North Carolina Nursing Home Administrator State Exam
Abuse definition - correct answer the willful infliction of injury, unreasonable confinement,
intimidation or punishment with resulting physical harm, pain, or mental anguish
Accident definition - correct answer an unplanned event resulting in the injury or wounding of
a patient or other individual
Addition definition - correct answer an extension or increase in floor area or height of a
building
Alteration definition - correct answer any construction or renovation to an existing structure
other than repair, maintenance, or addition
"Brain injury long term care" definition - correct answer an interdisciplinary, intensive
maintenance program for patients who
have incurred brain damage caused by external physical trauma and who have completed a
primary course
of rehabilitative treatment and have reached a point of no gain or progress for more than three
consecutive
months. Provided through a medically supervised interdisciplinary process
and is directed toward maintaining the individual at the optimal level of physical, cognitive, and
behavioral
functions
Capacity definition - correct answer the maximum number of patient or resident beds for
which the facility is licensed to maintain at any given time
"Comprehensive, inpatient rehabilitation program" definition - correct answer program for the
treatment of persons with
functional limitations or chronic disabling conditions who have the potential to achieve a
significant
improvement in activities of daily living, including bathing, dressing, grooming, transferring,
eating, and
using speech, language, or other communication systems. Utilizes a coordinated and
integrated, interdisciplinary approach, directed by a physician, to assess
patient needs and to provide treatment and evaluation of physical, psychosocial, and cognitive
deficits.
,North Carolina Nursing Home Administrator State Exam
Discharge definition - correct answer a physical relocation of a patient to another health care
setting; the discharge of a patient to his or her home; or the relocation of a patient from a
nursing bed to an adult care home bed, or from an adult care home bed to a nursing bed
Incident definition - correct answer any accident, event, or occurrence that is unplanned, or
unusual, and has caused harm to a patient, or has the potential for harm
Interdisciplinary definition - correct answer an integrated process involving representatives
from disciplines of the health care team
Licensee definition - correct answer the person, firm, partnership, association, corporation, or
organization to whom a license to operate the facility has been issues. The licensee is the legal
entity that is responsible for the operation of the business.
"Medication error rate" definition and formula - correct answer the measure of discrepancies
between medication that was ordered for a patient by the health care provider and medication
that is administered to the patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition - correct answer the deliberate misplacement,
exploitation, or wrongful, temporary or permanent use of a patient's belongings or money
without the patient's consent
Neglect definition - correct answer a failure to provide goods and services necessary to avoid
physical harm, mental anguish, or mental illness
"New facility" meaning - correct answer a facility for which an initial license is sought, a
proposed addition to an existing facility, or a proposed remodeled portion of an existing facility
that will be built according to construction documents and specifications approved by the
Department of Health and Human Services for compliance which standards established in this
Subchapter [13D]
"Nurse aide" definition - correct answer a person who is listed on the NC Nurse Aide Registry
and provides nursing or nursing-related services to patients in a nursing home. A nurse aide is
not a licensed health professional.
Patient definition - correct answer any person admitted for nursing care
,North Carolina Nursing Home Administrator State Exam
Resident definition - correct answer any person admitted for care to an adult care home part
of a combination facility
"Respite care" definition - correct answer services provided for a patient on a temporary basis,
not to exceed 30 days
Surveyor definition - correct answer a representative of the Department (of Health and Human
Services) who inspects nursing facilities and combination facilities to determine compliance
with rules, laws, and regulations as set forth in G.S. 131E-117; Subchapters 13D and 13F of this
Subchapter; and 42 CFR Part 483, Requirements for States and Long Term Care Facilities
Violation definition - correct answer failure to comply with rules, laws, and regulations as set
forth in G.S. 131E-117 and 131D-21; Subchapters 13D and 13F of this Chapter; or 42 CFR Part
483, Requirements for States and Long Term Care Facilities, that relates to a patient's or
resident's health, safety, or welfare, or that creates a risk that death, or physical harm may
occur
New facility licensure application requirements - correct answer A legal entity shall submit an
application for licensure for a new facility to the Nursing Home Licensure and Certification
Section of the DHSR at least 30 days prior to a license being issued or patients admitted.
Application must include:
- legal identity of applicant (licensee) and mailing address
- name(s) under which the facility is presented to the public
- location and mailing address of the facility
- ownership disclosure
- bed complement
- magnitude and scope of services offered
- name and current license number of the administrator
- name and current license number of the DON
- name and current license number of the medical director
(T/F) Only one license shall be issued to each facility. - correct answer True
(T/F) Licenses are transferable - correct answer False - licenses are not transferable
Where should the license be posted? - correct answer In a prominent location, accessible to
public view, within licensed premises
, North Carolina Nursing Home Administrator State Exam
Licenses shall remain in effect for ________ - correct answer 12 months
Licenses shall remain in effect for 12 months, unless ________ - correct answer - Department
imposes an administrative sanction which specifies license expiration;
- change of ownership;
- change of site;
- change in bed; complement; or
- failure to comply with Rule .2104 of this Section
The Department shall renew the facility's license at the end of each _____________ - correct
answer calendar year
Requirements for facility license renewal - correct answer - licensee maintains and submits to
the Department, at least 30 days prior to the licensure expiration date, statistical data for the
State's medical facilities plan and review for certificate of need determination
- the facility is in conformance with G.S. 131E-102(c)
- the combination facility shall specify on the annual license renewal application with which
rules for the adult care home beds it plans to comply for the upcoming calendar year. The
facility may choose one of the following:
(a) nursing home licensure rules under this Subchapter [13D]
(b) adult care home licensure rules under 10A NCAC 13F; or
(c) a combination of nursing hoe and adult care home licensure rules. The facility shall identify
in writing a specific rule governing compliance with the nursing home rules.
The facility shall notify the Nursing Home Licensure and Certification Section of the DHSR in
writing and make changes in the licensure application ________ prior to the occurrence of:
- a change in the name(s) under which the facility is presented to the public
- a change in the legal identity (licensee) which has ownership responsibility and liability (such
information shall be submitted by the proposed new owner)
- a change in the licensed bed capacity
- a change in the location of the facility
