CNHA Facility Operations and Safety

Question 1

Which agency is primarily responsible for conducting unannounced inspections (surveys) of Medicare- and Medicaid-certified nursing facilities in the United States?

Accepted Answer

State survey agencies on behalf of CMS

Answer

State survey agencies, under contract with CMS, conduct unannounced annual and complaint inspections of certified nursing facilities to ensure compliance with federal standards.

Question 2

What does an 'immediate jeopardy' citation from a surveyor indicate?

Accepted Answer

A situation where the facility's noncompliance has placed residents at serious risk of harm or death

Answer

An immediate jeopardy citation is the most serious deficiency level, indicating that the facility's failure to comply has caused or is likely to cause serious injury, harm, or death to residents.

Question 3

A nursing home administrator receives notice of an upcoming fire drill. What is their primary responsibility?

Accepted Answer

Ensure all staff are trained and drills are conducted as required by federal and state regulations

Answer

Administrators must ensure fire drills are conducted per regulatory schedules and that all staff—including new hires and night shift—are properly trained in evacuation procedures.

Question 4

Which federal standard governs the physical environment and Life Safety Code requirements for nursing facilities?

Accepted Answer

NFPA 101 Life Safety Code as adopted by CMS

Answer

CMS requires nursing facilities to comply with NFPA 101 Life Safety Code, which governs fire safety, building construction, and emergency egress requirements.

Question 5

What is the purpose of an Emergency Preparedness Plan as required by CMS for nursing facilities?

Accepted Answer

To ensure continuity of resident care and facility operations during emergencies such as natural disasters or power outages

Answer

CMS requires nursing facilities to maintain a comprehensive Emergency Preparedness Plan to protect residents and ensure care continuity during disasters, emergencies, and hazardous events.

(CNHA) Certified Nursing Home Administrator Practice Test

(CNHA) Certified Nursing Home Administrator Practice Test

CNHA Facility Operations and Safety