SMQT Comprehensive Care Plan Process 4

Question 1

During a survey, you observe that care plan conferences are held but family members consistently report not being invited. The most likely citation would be:

Accepted Answer

F-tag 656 (Comprehensive Care Plan) for failure to ensure participation

Answer

Failing to provide residents and representatives an opportunity to participate in care planning is a direct deficiency under F-tag 656.

Question 2

A care plan correctly identifies a pressure injury but the interventions listed have not been updated despite documented wound progression. A surveyor would cite this as:

Accepted Answer

A deficiency because the care plan must be revised when conditions change

Answer

Care plans must be updated to reflect current status; failing to revise interventions when a wound progresses constitutes a care planning deficiency.

Question 3

Which of the following best represents a person-centered care plan approach as emphasized in current CMS regulations?

Accepted Answer

Goals reflecting the resident's own preferences, strengths, and life history

Answer

CMS Phase 2 and 3 rules emphasize individualized, person-centered care plans that incorporate resident preferences, values, and goals.

Question 4

A facility uses a computerized care plan system that auto-populates generic interventions from the MDS. A surveyor's concern with this practice would be:

Accepted Answer

Auto-populated plans may not be individualized to the specific resident

Answer

Even when using electronic systems, care plans must be individualized; generic auto-populated content that is not customized constitutes a deficiency.

Question 5

If a surveyor finds that care plan goals are not being met and interventions are not being followed by staff, the root cause investigation should first examine:

Accepted Answer

Whether staff were educated on the care plan and whether the plan is accessible at point of care

Answer

Implementation failures often stem from staff not knowing about or having access to the care plan, making education and accessibility the first root cause to examine.

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT Comprehensive Care Plan Process 4