VERIFIED| Nursing Home Administrator
Licensure Final Exam *Q&A* (100%
Correct) 2025 – Graded A+
What are the key federal regulations that govern nursing homes under the Omnibus Budget
Reconciliation Act (OBRA)? OBRA outlines standards for resident care, staff qualifications, and...
|VERIFIED| Nursing Home Administrator
Licensure Final Exam *Q&A* (100%
Correct) 2025 – Graded A+
What are the key federal regulations that govern nursing homes under the Omnibus Budget
Reconciliation Act (OBRA)? OBRA outlines standards for resident care, staff qualifications, and
facility operations, ensuring quality of life and care for residents.
Explain the concept of "least restrictive environment" in the context of nursing home care. The
least restrictive environment means providing care and services that promote residents' independence
while ensuring their safety and well-being.
What documentation is required to demonstrate compliance with the Conditions of Participation for
nursing facilities? Facilities must maintain accurate records of resident assessments, care plans,
incident reports, and staff training to demonstrate compliance.
How does the Nursing Home Reform Act impact resident rights? The Nursing Home Reform Act
guarantees residents the right to dignity, self-determination, and freedom from abuse and neglect,
enhancing their quality of life.
What is the role of the State Survey Agency in nursing home oversight? The State Survey Agency
conducts regular inspections to ensure compliance with federal and state regulations and to protect the
health and safety of residents.
Describe the process of conducting an effective quality assurance and performance improvement (QAPI)
program in a nursing home. An effective QAPI program involves identifying areas for
improvement, implementing changes, monitoring outcomes, and engaging staff and residents in the
process.
What is the significance of the Resident Assessment Instrument (RAI) in nursing homes? The RAI
is essential for comprehensive resident assessments, which guide individualized care plans and ensure
appropriate resource allocation.
1
, Discuss the penalties that nursing homes may face for non-compliance with federal regulations.
Non-compliance can result in fines, denial of payment for new admissions, or even closure of the facility,
emphasizing the importance of adherence to regulations.
How does the Centers for Medicare & Medicaid Services (CMS) evaluate nursing home quality?
CMS evaluates nursing home quality through the Five-Star Quality Rating System, which assesses health
inspections, staffing, and quality measures.
What are the responsibilities of a nursing home administrator regarding infection control practices?
Administrators must ensure that infection control policies are in place, staff are trained, and
compliance with guidelines is maintained to protect resident health.
Explain the importance of maintaining a resident's right to privacy under HIPAA regulations.
Protecting residents' privacy ensures their confidentiality regarding health information, fostering trust
and promoting respectful care in the facility.
What actions should an administrator take in response to a report of suspected abuse or neglect?
The administrator should investigate the report immediately, ensure resident safety, and report findings
to appropriate authorities as required by law.
What is the purpose of the Minimum Data Set (MDS) in nursing home care? The MDS is used to
assess residents' functional capabilities and help formulate personalized care plans based on their
specific needs.
Describe the impact of the Americans with Disabilities Act (ADA) on nursing home operations.
The ADA requires nursing homes to accommodate residents with disabilities, ensuring accessibility and
equal treatment in all aspects of care.
What are the guidelines for resident transfers and discharges as per federal regulations?
Regulations require that transfers and discharges are medically justified, residents are informed in
advance, and appropriate care is arranged at the new location.
How can a nursing home administrator ensure compliance with staff training requirements?
Administrators should implement ongoing training programs, document training attendance, and
regularly evaluate staff competency to meet regulatory standards.
2
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