in accordance with the provisions of this act.
Title 63, Chapter 12 |
|
|
Term
| Once a medication is prepared, how long does the person administering it have to administer it? |
|
Definition
Medications shall be prepared within one hour of administration.
(OAC 310:675-9-9.1[o][z]) |
|
|
Term
| Nursing Facilities are licensed by what agency? |
|
Definition
Oklahoma State Department of Health
(OAC 310:675-3-1.1) |
|
|
Term
| How many CEU's are required as a condition of re-licensure as a LTC administrator? |
|
Definition
Licensee's holding an 'active' license, shall sucessfully complete 24 clock hours of CEU's during each licensing year.
(OAC 490:1-9-4) |
|
|
Term
| Who is responsible for the development of resident medical care policies and the coordination of medical care in the facility? |
|
Definition
The medical director is responsible for implementation of resident medical care policies and the coordination of medical care in the facility.
(OAC 310:675-7-2.1) |
|
|
Term
| How many years of experience does a person have to have to be granted "reciprocity" for licensure, coming from another state? |
|
Definition
Sufficient proof that applicant has served full time for the past 2 years in a jurisdiction regulated by a licensing authority OR been active in LTC for at least 2 of the past 5 consecutive years.
(OAC 490:10-1-3[b-1]) |
|
|
Term
| In Oklahoma, a revoked license may be restored after how long? And how long must one wait to have a suspended license retored? And for both, at whose discretion is this? |
|
Definition
|
|
Term
| In Oklahoma, what is the minimum education requirement for licensure as a LTC administrator? |
|
Definition
A Bachelor's Degree.
(OAC 490:10-1-3[b-1]) |
|
|
Term
| How many days prior to expiration of a current LTC administrators license shall you file for renewal? |
|
Definition
Prior to the expiration date on the current license.
(OAC 490:10-3-5[a-1]) |
|
|
Term
| According to the Nursing Home Care Act, what portion of an administrators full working time shall be spent on on-the-job supervision of the nursing home? |
|
Definition
The administrator must devote at least 1/3 of such person's time to on-the-job supervision of the facility.
O.S. 63-1-1902. Definitions. |
|
|
Term
| How many of the LTC facility Advisory Board members are operator-administrators of LTC facilities? |
|
Definition
3 members shall be of reputable and responsible character & sound physical and mental health & shall be operator-administrators of Nursing Homes which have current licenses issued pursuant to the Nursing Home Care Act & who shall have 5 years experience in the Nursing Home profession as operator-administrators.
(O.S. 63-1-1923[1j]) |
|
|
Term
| How often are you required to review and revise written administrative policies governing the administration of the facility? |
|
Definition
The facility shall maintain written policies to govern the administration of the facility. These policies shall be reviewed annually and revised as necessary.
(OAC 310:675-7-9.1[A]) |
|
|
Term
| How many complete CHANGES of linen (per bed) are required in a facility's resident linen supply? |
|
Definition
The facility's linen supply shall include at least two complete changes of a linen for each resident bed.
(OAC 310:675-7-15.1[b-6]) |
|
|
Term
| How long are you required to maintain resident clinical records after discharge of the resident, according to Health Department Standards? |
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Definition
The resident's clinical record shall be retained for at least 5 years after the resident's discharge or death. A minor's record shall be retained for at least 2 years after the minor has turned 18, but no less than 5 years in any case.
(OAC 310:675-7-10.1[b]) |
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Term
| What is the minimum number of hours per week that social services are to be provided? How many minutes per resident week? |
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Definition
There shall be at least 30 minutes per resident a week of designated Social Services staff based on the daily census. 20 hours per week of designated Social Services staff, regardless of the number of residents.
(OAC 310:675-13-9[a]) |
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Term
Do residents have the right to be notified of a room or roommate change?
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Definition
Yes. Every resident shall have the right to recieve notice before the room or roommate of the resident in the facility is changed.
(O.S. 63-1-1918[9]) |
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Term
| Do residents always have the right to refuse medication and treatment after being fully informed of and understand the consequences of such action? |
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Definition
YES. Every resident shall have the right to refuse medication and treatment after being fully informed of and understanding the consequences of such actions unless adjudged to be mentally incapacitated.
(O.S. 63-1-1918[5]) |
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Term
| Who does the Nursing Home Care Act appy to? Who doesn't it apply to? |
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Definition
| Applies to Nursing Homes. Does not apply to private facilities, ICF/MR's, Assisted Living or Adult Day Cares. |
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Term
| What is the definition of an "incident"? |
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Definition
An incident is defined as any accident or unusual occurance where there is an apparent injury, where injury may have occurred including but not limited to, head injuries, medication, treatment errors or events subject to reporting requirements in 310:675-7-5.1.
(OAC 310:675-7-12.1[a]) |
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Term
| Do residents have the right to self administer medications? |
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Definition
Yes. With restrictions.
See (OAC 310:675-9-9.1[9]&[10]) |
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Term
| What does MDS stand for and what does it tell us in a sentence? |
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Definition
| The MDS or Minimum Data Set is a resident assessment tool, utilizing computerized resident information to assess and monitor resident care. Reports are electronically transmitted to CMS, as well, to classify a resident into a Resource Utilization Group which sets the reimbursement level for the patients care. It is a core set of screening, clinical, and functional status element, including common definitions and coding categories that form the foundation for the comprehensive assessment for all residents of long-term care facilities certified to participate in Medicare and or Medicaid. It is, simply put a set of standardized screening elements that must be assessed for each patient admitted to a SNF. |
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Term
| Who is responsible for the MDS assessment? |
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Definition
Each resident shall have an assessment coordinated by or conducted by an RN.
(OAC 310:675-9-5.1[B]) |
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Term
| Who else, other than RN, must participate in the MDS assessment? |
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Definition
Efforts shall be made to include the resident & the resident's representative in development and implementation of the care planning process.
(OAC 310:675-9-5.1[b]) |
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Term
| What is the "RAP process" and how does it relate to the MDS? |
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Definition
RAP=Resident Assessment Protocol Summary. RAP's are triggered by the MDS assessment. For each triggered RAP, the RAI maual is used to identify areas needing further assessment. IDT review is recommended to facilitate a comprehensive review of the resident's status.
[NursingHomeHelp.org] |
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Term
| How soon after admission must the initial asessment be completed? |
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Definition
The initil assessment shall be completed w/in 14 day after the admission of the resident.
(OAC 310:675-9-5.1[c][1][c]) |
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Term
| After the initial assessment, how long does the facility have to complete the care plan for that resident? |
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Definition
An initial care plan shall be completed @ the time of admission. The individualized care plan shall be completed w/in 21 days after admission. A care plan shall be completed w/in 7 days after completion of the assessment.
(OAC 310:675-9-5.1[c][3][E]&[F]) |
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Term
| How frequently is the MDS updated? |
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Definition
The MDS shall be updated at least quarterly. Also, for significant changes in statu, significant corrections and completion of subsets upon a residents transfer, re-entry, discharge or death.
(OAC 310:675-9-5.1[c][1][F]) |
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Term
| For residents on Medicare, what are the key days that assessments are due? |
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Definition
5, 14, 30, 60, 90
(Handout) |
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Term
| Where is the MDS sent? How? |
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Definition
The MDS is electronically sent to the State Health Deparment and from there, included in the National MDS Repository
-handout |
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Term
| Where does the MDS go after transmission to CMS? |
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Definition
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Term
| How far away does the resident room have to be from the soiled workroom or soiled holding room? |
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Definition
No resident room shall be locate more than 120 ft. from the soiled work room or soiled holding room.
(OAC 310:675-5-3[7]) |
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Term
| What are the size requirements for showers in central bathing facilities? Why? |
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Definition
Each tub or shower shall be in an individual room or enclosure which provides space for the private use of the bathing fixture, for drying, dressing, and for wheelchair and attendant. Showers in central bathing facilities shall be at least 4 ft sq without curbs and designed to permit use by a wheelchair resident and assisting attendant.
(OAC 310:675-5-4[a]) |
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Term
| How much clearance shall grab bars (at all resident toilets, showers, tubs and sitz baths) have to walls? |
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Definition
Grab bars shall be provided at all resident's toilets, showers, tub and sitz baths. The bar shall have 1 1/2 in. clearance to all walls and shall have sufficient strength and anchorage to sustain a concentrated load of 250 lbs.
(OAC 310:675-5-18[2][J]) |
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Term
| If you do an investigation and determine that an allegation of abuse was not substantiated, should that incident have been reported to the State? |
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Definition
YES. The facility shall report to the Department ALL allegations of resident Abuse, Neglect or the misappropriation of resident's property within 24 hours of the occurance.
(OAC 310:675-7-5.1[b]) |
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Term
| How much clearance shall handrails have between the handrail and wall? |
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Definition
Handrails shal be provided on both sides of corridors used by residents. A clear distance of 1 1/2 inch shall be provided between the handrail and the wall.
(OAC 310:675-7-5.1[2][L]) |
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Term
| Within how many days are complaints alleging other than immediate jeopardy or actual harm (a primary complaint) to be investigated? |
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Definition
A complaint alleging other than immediate jeopardy or actual harm to a resident shall be classified as a primary complaint and shall be investigated within 30 days.
(OAC 310:675-7-6.1[4][C]&[D]) |
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Term
| Complaints Classified as "Immediate Jeopardy" shall be investigated by the Department with in how many days? |
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Definition
A complaint alleging a situation in which the facilities non-compliance with state and/or federal requirements relating to Nursing Facilities has caused, or is likely to cause serious injury, harm, impairment or death to a resident shall be classified as "IJ" and investigated by the Department within 2 working days.
(OAC 310:675-7-6.1[4][A]) |
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Term
| What's required to be in the resient's clinical record? |
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Definition
The resident clinical record shall include: an admission record sheet with demographic information, admit physician orders, physician orders, the most recent hx and physicial, nurses notes that are dated and timed at time of entry, graphic records for vital signs, progress notes, MDS assessment, care plan, inventory of personal effects, written reciept of resident rights, d/c summary if applicable, tx form when tx'd to another facility, any copies of legal documentation, advanced directive, DNR, etc...
(OAC 310:675-7-10[j1-13k] |
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Term
| A resident minor, (age 16), dies in your facility. You are required to keep such clinical records for a minimum of 2 years after the age of 18. Can you destroy these records when this resident's 20th birthday comes around? |
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Definition
No. 18+2=20+3=23.
The resident clinical record shall be retained for at least 5 years after d/c or death. A minors record shall be retained for at least 2 years after the mnior has reached the age of 18 but, in no case, less than 5 years.
(OAC 310:675-7-10.1[b]) |
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Term
| A resident (age 12), dies in your facility. You are required to keep such clinical records for a minimum of 2 years after the age of 18. Can you destroy these records when this resident's 20th birthday comes around? |
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Definition
YES. 12+6=18+2=20
The resident clinical record shall be retained for at least 5 years after d/c or death. A minors record shall be retained for at least 2 years after the mnior has reached the age of 18 but, in no case, less than 5 years.
(OAC 310:675-7-10.1[b])
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Term
| The facilities linen supply shall include at least how many complete changes of linen for each resident bed? So, how many sets are required per resident bed, recognizing the difference between "changes" and "sets"? |
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Definition
The facility linen supply shall include at least 2 complete changes of linen for each resident bed. So, 3 complete sets per resident bed.
(OAC 310:675-7-15.1[b][6]) |
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Term
| What can be stored on the floor in general storage? |
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Definition
No item shall be stored directly on the floor.
(OAC 310:675-7-15.1[c][7]) |
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Term
| Under what conditions may a licensed nurse use physical restraints without a physician's orders? |
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Definition
A licensed nurse may use physical restraints, w/o physicians order, if necessary to prevent injury to the resident, or to other residents, when other measures are not effective. The Licensed Nurse shall document in the clinical record, the application of physical restraint and alternative measures that were not effective. A Licensed Nurse shall contact the physician for physical restraint orders within 6 hours after the application.
(OAC 310:675-9-6.1[A][1]) |
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Term
| When physical restraints are required, how frequently must the circumstances be re-evaluated and where is this to be documented? |
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Definition
Circumstances requiring physical restraints shall be re-evaluated q30mins and documented in the clinical record.
(OAC 310:675-9-6.1[b][3]) |
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Term
| Can milk be stored in a frozen state? |
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Definition
Milk for drinking shall be stored at ta temperature of 410 or below and shall not be stored in a frozen state.
(OAC 310:675-9-13.1) |
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Term
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Definition
| Qualified Mental Retardation Professional |
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Term
| How many hours per week of designated activity staff are required? |
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Definition
There shall be at least 20 hrs per weekof designated activity staff.
(OAC 310:675-13-8) |
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Term
| How many years worth of inspection reports for your facility are you required to have retained for public inspection? |
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Definition
Copies of inspection reports from the local, county, and state agencies during the past 3 years.
(OAC 310:675-7-8.1[12]) |
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