CNHA Roles and Responsibilities 4

Question 1

An administrator is preparing for a CMS Five-Star Quality Rating System review. Which of the following domains is NOT part of the Five-Star rating calculation?

Accepted Answer

Financial performance

Answer

Health inspections

Answer

Staffing levels

Answer

Quality measures

Question 2

A nursing home must submit a Plan of Correction (POC) after receiving survey deficiencies. Who is ultimately responsible for submitting and implementing the POC?

Accepted Answer

The Licensed Nursing Home Administrator

Answer

The Director of Nursing

Answer

The facility's corporate compliance officer

Answer

The state long-term care ombudsman

Question 3

What is the administrator's responsibility regarding the facility's emergency preparedness plan?

Accepted Answer

Ensure the plan is developed, tested annually, and coordinated with local emergency management

Answer

Review the plan only when an emergency occurs

Answer

Delegate plan development entirely to the maintenance department

Answer

Submit the plan to CMS only during initial certification

Question 4

A family member requests access to their relative's medical records. The resident lacks decision-making capacity and has no legal guardian. What should the administrator ensure?

Accepted Answer

Provide access to the person identified as the resident's legal representative per HIPAA

Answer

Deny access until a legal guardian is appointed

Answer

Allow full access to all family members to avoid conflict

Answer

Consult the attending physician to determine who may access records

Question 5

Which of the following best describes the concept of 'person-centered care' that administrators are responsible for promoting?

Accepted Answer

Tailoring care and services to each resident's individual preferences, values, and goals

Answer

Standardizing care protocols to ensure consistency across all residents

Answer

Prioritizing medically necessary treatments over resident lifestyle preferences

Answer

Allowing residents to direct all aspects of their care without clinical input

Question 6

A nursing home administrator is approached by a pharmaceutical vendor offering gifts to encourage use of their products. What is the ethical obligation?

Accepted Answer

Decline gifts and report the offer per facility anti-kickback and compliance policies

Answer

Accept gifts under $25 as these are below the federal threshold

Answer

Accept the gifts on behalf of the facility for staff appreciation events

Answer

Consult the medical director before making a decision

Question 7

What is the administrator's responsibility regarding minimum staffing ratios in their nursing facility?

Accepted Answer

Ensure the facility meets or exceeds federal and state minimum staffing requirements at all times

Answer

Staffing ratios are solely the Director of Nursing's responsibility

Answer

Staffing ratios only apply during state survey periods

Answer

Minimum staffing is only required for Medicare-certified beds