COMPILED Texas State Nursing Home
Administrator- STUDY GUIDE*TEST
BANK*EXAMS Question and Answers
[100% Correct] 2024/2025 Latest
Release!!
Medicaid specific requirements apply to? All individuals residing in a Medicaid certified facility,
including but not limited to private-pay individuals, Medicaid applicants and recipients, veterans
receiving care through the VA, and Medicare beneficiaries. This applies specifically to those admitted to
and residing in a facility that is Medicaid certified or has a Medicaid-certified distinct section. However,
these requirements do not extend to skilled nursing facilities (SNFs) that are licensed under Chapter 241
of the Health and Safety Code and are only partaking in the Medicare program.
Abuse The intentional or negligent infliction of harm, unreasonable restraint, intimidation, or
punishment that leads to physical or emotional suffering or pain for a resident; this also includes sexual
abuse, which encompasses involuntary or non-consensual sexual actions that would qualify as offenses
under Penal Code §21.08 (indecent exposure) or Chapter 22 (assaultive offenses), alongside sexual
harassment, coercion, or assault.
Act Chapter 242 of the Texas Health and Safety Code.
Admission MDS assessment An MDS assessment that establishes a recipient's initial eligibility
based on medical necessity for admission into the Texas Medicaid Nursing Facility Program.
Advanced practice registered nurse An individual who holds a license as an advanced practice
registered nurse from the Texas Board of Nursing.
Agent An adult designated with the authority to make health care decisions through a durable
power of attorney for health care.
APA The Administrative Procedure Act, as outlined in the Texas Government Code, Chapter 2001.
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,Attending physician A physician, currently licensed by the Texas Medical Board, designated by the
resident or their responsible party as the primary caregiver for the resident’s treatment and care.
Authorized electronic monitoring The installation of an electronic monitoring device in a
resident’s room to record audio or video, conducted after obtaining permission from the facility for
electronic monitoring.
Barrier precautions Safety measures that include the use of gloves, masks, gowns, resuscitation
equipment, eye protection, aprons, face shields, and protective clothing aimed at controlling infections.
Care and treatment Services designed to enhance a resident's independence, personal
preferences, participation, health, self-care, psychosocial functioning, and reasonable safety, all in line
with the resident's choices.
Certification The evaluation by HHSC confirming that a nursing facility complies with all criteria set
forth by the Medicaid or Medicare programs.
Change of ownership An occurrence resulting in a change of the federal taxpayer identification
number associated with the facility’s license holder. A substitution of a personal representative for a
deceased license holder does not qualify as a change of ownership.
CFR Code of Federal Regulations.
Complaint Any allegation received by HHSC that is not related to an incident reported by the
facility. These allegations may involve abuse, neglect, exploitation, or breaches of state or federal
regulations.
Completion date The date when an RN assessment coordinator finalizes an MDS assessment by
signing it as complete.
Comprehensive assessment An interdisciplinary evaluation of a resident's needs and abilities,
encompassing daily living activities and significant functional impairments.
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,Comprehensive care plan A detailed care strategy created by an interdisciplinary team that
includes specific short-term and long-term objectives and timelines to address each resident's needs
post-admission. This plan must cover at least medical, nursing, rehabilitative, psychosocial, dietary,
activity, and residents' rights needs. It outlines strategies formulated by the team in alignment with the
physician’s prescribed care plan to help the resident address, manage, or relieve identified health or
psychosocial issues.
Comprehensive Care Plan includes? (A) setting goals; (B) prioritizing care management; (C)
deciding on specific actions to address the resident's issues; and (D) aiding in the formation of suitable
coping strategies.
Covert electronic monitoring The use of an electronic monitoring device that is not visible or
obvious, where neither the facility nor HHSC has been informed of the device's presence by the resident,
an individual who installed the device, or someone utilizing the device.
DADS This term formerly referred to the Department of Aging and Disability Services; it now
pertains to HHSC.
DHS This term previously referred to the Texas Department of Human Services; it now indicates
HHSC, unless in the context of an administrative hearing. Administrative hearings that were previously
under DHS are now managed by HHSC.
Dietitian A qualified dietitian is someone who meets one of the following criteria: (A) holds
registration with the Commission on Dietetic Registration of the Academy of Nutrition and Dietetics; or
(B) is licensed or provisionally licensed as a dietitian under Texas Occupations Code, Chapter 701, and
has at least one year of supervisory experience in dietetic services within a healthcare setting.
Direct care by licensed nurses Direct care in accordance with the physician’s overall care plan for
the resident involves: (A) evaluating the resident’s health status; (B) planning the resident's care; (C)
assigning duties to facilitate the resident’s care; (D) implementing nursing interventions; and (E)
reassessing and modifying approaches as necessary.
Direct ownership interest Equity ownership in the capital, stock, or profits of, or a membership
interest in, an applicant or license holder.
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, Disclosure interest An ownership interest of five percent or more, either directly or indirectly, in
an applicant or license holder.
Distinct part The segment of a facility certified for participation in the Medicaid Nursing Facility
program.
Drug (also referred to as medication) Any of the following: (A) any substance classified as a drug in
the official US Pharmacopoeia, the official Homeopathic Pharmacopoeia of the US, or the official
National Formulary, including any supplements to these; (B) any substance intended for diagnosing,
curing, mitigating, treating, or preventing human disease; (C) any substance (excluding food) meant to
alter the structure or function of the human body; and (D) any substance intended for use as a
component of substances defined in (A) - (C). This definition excludes devices or their parts,
components, or accessories.
Electronic monitoring device Cameras and audio recording equipment installed in a resident's
room designed to capture communications or other sounds occurring in that space. Devices specifically
designed for the non-consensual interception of wire or electronic communications are not included in
this definition.
Exploitation The unlawful or improper actions of a caregiver, family member, or another individual
who maintains an ongoing relationship with a resident, using the resident's resources for financial or
personal gain without obtaining the resident’s informed consent.
Fiduciary agent An individual who holds in trust another's monies.
Goals Long-term: general statements of desired outcomes. Short-term: measurable time-limited,
expected results that provide the means to evaluate the resident's progress toward achieving long-term
goals.
Incident An abnormal event, including accidents or injury to staff or residents, which is
documented in facility reports. An occurrence in which a resident may have been subject to abuse,
neglect, or exploitation must also be reported to HHSC.
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