question

65 to 74 years old

answer

Gerontologists Categories - How is Young-Old Defined?

question

75 to 84 years old

answer

Gerontologists Categories - How is Old-Old Defined?

question

Over 85 + years old

answer

Gerontologists Categories - How is Oldest-Old Defined?

question

14 Hours, if the required evening snack is substantial and the resident approves 16 hours may elapse

answer

The morning meal must be served within how many hours after the previous meal?

question

120 Beds

answer

A full time social worker is required if the facility has more than how many beds?

question

BS (Bachelors of Science) in Social work, psychology or rehabilitation counseling. Also, 1 year of supervised social work experience in a health-care setting

answer

What qualifications are required of a full time social worker?

question

When ADC (Average Daily Census) is 60 or lower

answer

When can the DON act as charge nurse?

question

5% gain/loss in one month or a 10% gain/loss in a 6 month period

answer

What is a substantial weight loss or gain?

question

Once every 30 days for the first 90 day period, then at least every 60 days thereafter

answer

How often are physicians required to visit their patients?

question

7 Days (Medicare or 14 days Medicaid)

answer

A comprehensive care plan must be developed with how many days of MDS completion?

question

As Needed

answer

If marked PRN a medication is administered?

question

Twice a Day

answer

If marked BID a medication is administered?

question

Three Times a Day

answer

If marked TID a medication is administered?

question

Four Times a Day

answer

If marked QID a medication is administered?

question

Every Day

answer

If marked QD a medication is administered?

question

Every Other Day

answer

If marked QOD a medication is administered?

question

At Bedtime

answer

If marked HS a medication is administered?

question

Before Meals

answer

If marked AC a medication is administered?

question

After Meals

answer

If marked PC a medication is administered?

question

Orally (by mouth)

answer

If marked PO a medication should be given by which route?

question

Rectally

answer

If marked R a medication should be given by which route?

question

Intravenously

answer

If marked IV a medication should be given by which route?

question

Intramuscularly

answer

If marked IM a medication should be given by which route?

question

Right Eye

answer

If marked OD a medication should be given by which route?

question

Left Eye

answer

If marked OS a medication should be given by which route?

question

Both Eyes

answer

If marked OU a medication should be given by which route?

question

Right Ear

answer

If marked AD a medication should be given by which route?

question

Left Ear

answer

If marked AS a medication should be given by which route?

question

Both Ears

answer

If marked AU a medication should be given by which route?

question

Prevalence of Fecal Impaction

answer

Quality Indicator sentinel health event signified by QI 11?

question

Prevalence of Dehydration

answer

Quality Indicator sentinel health event signified by QI 15?

question

Prevalence of Stage 1-4 Pressure Ulcers

answer

Quality Indicator sentinel health event signified by QI 24?

question

90% Percentile (the higher the % the worse the flag)

answer

Quality Indicators (QI) will be flagged at what percentage?

question

Ambulation/Locomotion, Eating, Toileting, Grooming/Personal Hygiene/Bathing, and Communicating

answer

Activities of Daily Living (ADL) include? (5 areas)

question

On a Schedule from 1 to 5. The higher the # the more controlled the substance.

answer

How are Controlled Substances rated?

question

Must have Separate Locked Storage. Must be Accounted for Each Shift.

answer

What controls are necessary for #2 scheduled substance?

question

1 Year

answer

If an applicant isn't hired how long must their application be kept in file?

question

12 hours

answer

How many hours of In-Service must C.N.A.'s have each year?

question

4 Months (i.e.. They are going through classes or waiting to take a test for certification)

answer

How long can aides work before they become certified?

question

90 Days

answer

A facility must give how many days notice to a Union for a desired contract change?

question

10 Days

answer

A Union must give how many days notice before a strike?

question

3 years from the date of hire or until 1 year after termination (whichever is later)

answer

An I-9 must be retained for how long?

question

90 Days

answer

Employees returning from Military leave must apply to return to work within how many days of discharge?

question

Family and Medical Leave Act

answer

What does FMLA stand for?

question

12 Weeks unpaid leave

answer

What benefits does FMLA provide?

question

30 Days Notice

answer

How many days notice must an employee give to go out on FMLA?

question

Within 8 hours

answer

An accidental death must be reported to OSHA within what time frame?

question

Autocratic

answer

Type of leadership known as Top down leadership?

question

Assets, Liabilities, and Owners Equity (all on a particular date)

answer

Balance sheet is made up off which three items?

question

Revenues and Expenses

answer

An Income Statement shows?

question

Contingent Liabilities (ex. Court Case)

answer

Liabilities that may or may not be incurred by a facility depending on the outcome of a future event?

question

Per Diem

answer

A fixed daily payment?

question

Medicaid- $50; Medicare-$100

answer

Residents funds in excess of what amount must be kept in an interest bearing account?

question

Acid Test Ratio

answer

(Cash + Current Receivables) / Current Liabilities =

question

Current Ratio

answer

Current Assets / Current Liabilities

question

Debits

answer

Under double entry rules increases in assets and expenses are recorded as?

question

Credits

answer

Under double entry rules decreases in assets and expenses are recorded as?

question

Credits

answer

Under double entry rules increases in Liability, Revenue and Capital accounts are recorded as?

question

Debits

answer

Under double entry rules decreases in Liability, Revenue and Capital accounts are recorded as?

question

Ancillary Services (ex. Labs, Radiology, Pharmacy Services, and Rehab Therapies)

answer

Services which are not generally provided to most residents and which may be separately billable?

question

1/4 Inch

answer

Thresholds may not rise over?

question

71 - 81 Degrees Fahrenheit

answer

What is the acceptable air temperature range in a facility?

question

Weekly (minimum) or ASAP when visibly contaminated.

answer

Soiled Linen carts should be decontaminated how often?

question

Health Hazard (Chemical)

answer

A Hazard posed by medications is a?

question

Physical Hazard

answer

A Hazard posed by surroundings is a?

question

Quarterly (4 times a year for each shift)

answer

How often must fire drills be performed?

question

32 Inches

answer

What is the minimum width of egress doors?

question

Quarterly

answer

How often must the QA Committee meet?

question

DON, a Physician, and Three other Staff Members

answer

The QA Committee meeting must include whom?

question

80 sq.ft..

answer

A resident's room must have at least how much useable space?

question

100 sq.ft..

answer

Minimum area in a single (private) resident room?

question

A Board of Directors

answer

For Profit Organizations are governed by?

question

A Board of Trustees

answer

Non-Profit Organizations are governed by?

question

1) Food (physiological); 2) Safety; 3) Love; 4) Power (esteem); 5) Self-Actuating Needs (ex. Fulfilling ones potential)

answer

What are the 5 levels of needs in Maslow's Hierarchy?

question

The use of Fear of Punishment to motivate (assumes employees are inherently lazy and dislike work)

answer

Theory X advocates?

question

Rewards employees for accomplishing goals (assumes employees like work as much as play)

answer

Theory Y advocates?

question

Participation in Nature. Employees have input into how their work is done and how decisions are made.

answer

Theory Z advocates?

question

Generally associated with the environment in which they are working.

answer

What does Herzberg's Two Factor Theory teach regarding employees negative feelings about work?

question

When employees feel good about work they associate it with the work itself.

answer

What does Herzberg's Two Factor Theory teach regarding employees positive feelings about work?

question

Hygiene Factors (ex. Status, Job security, salary, fringe benefits, work conditions)

answer

Herzberg's dissatisfaction factor equates to?

question

Motivators (ex. Challenging work, recognition, responsibility)

answer

Herzberg's satisfaction factor equates to?

question

Line Authority

answer

Type of authority characterized by direct supervision over a subordinate?

question

Staff Authority

answer

Type of authority characterized by advisory capacity?

question

Incidents resulting from medical devices causing death or serious injury must be reported to SMD within 24 hours and to the FDA within 10 days.

answer

The Safety Medical Devices Act requires that a serious injury or death be reported to whom and when?

question

OT computed at 1 1/2 times the regular pay rate. Based on 14 day period with any time over 8 hrs daily and over 80 hrs in the 14 day period being overtime.

answer

The Fair Labor Standards Act requires overtime be computed how and what rate?

question

24 Consecutive Months

answer

To avoid retraining and a competency evaluation program a C.N.A. must work continuously for how long?

question

Quality Assurance Committee

answer

What does QAC stand for?

question

Polypharmacy

answer

The use of 9 or more medications for a given resident?

question

Occupational Therapy

answer

OT?

question

Physical Therapy

answer

PT?

question

Speech Therapy

answer

ST?

question

Supportive care provided to terminally ill patients and their families in the final 6 months of a patients life.

answer

What is the Medicare definition of Hospice Care?

question

Management and support provided for reduction or abatement of pain. Doesn't include treatment to cure medical condition or to artificially prolong life.

answer

Palliative Care is defined as?

question

40 to 70 years old.

answer

The Age Discrimination Act protects employees in what age group?

question

Quarterly, Form 941 is the Employers Quarterly Federal Tax Return

answer

How often must form 941 be filed by employers?

question

Amount witheld for federal income taxes and the employer's & employee's share of FICA and Medicare taxes.

answer

What information is included in Form 941?

question

Self pay residents (third party programs may not be billed in advance)

answer

Residents paying in this manner may be billed in advance?

question

Within $200 of the limit

answer

Residents must be notified when their account rises to within what amount of the resource limit the state has established?

question

Days of Cash

answer

(Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) =

question

(Cash + Marketable Securities) / ((Total Operating Expenses - Depreciation) / 365) =

answer

Days of Cash

question

Days in Resident Accounts Receivable

answer

Net Resident Accounts Receivable from all Sources / (Net Patient Revenue / 356) =

question

DSO (Daily Sales Outstanding)

answer

Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) =

question

Outstanding Accounts Receivable / (3 month net revenue / total days in 3 month period) =

answer

DSO (Daily Sales Outstanding)

question

Revenue and Expense Categories

answer

The operating budget is composed of what two categories?

question

Cash Budget

answer

The type of budget that projects cash inflows and outflows?

question

Capital Budget

answer

The type of budget that reflects long-term capital decisions?

question

Pro Forma Statement

answer

The organizations expected financial condition if the budgeted amounts are realized?

question

Short term notes, cash, and accounts receivable

answer

Liquid assets include?

question

in the Laundry Room and Every Med Cart

answer

Where must Sharps containers be provided?

question

18 inches (items may not be stored above 18 inches below the sprinkler heads)

answer

What space must be provided below automatic sprinkler heads?

question

2 hours

answer

Building additions must be separated by a fire barrier with at least the following rating?

question

140 F

answer

Hot food should be served at what temperature?

question

HCFA (Health Care Financing Administration) preferred term in now CMS (Centers for Medicare and Medicaid Services)

answer

Which federal agency mandated the RAI (Resident Assessment Instrument)?

question

No

answer

Is the administrator typically a primary interdisciplinary team member?

question

Schedule 1 (ex. Marijuana, Heroin, Ecstasy, LSD, etc.)

answer

Drugs that have a high tendency for abuse and no medical use?

question

Schedule 2 (ex. Cocaine, Opium, Morphine, Fentanyl, Amphetamines, etc.)

answer

Drugs that have a high tendency for abuse, may have an acceptable medical use, and can be available by prescription?

question

Schedule 3 (ex. Anabolic Steroids, Codeine, Ketamine, etc.)

answer

Drugs with less potential for addiction and have a currently accepted medical use?

question

Schedule 4 (ex. Valium, Xanax, Phenobarbital, Rohypnol)

answer

Drugs with low potential for abuse and limited addictive properties and a current accepted medical use?

question

Schedule 5 (ex. Cough suppressants with Codeine)

answer

Drugs with lowest potential for abuse, current accepted medical use, often don't require a prescription?

question

Illiteracy - Not having learned to read

answer

Under the ADA (Americans with Disabilities Act) what item is not a disability?

question

The Civil Rights Act

answer

The Pregnancy Discrimination Act is an amendment to what other act?

question

Personnel Policies

answer

Fringe benefits are typically outline in?

question

EEOC (Equal Employment Opportunity Commission)

answer

The ERISA (Employee Retirement Income Security Act) is enforced by which agency?

question

Periodically balance each account

answer

What must be done after entering a transaction in the journal and posting it to the ledger?

question

LIFO, FIFO, Physical, & Perpetual (Posting is Not)

answer

What terms are used to refer to inventory?

question

Federal Unemployment Tax Act (unemployment tax)

answer

FUTA refers to?

question

List

answer

An invoice is usually a?

question

Debits, Credits, Names of Accounts (not zero balance)

answer

A current trial balance includes?

question

3 Feet

answer

How much space must be between beds in multibed rooms?

question

CDC (Centers for Disease Control and Prevention)

answer

What agency prepared "standard precautions" procedures?

question

The State

answer

What entity establishes the resident to bathroom/toilet ratio?

question

Flashover

answer

A fire that is out of control is referred to as a?

question

NFPA (National Fire Protection Association) and OBRA (Omnibus Budget Reconciliation Act)

answer

Two entities that have established regulations relative to requirements for emergency electrical power?

question

Yes

answer

Must a totally Private Pay Health Care Facility be licensed?

question

Education and Quality Control

answer

What are the two most important risk management tools?

question

A Guardian

answer

In civil law a Curator is?

question

180F

answer

What temperature should dishwasher rinse water be?

question

A syndrome

answer

A group of symptoms that occur together?

question

Dietary, Admission, and Infection Control Policies

answer

Under OBRA (Omnibus Budget Reconciliation Act) the medical director is responsible for the implementation of?

question

5 years after discharge or 3 years after a discharged resident reaches the age of 18.

answer

How long must medical records be maintained?

question

Morphine, Codeine, Ritalin, and Nembutal, etc.

answer

Examples of Schedule 2 drugs?

question

The 5 Schedules of drugs.

answer

The Comprehensive Drug Abuse Prevention and Control Act established the?

question

Specific Treatment

answer

A modality is a?

question

Employee retirement, marriage dissolved, employee fired (not if the employee's work hours are reduced)

answer

When must a continuation of employee insurance be offered under COBRA?

question

Employee Productivity

answer

(required staff / provided staff) * 100 =

question

Amortization

answer

A declining proration of asset cost is defined as?

question

Retained Earnings

answer

The income of a proprietary corporation remaining after all costs, taxes, and dividends is defined as?

question

Medicaid

answer

What is the primary source of payment in a nursing facility?

question

Table of Contents

answer

To what does a chart of accounts compare?

question

50%, the employer pays the other 50%

answer

Employees pay what percentage of the FICA cost?

question

5%

answer

The percentage of accounts outstanding for more than 60 days should never exceed?

question

1 1/2 hours

answer

All corridor doors must have a solid banded-wood core or an equivalent with what fire protection rating?

question

One hour per day per housekeeping employee per 1,000 sq.ft.

answer

What is the national standard for budgeting the time required for cleaning a facility?

question

12 inches

answer

The handrails in stairwells must extend beyond the first and last steps by?

question

Class C Fires

answer

What type of fires involve electrical equipment?

question

75 feet of travel distance

answer

Class A fire extinguishers must be located every?

question

The entire month of February (every year)

answer

When must OSHA accident reports be posted?

question

The Older Americans Act of 1965

answer

What act established the position of long term care ombudspersons?

question

Attending Physician

answer

The interdisciplinary team must include?

question

Every 30 minutes

answer

Physical restraints must be monitored?

question

20 Minutes

answer

How long must vegetables be boiled to kill off the Botulism causing bacteria?

question

35%

answer

When meat is cooked too high it can shrink by what factor?

question

The development and maintenance of quality care programs.

answer

Quality improvement is defined as?

question

Maintain quality care.

answer

Quality control relates to policies and procedures designed to?

question

Within 48 hours of admission unless such examination was performed within 5 days prior to the admission.

answer

When must the admission medical evaluation (physical examination) be performed?

question

Forward Reach - 48 inches and Side Reach - 54 inches

answer

What are the maximum forward and side reaches for switches and controls?

question

Equal Pay Act, Title 7 of the Civil Rights Act, and the Age Discrimination in Employment Act (not the Fair Labor Standards Act).

answer

EEOC enforces which three acts?

question

U.S. Department of Labor

answer

OSHA is under the?

question

60 Days

answer

Under COBRA an employee has how many days to elect to continue coverage?

question

3 Feet

answer

Air temperature should be measured how many feet above the floor in resident rooms and dining areas?

question

36 Inches

answer

Walks must be how wide?

question

2 years

answer

According to Medical Device Reporting user facilities must keep records for?

question

10 seconds

answer

After interruption of normal power the emergency generator must start and transfer power within?

question

17 to 19 inches from the floor

answer

A toilet seat for the disabled must be how high?

question

32 inches

answer

Bathroom and toilet doors must be how wide?

question

100 Feet

answer

According to the Life Safety Code no room shall be more than what distance from an exit?

question

Insurance Program

answer

Title 18 of the Social Security Act is basically an?

question

Assistance Program (based on need)

answer

Title 15 of the Social Security Act is a?

question

Shaving cream, dental floss, deodorant, and combs

answer

What items must be provided to Medicare and Medicaid residents without cost?

question

At least every 3 months

answer

All residents must receive a physical exam how often?

question

Bedfast

answer

When a resident has been in bed all of the time during a 7 days period, other than for treatment, they are deemed to be?

question

7 Days

answer

A comprehensive care plan must be completed within how many days once the comprehensive assessment is made?

question

Testator

answer

One who dies leaving a will?

question

Quality Improvement

answer

The sum of all the activities which create the desired and needed changes in quality care are?

question

Interdisciplinary Team

answer

Who determines if it is safe/unsafe for a resident to self-administer drugs?

question

8 Hours (RN's responsibility)

answer

An admission assessment is to be complete with how many hours of admission?

question

A break from the drug to see how the patient responds

answer

What is a drug holiday?

question

Drugs

answer

To what does the physicians desk reference relate?

question

Yes, the physician is involved but doesn't necessarily have to agree with the pharmacist.

answer

Can a pharmacist order that a certain lab be taken?

question

Within 3 business days of start of employment

answer

When must I-9 forms be completed for new employees?

question

If the employee has signed a union card

answer

What may an administrator ask if employees attempt to organize a labor union?

question

Within 5 working days

answer

When must all investigations of abuse be reported to the proper state authorities?

question

Coverage begins on the date coverage would otherwise have ended

answer

Under COBRA when does coverage begin?

question

18 months

answer

Under COBRA how long may coverage be extended?

question

The health care facility administrator

answer

Whom is most affected by Title 1 of the ADA?

question

15-30% of wages

answer

What is the typical cost of fringe benefits for a an employee?

question

Bargaining rights for employees

answer

What does the Wagner Act guarantee?

question

Respondeat Superior

answer

A phrase meaning let the employer answer for the acts of his/her employees?

question

$7,000

answer

Under OSHA what is the maximum penalty for each "serious violation"?

question

$70,000

answer

Under OSHA what is the maximum penalty for falsifying records?

question

90 Days

answer

Generally, cost reports are due within how many days of the end of the fiscal year?

question

Payroll, investments, cash receipts (not depreciation schedule)

answer

Journals include the following?

question

Accounts Payable (ap), Accounts Receivable (ar), and General

answer

What are three typical types of ledgers?

question

Toilet, Closets, and Wardrobe (the area the bed occupies is included in the sq.ft. calculation.

answer

The minimum square footage calculation in a room excludes the following areas?

question

50 Feet

answer

The travel distance between Class B or C fire extinguishers may not be more than how many feet?

question

30 Foot Candles

answer

How must light must a reading light at the bed yield in illumination?

question

13 Feet

answer

Handicap parking must be at least how wide?

question

The Life Safety Code

answer

What document establishes the fire rating of building materials?

question

Agencies within the individual states

answer

How are ANSI (American National Standards Institute) standards enforced?

question

Green

answer

According to OSHA what is the color for safety and first aid?

question

Intestate

answer

A resident who dies with leaving a will is said to have died how?

question

A written notice detailing right to refuse transfer, the transfer location, a written statement letting the resident know they can appeal the transfer to the state.

answer

What must be provided to a resident prior to transfer?

question

No, Medicare does not pay for adult day care

answer

Will Medicare pay for adult day care?

question

5% in a month; 7.5% in 3 months; or 10% in 6 months

answer

What is significant weight loss?

question

5% or greater

answer

A facility must be free of med errors greater than what percentage?

question

35+ hours a week

answer

How many hours must an employee work to be full time?

question

140F for hot items and at or below 41F for refrigerated items

answer

Food should be served at what temperatures?

question

0 F

answer

The freezer should be kept at or below what temperature?

question

41 F

answer

The Refrigerator should be kept below what temperature?

question

140 F

answer

What water temperature is required when washing dishes?

question

180 F, if washing manually hot immersion for at least 30 seconds at 170 F is OK

answer

What water temperature is required when rinsing dishes?

question

Every 30 days, visits are considered timely if they occur no later than 10 days after the date the visit was required.

answer

How often must a physician visit a patient during the first 90 days?

question

At least every 60 days, visits are considered timely is they occur no later than 10 days after the date required.

answer

How often must a physician visit a patient after the first 90 days?

question

Annual Inspection

answer

How often must dental services be provide?

question

75 hours of training

answer

How many hours of state approved training are required for a C.N.A.?

question

2 Years

answer

C.N.A. must undergo retraining and testing if they have been out of paid aide position for how long?

question

Impairment

answer

Actual organ loss or failure is termed?

question

Disability

answer

The failure to function at a "normal" level is termed?

question

Handicap

answer

To be disadvantaged for fulfilling customary roles is termed?

question

1)Benzodiazepine or other anxialytic/sedative drugs; 2)Long acting benzodiazepines; 3)sedative hypnotic drugs; 4)anti psychotic drugs

answer

List the 4 unnecessary drugs in Category 4?

question

Control anxiety or agitation

answer

Benzodiazepine or other anxialytic/sedative drugs (Category 4 drugs) are used to?

question

Short acting ones have failed

answer

Long-acting benzodiazepines (Category 4 drugs) are used only when?

question

For sleep induction.

answer

Sedative hypnotic drugs (Category 4 drugs) are used for?

question

Treating organic mental syndromes.

answer

Anti psychotic drugs (Category 4 drugs) are used for?

question

At least One, may not have more than 4 windows.

answer

There must be at least how many windows in a resident room?

question

Chronic Condition

answer

A condition continuing over a long period of time or recurring frequently?

question

Chronic Condition

answer

A condition that often begins inconspicuously and symptoms are less pronounced than acute conditions?

question

Acute Condition

answer

A disease the happens suddenly and lasts a short time?

question

Acute Condition

answer

A temporary disorder?

question

Denial - Anger - Bargaining - Depression - Acceptance

answer

The 5 steps of the grieving process?

question

Meet state regulations, be eligible for certification by accrediting body. To direct activities, have 2 years of experience within the past 5 years, or be an occupational therapist or occupational therapy assistant.

answer

What are the qualifications of an Activities Director?

question

Patients with active diagnoses of Mental Illness or Mental Retardation. Patients must have a primary diagnose requiring skilled nursing care to be admitted. Exceptions are made for organic disorders (ex. Alzheimer's, multi-infarct dementia, and similar senile dementias). Second exception made for persons who have lived in the facility for 30 months or more.

answer

PASARR (preadmission screening and an annual review) determines whether what type of patients may be admitted?

question

Analgesic

answer

A drug (ex. Aspirin) that reduces or eliminates pain without affecting consciousness?

question

Contracture

answer

Progressive stiffening in the muscles, tendons, and ligaments that surround the joints?

question

60 years old.

answer

Elderly or Elder refer to persons over what age?

question

Healthy persons over 75 years of age.

answer

Frail Elderly refer to persons over what age?

question

Osteoporosis

answer

A decrease in density of bones causing structural weakness throughout the skeleton?

question

Osteoarthritis

answer

The most common form of arthritis?

question

Rheumatoid Arthritis

answer

The second most common type of arthritis?

question

70% C.N.A.'s and 30% Licensed Nurses

answer

When calculating staffing requirements what is the general guide for C.N.A's and Licensed nurses?

question

Job Profile

answer

A document that enables a manager to understand what kind of applicant would be best suited for a job?

question

26 Weeks (Now 99 weeks???)

answer

Unemployment is paid to laid off workers for how many weeks?

question

Documentation of progressive discipline steps taken to terminate the employee

answer

To decrease unemployment costs what must an administrator do?

question

Adverse Impact

answer

Under the Civil Rights Act this occurs when the selection rate for any protected group is less than 80% of the rate of the non-protected group?

question

Construct Validity

answer

The extent to which a selection tool measures a trait or behavior believed important to performing a job?

question

Content Validity

answer

The degree to which a test interview procedure or other selection tool measures the skills, knowledge or performance requirements actually needed in the position for which the applicant is considered?

question

Equal Employment Act of 1972 (An amendment to Title 7 of the Civil Rights Act of 1964)

answer

Act intended to cover all employment of 15 or more persons and numerous other groups and educational institutions?

question

Equal Employment Opportunities Commission (EEOC)

answer

The organization created by the Civil Rights Act of 1964 to carry out the provisions of the act?

question

Error of Central Tendency:

answer

The error by supervisors using rating scales when consistently giving only moderate scores to employees on performance appraisals, regardless of whether the employee is a poor or an outstanding performer?

question

Fair Labor Standards Act

answer

Minimum wage, overtime, standard workweek definitions, equal pay, child labor, and record keeping requirements are set by?

question

1250 Hours

answer

To be eligible for FMLA (Family Leave Act) and employee must have worked how many hours in the last 12 months?

question

Compensation other than cash wages paid to workers. (ex. Health Insurance)

answer

Fringe Benefits are defined as?

question

Halo Effect

answer

An error made by supervisors using rating scales who value one particular type of job behavior and permit the presence or absence of that one trait to color several or most other trait ratings.

question

A collection of tasks assigned to an employee

answer

A job is defined as?

question

Job Analysis

answer

The process of defining a position in term of the tasks or behaviors required, specifying the qualifications of the employee assigned those duties?

question

Job Bidding

answer

The practice of posting available jobs on bulletin boards and encouraging employees to apply for openings?

question

Job Description

answer

A statement of the tasks to be done based on the job analysis, usually including a list of duties and responsibilities of the position in order of importance?

question

Job Family

answer

A group of two or more jobs that have similar duties?

question

Key Job Comparison

answer

A method of establishing wage rates for jobs, based on comparing all jobs in the organization to a touchstone job in the facility, such as nursing?

question

Leniency Error

answer

Consistently giving high ratings to all employees in an attempt to avoid conflict?

question

Line Manager

answer

The person responsible for performing most the personnel functions, who is delegated authority by the administrator to make decisions on his/her behalf and authority to commit facility resources. Often defined as the lowest level of management which has only workers under its direction?

question

Nepotism

answer

Favoring one's family members in hiring practices?

question

Staff Function

answer

An advisory role not having line authority?

question

Task

answer

A coordinated and aggregated series of work elements used to produce an output?

question

Task Analysis

answer

Review of job descriptions and activities essential for performing each job?

question

Wage Class

answer

Establishment of pay grades and rates by employers to both achieve equity and offer some flexibility to supervisors in setting an employee's wage?

question

Wage Mix

answer

Determination of wage rates by considering the labor market, prevailing wage rates, cost of living, ability to pay, collective bargaining agreements, individual bargaining agreements and value of the job?

question

January 31 (each year)

answer

Employees must receive their W-2 no late than what date each year?

question

Quarterly

answer

How often must individual resident financial reports be given to residents or their designated party?

question

Within 30 days after the death

answer

When must a resident's account balance be turned over upon their death?

question

Accrual Basis of Accounting

answer

In which type of accounting are revenues recorded when they are earned, and expenses recorded when they are incurred, regardless of when cash is received or paid out?

question

Accrued Expenses

answer

Expenses that have been incurred but not yet paid?

question

Accrued Revenues

answer

Revenues that have been earned but not yet billed?

question

Balance Sheet

answer

Assets can be found in which financial document?

question

Current Assets and Non-Current Assets

answer

Assets are general classified into what two groups?

question

Long-term investments, property, plant, and equipment (PPE), etc.

answer

Non-Current assets include?

question

Cash, other assets to be converted to cash, or sold or consumed in business operations, within one year of the balance sheet date.

answer

Current Assets include?

question

Long-Term Investments

answer

Investments that have a maturity of over one year from the balance sheet date?

question

Cash Basis of Accounting (not allowable with Medicare and Medicaid)

answer

A system of accounting in which revenues are recorded when cash is received, and expenses are recorded when cash is paid out?

question

Cash Flow Statement

answer

A financial statement that shows cash receipts and disbursements leading to a net change in cash in a given period?

question

Cash Flow Statement

answer

A financial statement that provides information for planning short-term cash needs?

question

Cost Shifting

answer

Practice by health care providers of charging private-pay patients more than the actual costs of their care in order to compensate for shortfalls in reimbursement for patients covered by Medicaid and other government programs when those programs pay less than actual costs?

question

Current Ratio, Quick Ratio, and Acid Test Ratio

answer

The three ratios that measure the liquidity of a business entity? (its ability to pay off its short term obligations)

question

Current Assets / Current Liabilities

answer

The current ratio is?

question

(Current Assets - Inventories) / Current Liabilities

answer

The quick ratio is?

question

(Cash + Short-Term Securities) / Current Liabilities

answer

The acid test ratio is?

question

T Account (account name on top of the T, debits on the left side, and credits on the right side.

answer

The simplest account structure in accounting is the?

question

Debits

answer

In T Accounts - increases in asset accounts are?

question

Credits

answer

In T Accounts - decreases in asset accounts are?

question

Credits

answer

In T Accounts - increases in liability accounts are?

question

Debits

answer

In T Accounts - decreases in liability accounts are?

question

Credits

answer

In T Accounts - increases in capital accounts are?

question

Debits

answer

In T Accounts - decreases in capital accounts are?

question

Credits

answer

In T Accounts - increases in revenue accounts are?

question

Debits

answer

In T Accounts - decreases in revenue accounts are?

question

Debits

answer

In T Accounts - increases in expense accounts are?

question

Credits

answer

In T Accounts - decreases in expense accounts are?

question

F.O.B. (Freight on Board) Destination

answer

Shipping arrangement under which the seller of the goods bears the costs of transportation to the buyer's location?

question

F.O.B. (Freight on Board) Shipping Point

answer

Shipping arrangement under which the buyer of the goods pays a separate charge for the transportation costs. The goods while in transit are the property of the buyer, who thus bears financial liability for the goods if they are lost in transit?

question

General Ledger

answer

Book which summarizes all the entries in each of the journals for an accounting period, for the purpose of keeping a continuous record of account balances and arriving at a trial balance?

question

HMO (Health Management Organization)

answer

Has management responsibility for providing comprehensive health care services on a prepayment basis?

question

$600

answer

A Form 1099-MISC must be issued when an independent contractor is paid more than this amount during a single year?

question

Invoice

answer

A document that shows the details of a sale and usually includes (or implies) a request for payment?

question

Journal

answer

An account that is debited and credited due to the transactions in chronological order?

question

Cash receipts, cash disbursements, billings, accounts payable, purchases. A general journal is used for entries that do not properly belong in any of the other journals, and for adjusting entries.

answer

List the types of journals a facility may keep?

question

Entries for depreciation, prepaid expenses, and inventory usage, etc.

answer

Reasons for adjusting Journals include?

question

Capital Lease and Operating Lease (also a third kind, triple net lease)

answer

List the two types of leases?

question

Capital Lease

answer

A lease that is recorded by the lessee on the balance sheet as an asset and a corresponding borrowing of funds. Depreciation is treated as an expense and interest payments are deductible. At the end of its term, the lessee becomes the owner of the asset or has the option to purchase it for a nominal amount of money?

question

Operating Lease

answer

A type of lease that is a rental or usage agreement which is not shown on the balance sheet. Rentals are treated as an expense, and ownership does not transfer to the lessee?

question

Office of Inspector General

answer

Charged with identifying and eliminating fraud, abuse, and waste in Medicare, Medicaid, and other DHHS programs?

question

Factoring of Receivables

answer

Process of selling a/r, as a means of short-term financing. When this is done "without recourse" the seller transfers not only the receivables, but also the risk of default?

question

Pledging of Receivables

answer

Use of a/r as security or collateral for a loan. When this is done "with recourse", the borrower remains responsible for collecting the receivables but promises to use the proceeds for repaying the debt?

question

Posting

answer

Transferring entries from a journal to an account in a ledger at the end of an accounting period?

question

Pro Forma Statement

answer

A financial statement that treats hypothetical events as though they had actually happened, and hence includes fictitious data in whole or in part?

question

PPS (Prospective Payment System) for skilled nursing facilities

answer

Current Medicare option for skilled nursing facilities that furnish fewer than 1,500 days of Medicare utilization in the prior year. Such SNFs can elect a predetermined fixed reimbursement for routine service and capital costs and file an abbreviated cost report?

question

ROE (Return on Equity), a means of assessing a companies profitability.

answer

Annual Net Income / Total Shareholders Equity =

question

Sinking Funds

answer

Funds regularly set aside by a firm to redeem its bonds periodically?

question

Statement of Cash Flows

answer

Explains how the cash balance has changed between the beginning and end of a fiscal period. It reports cash receipts and cash disbursements in three categories of activities: operating, investing and financing?

question

Operating, Investing, and Financing

answer

In what three areas does the Statement of Cash Flows show receipts and disbursements?

question

Statement of Cash Flows

answer

Information in this statement can be useful in assessing the entity's ability to generate positive future net cash flows, meet its financial obligations and pay dividends?

question

1) Has an acute event as a result of an illness, injury, or exacerbation of a disease process; 2) Has a determined course of treatment; 3) does not require intensive diagnostic and/or invasive procedures.

answer

Sub acute care is a comprehensive inpatient program designed for individuals with three attributes?

question

Post-Operative Recovery, Extensive Wound Care, Ventilator Support, Brain Injury Care, Rehabilitation, Complex Medical Care, and Respiratory or Pulmonary Management.

answer

Sub acute medical and rehabilitative programs in nursing facilities may include specialty programs for?

question

Working Capital

answer

Current Assets - Current Liabilities =

question

Clothes Racks and Shelves accessible to the resident

answer

Each resident must have a private closet which includes?

question

9pm to 6am

answer

During what hours may fire drills be announced by coded message rather than audible alarm?

question

32 gallons within an 64 square foot area.

answer

Soiled linen and trash collection containers must be limited to a capacity of?

question

Nonsleeping staff areas where the heating elements do not exceed 212 F

answer

Portable Heating devices are prohibited except for use in?

question

Occupant Load

answer

Determining the means of egress requirements based on building use and sq.ft.?

question

120 sq.ft.

answer

Means of egress in health care sleeping areas must be adequate for one person per how many square feet?

question

240 sq.ft.

answer

Means of egress in health care inpatient treatment areas must be adequate for one person per how many square feet?

question

Locks are not permitted on patient sleeping room doors except for a lock that would prevent patients from accidentally wandering into an isolation room, but the patient in the isolation room would be able to exit the room w/o use of a key or tool.

answer

When are locks permitted on patient sleeping room doors?

question

44 Inches, except for handrails not to exceed 3 1/2 inches at or below handrail height on each side.

answer

Interior Stairs - what is the minimum clear width of the stairs?

question

Max Height 7 inches, Minimum Height 4 inches

answer

Interior Stairs - What are the maximum and minimum riser heights?

question

11 Inches

answer

Interior Stairs - What is the minimum tread depth?

question

6 feet 8 inches

answer

Interior Stairs - What is the minimum head room?

question

12 Feet

answer

Interior Stairs - What is the maximum height difference between landings?

question

34 inches to 38 inches, above the surface of the tread measured vertically to the top of the rail from the leading edge of the tread.

answer

Handrails - What is the required height?

question

1 1/2 inches, more if the surface is rough.

answer

Handrails - What clearance is required from the wall?

question

On both sides of all sets of stairs.

answer

Handrails - Where must they be placed?

question

2 Hour Fire Rating

answer

Stairwells - What fire resistance is required?

question

1 1/2 Hours Fire Rating

answer

Stairwells - What fire protection rating is required for doors entering or exiting stairwells?

question

30 sq.ft. per patient

answer

Horizontal Exit - What is the minimum sq.ft. per patient that must be provided on both sides?

question

A single door may be permitted provided the exits serves one direction, two doors are required if the exit serves both directions (min door width 41.5 inches.)

answer

Horizontal Exit - How many doors are required?

question

41.5 Inches

answer

Horizontal Exit - What is the minimum door width?

question

Stairway

answer

Ramp - a ramp with a slope of 20-50 degrees is a?

question

Stairway and Landing

answer

Ramp - a ramp with a slope of 7-20 degrees is a?

question

Ramp

answer

Ramp - a ramp with a slope of under 7 degrees is a?

question

Slip resistant, clear width of at least 44 inches, maximum rise of 30 feet per ramp run.

answer

Ramp - what are the minimum requirements/dimensions for a ramp?

question

8 feet wide.

answer

Aisles - must be how wide?

question

2 Exits

answer

What is the minimum number of exits?

question

150 Feet

answer

Exits - What is the maximum allowable distance between the entrance door into any room and an exit access?

question

200 Feet

answer

Exits - What is the maximum allowable distance between any point in a patient room and an exit access?

question

50 Feet

answer

Exits - What is the maximum allowable distance between any point in a room and the exit from that room?

question

The illumination must be continuous, have at least 1-foot-candle measured at the floor of the exit access, the exit, and the exit discharge.

answer

Exits - What are the requirements for illumination of the means of egress?

question

If they meet the candlelight requirements for a period of 1 1/2 hours. Automotive type batteries are not acceptable.

answer

Emergency Lighting - May it be battery powered if?

question

Signs must have letters 6 inches high and 3/4 inch wide.

answer

Exits - What are the minimum letter height and width requirements for exit signs?

question

100 Feet

answer

Exits - What is the maximum allowable distance between exit signs?

question

Must come on in 10 seconds and last for a minimum of 1 1/2 hours.

answer

When must emergency power come on and how long must it last should a power failure occur?

question

1 Hour, 2 Hours if the building is more than 3 stories.

answer

Vertical openings must have a minimum fire protection rating at least?

question

30 Feet

answer

Smoke detectors should be located no more than how many feet apart?

question

15 Feet

answer

Smoke detectors should not be more than how many feet from any wall?

question

Class A - 75 feet, Class B - 50 feet, Class C - 50 feet

answer

What is the minimum travel distance to class A, B, and C extinguishers?

question

36 inches above the floor.

answer

What is the maximum allowable sill height of a window?

question

HFCA (Health Care Financing Administration)

answer

Title 18 of the Social Security Act (Medicare) is a social insurance program administered by?

question

Automatic eligibility is limited to persons over 65 years of age who are eligible for Social Security cash benefits and are enrolled in the program and to persons under 65 after they are eligible for Medicare Part B without paying premiums if they have received Social Security Disability or Railroad Retirement Board benefits for 24 consecutive months (any person over the age of 65 may purchase Medicare Part B regardless of whether or not they have paid into Social Security System. Persons of any age may receive Medicare A without paying premiums automatically if they have had a kidney transplant or are on kidney dialysis. All enrollees are entitled to Part A but Part B is voluntary and requires a monthly premium as well as an annual deductible.

answer

Who is eligible for Medicare?

question

Recipients must meet the eligibility requirements for either Aid To Families With Dependent Children (AFDC), or Supplemental Security Income (SSI). AFDC covers primarily dependent children living with one parent only; and the parent. SSI covers the aged and disabled.

answer

Title 14 or Medicaid recipients must meet the following eligibility requirements?

question

HFCA (Health Care Financing Administration)

answer

A federal agency that administers Medicare as well as federal guidelines for Medicaid?

question

Nursing, Housekeeping, and Laundry Staff (an employees at risk)

answer

It is mandatory that every health care facility offer the HBV (Hepatitis B Vaccine) to whom?

question

For facilities with 11 or more employees. General keep records on problems that require more than just first aid.

answer

When is recordkeeping of Occupational Illness and Injuries required?

question

Complete a Life Safety Code Survey and a Standard Survey

answer

To become certified a facility must?

question

OBRA Survey

answer

A resident centered outcome oriented inspection?

question

OSCAR (an administrator may request a copy of the most recent OSCAR)

answer

A report from the state surveyors which shows recent survey deficiency trending for that facility?

question

Severity Level

answer

Survey - the effect on resident outcomes?

question

Scope Level

answer

Survey - the number of residents potentially or actually affected?

question

Notice of Isolated Deficiencies

answer

Survey - Issued when a facility is found to be in substantial compliance; a POC (plan of correction) is not required, but a facility is expected to correct the deficiencies?

question

POC (Plan of Correction)

answer

Survey - Must be completed to reply to 2567?

question

HFCA - 2567 (requires a POC / plan of correction)

answer

Survey - Issued when a facility is found to be noncompliant?

question

Letters A,B,C - deficiencies in this range are not serious. No actual harm or potential to cause harm, just a minor negative impact on residents.

answer

Survey - Severity Level 1Tags?

question

Letters D,E,F - These tags are cited when there is noncompliance with no actual harm to residents but possibility of minimal harm to residents.

answer

Survey - Severity Level 2 tags?

question

Letters G,H,I - Actual harm has occurred. Harm can include, bruise, skin tear, or making a resident upset.

answer

Survey - Severity Level 3 tags?

question

Letters J,K,L - Worst tags possible. Immediate jeopardy is possible.

answer

Survey - Severity Level 4 tags?

question

Directed plan of correction, state monitoring, and directed in service training

answer

Survey - Remedy Category 1 includes?

question

Denial of payment for new admissions, denial of payments for all residents, civil monetary penalties of $50 to $3,000 per day.

answer

Survey - Remedy Category 2 includes?

question

Temporary management, immediate termination from Medicare and Medicaid programs, and civil monetary penalties of $3,050 to $10,000 per day

answer

Survey - Remedy Category 3 includes?

question

JCAHO Accreditation (Joint Commission on Accreditation of Health Care Organizations) They are the preeminent accreditation agency for acute care hospital providers.

answer

Managed care organizations are asking for this level of accreditation prior to contracting with the facility?

question

CARF (Commission on Accreditation of Rehab Facilities)

answer

Organization providing accreditation for medical rehabilitation programs?

question

Governing Board

answer

What entity must decide questions involving the mission, organizational structure, personnel, budget and future direction of the facility. They have the power and the liability of the law behind them?

question

1) policy making; 2) appointing the administrator

answer

The governing board has what two required duties?

question

Advisory Boards

answer

They give advice that does not have to be taken. They do not have the power or the liability of law behind them?

question

Sole Proprietorship

answer

An unincorporated business owned by an individual. The owner is responsible for both personal and business debts?

question

Partnership

answer

Type of business where partners are personally liable for all of the business debt?

question

Corporation

answer

A form of business that is incorporated under the laws of one of the states. There may be a single stockholder or thousands of holders. It is a separate legal entity from its owners and therefore the owners are not personally responsible for the corporate debts?

question

Planning, Organization, Staffing, Leading (directing), and Controlling

answer

What are the 5 functions of management?

question

The Principle of the Economy of Action (facility pays more than it should)(she got a raise why shouldn't I)

answer

A principle that teaches anytime a higher paid employee makes a decision a lower paid employee can make out as well or better?

question

The state in which the facility is located.

answer

Who regulates the retention period of the medical records at a nursing facility?

question

They are established by a combination of federal and state legislation, regulations, and programs.

answer

Who regulates Medicaid benefits and eligibility requirements?

question

4 Hours

answer

When a surveyor demands a list of all residents/room numbers indicating each resident's case mix category and special care needs, the facility must supply this information within what time frame?

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