SMQT - Surveyor Minimum Qualifications Physical Environment Standards Questions and Answers — Questions and Answers
Question 1: A surveyor conducting an initial tour of a skilled nursing facility observes a resident's room where the thermostat reads 85°F. The resident, who is alert and oriented, states that the room has felt uncomfortably warm for the past two days. This observation is a potential violation of the requirement to:
- Adhere to the Life Safety Code for heating systems.
- Ensure the emergency power system is functional.
- Provide a private and personalized living space.
- Maintain comfortable and safe temperature levels. (Correct answer)
Correct answer: Maintain comfortable and safe temperature levels.
According to 42 CFR §483.90(i), the facility must maintain comfortable and safe temperature levels for residents. While there is no single federally mandated temperature, the generally accepted range is 71-81°F. A sustained temperature of 85°F would be considered outside this comfortable and safe range.
Question 2: During an inspection of a resident's room in a facility certified after November 28, 2016, a surveyor notes that the room is shared by two residents. Each resident has a bed, a bedside cabinet, and shares a wardrobe. The room has a single window to the outside and an attached bathroom with a toilet and sink. This room configuration is:
- Non-compliant, because each resident must have a separate, private room.
- Compliant, as it meets the maximum occupancy and furnishing requirements for newer facilities. (Correct answer)
- Non-compliant, because regulations require a full private bath with a shower for each room.
- Compliant, but only if both residents are related.
Correct answer: Compliant, as it meets the maximum occupancy and furnishing requirements for newer facilities.
For facilities certified after November 28, 2016, 42 CFR §483.90(e) limits resident rooms to a maximum of two residents. It also requires that each resident have a separate bed, bedside cabinet, and access to a wardrobe or closet space, as well as an attached bathroom with at least a toilet and sink.
Question 3: A surveyor is evaluating the physical environment of a nursing facility. Which of the following findings would represent a direct violation of the standards for a resident's room as outlined in 42 CFR §483.90?
- A semi-private room where the privacy curtain between the beds does not extend fully around one of the beds. (Correct answer)
- The facility's maintenance staff changing a ceiling light bulb during the afternoon.
- A resident using their own personal, electrically-safe television that they brought from home.
- The presence of a landline telephone jack, although no phone is currently connected.
Correct answer: A semi-private room where the privacy curtain between the beds does not extend fully around one of the beds.
42 CFR §483.90(e)(1)(v) requires the facility to provide "full visual privacy for each resident." A privacy curtain that does not fully enclose the bed space fails to meet this requirement for the resident in a semi-private room.
Question 4: According to federal regulations at 42 CFR §483.90(d), a facility's resident call system must be accessible from which specific locations?
- Each resident's bed and the common dining areas.
- The shower, activity room, and main entrance.
- Each resident's bed and toilet. (Correct answer)
- The physical therapy room and all facility exits.
Correct answer: Each resident's bed and toilet.
The regulation at 42 CFR §483.90(d)(3) explicitly states that the resident call system must be equipped to receive resident calls from each resident's bed and toilet.
Question 5: While observing a housekeeping staff member cleaning a resident corridor, a surveyor notices that the floor buffing machine has a frayed electrical cord with exposed wires, which is plugged into a wall outlet. This observation points to a potential failure of the facility to:
- Implement an effective pest control program.
- Maintain all mechanical equipment in safe operating condition. (Correct answer)
- Provide adequate housekeeping and maintenance personnel.
- Ensure the Life Safety Code is met for corridor width.
Correct answer: Maintain all mechanical equipment in safe operating condition.
42 CFR §483.90 requires the facility to be equipped and maintained to protect the health and safety of residents, personnel, and the public. This includes ensuring all electrical equipment is in good repair and safe to operate. A frayed cord with exposed wires poses a significant risk of electric shock or fire.
Question 6: A surveyor reviews a facility's emergency generator testing logs. The logs indicate that the generator is started and tested for 15 minutes every month under the available building load. This practice is:
- Compliant, because monthly testing is the required frequency.
- Non-compliant, as weekly load testing for 30 minutes is required.
- Non-compliant, as the generator must be tested for a minimum of 30 minutes monthly. (Correct answer)
- Compliant, as long as a full load test is performed annually.
Correct answer: Non-compliant, as the generator must be tested for a minimum of 30 minutes monthly.
Federal regulations, which incorporate standards from the National Fire Protection Association (NFPA 110), require that emergency generators be exercised under load for at least 30 minutes monthly. A 15-minute test is insufficient to meet this standard for ensuring the generator's reliability during an actual power outage.
SMQT - Surveyor Minimum Qualifications Physical Environment Standards Questions and Answers
A surveyor conducting an initial tour of a skilled nursing facility observes a resident's room where the thermostat reads 85°F.
The resident, who is alert and oriented, states that the room has felt uncomfortably warm for the past two days.
This observation is a potential violation of the requirement to: