SMQT Dietary and Nutrition Services 3

Question 1

During a kitchen observation, a surveyor notices a food service worker handling raw chicken and then preparing a cold salad without washing hands or changing gloves. This practice PRIMARILY violates which food safety principle?

Accepted Answer

Cross-contamination prevention

Answer

Moving from raw poultry to ready-to-eat foods without hand hygiene or glove change is a direct cross-contamination risk, a critical food safety violation.

Question 2

A surveyor reviews a resident's care plan and notes that hydration goals are not documented despite the MDS indicating the resident is at risk for dehydration. The MOST relevant F-tag is:

Accepted Answer

F656 – Comprehensive Care Plans

Answer

F656 requires that care plans address identified needs including hydration, so an absent hydration goal for a resident at risk violates the comprehensive care plan requirement.

Question 3

When evaluating a facility's food purchasing practices, a surveyor finds that ground beef was received and stored without documentation of safe handling temperature during transport. Under F812, facilities must ensure food is:

Accepted Answer

Procured from sources that comply with applicable laws relating to food safety

Answer

F812 requires that food is obtained from sources that comply with applicable food safety laws, ensuring safe procurement from regulated suppliers.

Question 4

A surveyor observes that a resident with late-stage dementia is losing weight and staff report the resident 'won't eat.' The FIRST appropriate clinical step the facility should take is:

Accepted Answer

Conduct a comprehensive eating assessment including observation during a meal

Answer

Before any intervention, a systematic eating assessment including mealtime observation identifies the root cause (positioning, food preferences, oral health, swallowing) of intake decline.

Question 5

Federal regulations require that the interval between the evening meal and breakfast the next morning should not exceed:

Accepted Answer

14 hours

Answer

CMS regulations under F809 prohibit more than 14 hours between the evening meal and the next morning's breakfast to ensure adequate nutrition.

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT Dietary and Nutrition Services 3