ARF ARF Admission and Discharge Procedures 2 — Questions and Answers
Question 1: The pre-placement appraisal conducted before ARF admission must assess the prospective resident's:
- Employment history and income sources
- Physical, mental, and social care needs (Correct answer)
- Insurance coverage and Medicare eligibility
- Family relationships and visiting preferences
Correct answer: Physical, mental, and social care needs
The pre-placement appraisal must evaluate the applicant's physical, mental, and social needs to determine whether the facility can appropriately serve them.
Question 2: When an ARF determines it cannot meet a prospective resident's needs after completing the pre-placement appraisal, the facility must:
- Accept the resident provisionally for a 30-day trial period
- Refer the applicant to appropriate services or alternative placements (Correct answer)
- Request additional staff from the licensing department
- Place the applicant on a waiting list for a minimum of 90 days
Correct answer: Refer the applicant to appropriate services or alternative placements
If a facility cannot meet an applicant's needs, it must refer them to appropriate alternative services or placements rather than accepting them inappropriately.
Question 3: How often must an ARF review and update a current resident's needs assessment after initial admission?
- Every 30 days
- Every 90 days
- Annually or when a significant change in condition occurs (Correct answer)
- Every 5 years
Correct answer: Annually or when a significant change in condition occurs
Resident assessments must be reviewed at least annually and updated whenever there is a significant change in the resident's physical, mental, or behavioral condition.
Question 4: Which statement about ARF admission criteria is CORRECT?
- Facilities must accept all applicants who can pay the required fees
- Facilities may specialize in serving specific populations within their license type (Correct answer)
- All ARFs must be equipped to serve residents with skilled nursing needs
- Admission decisions are made solely by the licensing department
Correct answer: Facilities may specialize in serving specific populations within their license type
ARFs may focus on specific licensed populations (such as those with developmental disabilities or mental health needs) while operating within their licensed category.
Question 5: The Individual Program Plan (IPP) for a regional center client residing in an ARF is:
- Completed exclusively by the ARF administrator within 30 days of admission
- Developed by the regional center and implemented by the ARF (Correct answer)
- Created solely by the resident's primary care physician
- Waived for residents who have been in continuous care for over five years
Correct answer: Developed by the regional center and implemented by the ARF
The IPP is developed by the regional center in collaboration with the client and their support network, while the ARF is responsible for implementing the plan's goals.
Question 6: An ARF's admission agreement must be written in:
- Legal terminology to ensure enforceability
- Language understandable to the resident or their authorized representative (Correct answer)
- English only, regardless of the resident's primary language
- Medical terminology as required by the Department of Health
Correct answer: Language understandable to the resident or their authorized representative
Admission agreements must be written in language that is understandable to the resident or their authorized representative so they can meaningfully consent to care terms.
Question 7: Before a person with a conservatorship is admitted to an ARF, the facility must verify:
- The conservatee's annual income meets the facility rate
- That the conservator has legal authority to consent to the placement (Correct answer)
- That the conservatee has no prior ARF placements on record
- That the conservatee has completed a minimum of 30 days in a crisis facility
Correct answer: That the conservator has legal authority to consent to the placement
When a prospective resident is under conservatorship, the facility must confirm that the conservator holds legal authority to make placement decisions on the person's behalf.
ARF ARF Admission and Discharge Procedures 2
The pre-placement appraisal conducted before ARF admission must assess the prospective resident's: