Documentation and Regulatory Compliance Flashcards
6 cards from real CAD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Documentation and Regulatory Compliance flashcards as text
Under federal regulations, activity documentation must demonstrate that programming:
Answer: Meets each resident's individual interests and needs
Federal regulations require that activity documentation show individualized programming tailored to each resident's needs and interests.
The MDS (Minimum Data Set) Section F focuses on:
Answer: Resident preferences for daily life and activities
MDS Section F captures resident preferences for daily routines and activities to inform person-centered care planning.
Which of the following is NOT typically included in an activity progress note?
Answer: Physician's medication orders
Activity progress notes document participation, response, and behavioral observations, not physician medication orders.
When a resident refuses an activity, the activity director should document:
Answer: The refusal, the reason if known, and any alternative offered
Thorough documentation of refusals, reasons, and alternatives demonstrates respect for autonomy and professional accountability.
Care plan goals for activity services should be:
Answer: Specific, measurable, and tied to the resident's individual preferences and needs
Effective care plan goals are specific, measurable, and individualized to each resident's unique preferences and needs.
Which federal agency oversees the regulations governing activity services in nursing facilities?
Answer: Centers for Medicare & Medicaid Services (CMS)
CMS establishes and enforces the federal regulations governing activity services in Medicare and Medicaid certified nursing facilities.