ACC Quality Assurance & Improvement 2

Question 1

Which federal regulation establishes quality-of-life requirements for activity programs in skilled nursing facilities?

Accepted Answer

OBRA 1987 (F679/F680)

Answer

OBRA 1987, implemented through F-tags F679 and F680, mandates that SNFs provide an ongoing activities program to meet residents' interests and physical, mental, and psychosocial well-being.

Question 2

During a QAPI root cause analysis meeting, the team discovers activity participation rates dropped 18% over three months. What is the BEST next step?

Accepted Answer

Identify and analyze contributing factors before implementing changes

Answer

Root cause analysis requires identifying contributing factors first so that interventions address the actual cause rather than symptoms.

Question 3

An activity consultant uses the '5 Whys' technique during a performance improvement project. This tool is best categorized as a:

Accepted Answer

Root cause analysis method

Answer

The '5 Whys' is a root cause analysis technique that repeatedly asks 'why' to drill down from a problem's symptom to its underlying cause.

Question 4

A facility's QAPI committee wants to measure activity program effectiveness. Which metric BEST reflects meaningful resident engagement?

Accepted Answer

Percentage of residents attending at least one activity daily

Answer

Daily attendance percentage directly measures whether residents are engaging meaningfully with programming rather than just measuring program quantity.

Question 5

When writing a Plan of Correction (POC) for an activity-related deficiency, which element is REQUIRED?

Accepted Answer

Specific corrective actions, responsible parties, and completion dates

Answer

A valid POC must include specific corrective actions, who is responsible for each action, and target completion dates to demonstrate accountability.

(ACC) Activity Consultant Certified Practice Test

(ACC) Activity Consultant Certified Practice Test

ACC Quality Assurance & Improvement 2