NAB NHA Exam Compiled Cards Human Resources Leadership and Management Physical, Environmental, and Atmosphere Resident Care Management and Quality of Life Financial Mangement 2023 the physical plant - CORRECT ANS all designed, constructed, equipped, and maintained to protect health and safety of residents, personnel, public Life Safety Code (LSC) - CORRECT ANS Entire construction plan and materials meet LSC standards|||CMS requires unless have waiver or except ion. CMS grants waivers on SNFs; states on NFs (NFPA) - CORRECT ANS National Fire Protection Association ||established LSC Purpose of LSC - CORRECT ANS to provide reasonable degree of safety from fire. Waivers for Life Safety Code - CORRECT AN S If CMS finds a state fire and safety code adequately protects residents and personnel thenLSC does not apply. OLder facilities may obtain a waiver if they are and have been in compliance with an older addition of LSC as specified by CMS.||Before a nurs ing home may be built it must present architectural plant to State Medicaid or designated agency that approves construction. All major renovations, such as additional beds, change in utilization of space, and so on must receive approval. The state provides guidelines on what must be a approved. Upkeep and repairs do not require prior approaval. Blue Prints - CORRECT ANS keep as -built plans available for surveyors who do LSC inspection as well as for repair persons who may need prints for big jobs. LSC and other standards - CORRECT ANS Building and contact standards are set by LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local codes. || - for handicapped| -follow which on specific state requires (ANSI/ADAAG) LSC and ANSI /ADAAG - CORRECT ANS LSC accepts both standards so they are essentially all LSC standards. Administrator does not need to know EVERY standard, but must keep a copy of the "LSC Handbook" as reference. The architect who designs the facility must know an d incorporate all LSC and other standards, but it is advisable for the NHA to check his building to ensure compliance. LSC, ANSI/ADAAG, and CMS - CORRECT ANS ** - building materials - fire-rate according to number of stories. 2 hour and 1 hour rating|* *- sprinklers - new buildings have automatically activated by smoke/heat| - exits - no room more than 100 feet from exit. Lighted exit signs of specific size. | - walls extend continuously to roof deck of next floor. wall finish must meet flame -spread requir ements ( have certificate of this)| - furnishings - curtains and carpet must meet fire rating| - rooms - CMS NAB NHA Exam Compiled Cards Human Resources Leadership and Management Physical, Environmental, and Atmosphere Resident Care Management and Quality of Life Financial Mangement 2023 requirements - 4 residents to room MAX. 80 sq ft/resident (multi -resident room), 100 sq ft for single occupancy. requirement for rooms| - CORRECT ANS - direct access to corridor| - outside window (CMS) or door (LSC)| - privacy| - furnishing| separate bed, proper size and height| bedding appropriate to climate| individual closet space| bedside table| comfortable chair| enough overbid tables to meet ne eds of rsidents| - toilets (CMS, ANSI, ADA)| - bathing facilities (CMS)| - resident call system (CMS, LSC) 24/7 - back up system available| - temperature range (71 -81 degree F) (three feet above floor), states set actual, A/C not required Doors - CORRECT AN S All 44" or more in new construction (41.5 opening)|outside doors open egress.|no locks on resident door except staff has key (LSC)||Bathroom door 32" (ANSI/ADAAG)||Fire Doors with automatic hold -open devices required in corridors||(over bed tables not required for patient) corridors - CORRECT ANS no dead -ends (LSC)||8 feet wide (CMS) Floors - CORRECT ANS at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non -slip bath/toilet (ANSI, LSC)|Asphalt tile best Fire alarms - CORRECT A NS flashing and audible. |connect with local fire dept, if possible|must have NFPA 71 certification of fire alarm service| smoke detectors - CORRECT ANS approved detectors requried smoking - CORRECT ANS written regulations, enforced. |smoking a res with non -
combustible ashtrays, metal containers with self -closing lids.|Prohibited areas include resident rooms and beds, oxygen, flammable liquid storage.|proper signs posted.|supervise non -responsible. ANSI/ADAAG(Americans with Disabilties Act Access ibility Guidelines) - CORRECT ANS Make building available to and usable by physically handicapped, no mental (blind, deaf, non -ambulatory, semi -ambulatory, uncoordinated). ADAAG = MAKE BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG standards to nursing homes accessible route - CORRECT ANS no incline more than 10% Wheelchair passage - CORRECT ANS 32" bathroom doors||36" elsewhere parking - CORRECT ANS 13 FEET||cannot block sidewalk; alley for 2 cars.|The numbe r of handicap parking places is determined from a grid issued by ANSI. It MUST BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, NAB NHA Exam Compiled Cards Human Resources Leadership and Management Physical, Environmental, and Atmosphere Resident Care Management and Quality of Life Financial Mangement 2023 ONE MUST BE VAN ACCESSIBLE.||If the facility only has one handicapped place, it must be van accessible. ramps - CORR ECT ANS maximum rise 30". Slope not more than 1:10 What items must be accessible to wheelchair residents?| - CORRECT ANS WATER FOUNTAINS, telephones (non -Braille), light switches Toilets and handrails - height - CORRECT ANS toilets (Also ADA fo r staff) seat **17" to 19" height;||hand rails/grab bars 33" to 36". |5% or more meet standards as determined by state and CMS||(easier to replace with handicapped toilet) Handrails - CORRECT ANS outside ramp, stairwell, bathroom required by ANSI, and specific height.||CMS requires in corridors.||ADAAG specifies all 34" to 38" in public places. |On stairwell must be 32" and MUST EXTEND 12" beyond last step. (ANSI| Monitored - CORRECT ANS monitored nationally the Office of Civil Rights monitors ANS I. States may assign to Fire Marshall, Medicaid Agency, other. |ADAAG is monitored by State Agency handling LSC and ANSI. Alarms - CORRECT ANS flashing alarms for deaf, sound alarms for blind, tactile warnings for blind to identify danger areas. Grating - CORRECT ANS No greater than one -half inch; openings perpendicular to travel rout, if elongated. Threshold - CORRECT ANS no more than 1/2 inch on entrance and exit doors, except exterior sliding door can be 3/4 inch in height GROUNDS and parking - CORRECT ANS Maintenance cost -mowing biggest. State decides on number of parking spaces per bed. Water - CORRECT ANS water must have backup source of supply. Temperature established by state. Automatic Control Valves. (surveyors will ask for contract) (110 degrees in GA) Ventilation - CORRECT ANS All areas ventilated to outside - window, mechanical ventilation, or combination. | a. good movement (state determines| b. acceptable humidity/temperature levels (state determines)| c. surveyor rating:| A= Good movement; acceptable temp/humidity/odor levels| B= Little movement; temp/humidity/odor levels less acceptable.| C= No movement; tem p/humidity/odor levels unacceptable. Residents and staff apprea distressed due to levels. NAB NHA Exam Compiled Cards Human Resources Leadership and Management Physical, Environmental, and Atmosphere Resident Care Management and Quality of Life Financial Mangement 2023 Pest control - CORRECT ANS PREVENTION PROGRAM BEST; use contractor and staff||no traps, poisons, sticky fly paper.||advantage - to use pest control service:||lic ensed and trained in use of all pesticides, how to rotate chemicals to prevent buildup of resistance. ||(close garbage bin: attracts pests) Space and Equipment - CORRECT ANS Facility must provide sufficient space and equipment for dining, healthcare s ervices, recreation and rehabilitation. ||Sufficient means enough to enable staff to provide residents with needed services as identified in the plan of care.| - space large enough to accommodate usual number that use it; must be accessible.| - accommodate wheelchairs, walkers, other ambulatory devices.| - rehab areas have exercise equipment, storage for supplies and equipment. Monitoring - CORRECT ANS States decide who will monitor LSC and ANSI/ADAAG standards. the monitor may be the State Medicaid Ag ency, State Fire Marshall, or other. If it is an agency other than State Medicaid, the monitoring agency must coordinate its findings with the Medicaid agency. Preventative Maintenance definition. - CORRECT ANS checking all systems, including roof, on regular basis and documenting.||roof protects all other assets. (log or cards) 3 points of Preventative Maintenance - CORRECT ANS 1. Value:| Everything safe and operative for resident care (#1)| saves downtime| small reparis cost less than complete b reakdown| equipment and systems last longer|2. personnel - major error in hiring|3. work orders environmental quality - clean, attractive, home. - CORRECT ANS 1. housekeeping - procedures for floors, rooms, aseptic cleaning, storage of materials, ODOR CONTROL, role in infection control, equipment care, safety|2. homelike - residents brings own belongings as long as it does not interfere with staff work or infringe on other residents' rights. de -emphasize institutional look. | a. sound - comfortable, do es not interefre with hearing. background noise under resident control. Level not require staff to raise voices. consider differences in room assignments.| b. lighting - adequate for resident/staff to perform. comfortable - minimize glare, GIVE RESIDENT CO NTROL. environmental design - CORRECT ANS now part of all new construction. Must be designed to provide most attractive, comfortable, usable environment. | a.
