SMQT - Surveyor Minimum Qualifications Resident Assessment and PASRR Questions and Answers

Question 1

An individual with a known history of serious mental illness is admitted to a Medicaid-certified nursing facility.
The PASRR Level I screen is positive.
What is the immediate next step the facility must ensure is completed *before* this individual can be admitted for a long-term stay?

Accepted Answer

A full PASRR Level II evaluation and determination.

Answer

A comprehensive resident assessment using the MDS within 14 days.

Answer

A baseline care plan within 48 hours of admission.

Answer

Notification to the state's long-term care ombudsman.

Question 2

A resident experiences a major decline in their cognitive and functional abilities after a stroke. The facility determines this is a 'significant change in status.' According to federal regulations, within how many days must the facility complete a comprehensive resident assessment?

Accepted Answer

Within 14 days of determining the change is significant.

Answer

Within 7 days of the stroke.

Answer

At the next scheduled quarterly review.

Answer

Within 48 hours of the physician's order.

Question 3

What is the primary purpose of the Care Area Assessments (CAAs) within the Resident Assessment Instrument (RAI) process?

Accepted Answer

To guide the interdisciplinary team in a deeper review of specific areas triggered by MDS responses.

Answer

To calculate the daily Medicare reimbursement rate for the resident.

Answer

To replace the need for daily nursing progress notes.

Answer

To serve as the final, comprehensive care plan document.

Question 4

A surveyor reviews the record of a new resident admitted from an acute care hospital for a 21-day stay for rehabilitation. The resident has a known intellectual disability, and the PASRR Level I was positive, but no Level II evaluation was performed. This is compliant if the admission meets the criteria for a(n):

Accepted Answer

Exempted hospital discharge.

Answer

Categorical determination for terminal illness.

Answer

Significant change in status.

Answer

Annual resident review.

Question 5

The Resident Assessment Instrument (RAI) process is mandated by CMS to ensure a comprehensive and standardized assessment. Which of the following lists the three required components of the RAI?

Accepted Answer

The Minimum Data Set (MDS), the Care Area Assessments (CAAs), and the RAI Utilization Guidelines.

Answer

The Baseline Care Plan, the Comprehensive Care Plan, and the Discharge Summary.

Answer

The Physician's Orders, Nursing Notes, and the Medication Administration Record.

Answer

The PASRR Level I, the PASRR Level II, and the Specialized Services Plan.

Question 6

A surveyor observes that a resident's MDS assessment is inconsistent with direct observations and staff interviews, indicating the resident is more capable than assessed. This discrepancy in the assessment process most directly compromises the facility's ability to:

Accepted Answer

Develop an accurate, person-centered care plan.

Answer

Comply with PASRR Level I screening timelines.

Answer

Notify the resident's physician of a change in condition.

Answer

Ensure proper financial guardianship.