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NJ CALA QUESTIONS AND ANSWERS
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NJ CALA QUESTIONS AND ANSWERS
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NJ CALA QUESTIONS AND ANSWERSAging6in6Place6-6ans-
A6process6whereby6individuals6remain6in6their6living6environment6despite6the6physical6an
d/
mental6decline6and6growing6needs6for6supportive6services6that6may6occur6in6the6course6
of6aging.
ADLs6(Activity6of6Daily6Living)6-6ans-The6functions6or6tasks6for6self-
care,6which6are6performed6either6independently6or6with6supervision6or6assistance,6such6
as:6dressing,6bathing,6toileting,6transfer,6locomotion,6bed6mobility,6and6eating.
Assisted6Living6-6ans-
A6coordinated6array6of6supportive6personal6and6health6services6246hours6per6day,6to6resi
dents6who6have6been6assessed6to6need6these6services6including6persons6who6require6n
ursing6home6level6care.6It6promotes6resident6self6direction6and6participation6in6decisions6
that6emphasize6independence,6individuality,6privacy,6dignity,6and6homelike6surroundings
.
Bounded6Choice6-6ans-
Limits6places6on6a6resident's6choice6as6a6result6of6an6assessment,6in6accordance6with6N.
J.A.C.68:36-
5.18,6which6indicates6that6such6resident's6choices6or6preference6place6the6resident6or6ot
hers6at6a6risk6of6harm6or6lead6to6consequences6which6violate6the6norms6of6the6facility6or6
program6or6the6rights6of6others.
CPCH6(Comprehensive6Personal6Care6Home)6-6ans-
A6facility6which6is6licensed6by6the6Department6of6Health6and6Senior6Services6to6provide6r
oom6and6board6and6to6assure6that6assisted6living6services6are6available6when6needed,6t
o6four6or6more6adults6unrelated6to6the6proprietor.6Residential6units6in6this6type6of6facility6
have6no6more6than6two6residents6and6have6a6lockable6door6on6the6unit6entrance.
CCRC6(Continuing6Care6Retirement6Community)6-6ans-
A6facility6that6has6received6a6certificate6of6authority6pursuant6to6the6_________6and6Fina
ncial6Disclosure6Act,6N.J.S.A.652:27D-3006et6seq.
Customized6Resident6Medication6Package6-6ans-A6unit-of-
use6package6prepared6by6a6pharmacist6for6a6specific6resident6comprising6a6series6of6con
tainers6and6containing6two6or6more6prescribed6sold6oral6dosage6forms,6and6so6designed6
,or6labeled6as6to6indicate6the6day6and6time,6or6period6of6time,6that6the6contents6within6eac
h6container6are6to6be6taken.
Guardian6-6ans-
A6person6appointed6by6a6court6of6competent6jurisdiction6to6handle6the6affairs6and6protect
6the6rights6of6any6resident6of6the6facility6who6has6been6declared6a6mental6incompetent.6T
his6does6not6include6a6person6affiliated6with6the6facility,6its6operations6or6personnel,6unle
ss6so6ordered6by6the6court.
Health6Care6Service6-6ans-
Any6service6provided6to6a6resident6of6an6assisted6living6or6comprehensive6personal6care6
home6that6is6ordered6by6a6physician6and6required6to6be6provided6or6delegated6by6a6licen
sed,6registered6or6certified6health6care6professional.
Hospice6-6ans-
A6program6of6palliative6and6supportive6services6provided6to6terminally6ill6persons6and6the
ir6families6in6the6form6of6physical,6psychological,6social,6and6spiritual6care.
Managed6Risk6-6ans-
The6process6of6balancing6resident6choice6and6independence6with6the6health6and6safety6
of6the6resident6and6other6persons6in6the6facility6or6program.6If6a6resident's6preference6or6
decision6places6the6resident6or6others6at6risk6and6is6likely6to6lead6to6adverse6consequenc
es,6such6risks6or6consequences6are6discussed6with6the6resident,6and,6if6the6resident6agr
ees,6a6resident6representative,6and6a6formal6plan6to6avoid6or6reduce6negative6or6adverse
6outcomes6is6negotiated,6in6accordance6with6the6provisions6of6N.J.A.C.68:36-5.18.
Manage6Risk6Agreement6-6ans-
The6written6formal6plan6developed6in6consideration6of6shared6responsibility,6bounded6ch
oice6and6assisted6living6values6and6negotiated6between6the6resident6and6the6facility6or6pr
ogram6to6avoid6or6reduce6the6risk6of6adverse6outcomes6which6may6occur6in6an6assisted6l
iving6environment.
Medication6Administration6-6ans-
A6procedure6in6which6a6prescribed6medication6or6biological6is6given6to6a6resident6by6an6a
uthorized6individual6in6accordance6with6all6laws6and6regulations6governing6such6procedu
res.
Process6of6Medication6Administration6-6ans-
1.)6Removing6an6individual6dose6from6a6previously6dispensed,6properly6labeled6containe
r6(including6a6unit6dose6or6unit-of-use6container).
2.)6Verifying6it6with6the6prescriber's6orders.
3.)6Giving6the6individual6dose6to6the6resident.
4.)6Seeing6that6the6resident6takes6it6(if6oral).
5.)6Recording6the6required6information,6including6but6not6limited6to6the6method6of6admini
stration,6time6administered,6initials6of6individuals6who6administered6the6medication,6and6
effect6of6the6medication6when6"PRN"6or6as-needed6medications6are6administered.
,Dignity6-6ans-The6self-worth6of6a6resident.
Independence6-6ans-
The6support6and6enhancement6of6resident6capabilities6and6facilitation6of6resident6abilitie
s6so6that6the6resident's6preferences6and6choices6may6be6implemented6within6a6barrier-
free6environment.
Individuality6-6ans-
Each6resident's6unique6needs,6capabilities,6personalities,6backgrounds6and6preferences.
MAR6(Medication6Administration6Record)6-6ans-
An6individual6resident6record6that6contains,6but6is6not6limited6to:6resident6name,6date6of6b
irth,6diagnosis(es),6age,6physician,6name6and6medication6strength,6dosage6form,6route6of
6administration,6frequency,6date6and6time6of6administration,6initials6of6individual6administ
ering6the6medication,6a6section6containing6the6full6signature6and6title6of6each6individual6w
ho6initials6it,6date6medication6ordered,6stop6date6if6appliacable,6allergies,6and6all6other6pr
ofessionally6acceptable6information6that6is6appropriate.
30-hour6-6ans-
A6MATCEP6or6Medication6Aide6Training6Competency6and6Evaluation6Program6is6a6depa
rtment6approved6minimum6____________6training6course6conducted6by6a6Department6a
pproved6registered6professional6nurse6and6registered6pharmacist,6to6instruct6CNA,6CHH
A,6or6PCAs,6in6the6administration6of6medications6to6residents,6within6assisted6living6resid
ences,6comprehensive6personal6care6homes6and6assisted6living6programs.
Nursing6Home-Level6Care6-6ans-An6individual6requires6this6as6defined6by6N.J.A.C.68:85-
2.1.6It6is6provided6to6individuals6who6have6chronic6medical6condition(s)6resulting6in6mode
rate6to6severe6impairments6in6physical,6behavioral,6cognitive,6and/
or6psychosocial6functioning.6It6is6determined6by6a6registered6professional6nurse6and6iden
tified6in6a6plan6of6care.
Pain6Management6-6ans-In6accordance6with6N.J.A.C.68:43E-
6,6means6the6assessment6of6pain6and,6if6appropriate,6treatment6in6order6to6assure6the6ne
eds6of6patients6or6residents6of6health6care6facilities6who6experience6problems6with6pain6a
re6met.6Treatment6of6pain6may6include6the6use6of6medication6or6application6of6other6mod
alities6and6medical6devices6such6as,6but6not6limited6to,6heat6or6cold,6massage,6transcuta
neous6electrical6nerve6stimulation6(TENS),6acupuncture,6and6neurolytic6techniques6such
6as6radiofrequency6coagulation6and6cryotherapy.
Privacy6-6ans-A6resident's6degree6of6control6over6a6specific6physical6area6and/
or6time;6levels6of6intimacy6with6family6and6others;6and6communication6and6contact6with6o
thers6outside6the6facility6or6program6environment.
Shared6Responsibility6-6ans-
Residents6(and6if6the6resident6wishes6the6resident's6family)6and6providers6of6assisted6livi
, ng6services6share6responsibility6for6planning6and6decision6making6affecting6residents.6To
6participate 6fully6in6this,6residents6shaw6be6provided6with6clear6and6understandable6infor
mation6about6the6possible6consequences6of6their6decision-
making,6in6accordance6with6the6provisions6of6N.J.A.C.68:35-5.18(a)2.
Total6Bed6Complement6-6ans-Another6term6for6resident6census.
Unit6Dose6Drug6Distribution6System6-6ans-
A6system6in6which6medications6are6delivered6to6the6residents6areas6in6single6unit6packag
ing,6and6which6meets6the6following6criteria:
1.)6Each6medication6shall6be6individually6wrapped6and6labeled6with6the6generic6or6trade6(
brand)6name6and6strength6of6medication,6lot6number6or6reference6code,6expiration6date,6
and6manufacturer's6name,6and6shall6be6ready6for6administration6to6the6resident.
2.)6Cautionary6instructions6shall6appear6on6the6resident's6record6of6medication6administr
ation,6and6the6system6shall6include6provisions6for6noting6additional6information,6including
6but6no6limited6to,6special6times6or6routes6of6administration6and6storage6conditions.
3.)6Commercial6repackages6shall6comply6with6216CFR6201.1,6incorporated6herein6by6ref
erence,6as6amended6and6supplemented,6and6N.J.A.C.68:39.
Unit-of-Use6-6ans-
A6system6of6in6which6medications6are6delivered6to6the6resident6areas6either6in6single6unit
y6packaging,6bingo6or6punch6cards,6blister6or6strip6packs,6or6other6system6where6each6m
edication6is6physically6separate.6Individually6labeled6unit6dose6medications6may6be6com
bined6in6a6"bingo6or6punch6card"6to6create6a6unit-of-dose6drug6distribution6system.
206percent6-6ans-
An6assisted6living6facility6shall6indicate6within6366months6of6after6licensure,6at6least6____
__________6of6the6facility's6residents6shall6be6individuals6with6nursing6home-
level6care.6This6percentage6shall6be6computed6based6upon6the6number6of6residents6day
s6per6calendar6year6and6may6include6direct6admissions6as6well6as6maintained6residents6
with6nursing6home-level6of6care6needs.
Biennially6-6ans-
Each6assisted6living,6comprehensive6personal6care6home,6and6assisted6living6program6w
ill6be6assessed6and6inspected6__________________.
Survey6Visits6-6ans-
This6may6be6made6to6a6facility6at6any6time6by6authorized6staff6of6the6Department6.6Such6
may6include,6but6not6limited6to,6the6review6of6all6facility6documents6and6resident6records6
and6conferences6with6residents.
Facility6Licensure6-6ans-
A6licensure6shall6be6granted6for6a6period6of6one6year6or6less6as6determined6by6the6Depar
tment.
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