Florida Exam 2024 - Section 1 - Chapter 400
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Questions and Answers

What is the maximum amount of time that a generator can supply 100 percent power?

  • 30 hours
  • 72 hours (correct)
  • 48 hours
  • 64 hours

    • How frequently are Gold Seal facilities inspected?

  • Monthly
  • Every 3 years
  • Annually
  • Every 2 years (correct)

    • What is a requirement for a facility to maintain a Gold Seal award regarding deficiencies?

  • No class 1 or 2 deficiencies in the last 30 months (correct)
  • No class 1 deficiencies in the last 12 months
  • No serious complaints ever filed
  • No deficiencies reported in the last 5 years

    • What percentage of staff must be employed for at least one year for Gold Seal award eligibility?

    <p>50% (C)</p> Signup and view all the answers

    Who has ultimate legal responsibility for the care provided by a facility?

    <p>The governing body (B)</p> Signup and view all the answers

    How long must a facility be licensed and operational before applying for Gold Seal status?

    <p>30 months (C)</p> Signup and view all the answers

    What is the minimum patient load required for a geriatric clinic before the nursing staff can be counted on nursing home staffing hours?

    <p>15 patients (A)</p> Signup and view all the answers

    How often must a facility provide an accounting of their trust fund or statement of account to residents?

    <p>Quarterly (D)</p> Signup and view all the answers

    Who is the first individual that can make health care decisions for an incapacitated patient without an advance directive?

    <p>A judicially appointed guardian (D)</p> Signup and view all the answers

    What is the determining factor for whether an adult child of the patient can make health care decisions?

    <p>Being able to consult with a majority of available adult children (C)</p> Signup and view all the answers

    If the facility lacks a bioethics committee, who can appoint a proxy?

    <p>Another provider's bioethics committee (A)</p> Signup and view all the answers

    In what situation may decisions to withhold or withdraw life-prolonging procedures be conducted?

    <p>With the approval of the facility's bioethics committee (A)</p> Signup and view all the answers

    Which individual is included in the priority list for making health care decisions if other designated individuals are unavailable?

    <p>A licensed clinical social worker (A)</p> Signup and view all the answers

    What must documentation demonstrate regarding efforts to locate proxies?

    <p>Efforts must be recorded in the patient's record (D)</p> Signup and view all the answers

    Which factor is NOT emphasized when selecting an adult relative to make health care decisions?

    <p>Financial capability of the relative (C)</p> Signup and view all the answers

    When can a close friend of the patient be designated to make health care decisions?

    <p>If they are familiar with the patient's beliefs and have had regular contact (B)</p> Signup and view all the answers

    What is the minimum amount of certified nursing hours required per resident per day?

    <p>2.0 hours (A)</p> Signup and view all the answers

    How long can food be left at room temperature before it is considered unsafe?

    <p>4 hours (B)</p> Signup and view all the answers

    What is the minimum reheating temperature for potentially hazardous foods?

    <p>165 degrees F for 15 seconds (A)</p> Signup and view all the answers

    Which of the following items must be separated from food storage?

    <p>Sanitizers and toxic materials (A)</p> Signup and view all the answers

    What is the fee for AHCA to review construction plans?

    <p>$2000 plus 1% of estimated total costs (D)</p> Signup and view all the answers

    What must be done with potentially hazardous food due to fire, flood, or power outage?

    <p>Notify the Department of Health (C)</p> Signup and view all the answers

    What is included in Stage 1 of the construction plan submission process?

    <p>Schematic plans including floor plans and life safety features (D)</p> Signup and view all the answers

    How long does AHCA have to approve or disapprove final plans after receipt?

    <p>60 days (C)</p> Signup and view all the answers

    What is the required method for storing serving utensils during food preparation?

    <p>In food on steam tables heated to 140 degrees F or above (D)</p> Signup and view all the answers

    Who is responsible for Medicaid overpayments at a Medicaid facility prior to its sale?

    <p>The seller (D)</p> Signup and view all the answers

    Which of these professionals can fill unlicensed nursing staffing hours?

    <p>Unlicensed staff like dietary and podiatry (D)</p> Signup and view all the answers

    What is the maximum time allowed for construction to start after receiving approved plans from AHCA?

    <p>365 days (D)</p> Signup and view all the answers

    What is the average number of nursing aide and licensed nursing hours required per resident by Saturday of each week?

    <p>3.6 hours (D)</p> Signup and view all the answers

    Which of the following is NOT a legal reason for involuntary discharge?

    <p>Misbehavior during social activities (D)</p> Signup and view all the answers

    What must residents receive prior to involuntary discharge?

    <p>30 days notice (A)</p> Signup and view all the answers

    Which stage of submission involves detailed plans including mechanical systems and site maps?

    <p>Stage 2 (A)</p> Signup and view all the answers

    What is required for a facility with a conditional license regarding onsite inspections?

    <p>Inspections every 3 months (C)</p> Signup and view all the answers

    What must be done within 24 hours of knowledge of suspected abuse?

    <p>Call the Central abuse hotline (B)</p> Signup and view all the answers

    Which option describes a responsibility of the Central abuse hotline?

    <p>Refer non-abuse allegations to appropriate organizations (C)</p> Signup and view all the answers

    What must occur if an immediate response is required following a report of abuse?

    <p>An investigation must be initiated immediately (B)</p> Signup and view all the answers

    What legal action can a resident take if a facility fails to honor an advanced directive?

    <p>Sue the facility for punitive damages (C)</p> Signup and view all the answers

    How often must the Central abuse hotline evaluate and manage abuse cases?

    <p>On a case-by-case basis as cases arise (A)</p> Signup and view all the answers

    What happens during the initial phase of handling a report of suspected abuse?

    <p>The hotline must determine the level of urgency (A)</p> Signup and view all the answers

    A facility undergoing an abuse investigation must respond in what timeframe?

    <p>24 hours after a report (C)</p> Signup and view all the answers

    What is the maximum time interval for inspecting a nursing home?

    <p>15 months (C)</p> Signup and view all the answers

    Which of the following must sign off on facility policies and procedures?

    <p>Medical Director (A)</p> Signup and view all the answers

    Which of the following is NOT considered a bodily fluid that transmits bloodborne pathogens?

    <p>Saliva (C)</p> Signup and view all the answers

    What is the required distance for pots and pans to be from the floor in a nursing home kitchen?

    <p>6 inches (B)</p> Signup and view all the answers

    How many nursing personnel are needed in a four-story building with 4 nursing stations on each floor?

    <p>16 Staff members (B)</p> Signup and view all the answers

    Under which domain is financial planning and asset management categorized for AIT in a nursing home?

    <p>Finance (A)</p> Signup and view all the answers

    What is required for a license by endorsement for a NHA seeking licensure in Florida?

    <p>Complete the national examination (A)</p> Signup and view all the answers

    What is the minimum number of nursing personnel required if there is 1 person per nursing station in a building with 4 nursing stations per floor over 4 floors?

    <p>16 Staff members (A)</p> Signup and view all the answers

    Flashcards

    Generator fuel supply 100 percent power for 64 hours or 72 hours for actual resident demand

    The facility must be able to operate independently for 64 or 72 hours in case of a power outage.

    Governing Body Responsibilities

    A governing body is responsible for the overall operation and care provided by the facility.

    Administrator Responsibilities

    The administrator is responsible for the day-to-day management of the facility.

    Gold Seal Facility Requirements

    The facility must have a stable workforce with low turnover and be in the top 25% of quality care facilities.

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    Alzheimer's Training

    An Alzheimer's training program must be completed within 3 months of hire and an additional 3 hours within 9 months.

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    Gold Seal Facility Inspections

    These facilities are inspected every two years.

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    Facility License Expiration

    A facility's license expires on the date printed on the face of the license.

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    Geriatric Clinic Patient Load

    A geriatric clinic must have at least 15 patients before the nursing staff can be counted towards the nursing home's staffing hours.

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    Nursing Aide Certification Deadline

    Nursing aides must pass a certification exam within 4 months of starting their work.

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    Minimum Nursing Care Per Resident

    A facility must provide at least 2.5 hours of nursing aide care and 1 hour of licensed nursing care for each resident every day.

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    Average Nursing Care Per Week

    The facility must average 3.6 hours of combined nursing aide and licensed nursing care per resident each week.

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    Minimum Certified Nursing Hours

    Facilities must provide at least 2 hours of certified nursing care per resident per day.

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    Licensed Nursing Hours Per Resident

    Facilities are required to provide 1 hour of licensed nursing care per resident per day.

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    Unlicensed Staffing Roles

    Unlicensed staff, like feeding assistants, can help fill in the remaining hours needed to reach a total of 3.6 hours of care per resident per day.

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    Food Storage Safety

    Raw food must be stored below ready-to-eat foods to prevent cross-contamination.

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    Bulk Food Labeling

    Food items stored in large containers must be relabeled with the common food name.

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    Nursing Home Inspections

    A nursing home must be inspected by the state every 15 months, but inspections can occur anytime between 9 and 15 months.

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    Who Approves Policies?

    The administrator, director of nursing (DON), and medical director must sign off on all facility policies and procedures.

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    Biomedical Waste

    Bodily fluids, like blood, semen, and vaginal fluids, are considered biomedical waste. Saliva is not considered biomedical waste.

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    Resident Trust Accounts

    Nursing homes must provide residents with a quarterly accounting of their trust account.

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    State Official Access

    State officials have the authority to enter a nursing home at any hour, even without advance notice.

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    Accounting Systems

    Nursing homes must use either the accrual or cash accounting system to manage financial records.

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    Abuse Investigations

    The administrator is responsible for investigating any allegations of resident abuse.

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    Kitchen Hygiene Rules

    Pots and pans in a nursing home kitchen must be stored at least 6 inches off the floor to prevent contamination.

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    Conditional License Inspections

    A facility with a conditional license is subject to unannounced inspections every 3 months until it achieves a standard license and resolves any outstanding deficiencies.

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    Abuse Investigation Timeline

    The Florida Department of Children and Families (DCF) or the Agency for Health Care Administration (AHCA) must investigate abuse allegations within 24 hours of receiving a complaint.

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    Central Abuse Hotline Response

    The central abuse hotline must determine if abuse allegations require an immediate, 24-hour, or next-working-day response.

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    Immediate Response to Abuse

    If immediate action is needed, an abuse investigation must be initiated within 24 hours of the report being received.

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    Advanced Directive Enforcement

    A resident or their legal representative can take legal action against a facility that fails to honor an advanced directive.

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    License by Endorsement Requirements

    A facility seeking licensure by endorsement must have worked as a fully licensed administrator for at least 2 years within the previous 5 years.

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    Central Abuse Hotline Role

    The central abuse hotline must evaluate, manage, prevent, and remediate abuse.

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    Central Abuse Hotline Reporting

    The central abuse hotline must accept reports of suspected abuse when there is reasonable cause.

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    Proxy

    A person designated to make medical decisions for an incapacitated patient when no advance directive exists.

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    Advance Directive

    A legal document that outlines a patient's wishes for medical care in case of incapacitation.

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    Surrogate

    A legal document in which a person appoints another individual to make healthcare decisions.

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    Order of Designation

    The order in which individuals are prioritized to make medical decisions for an incapacitated patient.

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    Spouse's Role in Decision-Making

    The spouse of the incapacitated patient is the next in line to make decisions after a guardian.

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    Decision-Making by Adult Children

    If there are multiple adult children, a majority of them must agree on a decision.

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    Relative's Role in Decision-Making

    Relatives who have shown consistent care and familiarity with the patient's beliefs may be considered.

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    Social Worker or Guardian Program Graduate as Proxy

    A licensed social worker or a graduate from a specialized guardianship program can act as a proxy.

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    Who approves facility construction plans?

    The Florida Agency for Health Care Administration is the authority responsible for approving all construction and modification plans for Medicaid facilities.

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    What is a Schematic Plan?

    A single line drawing of the floor plans, mechanical systems and life safety features, representing the initial stage of construction plan submission.

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    What is the AHCA fee for plan review?

    A fee of $2000 plus 1% of the estimated or actual construction cost, whichever is lower, is charged by AHCA for reviewing construction plans.

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    When must construction start?

    Actual construction must begin within 365 days of receiving approved plans from AHCA.

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    Who is responsible for Medicaid overpayments during a facility sale?

    The seller of a Medicaid facility is liable for overpayments made during their ownership, while the buyer is responsible for overpayments after acquisition.

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    What is a resident's right regarding involuntary discharge?

    Residents have a right to appeal an involuntary discharge from a Medicaid facility, with 30 days' notice of intent being mandatory.

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    What are the legal reasons for involuntary discharge?

    A resident can be involuntarily discharged for reasons such as non-payment, inability to meet their needs, inappropriate care, posing a danger to themselves or others, or facility closure.

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    What regulations govern facility construction?

    All construction and modifications must adhere to the Florida Building and Fire Code and Fire Prevention Codes.

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    Study Notes

    Florida Exam Quick Reference Chart 2024 - Section 1 - Chapter 400

    • Level 2 background checks are required for all new hires every 5 years.
    • Residents receive their rights prior to or upon admission.
    • Involuntary discharges require 30 days' advance notice.
    • Resident contact information is kept for 5 years.
    • Facility contract changes require 14 days' notice.
    • Medical records must account for all refunds within 30 days of death.
    • Residents with communicable diseases need medical director approval for admission/retention.
    • All staff must have annual HIV training (1 hour) and additional 2 hours training within 6 months of providing care to HIV residents.
    • Final resident bills must be provided within 7 days of discharge or death.
    • Monies held by facility must be refunded within 30 days of death or discharge.
    • Informed consent must include information about treatment, side effects, alternatives, and patient's right to refuse treatment.
    • Residents have the right to obtain prescriptions from a community pharmacy of choice (pharmacy must provide medications in the facility's format).
    • Residents are entitled to a cordless phone or a private phone, not at the nurses' station.
    • Private pay residents can reserve a bed hold for up to 30 days in advance.
    • Notice of intent to sue a facility must be filed 75 days prior to filing the actual lawsuit.
    • Medicaid residents are entitled to a 15-day bed hold annually.
    • Settlement offers must be accepted within 15 days of being offered and the statute of limitations is 2-6 years.
    • Compensatory damages for negligence are up to $1 million. License fees are $100 per bed.
    • Licensure is only granted to facilities that have a certificate of need.

    Florida Exam Quick Reference Chart 2024 - Section 1 - Additional Notes

    • Inactive facility licenses are issued for up to 12 months and are renewable for 6 months.
    • If a licensee has pending procedures, a temporary license may be issued until resolution of the proceedings.
    • AHCA must inspect facilities with conditional licenses every 3 months.
    • AHCA can enter a facility to verify compliance at any time – 24/7.
    • Facilities must retain copies of inspection reports, complaints and plans of correction for 5 years.
    • The state posts survey results in facility lobbies for 45 months.
    • The risk manager and other staff (NHA, DON, and 3 other staff) attend monthly meetings documented on minutes.
    • Adverse incidents must be reported to the risk manager within 3 days and the risk manager reports to the state within 1 working day.
    • Current residents’ medical records are to be provided within 14 days of request. (Former resident records may be provided within 30 days.)
    • Resident records (medical, psychiatric, financial) must be maintained for 5 years.
    • Facilities with 121 or more beds must have an Administrator on Duty (ADON).
    • Facilities must use a licensed clinical lab for blood and urine testing.
    • Physicians must visit residents within 90 days of their admission to the facility.
    • Physician visits of resident every month (first 90 days,) then visit every 2 months for the following periods.
    • Residents must have a comprehensive assessment within 14 days of admission. Assessments must be performed every 3 months (MDS) and the Comprehensive care plan reviewed every 3 months.
    • Fire drills must be documented every 3 months.
    • A resident’s spouse, guardian, surrogate proxy or attorney can inspect their records.
    • The medical director must visit facilities' monthly.
    • Dietary managers must complete 45 hours of continuing education every 3 years.
    • Notice of discharge must be given to resident 30 days in advance.
    • Facilities must notify next of kin or ombudsman within 5 days of discharge.
    • Quality care monitors visit facilities quarterly.

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    Florida Exam Quick Reference Chart 2024 PDF

    Description

    This quiz covers key guidelines and regulations from Section 1 of Chapter 400 for the Florida Exam. It includes important details about resident rights, background checks, medical records, and staff training requirements. Prepare yourself for the exam by reviewing these essential topics.

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