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State - Nursing Home Administration Graded A+

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State - Nursing Home Administration Graded A+ 1. Administrator ️licensed individual with day-to-day administrative charge of a facility 2. Agency ️Agency for Health Care Administration 3. Department ️Department of Health 4. Board ️Board of Nursing Home Administrators 5. Controllin...

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  • September 13, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
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  • State - Nursing Home Administration Graded A+
  • State - Nursing Home Administration Graded A+
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State - Nursing Home Administration Graded A+

1. Administrator ✔️licensed individual with day-to-day administrative charge of a facility



2. Agency ✔️Agency for Health Care Administration



3. Department ✔️Department of Health



4. Board ✔️Board of Nursing Home Administrators



5. Controlling Interest ✔️an officer, director, or person with 5%+ ownership interest in a facility or
management company that operates a facility



6. Facility ✔️any entity providing nursing, custodial, or personal care exceeding 24 hours for 3+ persons
(not related to the owner or manager by blood or marriage) and requires nursing services due to illness,
physical infirmity, or advanced age



7. Nursing Home Bed ✔️an accommodation (including necessary equipment and furnishings)
immediately available or can be ready for occupancy within 48 hours



8. Nursing Home Facility ✔️any facility that provides nursing services



9. Voluntary Board Member ✔️a director of a not-for-profit corporation or organization serving in a
voluntary capacity and does not receive any remuneration



10. Responsibility of Licensee ✔️- the licensee (owner, corporate body) has full legal responsibility for
the operation of the facility

- must hire a licensed administrator to manage the day-to-day operation of a facility

- the facility must be organized according to a written table of organization

,11. Vacant Bed Report must be submitted to ✔️AHCA monthly



12. Nursing Home Staffing Report must be submitted to ✔️AHCA quarterly



13. Quality of Long Term Care Improvement Fund ✔️supports activities and programs directly related
to improving resident care (dementia training)



14. Level 2 Background Screening ✔️1) involves FBI fingerprint check

2) fingerprints collected electronically and submitted to Florida Department of Law Enforcement
(FDLE)

3) FDLE submits fingerprints to FBI



15. Who Must Have a Level 2 Screening ✔️1) licensee, if an individual

2) administrator

3) financial officer

4) any person with a controlling interest, if agency has reason to believe

5) any employee or contractor who will provide personal care or services directly to residents or have
access to resident funds, personal property, or living areas



16. Disqualifying Offenses/Convictions ✔️1) murder/homicide

2) assault or battery on elderly/child

3) domestic violence

4) theft or robbery

5) MCD provider fraud

6) MCD fraud

7) fraud in obtaining medicinal drugs

8) kidnapping or false imprisonment

9) sexual misconduct

, 10) prostitution or indecent exposure

11) arson

12) fraudulent insurance claims



17. Conditional Work Status ✔️an individual may start work before their background results are
finalized but can't have contact with residents



18. Re-screening ✔️each employee must be rescreened every 5 years



19. General Ledgers and Disbursement Journals must be brought current no less than ✔️quarterly



20. Resident Bill of Rights ✔️must be given at the time of admission, as changes are made, and upon
request



21. Facility's Admission and Discharge Policies ✔️must be given at the time of admission, as changes
are made, and upon request



22. Information Regarding Advanced Directives ✔️must be given at the time of admission, as changes
are made, and upon request



23. Resident Services Contract ✔️- each resident must have a contract detailing services and charges,
refund and bed hold policies

- retain for 5 years

- need a new contract if payor source changes

- give 14 days' advance notice of any changes



24. Resident Personal Property Policy ✔️- must be provided to every employee

- each resident within 30 days of admission

, 25. Deceased Resident Funds and Property ✔️- must refund all funds and provide final accounting
within 30 days of death

- if no spouse or next of kin, must deposit in interest-bearing account until disbursed by probate court

- if not disbursed by probate court within 2 years, must deposit in resident protection trust fund

- must keep deceased's property and funds separate from other residents'



26. Deceased Resident Funds - Bank Account ✔️1) Maintain one account for all deceased residents
whose funds total less than $100

- allocate interest to each individual account

2) Maintain a separate account for each deceased resident with more than $100



27. RTF Surety Bond ✔️- must equal 2x the average monthly balance during the prior fiscal year or
$5,000 - whichever is greater

- licensee with more than 1 facility can purchase a single surety bond to cover all homes in the same
AHCA service district

- surety must notify AHCA 30 days in advance if the facility cancels bond



28. RTF Self-Insurance Pool ✔️- facility may self-insure instead of surety bond

1) pool together with other facilities to establish an interest-bearing account administered by an
elected board of trustees

2) board of trustees must be composed of 1 representative from each participating facility

3) each member must deposit the greater of 2x monthly average or $5k in an account maintained by
board of trustees in the name of the self-insurance pool in a chartered commercial bank in FL

4) compensates any resident suffering financial loss as the result of misconduct by one or more of the
member licensees



29. If No Surety Bond or Self-Insurance Pool ✔️if a resident requests the facility hold funds, the facility
must notify AHCA, in writing, of the request and apply for a surety bond or participation in the self-
insurance pool within 7 business days



30. Facility Policies ✔️- must have policies and procedures governing all services provided in the facility

- P&P must be reviewed at least annually

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