10/11/24, 9:58 AM
NAB NHA Exam Compiled Cards
Jeremiah
Terms in this set (749)
all designed, constructed, equipped, and maintained to protect health and safety of
the physical plant
residents, personnel, public
Entire construction plan and materials meet LSC standards|||CMS requires unless
Life Safety Code (LSC)
have waiver or exception. CMS grants waivers on SNFs; states on NFs
(NFPA) National Fire Protection Association ||established LSC
Purpose of LSC to provide reasonable degree of safety from fire.
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 nursing home may be built it must present architectural plant to State
Waivers for Life Safety Code
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.
keep as-built plans available for surveyors who do LSC inspection as well as for
Blue Prints
repair persons who may need prints for big jobs.
Building and contact standards are set by LSC, CMS, ANSI/ADAAG - (dependent on
LSC and other standards which the state chooses) and state and local codes. ||- for handicapped|-follow
which on specific state requires (ANSI/ADAAG)
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
LSC and ANSI/ADAAG Handbook" as reference. The architect who designs the facility must know and
incorporate all LSC and other standards, but it is advisable for the NHA to check his
building to ensure compliance.
NAB NHA Exam Compiled Cards
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, 10/11/24, 9:58 AM
*- 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. |-
LSC, ANSI/ADAAG, and CMS walls extend continuously to roof deck of next floor. wall finish must meet flame-
spread requirements ( have certificate of this)|- furnishings - curtains and carpet must
meet fire rating|- rooms - CMS requirements - 4 residents to room MAX. 80 sq
ft/resident (multi-resident room), 100 sq ft for single occupancy.
- 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
requirement for rooms|
meet needs 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
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"
Doors
(ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in corridors||
(over bed tables not required for patient)
corridors no dead-ends (LSC)||8 feet wide (CMS)
at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet
Floors
(ANSI, LSC)|Asphalt tile best
flashing and audible. |connect with local fire dept, if possible|must have NFPA 71
Fire alarms
certification of fire alarm service|
smoke detectors approved detectors requried
written regulations, enforced. |smoking ares with non-combustible ashtrays, metal
smoking containers with self-closing lids.|Prohibited areas include resident rooms and beds,
oxygen, flammable liquid storage.|proper signs posted.|supervise non-responsible.
Make building available to and usable by physically handicapped, no mental (blind,
ANSI/ADAAG(Americans with Disabilties deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG = MAKE
Act Accessibility Guidelines) BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG
standards to nursing homes
accessible route no incline more than 10%
Wheelchair passage 32" bathroom doors||36" elsewhere
13 FEET||cannot block sidewalk; alley for 2 cars.|The number of handicap parking
places is determined from a grid issued by ANSI. It MUST BE NOTED THAT FOR
parking
EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST BE VAN ACCESSIBLE.||If
the facility only has one handicapped place, it must be van accessible.
ramps maximum rise 30". Slope not more than 1:10
What items must be accessible to WATER FOUNTAINS, telephones (non-Braille), light switches
wheelchair residents?|
toilets (Also ADA for staff) seat **17" to 19" height;||hand rails/grab bars 33" to 36".
Toilets and handrails - height |5% or more meet standards as determined by state and CMS||(easier to replace with
handicapped toilet)
outside ramp, stairwell, bathroom required by ANSI, and specific height.||CMS
Handrails 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 nationally the Office of Civil Rights monitors ANSI. States may assign to
Monitored Fire Marshall, Medicaid Agency, other. |ADAAG is monitored by State Agency
NAB NHA Exam Compiled Cards handling LSC and ANSI.
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