SMQT Dietary and Nutrition Services 5

Question 1

A surveyor reviews a facility where enteral tube feeding is used for a cognitively intact resident who had not consented to this intervention. This scenario MOST directly raises concerns under:

Accepted Answer

F578 – Request/Refuse Treatment; Formulate Advance Directives

Answer

A cognitively intact resident has the right to refuse any treatment including tube feeding; proceeding without consent violates F578 (right to refuse treatment).

Question 2

During a dietary observation, a surveyor notes that thickened liquids ordered for a resident with dysphagia are being prepared inconsistently by different staff members. The MOST appropriate system-level corrective action is:

Accepted Answer

Develop a standardized protocol with pre-measured thickening agent quantities and competency training

Answer

Consistent thickened liquid preparation requires standardized protocols with precise measurements and staff competency validation to ensure resident safety.

Question 3

A facility's food safety log shows that a steam table was holding mashed potatoes at 130°F during lunch service. The required minimum hot holding temperature for cooked foods is:

Accepted Answer

135°F

Answer

The FDA Food Code requires hot foods to be held at 135°F or above to prevent bacterial growth in the temperature danger zone.

Question 4

A surveyor is evaluating a facility's nutritional supplement program and finds that supplements ordered by the dietitian are routinely given between meals but never documented in the medical record. This is MOST likely a deficiency in:

Accepted Answer

F842 – Medical Records

Answer

Failure to document supplement administration in the medical record is a medical records deficiency under F842, as all interventions must be documented.

Question 5

A resident at high risk for aspiration is found eating in the supine position without staff supervision. The MOST immediate concern for the surveyor is:

Accepted Answer

Imminent danger to the resident's health and safety

Answer

A resident at high aspiration risk eating supine without supervision represents an immediate jeopardy situation due to the high likelihood of aspiration pneumonia or asphyxiation.

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT Dietary and Nutrition Services 5