Texas Nursing Home Administrator
(NHA) FINAL EXAM Question and
Answers [100% Correct] 2025 Latest
Version!!
Who is the Pneumococcal Vaccination offered to? It must be offered to all individuals aged 65 and
older, and it should be administered unless a physician determines the vac...
Texas Nursing Home Administrator
(NHA) FINAL EXAM Question and
Answers [100% Correct] 2025 Latest
Version!!
Who is the Pneumococcal Vaccination offered to? It must be offered to all individuals aged 65 and
older, and it should be administered unless a physician determines the vaccine is medically
contraindicated or the individual declines it.
When must the influenza vaccine be administered? It must be administered by November 30 each
year.
What must the emergency electrical power system provide? It must supply sufficient power to
illuminate all entrances and exits, maintain the fire detection, alarm, and extinguishing systems, and
support life-sustaining systems in case the normal electrical supply fails.
What is the governing board's legal responsibility? To establish and enforce policies related to the
management and operation of the facility.
Who appoints the administrator? The governing board appoints the administrator, who is in
charge of managing the facility and is required to work a minimum of 40 hours per week on
administrative responsibilities.
Who licenses the administrator? The Texas Board of Nursing Facility Administrators licenses the
administrator.
How frequently should CNA performance evaluations be conducted? They should be conducted
annually.
How many hours of in-service training are required for CNAs each year? CNAs must complete 12
hours of in-service training, which must include training on dementia management and resident abuse
prevention.
1
,What is required if a CNA has not worked in the last 24 months? They must undergo retraining.
All performance evaluations should occur at least ANNUALLY. True.
For how long must clinical records be kept for patients? They must be retained for five years
following the provision of medical services.
How long must clinical records be retained for minors? They must be kept for three years after the
resident reaches the legal age as defined by Texas law.
When must a new clinical record be initiated? A new clinical record must be created if the
resident is a new admission or has been discharged for more than 30 days. True.
How often should QAPI meetings take place? They should occur quarterly.
What is the role of QAPI? The committee is tasked with identifying issues that require action from
the committee.
What is the focus of QAPI? It centers on indicators of care outcomes and quality of life.
Who comprises the QAPI committee? The committee includes the Director of Nursing, the
Medical Director or their designee, at least three additional members (one of whom must be the
Administrator, owner, a board member, or another individual in a leadership position), and the infection
control and prevention officer.
Is the QAPI Plan required to be submitted to Federal and State surveyors upon request, as well as to
CMS? True.
When should the Inventory of Personal Property be conducted? It should be completed within 72
hours of the resident’s admission.
2
, Who is authorized to receive advance information about unannounced inspections? Citizen
advocates invited to attend inspections, representatives from TX DADS acting as ombudsmen,
representatives from the U.S. Department of Health and Human Services connected to the MCR/MCD
LTC Program, and representatives from the TX Department of Human Services involved in the MCR/MCD
LTC Program.
When does TX DADS start the investigation regarding abuse or neglect? They initiate the
investigation within 24 hours of receiving the report or allegation.
Under what circumstances will TX DADS refer a facility to the attorney general? If immediate
corrective actions are not taken to address a situation that could harm a resident's health and safety.
For how long are residents permitted to be on a Therapeutic Leave? They may be on leave for
three days (72 hours) if it is documented and has a physician's order.
When is the cost report due to TX DADS? It must be submitted no later than 90 days after the
provider entity's fiscal year ends or 90 days from the date the report forms are transmitted, whichever is
later.
What are the qualifications for paid feeding assistants? They must complete a state-approved
course consisting of 16 hours of training.
What are the dining space requirements? Each resident bed requires at least 10 square feet of
dining space.
Must the facility have at least one public access phone? False.
What are the requirements for a Personal Grooming Area (barber/beauty shop)? Facilities with
over 60 beds must provide a separate room with the necessary equipment for residents' hair care and
grooming needs.
3
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