An ALF can be only one building?
FALSE
A resident can be bedridden in an ALF with a standard licence for no more then __ days?
7
Which agency is responsible for regulatory inspections of ALF's?
ACHA
Capacity in an ALF is the ____ of residents it is licensed to care for.
number
Which of the following is not considered an ADL?
a. Eating
b.Dressing
c.transferring
d.ambulation
e.toileting
c.transferring
Limited nursing services can only be provided by?
LPN, RN, ARNP
1/2 bed rails are considered a ________ and are allowed in an ALF only if?
Physical Restraint they are ordered by a physician
An event over which facility personnel could exercise control rather than as result of the resident's condition and results in?
Adverse Incident
Adverse incidents are submitted on day __ and day __ to ACHA.
1 and 15
A fully sprinkled ALF must conduct how many fire drills annually?
5
A limited mental health resident must receive OSS?
TRUE
Facilities licensed for 16 residents must have an awake staff person at night.
FALSE
The specialty licences for an ALF are?
LMH, LNS, ECC
The facility must have a surety bond if it has power of attorney or is a?
Representative payee
If a facility decides to hold monies or property for a resident for safekeeping,a statement must be provided to the resident and/or legal representative how often?
quarterly
A facility must conduct how many elopement drills annually?
2
A minimum weekly staffing hours for an ALF with four residents is?
168 hours
An ALF with ___ or more residents that receive OSS must have which type of licence?
3 Limited mental health licence
What is not commonly used medication to treat symptoms of mental health disorders?
a. anti-psychotic
b. anti-anxiety
c. psychotherapy
d. antidepressant
c. psychotherapy
Hospice services are allowed in an ALF and must be coordinated through the development of a what?
Interdiscplinary care plan
What is not a potentially hazardous food?
a. milk
b. fruit
c. eggs
d. poultry
Fruit
There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what?
Insulin injections
Alzheimer disease is curable by stimulating the brain?
FALSE
Any items a facility uses to advertise must contain what two things?
Assisted living facility & Licence #
At least one staff member who is trained in ____ & ____ must be in the facility at all times.
CPR & First Aid
ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules?
Biennial
Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction.
60
Deficiencies cited by ACHA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given.
False 30 days
True or False? An individual with stage 2 pressure sore can admitted to an ALF with a standard licence.
TRUE
How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice?
30 days
ADL
Activities of Daily Living
ACHA
Agency Health Care Administartion
DOEA
Department of elderly affairs
LPN
Licensed Practical Nurse
ARNP
Advanced Registered Nurse Practitioner
CLSP
Community Living Support Plan
ACS
Assisted Care Services
LNS
Limited Nursing Services Licence
ECC
Extended Congregate Care Licence
LMH
Limited Medical Health Licence
AFCH
Adult Family Care Home
MOR
Medication Observation Record
DCF
Department of Children and Families
CNA
Certified Nursing Assistant
OSS
Optional State supplementation
LTCOC
Long Term Care Ombudsman Council
FPSS
Florida Protective Service System
SSI
Supplemental Security Income
CARES
Comprehensive Assessment and review for long term care services
CPR
CARDIO PULMONARY RESUSCITATION
RDA
recommended daily allowance
CCRC
continuing care retirement community
FDLE
Florida Department of Law Enforcement
What Licence would be required if you are using a COMMUNITY SUPPORT PLAN?
LMH
What written statement is required for LMH residents that provides specific directions for emergencies and after hours care?
Cooperative Agreement
What is ACS?
Medicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis.
Which Licence allows a nurse to preform any service within the scope of their licence?
ECC
What Licence is required if you have 3 or more residents on OSS?
LMH
With a LMH licence, how many days do you have to make a Community Living Support Plan?
30 Days
Can a cooperative agreement be included in a community living support plan?
Yes
Which Licence allows full help with ADL's?
ECC
Can you care for a stage 3 pressure sore with a LNS licence?
No
How many residents on OSS are required for an ADULT FAMILY CARE HOME licence?
6
True or False? In Adult family care homes, care must be provided in the person providing cares own home.
TRUE
What does the "Long Term Care Ombudsman Council" Do?
respond and resolve problems for residents in long term care facilities
How many days can a resident be bed ridden in a standard licence ALF?
7 days
An ALF owner must be how old?
18
An ALF administrator must be how old?
21
How many days must be given to a resident for notice of discharge?
45
How many days does a resident need to provide for notice of termination?
30 days
How many months does an administrator have to complete all CORE training requirements?
3 months
What is the minimum square feet need per resident in an ALF for common living areas?
35
What is the minimum square footage for a private room in an ALF?
80
Is an ALF required to carry liability insurance at all times?
Yes
What is the maximum number of residents per bedroom?
2
What is the Toilet to sink ratio in an ALF?
1-6
In how many days must the "Health Assessment(1823)" prior to the move-in be completed?
60 days
How many days after Admission must a "health assessment (1823) be completed for a resident?
30 days
True or False? Residents that store medication may do so in their rooms if the medications are kept locked.
TRUE
What is a Moratorium?
the prohibition on the acceptance of new clients
What is the minimum time frame allotted to inform ACHA of a CHOW?
60 days
Every ___ Years of employment a new background screening must be done.
5
How many days prior must an ALF inform ACHA the discontinuance of operation?
30
True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results.
False 30 days
How many years must copies of ACHA inspections be kept on file?
5
True or False ACHA shall require an licencee to submit a plan of correction for deficiencies.
False The may require one
If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted?
10 days unless alternative time frame is required
A deficiency affecting one, or a very limited number of clients or staff would be considered a what?
Isolated Deficiency
A deficiency in which more then a limited number of clients or staff would be considered a what?
Patterned Dificiency
A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what?
Widespread Deficiency
How soon must a Class "I" violation be corrected?
24 hours unless a fixed time period is determined by ACHA
A Violation that presents an imminent danger clients would be considered a what class?
Class "I"
A violation that directly threatens clients is considered what class?
Class "II"
A violation that potentially threatens a client is considered what class?
Class "III"
True or False For Class "I" & "II" violations fines can be waved if corrected in a time specified.
False
A violation that does not have the potential to negatively affect a client is considered what class?
Class "IV"
Can ACHA impose an administrative fine for violations not designated as one of the four classes?
Yes
When a moratorium or emergency suspension is placed on a facility they must post what where?
When a moratorium or emergency suspension is placed on a facility they must post what where?
What class violation would a personal hygiene issue be considered?
Class "III"
Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your licence, or violating any terms of your licence are considered what type of violation?
Unclassified Violation
How many days may ACHA extend a denied, revoked or set to terminate licence for the sole purpose of allowing safe and orderly discharge of clients
30 days
How many months does an ALF have to comply when ACHA is authorized to adopt a new rule?
6 months
In the case of an emergency and ALF may exceed its licensed capacity for how many days?
15 days
The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what?
Aging in place
A building that provides housing, meals,one or more personal services exceeding 24 hours to one or more adults is considered a what?
Assisted Living Facility
A drug that physically limits, restricts or deprives an individual of movement of mobility is a what?
Chemical Restraint
A guardian is a person the law has entrusted what?
the custody and control of a person or property, or both
True or False you can provide 24-hour nursing care under a LNS licence.
FALSE
An individual who receives social security disability due to a mental disorder is a what?
Mental Health Resident
A device that physically limits, restricts or deprives movement or mobility is a what?
Physical Restraint
A service plan is required for each resident admitted under what licence?
ECC
True or False A resident under 24-hour-nursing care can be admitted to a ALF.
FALSE
Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF?
yes
True or False A home approved by the department of veteran affairs that provides care exclusively to 3 or less veterans is exempt from aquraring a licence
TRUE
True or False A facility with an ECC licence may serve a resident requiring 24-hour-nursing service.
False
An unlicensed ALF commits a felony of the __ Degree.
Third
During a CHOW you have how many days to notify residents in writing?
7 days
True or False ACHA can deny or revoke a licence if the ALF has two or more class "I" violations that are similar or identical within the past 2 years
TRUE
When does a LNS, ECC & LMH licence expire?
Same time as standard licence regardless of when issued
A conditional licence can not exceed how many months?
6 months
How soon must an owner of an ALF notify ACHA of a change in administration?
10 days
If a facility has __ or more residents they must have an awake staff member on duty at all times.
17
If a facility has fewer that 17 residents they must have and awake staff member on at all times or what?
Have mechanisms in place to monitor and ensure safety of all residents.
How many hours of initial training are required for an employee with regular contact with Alzheimer's residents?
4 hours
An Event over which facility personnel could exercise control rather than as a result of the residents condition and results in: Death, brain or spinal damage would be considered a what?
Adverse incident
After the occurrence of an Adverse incident the facility has how many days to report the preliminary report to ACHA?
1 day
How many day after an Adverse incident does the facility have to report a full report to ACHA?
15 days
How often must a facility report any liability claims filed against them?
monthly
True or False adverse incident reports are confidential and are not discoverable or admissible in any civil or administrative action, except in proceedings by the agency or appropriate regulatory board.
TRUE
A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident?
Adverse incident
True or false A RN can not perform their professional duties in an emergency situation at an ALF.
False
They can until emergency medical personal assume responsibility.
An ALF with 17 or more beds must have a functioning what?
Automated External Defrillator
What is a DNR?
Do Not Resuscitate Order
Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED?
When presented with a "do not resuscitate order"
When assisting a resident with self-administration of medication can you remove the prescribed amount while not in the presence of the resident?
No, medicine must be opened and removed in residents presence
True or False Mixing, compounding, converting or calculating medication doses is allowed with assisting in self-medication.
False
Unless you are measuring the prescribed amount, breaking a scored tablet or crushing a tablet as prescribed.
True or False You may assist the resident with medication by lifting the hand, holding the container of medicine to the residents mouth.
True You may not however place the medicine directly in their mouth.
A facility must notify who and how soon when they acknowledge that a resident is exhibiting signs of dementia or cognitive impairment?
A licensed physician with in 30 days
Can a resident use their own belongings as space permits in an ALF?
Yes, unless they are adjudicated incompetent or incapacitated under state law.
True or False A resident does not have the right to choose their own roommate.
FALSE
Upon mutual consent how much cash can a facility keep in safekeeping for a resident?
$200
Can an ALF employee barrow money from a resident?
No
What are the minimum records kept on file for all staff members?
Background screening, compliance with all training and all licenses or certifications.
Under what circumstance may a resident give a notice of relocation or termination of residency in less than 45 days?
Medical reasons certified my physician to require emergency relocation, or the resident has a pattern of harmful or offensive conduct towards other residents
Does a resident have the right to share a room with their spouse?
Yes, if they are both residents of the facility
Can an ALF require residents to wear uniforms?
No
Can ACHA have private conversations with residents during a survey?
Yes
The evacuation evaluation for initial licensure shall be conducted within how many months?
6 Months
A facility without a automatic sprinkler system must conduct evacuation capability's how often?
At least Aunnualy
What is the maximum time allotted for an evacuation drill in an unsprinkled facility?
3 minutes
True or False All new facilities must be equipped with an automatic fire sprinkler system.
True, unless the facility houses 8 or fewer residents
How many elopement drills must a facility conduct minimum per year?
2
True or False A facility is not required to document the implement of elopement drills.
FALSE
A deficiency cited during a survey for medication must be corrected how soon?
48 hours
True or False A facility associated with a religious organization shall include it in their advertising.
TRUE
True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's
TRUE
Are Alzheimer's, dimentias or mental retardation considered Mental disorders?
No, however schizophrenic and other psychotic disorders are.
If ACHA informs a licence applicant of errors or omissions on their application how many days do they have to respond with the required information?
21 days
True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence.
TRUE
how often does a facilities license need to be renewed?
every 2 years
True or False when a resident uses a third party provider it is not required to be documented in their records.
FALSE
True or False When a resident denies the use of a third party provider it must be documented in their resident record.
TRUE
Can someone with HIV be admitted to an ALF facility?
Yes
Can a facility accept a resident that requires the administration of medication?
Yes, if a nurse is there to provide the service
True or False A resident requiring the monitoring of blood gasses can be admitted to an ALF facility.
FALSE
Can a facility obtain information omitted from the Health assessment form, from the physician verbally?
Yes, but it must be documented in the residents records.
A resident must have a face to face medical examination how often to maintain continued residency?
Every 3 years or after any significant change
how many days a week shall activities be available?
6 days
what is the minimum hours of activities required for an ALF per week?
12 hours
True or False A one-time special event television program can be counted as an activity?
TRUE
Can a facility require a resident to see a specific health care provider?
NO
A written order for a half-bed rail must be reviewed by the physician how often?
every 6 months
How often should staff asses the risk of elopement in residents?
at a minimum, Daily
True or False A MOR sheet does not need to list known allergies of a resident.
FALSE
How soon must an abandoned or expired medication be disposed of?
within 30 days
True or False A stock supply of over the counter products for multiple residents is permitted.
False
How many separate ALF's can a administrator supervise?
3
True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility.
True
How often does freedom from tuberculosis need to be documented for staff members?
annually
How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months?
30 days
A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year?
2
True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission.
TRUE
In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider?
at least every 3 years after initial assessment, or after a significant change.
Residents my be bedridden for up to how many days?
7 days
True or False A resident requiring care of a stage 2 pressure sore may be retained providing that:
- facility has a LNS licence, home health or nurse
- the condition is documented in the resident record
-the condition has shown improvement with in 40 da
False, must show improvement with in 30 days
True of False a terminally ill resident that no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met:
-resident has hospice
-continued residency is agreeable to the resident and faculty
-An ICP is developed and implemented by a licensed Hospice
-faculty staff may provide an nursing services permitted under the facility licence
-documentation of the requirements of this are in the residents file
TRUE
True or False the administrator of a facility is responsible for monitoring the continued appropriateness of placement of the resident in the facility.
TRUE
true or False If the resident no longer meets the criteria for continued residency or the facility is unable to meet the residents need - as determined by the administrator or health care provider the resident shall be discharged.
TRUE
True or False Significant change means; a sudden change or major shift in behavior or meed or deterioration of health status such as (weight , stroke, hearth condition, or not participating in activities)
False, stage 2,3,4 pressure sores instead of activities
True of False for admission to a facility a resident must be at least 21 years of age.
False, 18
True or False For admission to a facility a resident must be free of communicable diseases
TRUE
True or False For admission to a facility a resident must be able to preform ADL's with supervision & assistance as necessary.
TRUE
True or False For admission to a facility a resident must not have any stage 2,3,4 pressure sores.
False, only stage 3,4 not allowed
What is the common living area in an ALF?
35 square feet per resident, any area used by all residents and staff
what is the minimum square footage for a resident room?
80 square feet
what is the minimum square footage for a double occupancy room?
120 square feet
an (1823) health assessment must be completed ___ prior to admission or with in ___ days after admission.
60 days and 30 days
Menus must be reviewed ______
Annualy
Menu substitutions and a copy of them are to be kept on file for ____
6 months
ALF surveys for the purpose of relicensure are conducted by ACHA on a _____ basis.
Biennial
A deficiency must be corrected with in ___ calendar days unless otherwise notified.
30
A facility must provide ____ gallons of water per resident per day in an emergency.
5 Gallons
An emergency management plan must be approved annually by the?
County emergency management agency
How long does a facility keep resident contracts?
5 years
How long does a facility keep employee work schedules?
6 months
How long does a facility keep major incident reports?
2 years
How long does a facility keep fire inspections?
2 years
How long does a facility keep health inspections?
2 years
All ACHA health inspection reports are at a facility for how long?
5 years
Resident records are kept at a facility for how long?
2 years
Adverse incident reports are kept at a facility for how long?
2 years
An application for CHOW must be submitted to ACHA ___ days prior to the transaction.
60 days
ACHA shall notify the licencee by mail or electronically at least ___ days before the expiration of a licence for renewal.
90 days
True of False A standard licence may be issued to an applicant at the time of initial licensure, renewed, or CHOW. As long as when issued, applicant is in compliance with all statutory requirements and agency rules.
TRUE
A standard licence expires ___ years after date of issue.
2 years
True or False Provisional licence can be issued to an applicant against whom a proceeding, denying or revoking a licence is pending at the time of licence renewal.
TRUE
True of False a provisional licence may be issued to an applicant applying for a CHOW.
TRUE
Does a Financial officer of the company need to have a level 2 background screening?
Yes
Does any person having controlling interest in a facility need a level 2 background screening?
Yes
True or False? An ALF can be only one building?
FALSE
A resident can be bedridden in an ALF with a standard licence for no more then __ days?
7
Which agency is responsible for regulatory inspections of ALF's?
AHCA
Capacity in an ALF is the ____ of residents it is licensed to care for.
number
Which of the following is not considered an ADL?
a. Eating
b.Dressing
c.transferring
d.ambulation
e.toileting
c. transferring
Limited nursing services can only be provided by?
LPN, RN, ARNP
1/2 bed rails are considered a ________ and are allowed in an ALF only if?
Physical Restraint
they are ordered by a physician
An event over which facility personnel could exercise control rather than as result of the resident's condition and results in?
Adverse Incident
Adverse incidents are submitted on day __ and day __ to ACHA.
1 and 15
A fully sprinkled ALF must conduct how many fire drills annually?
5
True or False? A limited mental health resident must receive OSS?
True
True or False? Facilities licensed for 16 residents must have an awake staff person at night.
FALSE
The specialty licences for an ALF are?
LMH, LNS, ECC
The facility must have a surety bond if it has power of attorney or is a?
Representative payee
If a facility decides to hold monies or property for a resident for safekeeping,a statement must be provided to the resident and/or legal representative how often?
quarterly
A facility must conduct how many elopement drills annually?
2
A minimum weekly staffing hours for an ALF with four residents is?
168 hours
An ALF with ___ or more residents that receive OSS must have which type of licence?
3
Limited mental health licence
What is not commonly used medication to treat symptoms of mental health disorders?
a. anti-psychotic
b. anti-anxiety
c. psychotherapy
d. antidepressant
C. psychotherapy
Hospice services are allowed in an ALF and must be coordinated through the development of a what?
Interdiscplinary care plan
What is not a potentially hazardous food?
a. milk
b. fruit
c. eggs
d. poultry
Fruit
There are two types of diabetes. Type one does not produce enough insulin. The primary treatment for type one involves what?
Insulin injections
True or False? Alzheimer disease is curable by stimulating the brain?
FALSE
Any items a facility uses to advertise must contain what two things?
Assisted living facility & Licence #
At least one staff member who is trained in ____ & ____ must be in the facility at all times.
CPR & First Aid
ALF surveys conducted by ACHA will occur how often to ensure compliance with all regulations and rules?
Biennial
Applications for a CHOW must be submitted to ACHA __ many days prior to the transaction.
60
True or False? Deficiencies cited by ACHA must be corrected within 10 calendar days of notification of inspection results unless other correction date is given.
False 30 days
True or False? An individual with stage 2 pressure sore can admitted to an ALF with a standard licence.
TRUE
How many days does a resident have to show documented improvement of a stage 2 pressure sore before given a discharge notice?
30 days
ADL
Activities of Daily Living
ACHA
Agency Health Care Administartion
DOEA
Department of elderly affairs
LPN
Licensed Practical Nurse
ARNP
Advanced Registered Nurse Practitioner
CLSP
Community Living Support Plan
ACS
Assisted Care Services
LNS
Limited Nursing Services Licence
ECC
Extended Congregate Care Licence
LMH
Limited Medical Health Licence
AFCH
Adult Family Care Home
MOR
Medication Observation Record
DCF
Department of Children and Families
CNA
Certified Nursing Assistant
OSS
Optional State supplementation
LTCOC
Long Term Care Ombudsman Council
FPSS
Florida Protective Service System
SSI
Supplemental Security Income
CARES
Comprehensive Assessment and review for long term care services
CPR
CARDIO PULMONARY RESUSCITATION
RDA
recommended daily allowance
CCRC
continuing care retirement community
FDLE
Florida Department of Law Enforcement
What Licence would be required if you are using a COMMUNITY SUPPORT PLAN?
LMH
What written statement is required for LMH residents that provides specific directions for emergencies and after hours care?
Cooperative Agreement
What is ACS?
Medicaid based, state plan that provides care to eligible recipients who require an integrated set of services on a 24-hour-per-day-basis.
Which Licence allows a nurse to preform any service within the scope of their licence?
ECC
What Licence is required if you have 3 or more residents on OSS?
LMH
With a LMH licence, how many days do you have to make a Community Living Support Plan?
30 Days
Can a cooperative agreement be included in a community living support plan?
Yes
Which Licence allows full help with ADL's?
ECC
Can you care for a stage 3 pressure sore with a LNS licence?
No
How many residents on OSS are required for an ADULT FAMILY CARE HOME licence?
6
True or False? In Adult family care homes, care must be provided in the person providing cares own home.
TRUE
What does the "Long Term Care Ombudsman Council" Do?
respond and resolve problems for residents in long term care facilities
How many days can a resident be bed ridden in a standard licence ALF?
7 days
An ALF owner must be how old?
18
An ALF administrator must be how old?
21
How many days must be given to a resident for notice of discharge?
45
How many days does a resident need to provide for notice of termination?
30 days
How many months does an administrator have to complete all CORE training requirements?
3 months
What is the minimum square feet need per resident in an ALF for common living areas?
35
What is the minimum square footage for a private room in an ALF?
80
Is an ALF required to carry liability insurance at all times?
Yes
What is the maximum number of residents per bedroom?
2
What is the Toilet to sink ratio in an ALF?
1-6
In how many days must the "Health Assessment(1823)" prior to the move-in be completed?
60 days
How many days after Admission must a "health assessment (1823) be completed for a resident?
30 days
True or False? Residents that store medication may do so in their rooms if the medications are kept locked.
TRUE
What is a Moratorium?
the prohibition on the acceptance of new clients
What is the minimum time frame allotted to inform ACHA of a CHOW?
60 days
Every ___ Years of employment a new background screening must be done.
5
How many days prior must an ALF inform ACHA the discontinuance of operation?
30
True or False A deficiency must be corrected within 10 days after the provider is notified of inspection results.
False 30 days
How many years must copies of ACHA inspections be kept on file?
5
True or False ACHA shall require an licencee to submit a plan of correction for deficiencies.
False The may require one
If a plan of correction is required by ACHA for deficiencies, in how many days must it be submitted?
10 days unless alternative time frame is required
A deficiency affecting one, or a very limited number of clients or staff would be considered a what?
Isolated Deficiency
A deficiency in which more then a limited number of clients or staff would be considered a what?
Patterned Dificiency
A deficiency in which a problem is pervasive in the provider or represent a systemic failure that affects a large portion of clients is considered a what?
Widespread Deficiency
How soon must a Class "I" violation be corrected?
24 hours unless a fixed time period is determined by ACHA
A Violation that presents an imminent danger clients would be considered a what class?
Class "I"
A violation that directly threatens clients is considered what class?
Class "II"
A violation that potentially threatens a client is considered what class?
Class "III"
True or False For Class "I" & "II" violations fines can be waved if corrected in a time specified.
FALSE
A violation that does not have the potential to negatively affect a client is considered what class?
Class "IV"
Can ACHA impose an administrative fine for violations not designated as one of the four classes?
Yes
When a moratorium or emergency suspension is placed on a facility they must post what where?
A notice of action in a place visible to the public
What class violation would a personal hygiene issue be considered?
Class "III"
Exceeding your licensed capacity, violating a moratorium, providing services beyond the scope of your licence, or violating any terms of your licence are considered what type of violation?
Unclassified Violation
How many days may ACHA extend a denied, revoked or set to terminate licence for the sole purpose of allowing safe and orderly discharge of clients
30 days
How many months does an ALF have to comply when ACHA is authorized to adopt a new rule?
6 months
In the case of an emergency and ALF may exceed its licensed capacity for how many days?
15 days
The process of providing increased or adjusted services to a person to compensate for the physical or mental decline thaw may occur with aging is called what?
Aging in place
A building that provides housing, meals,one or more personal services exceeding 24 hours to one or more adults is considered a what?
Assisted Living Facility
A drug that physically limits, restricts or deprives an individual of movement of mobility is a what?
Chemical Restraint
A guardian is a person the law has entrusted what?
the custody and control of a person or property, or both
True or False you can provide 24-hour nursing care under a LNS licence.
FALSE
An individual who receives social security disability due to a mental disorder is a what?
Mental Health Resident
A device that physically limits, restricts or deprives movement or mobility is a what?
Physical Restraint
A service plan is required for each resident admitted under what licence?
ECC
True or False A resident under 24-hour-nursing care can be admitted to a ALF.
FALSE
Can a resident under Hospice have 24-hour-nursing if already admitted to an ALF?
yes
True or False A home approved by the department of veteran affairs that provides care exclusively to 3 or less veterans is exempt from aquraring a licence
TRUE
True or False A facility with an ECC licence may serve a resident requiring 24-hour-nursing service.
FALSE
An unlicensed ALF commits a felony of the __ Degree.
Third
During a CHOW you have how many days to notify residents in writing?
7 days
True or False ACHA can deny or revoke a licence if the ALF has two or more class "I" violations that are similar or identical within the past 2 years
TRUE
When does a LNS, ECC & LMH licence expire?
Same time as standard licence regardless of when issued
A conditional licence can not exceed how many months?
6 months
How soon must an owner of an ALF notify ACHA of a change in administration?
10 days
If a facility has __ or more residents they must have an awake staff member on duty at all times.
17
If a facility has fewer that 17 residents they must have and awake staff member on at all times or what?
Have mechanisms in place to monitor and ensure safety of all residents.
How many hours of initial training are required for an employee with regular contact with Alzheimer's residents?
4 hours
An Event over which facility personnel could exercise control rather than as a result of the residents condition and results in: Death, brain or spinal damage would be considered a what?
Adverse incident
After the occurrence of an Adverse incident the facility has how many days to report the preliminary report to ACHA?
1 day
How many day after an Adverse incident does the facility have to report a full report to ACHA?
15 days
How often must a facility report any liability claims filed against them?
monthly
True or False adverse incident reports are confidential and are not discoverable or admissible in any civil or administrative action, except in proceedings by the agency or appropriate regulatory board.
TRUE
A resident who elopes and is placed at risk of harm or injury would be considered what kind of incident?
Adverse incident
True or false A RN can not perform their professional duties in an emergency situation at an ALF.
False
They can until emergency medical personal assume responsibility.
An ALF with 17 or more beds must have a functioning what?
Automated External Defrillator
What is a DNR?
Do Not Resuscitate Order
Under what circumstance can facility staff withhold or withdraw from CPR or the use of an AED?
When presented with a "do not resuscitate order"
When assisting a resident with self-administration of medication can you remove the prescribed amount while not in the presence of the resident?
No, medicine must be opened and removed in residents presence
True or False Mixing, compounding, converting or calculating medication doses is allowed with assisting in self-medication.
False
Unless you are measuring the prescribed amount, breaking a scored tablet or crushing a tablet as prescribed.
True or False You may assist the resident with medication by lifting the hand, holding the container of medicine to the residents mouth.
True
You may not however place the medicine directly in their mouth.
A facility must notify who and how soon when they acknowledge that a resident is exhibiting signs of dementia or cognitive impairment?
A licensed physician with in 30 days
Can a resident use their own belongings as space permits in an ALF?
Yes, unless they are adjudicated incompetent or incapacitated under state law.
True or False A resident does not have the right to choose their own roommate.
FALSE
Upon mutual consent how much cash can a facility keep in safekeeping for a resident?
$200
Can an ALF employee barrow money from a resident?
No
What are the minimum records kept on file for all staff members?
Background screening, compliance with all training and all licenses or certifications.
Under what circumstance may a resident give a notice of relocation or termination of residency in less than 45 days?
Medical reasons certified my physician to require emergency relocation, or the resident has a pattern of harmful or offensive conduct towards other residents
Does a resident have the right to share a room with their spouse?
Yes, if they are both residents of the facility
Can an ALF require residents to wear uniforms?
No
Can ACHA have private conversations with residents during a survey?
Yes
The evacuation evaluation for initial licensure shall be conducted within how many months?
6 Months
A facility without a automatic sprinkler system must conduct evacuation capability's how often?
At least Aunnualy
What is the maximum time allotted for an evacuation drill in an unsprinkled facility?
3 minutes
True or False All new facilities must be equipped with an automatic fire sprinkler system.
True, unless the facility houses 8 or fewer residents
How many elopement drills must a facility conduct minimum per year?
2
True or False A facility is not required to document the implement of elopement drills.
FALSE
A deficiency cited during a survey for medication must be corrected how soon?
48 hours
True or False A facility associated with a religious organization shall include it in their advertising.
TRUE
True or False Assisting with routine emptying of a catheter or ostomy bag is part of ADL's
TRUE
Are Alzheimer's, dimentias or mental retardation considered Mental disorders?
No, however schizophrenic and other psychotic disorders are.
If ACHA informs a licence applicant of errors or omissions on their application how many days do they have to respond with the required information?
21 days
True of False A standard licence is required for all applicants of an ECC, LMH, or LNS licence.
TRUE
how often does a facilities license need to be renewed?
every 2 years
True or False when a resident uses a third party provider it is not required to be documented in their records.
FALSE
True or False When a resident denies the use of a third party provider it must be documented in their resident record.
TRUE
Can someone with HIV be admitted to an ALF facility?
Yes
Can a facility accept a resident that requires the administration of medication?
Yes, if a nurse is there to provide the service
True or False A resident requiring the monitoring of blood gasses can be admitted to an ALF facility.
FALSE
Can a facility obtain information omitted from the Health assessment form, from the physician verbally?
Yes, but it must be documented in the residents records.
A resident must have a face to face medical examination how often to maintain continued residency?
Every 3 years or after any significant change
how many days a week shall activities be available?
6 days
what is the minimum hours of activities required for an ALF per week?
12 hours
True or False A one-time special event television program can be counted as an activity?
TRUE
Can a facility require a resident to see a specific health care provider?
No
A written order for a half-bed rail must be reviewed by the physician how often?
every 6 months
How often should staff asses the risk of elopement in residents?
at a minimum, Daily
True or False A MOR sheet does not need to list known allergies of a resident.
FALSE
How soon must an abandoned or expired medication be disposed of?
within 30 days
True or False A stock supply of over the counter products for multiple residents is permitted.
FALSE
How many separate ALF's can a administrator supervise?
3
True or False an Administrator supervising more than one ALF must appoint a separate manager for each facility.
TRUE
How often does freedom from tuberculosis need to be documented for staff members?
annually
How many days does a newly hired staff member have to submit they are free of communicable diseases in the last 6 months?
30 days
A facility that is equipped with a fully sprinkled system and in compliance with other fire safety standards are required to have, how many required fire drills between the hours of 11pm and 7am per year?
2
True or False The criteria for continued residency in any licensed facility shall be the same as the criteria for admission.
True
In continued residency criteria, how often must a resident have a face to face medical exam by a licensed health care provider?
at least every 3 years after initial assessment, or after a significant change.
Residents my be bedridden for up to how many days?
7 days
True or False A resident requiring care of a stage 2 pressure sore may be retained providing that:
- facility has a LNS licence, home health or nurse
- the condition is documented in the resident record
-the condition has shown improvement with in 40 days
False, must show improvement with in 30 days
True of False a terminally ill resident that no longer meets the criteria for continued residency may continue to reside in the facility if the following conditions are met:
-resident has hospice
-continued residency is agreeable to the resident and faculty
-An ICP is developed and implemented by a licensed Hospice
-faculty staff may provide an nursing services permitted under the facility licence
-documentation of the requirements of this are in the residents file
True
True or False the administrator of a facility is responsible for monitoring the continued appropriateness of placement of the resident in the facility.
True
true or False If the resident no longer meets the criteria for continued residency or the facility is unable to meet the residents need - as determined by the administrator or health care provider the resident shall be discharged.
True
True or False Significant change means; a sudden change or major shift in behavior or meed or deterioration of health status such as (weight , stroke, hearth condition, or not participating in activities)
False, stage 2,3,4 pressure sores instead of activities
True of False for admission to a facility a resident must be at least 21 years of age.
False, 18
True or False For admission to a facility a resident must be free of communicable diseases
True
True or False For admission to a facility a resident must be able to preform ADL's with supervision & assistance as necessary.
True
True or False For admission to a facility a resident must not have any stage 2,3,4 pressure sores.
False, only stage 3,4 not allowed
What is the common living area in an ALF?
35 square feet per resident, any area used by all residents and staff
what is the minimum square footage for a resident room?
80 square feet
what is the minimum square footage for a double occupancy room?
120 square feet
an (1823) health assessment must be completed ___ prior to admission or with in ___ days after admission.
60 days and 30 days
Menus must be reviewed ______
Annualy
Menu substitutions and a copy of them are to be kept on file for ____
6 months
ALF surveys for the purpose of relicensure are conducted by ACHA on a _____ basis.
Biennial
A deficiency must be corrected with in ___ calendar days unless otherwise notified.
30
A facility must provide ____ gallons of water per resident per day in an emergency.
5 Gallons
An emergency management plan must be approved annually by the?
County emergency management agency
How long does a facility keep resident contracts?
5 years
How long does a facility keep employee work schedules?
6 months
How long does a facility keep major incident reports?
2 years
How long does a facility keep fire inspections?
2 years
How long does a facility keep health inspections?
2 years
All ACHA health inspection reports are at a facility for how long?
5 years
Resident records are kept at a facility for how long?
2 years
Adverse incident reports are kept at a facility for how long?
2 years
An application for CHOW must be submitted to ACHA ___ days prior to the transaction.
60 days
ACHA shall notify the licencee by mail or electronically at least ___ days before the expiration of a licence for renewal.
90 days
True of False A standard licence may be issued to an applicant at the time of initial licensure, renewed, or CHOW. As long as when issued, applicant is in compliance with all statutory requirements and agency rules.
True
A standard licence expires ___ years after date of issue.
2 years
True or False Provisional licence can be issued to an applicant against whom a proceeding, denying or revoking a licence is pending at the time of licence renewal.
True
True of False a provisional licence may be issued to an applicant applying for a CHOW.
True
Does a Financial officer of the company need to have a level 2 background screening?
Yes
Does any person having controlling interest in a facility need a level 2 background screening?
Yes
AHCA
Agency for Health Care Administration
When outside temperatures are 65F or below at Minimum, the same tempertaures shall be maintained
FALSE
Unlicensed persons who will be providing assistance with self-administered medications must take the requested training
Training must be done prior to assuming responsibilities
Assistance with medication by an unlicensed person requires the written informed consent of the resident
True
If the doctor changes a prescription order for a residents medication you should correct the original entry on the MOR
FALSE
MOR
Medication Observation Record
If the facility provides safekeeping for money or property holds resident or of the facility owner, administrator, or staff, or representative payee; how often must the facility must provide a statement detailing the income expense records.
Quarterly
Documents required to be in the admission package shall be in English. If the resident does not understand English and translated documents are not available, the facility must explain policies to a family member or friend of the resident or another individual who can communicate the information to the resident.
true
The resident contract shall include a refund policy to be implemented at the time of a resident's transfer , discharge or death. The refund policy shall provide that the resident or responsible party is entitled to a prorated refund based on the daily rate for any unused portion of payment beyond the termination date after all charges, including the cost of damages to the residential unit resulting from circumstances other the normal use have been paid to the license. You have 60 days to give the refund.
FALSE
In order for existing facilities to receive an ECC license, they must have no class 3 violations.
FALSE
ECC
Extended Congregate Care
Residents must participate in all elopement drills.
FALSE
When an "as needed" or "PRN" medication is labeled without all of the necessary information, you area required to contact the health care provider to obtain any missing information. An unlicensed person may obtain such clarification from the health care provider; revised instructions clarifying the order are not considered a change in the health care provider's order.
TRUE
A copy of Alternate Care Certification for Optional State Supplemental must be in the resident file. The absence of this form shall not be considered a deficiency if the facility can demonstrate that it has made a good faith effort to obtain the required documentation from the Department of Children and Family Services.
TRUE
Resident bedrooms designated for multiple occupancy shall have a maximum occupancy of two persons.
TRUE
During periods of temporary absence of the administrator or manager when residents are on the premises, a staff member who is at least 18 years of age, must be designated in writing to be in charge of the facility.
TRUE
Facility records should include:
A grievance procedure for receiving and responding to resident complaints and recommendations..
Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client.
TRUE
Faculty staff who have regular contact with or provide direct care to residents with ADRD shall obtain 2 hours of initial training within 3 months employment.
FALSE
Existing facilities qualifying to provide limited nursing services shall have maintained a standard license and may not have been subject to administrative sanctions that affect the health, safety, and welfare of residents for the previous 2 years or since initial licensure if the facility has been licensed for less than 2 years.
TRUE
How often must facilities have elopement frills?
A minimum of two resident elopement prevention and response drills per year.
A facility whose residents choose to attend day programs conducted at adult day care centers, senior centers, mental health centers, or other day programs may count those attendance hours towards the required 12 hours per week of schedule activities. An activities calendar shall be posted in common areas where residents normally congregate.
TRUE
Staff who provide direct care to residents other than nurses, certified nursing assistants, or home health aides must receive a minimum of 1 hour in service training in infection control, including universal precautions, and facility sanitation procedures.
Before providing personal care to residents
If after a contract is terminated, the facility intends to make a claim against a refund to make claim against a refund due the resident, the facility shall notify the resident or responsible party in writing of the claim and shall notify the resident or responsible party in writing of the claim and shall provide said party with a reasonable time period of no less than (???) calendar days to respond. The facility shall provide a refund to the resident or responsible party within 45 days after the transfer, discharge or death of the resident.
14
Any existing facility housing eight or fewer residents that is classified as impractical to evacuate must install an automatic fire sprinkler system.
TRUE
A new or existing sprinkled ALF shall conduct at least six fire drills per year, one every other month.
TRUE
Facilities with 8 or more residents do not need a fire sprinkler system, unless the local authority with jurisdiction over fire safety requires one to be installed.
FALSE
An assisted living facility may not accepts additional supplementation from third parties on behalf of residents receiving OSS
FALSE
Every 5 years must have level 2 background rescreening
TRUE
Staff required hours of coverage from patients 0-to 5 is 168 hours per week
TRUE
Staff required hours per week for 6 to 15 residents
212 per week
LMH
Licensed Mental Health
Form 1823 should be done prior to admission
TRUE
3 types of contaminants
Chemical, physical, biological
Portions must be listed on menu
TRUE
A terminally ill resident who no longer meets the criteria for continued residency may remain in the facility if the agreeable to the resident and facility.
TRUE
Abuse has many forms
TRUE
An ALF must maintain Fiscal Stability at all times to ensure the well being of the residents
TRUE
False, resident and facility funds must be separate
Resident Funds can be combined with Facility funds
Surety Bond is required and must be filed with the Agency Central Office
TRUE
Liability insurance does not have to be maintained
FALSE
Within 30 days of employment staff members must submit documentation from a health provider stating that the individual does not have any signs of a communicable disease
TRUE
TB exam must be done within six months of being hired
TRUE
A Level 2 Backgroud Screening must be done on staff every five years
TRUE
3 types of contaminants
chemical, physical, biological
physical contaminant
nails, hair
biological contaminant
bacteria, virus, parasites, protozoan, fungus
Menus in Assisted living must be reviewed by dieticain annually
TRUE
Menu must be easily accessible for residents.
TRUE
Dietician signature, date and License # is required on Menu
TRUE
Portion sizes must be listed on Menu
TRUE
There must be a 3 day portion of non perishable for emergency food based on census not capacity.
TRUE
Subistution is based on personal resident preferences
TRUE
Subistutions must be recorded when meal is served
TRUE
Facility policy to centrally locate medication must be give to resident prior to admission.
TRUE
OTC RX must be labeled with Residents Name
TRUE
PRN RX Label should include under condition when RX should be given, dosage, hours it should be given
TRUE
3 types of Advance Directives
A Living Will, A Health Care Surrogate, An Anatomical Donation
Advance Directive must be given at or prior to admission
TRUE
Living Will is a written document that specifies what type of medical treatment are desired.
TRUE
Health Care Surrogate
This is a legal documents in which an individual designates another person to make health care decisions if he or she is rendered incapable of making their wishes known.
Portable DNR
Used with Paramedics
Resident ill of right must be posted in a prominent place infacility. Noticesh shall include name address anc telephone number of local ombudsan council, central abuse hotlineand when applicable the advocacy. center for persons with disabities and the Florida local advocacy council, where complaints may be lodged.
TRUE
No resident. of a facility shall be deprived of any civilor legal right, benefits, or privileges guaranteed bylaw.
TRUE
Residents shall have the right to
Live in a safe and decent living environment, free from abuse and neglect.
Residents shall have the right to
Be treated with consideration and respect and with due recognition of personal dignity, individuality, and the need for privacy..
Residents shall have the right to
Retain and use his/her own clothes and other personal property in his or her. immediate living quarters, as to maintain individuality and personal dignity, except when the facility can demonstrate that su such would be impractical or an infringement upon the rights of other residents.
Residents shall have the right to
Unrestricted private communication, including receiving and sending correspondence, access to a telephone, and visiting with any person of his/her choice at any time between 9am & 9pm at a minnium. Upon request the facility shall make provision to extend hours for caregiivers and out of town guest, and in similar situations.
Residents shall have the right to
Freedom to participate in benefit from community services and activities and to achieve the highest possible level of independence, autonomy, and interaction, within the community.
Residents shall have the right to
Manage his/her financial affairs unless the resident or resident representative. in fact authorizes the administrator of the facility to provide safekeeping for funds as provided.
Residents shall have the right to
Share a room with his or her spouse if both are residents of the facility
Residents shall have the right to
Reasonable opportunity for regular exercise several times a week and to. be outdoors at regular and frequent intervals except when prevented by inclement weather
Residents shall have the right to
Exercise civil and religious liberties including the right to independent personal decisions. No religious belief or practice, nor any attendance at religious services, shall be imposed upon any resident.
Which agency licenses and regulates Florida ALFs?
A. Department of Elder Affairs
B. AHCA
C. DCF
D. Representative Payee
AHCA
What does AHCA stand for?
A. Agency for Health and Care Assistance
B. Association for Health Care Agencies
C. Administration of Human Care Affairs
D. Agency for Health Care Administration
Agency for Health Care Administration
What does ALF stand for?
A. Adult Long-term Facility
B. Assisted Living Foundation
C. Assisted Living Facility
D. Agency Living Facility
Assisted Living Facility
What does LMH stand for?
A. Limited Mental Health
B. Licensed Medical Home
C. Long-term Mental Housing
D. Limited Medication Handling
Limited Mental Health
What does LNS stand for?
A. Licensed Nursing Staff
B. Long-term Nursing Support
C. Limited Nursing Services
D. Local Nursing Services
Limited Nursing Services
What does ECC stand for?
A. Extended Congregate Care
B. Enhanced Community Care
C. Emergency Clinical Care
D. Elderly Congregate Center
Extended Congregate Care
What does OSS stand for?
A. Office of Senior Services
B. Optional Service Support
C. Optional State Supplementation
D. On-site Safety Standard
Optional State Supplementation
Which specialty license is associated with residents receiving OSS?
A. Limited Nursing Services
B. Standard license only
C. Extended Congregate Care
D. Limited Mental Health
Limited Mental Health
A standard-license ALF may retain a bedridden resident for no more than how many consecutive days?
A. 14 days
B. 7 days
C. 3 days
D. 30 days
7 days
How many hours of Florida ALF core training are required before the competency test?
A. 20 hours
B. 40 hours
C. 26 hours
D. 16 hours
26 hours
What minimum score is required to pass the ALF core-training competency test?
A. 90%
B. 75%
C. 70%
D. 60%
75%
Within what period must a new administrator or manager complete core training?
A. Within 1 year
B. Within 3 months
C. Within 30 days
D. Within 6 months
Within 3 months
What is the minimum age for an ALF administrator?
A. 18 years old
B. 30 years old
C. 21 years old
D. 25 years old
21 years old
Which of the following is NOT a basic ADL?
A. Dressing
B. Paying bills
C. Eating
D. Toileting
Paying bills
Which of the following is a basic ADL?
A. Shopping
B. Balancing a checkbook
C. Driving
D. Transferring
Transferring
Which of the following is a basic ADL?
A. Preparing taxes
B. Using public transportation
C. Managing investments
D. Ambulation
Ambulation
What does MAR stand for?
A. Medication Administration Record
B. Medical Assessment Report
C. Medication Authorization Rule
D. Monthly Activity Record
Medication Administration Record
What does PRN mean on a medication order?
A. As needed
B. Before meals
C. At bedtime
D. Do not administer
As needed
What should staff do if a medication order is unclear?
A. Seek clarification
B. Guess the intended dose
C. Use the previous order
D. Ask another resident
Seek clarification
What should staff do if a resident refuses medication?
A. Hide it in food without authorization
B. Discard it without documentation
C. Force the medication
D. Document and notify as required
Document and notify as required
What is the purpose of a service plan?
A. To set employee pay
B. To replace the resident contract
C. To schedule inspections
D. To identify services needed to meet assessed needs
To identify services needed to meet assessed needs
When should a resident be reassessed?
A. Never if the resident refuses
B. After a significant change in condition
C. Only once each year
D. Only at admission
After a significant change in condition
What does confidentiality protect?
A. Private resident information
B. Staff schedules
C. Public inspection reports
D. Facility advertising
Private resident information
What is objective documentation?
A. Observable facts without opinions
B. A staff member's personal belief
C. A rumor from another resident
D. A prediction about future behavior
Observable facts without opinions
What should an incident report avoid?
A. Actions taken
B. Facts observed
C. Date and time
D. Blame and speculation
Blame and speculation
When is a preliminary adverse-incident report due to AHCA?
A. Within 30 days
B. Within 15 days
C. Within 1 business day
D. Within 7 days
Within 1 business day
When is a full adverse-incident report due to AHCA?
A. Within 30 days
B. Within 7 days
C. Within 1 business day
D. Within 15 days
Within 15 days
Why are fire drills required?
A. To replace staff training
B. To test resident contracts
C. To avoid inspections
D. To practice emergency response
To practice emergency response
What should be kept clear for evacuation?
A. Exits and corridors
B. Medication carts only
C. Resident closets
D. Administrative offices
Exits and corridors
What should staff do if an exit is blocked?
A. Ignore it until the next drill
B. Remove the obstruction promptly
C. Use it for storage
D. Lock the exit
Remove the obstruction promptly
What is the main purpose of an emergency management plan?
A. To replace a service plan
B. To determine payroll
C. To set meal prices
D. To prepare for hazards and continuity of care
To prepare for hazards and continuity of care
What should staff do if a resident is missing?
A. Search only after calling family
B. Wait until the next shift
C. Change the resident record
D. Follow the facility elopement/emergency procedure
Follow the facility elopement/emergency procedure
What are standard precautions?
A. Basic practices to reduce exposure to blood and body fluids
B. A medication policy
C. A licensing category
D. A resident contract requirement
Basic practices to reduce exposure to blood and body fluids
Why is hand hygiene important?
A. It reduces spread of infection
B. It is only needed after meals
C. It eliminates all infection risk
D. It replaces PPE
It reduces spread of infection
What should staff do with unlabeled cleaning chemicals?
A. Mix them with water
B. Use them only at night
C. Store them in a resident room
D. Do not use them; follow safety procedure
Do not use them; follow safety procedure
Why should spoiled food not be served?
A. It is allowed if reheated
B. It improves nutrition
C. It can cause foodborne illness
D. It is only a cosmetic issue
It can cause foodborne illness
What is the purpose of an AHCA inspection?
A. To choose facility décor
B. To assess compliance with applicable requirements
C. To hire staff
D. To set resident rent
To assess compliance with applicable requirements
What should staff do during an inspection?
A. Guess at answers
B. Hide documents
C. Alter records
D. Provide accurate information through proper channels
Provide accurate information through proper channels
What is a resident right?
A. The right to access any resident record
B. The right to ignore all safety rules
C. The right to direct staff outside policy
D. The right to respectful and dignified treatment
The right to respectful and dignified treatment
What should be considered before admitting a resident?
A. Only family preference
B. Only room availability
C. Whether the facility can meet the resident’s needs
D. Only the resident’s ability to pay
Whether the facility can meet the resident’s needs
Which agency licenses and regulates Florida ALFs?
A. Department of Elder Affairs
B. Representative Payee
C. AHCA
D. DCF
AHCA
What does AHCA stand for?
A. Association for Health Care Agencies
B. Agency for Health and Care Assistance
C. Agency for Health Care Administration
D. Administration of Human Care Affairs
Agency for Health Care Administration
What does ALF stand for?
A. Assisted Living Foundation
B. Agency Living Facility
C. Assisted Living Facility
D. Adult Long-term Facility
Assisted Living Facility
What does LMH stand for?
A. Limited Mental Health
B. Limited Medication Handling
C. Licensed Medical Home
D. Long-term Mental Housing
Limited Mental Health
What does LNS stand for?
A. Limited Nursing Services
B. Long-term Nursing Support
C. Local Nursing Services
D. Licensed Nursing Staff
Limited Nursing Services
What does ECC stand for?
A. Elderly Congregate Center
B. Emergency Clinical Care
C. Enhanced Community Care
D. Extended Congregate Care
Extended Congregate Care
What does OSS stand for?
A. Optional State Supplementation
B. Office of Senior Services
C. On-site Safety Standard
D. Optional Service Support
Optional State Supplementation
Which specialty license is associated with residents receiving OSS?
A. Standard license only
B. Extended Congregate Care
C. Limited Nursing Services
D. Limited Mental Health
Limited Mental Health
A standard-license ALF may retain a bedridden resident for no more than how many consecutive days?
A. 30 days
B. 7 days
C. 3 days
D. 14 days
7 days
How many hours of Florida ALF core training are required before the competency test?
A. 16 hours
B. 20 hours
C. 26 hours
D. 40 hours
26 hours
What minimum score is required to pass the ALF core-training competency test?
A. 75%
B. 60%
C. 90%
D. 70%
75%
Within what period must a new administrator or manager complete core training?
A. Within 30 days
B. Within 1 year
C. Within 6 months
D. Within 3 months
Within 3 months
What is the minimum age for an ALF administrator?
A. 30 years old
B. 21 years old
C. 25 years old
D. 18 years old
21 years old
Which of the following is NOT a basic ADL?
A. Paying bills
B. Toileting
C. Eating
D. Dressing
Paying bills
Which of the following is a basic ADL?
A. Balancing a checkbook
B. Driving
C. Shopping
D. Transferring
Transferring
Which of the following is a basic ADL?
A. Using public transportation
B. Managing investments
C. Preparing taxes
D. Ambulation
Ambulation
What does MAR stand for?
A. Monthly Activity Record
B. Medical Assessment Report
C. Medication Authorization Rule
D. Medication Administration Record
Medication Administration Record
What does PRN mean on a medication order?
A. As needed
B. At bedtime
C. Do not administer
D. Before meals
As needed
What should staff do if a medication order is unclear?
A. Guess the intended dose
B. Seek clarification
C. Ask another resident
D. Use the previous order
Seek clarification
What should staff do if a resident refuses medication?
A. Force the medication
B. Hide it in food without authorization
C. Discard it without documentation
D. Document and notify as required
Document and notify as required
What is the purpose of a service plan?
A. To schedule inspections
B. To set employee pay
C. To identify services needed to meet assessed needs
D. To replace the resident contract
To identify services needed to meet assessed needs
When should a resident be reassessed?
A. Never if the resident refuses
B. After a significant change in condition
C. Only at admission
D. Only once each year
After a significant change in condition
What does confidentiality protect?
A. Staff schedules
B. Facility advertising
C. Public inspection reports
D. Private resident information
Private resident information
What is objective documentation?
A. A rumor from another resident
B. A prediction about future behavior
C. Observable facts without opinions
D. A staff member's personal belief
Observable facts without opinions
What should an incident report avoid?
A. Actions taken
B. Blame and speculation
C. Facts observed
D. Date and time
Blame and speculation
When is a preliminary adverse-incident report due to AHCA?
A. Within 15 days
B. Within 30 days
C. Within 7 days
D. Within 1 business day
Within 1 business day
When is a full adverse-incident report due to AHCA?
A. Within 15 days
B. Within 1 business day
C. Within 7 days
D. Within 30 days
Within 15 days
Why are fire drills required?
A. To avoid inspections
B. To test resident contracts
C. To replace staff training
D. To practice emergency response
To practice emergency response
What should be kept clear for evacuation?
A. Resident closets
B. Exits and corridors
C. Medication carts only
D. Administrative offices
Exits and corridors
What should staff do if an exit is blocked?
A. Ignore it until the next drill
B. Remove the obstruction promptly
C. Use it for storage
D. Lock the exit
Remove the obstruction promptly
What is the main purpose of an emergency management plan?
A. To set meal prices
B. To prepare for hazards and continuity of care
C. To determine payroll
D. To replace a service plan
To prepare for hazards and continuity of care
What should staff do if a resident is missing?
A. Change the resident record
B. Search only after calling family
C. Wait until the next shift
D. Follow the facility elopement/emergency procedure
Follow the facility elopement/emergency procedure
What are standard precautions?
A. A licensing category
B. Basic practices to reduce exposure to blood and body fluids
C. A medication policy
D. A resident contract requirement
Basic practices to reduce exposure to blood and body fluids
Why is hand hygiene important?
A. It replaces PPE
B. It reduces spread of infection
C. It is only needed after meals
D. It eliminates all infection risk
It reduces spread of infection
What should staff do with unlabeled cleaning chemicals?
A. Store them in a resident room
B. Do not use them; follow safety procedure
C. Mix them with water
D. Use them only at night
Do not use them; follow safety procedure
Why should spoiled food not be served?
A. It improves nutrition
B. It is allowed if reheated
C. It can cause foodborne illness
D. It is only a cosmetic issue
It can cause foodborne illness
What is the purpose of an AHCA inspection?
A. To choose facility décor
B. To set resident rent
C. To assess compliance with applicable requirements
D. To hire staff
To assess compliance with applicable requirements
What should staff do during an inspection?
A. Hide documents
B. Alter records
C. Guess at answers
D. Provide accurate information through proper channels
Provide accurate information through proper channels
What is a resident right?
A. The right to access any resident record
B. The right to ignore all safety rules
C. The right to direct staff outside policy
D. The right to respectful and dignified treatment
The right to respectful and dignified treatment
What should be considered before admitting a resident?
A. Only the resident’s ability to pay
B. Only room availability
C. Whether the facility can meet the resident’s needs
D. Only family preference
Whether the facility can meet the resident’s needs
Which agency licenses and regulates Florida ALFs?
A. AHCA
B. Department of Elder Affairs
C. DCF
D. Representative Payee
AHCA
What does AHCA stand for?
A. Association for Health Care Agencies
B. Agency for Health Care Administration
C. Agency for Health and Care Assistance
D. Administration of Human Care Affairs
Agency for Health Care Administration
What does ALF stand for?
A. Agency Living Facility
B. Assisted Living Facility
C. Assisted Living Foundation
D. Adult Long-term Facility
Assisted Living Facility
What does LMH stand for?
A. Limited Mental Health
B. Long-term Mental Housing
C. Limited Medication Handling
D. Licensed Medical Home
Limited Mental Health
What does LNS stand for?
A. Local Nursing Services
B. Licensed Nursing Staff
C. Long-term Nursing Support
D. Limited Nursing Services
Limited Nursing Services
What does ECC stand for?
A. Emergency Clinical Care
B. Extended Congregate Care
C. Elderly Congregate Center
D. Enhanced Community Care
Extended Congregate Care
What does OSS stand for?
A. Optional State Supplementation
B. On-site Safety Standard
C. Office of Senior Services
D. Optional Service Support
Optional State Supplementation
Which specialty license is associated with residents receiving OSS?
A. Extended Congregate Care
B. Standard license only
C. Limited Mental Health
D. Limited Nursing Services
Limited Mental Health
A standard-license ALF may retain a bedridden resident for no more than how many consecutive days?
A. 7 days
B. 14 days
C. 3 days
D. 30 days
7 days
How many hours of Florida ALF core training are required before the competency test?
A. 26 hours
B. 40 hours
C. 16 hours
D. 20 hours
26 hours
What minimum score is required to pass the ALF core-training competency test?
A. 70%
B. 60%
C. 75%
D. 90%
75%
Within what period must a new administrator or manager complete core training?
A. Within 1 year
B. Within 30 days
C. Within 3 months
D. Within 6 months
Within 3 months
What is the minimum age for an ALF administrator?
A. 25 years old
B. 21 years old
C. 18 years old
D. 30 years old
21 years old
Which of the following is NOT a basic ADL?
A. Paying bills
B. Eating
C. Toileting
D. Dressing
Paying bills
Which of the following is a basic ADL?
A. Transferring
B. Balancing a checkbook
C. Driving
D. Shopping
Transferring
Which of the following is a basic ADL?
A. Preparing taxes
B. Using public transportation
C. Ambulation
D. Managing investments
Ambulation
What does MAR stand for?
A. Monthly Activity Record
B. Medical Assessment Report
C. Medication Administration Record
D. Medication Authorization Rule
Medication Administration Record
What does PRN mean on a medication order?
A. At bedtime
B. Before meals
C. Do not administer
D. As needed
As needed
What should staff do if a medication order is unclear?
A. Seek clarification
B. Use the previous order
C. Ask another resident
D. Guess the intended dose
Seek clarification
What should staff do if a resident refuses medication?
A. Force the medication
B. Hide it in food without authorization
C. Document and notify as required
D. Discard it without documentation
Document and notify as required
Which agency licenses and regulates Florida ALFs?
A. Department of Elder Affairs
B. AHCA
C. DCF
D. Representative Payee
AHCA
What does AHCA stand for?
A. Agency for Health and Care Assistance
B. Association for Health Care Agencies
C. Administration of Human Care Affairs
D. Agency for Health Care Administration
Agency for Health Care Administration
What does ALF stand for?
A. Adult Long-term Facility
B. Assisted Living Foundation
C. Assisted Living Facility
D. Agency Living Facility
Assisted Living Facility
What does LMH stand for?
A. Limited Mental Health
B. Licensed Medical Home
C. Long-term Mental Housing
D. Limited Medication Handling
Limited Mental Health
What does LNS stand for?
A. Licensed Nursing Staff
B. Long-term Nursing Support
C. Limited Nursing Services
D. Local Nursing Services
Limited Nursing Services
What does ECC stand for?
A. Extended Congregate Care
B. Enhanced Community Care
C. Emergency Clinical Care
D. Elderly Congregate Center
Extended Congregate Care
What does OSS stand for?
A. Office of Senior Services
B. Optional Service Support
C. Optional State Supplementation
D. On-site Safety Standard
Optional State Supplementation
Which specialty license is associated with residents receiving OSS?
A. Limited Nursing Services
B. Standard license only
C. Extended Congregate Care
D. Limited Mental Health
Limited Mental Health
A standard-license ALF may retain a bedridden resident for no more than how many consecutive days?
A. 14 days
B. 7 days
C. 3 days
D. 30 days
7 days
How many hours of Florida ALF core training are required before the competency test?
A. 20 hours
B. 40 hours
C. 26 hours
D. 16 hours
26 hours
What minimum score is required to pass the ALF core-training competency test?
A. 90%
B. 75%
C. 70%
D. 60%
75%
Within what period must a new administrator or manager complete core training?
A. Within 1 year
B. Within 3 months
C. Within 30 days
D. Within 6 months
Within 3 months
What is the minimum age for an ALF administrator?
A. 18 years old
B. 30 years old
C. 21 years old
D. 25 years old
21 years old
Which of the following is NOT a basic ADL?
A. Dressing
B. Paying bills
C. Eating
D. Toileting
Paying bills
Which of the following is a basic ADL?
A. Shopping
B. Balancing a checkbook
C. Driving
D. Transferring
Transferring
Which of the following is a basic ADL?
A. Preparing taxes
B. Using public transportation
C. Managing investments
D. Ambulation
Ambulation
What does MAR stand for?
A. Medication Administration Record
B. Medical Assessment Report
C. Medication Authorization Rule
D. Monthly Activity Record
Medication Administration Record
What does PRN mean on a medication order?
A. As needed
B. Before meals
C. At bedtime
D. Do not administer
As needed
What should staff do if a medication order is unclear?
A. Seek clarification
B. Guess the intended dose
C. Use the previous order
D. Ask another resident
Seek clarification
What should staff do if a resident refuses medication?
A. Hide it in food without authorization
B. Discard it without documentation
C. Force the medication
D. Document and notify as required
Document and notify as required
What is the purpose of a service plan?
A. To set employee pay
B. To replace the resident contract
C. To schedule inspections
D. To identify services needed to meet assessed needs
To identify services needed to meet assessed needs
When should a resident be reassessed?
A. Never if the resident refuses
B. After a significant change in condition
C. Only once each year
D. Only at admission
After a significant change in condition
What does confidentiality protect?
A. Private resident information
B. Staff schedules
C. Public inspection reports
D. Facility advertising
Private resident information
What is objective documentation?
A. Observable facts without opinions
B. A staff member's personal belief
C. A rumor from another resident
D. A prediction about future behavior
Observable facts without opinions
What should an incident report avoid?
A. Actions taken
B. Facts observed
C. Date and time
D. Blame and speculation
Blame and speculation
When is a preliminary adverse-incident report due to AHCA?
A. Within 30 days
B. Within 15 days
C. Within 1 business day
D. Within 7 days
Within 1 business day
When is a full adverse-incident report due to AHCA?
A. Within 30 days
B. Within 7 days
C. Within 1 business day
D. Within 15 days
Within 15 days
Why are fire drills required?
A. To replace staff training
B. To test resident contracts
C. To avoid inspections
D. To practice emergency response
To practice emergency response
What should be kept clear for evacuation?
A. Exits and corridors
B. Medication carts only
C. Resident closets
D. Administrative offices
Exits and corridors
What should staff do if an exit is blocked?
A. Ignore it until the next drill
B. Remove the obstruction promptly
C. Use it for storage
D. Lock the exit
Remove the obstruction promptly
What is the main purpose of an emergency management plan?
A. To replace a service plan
B. To determine payroll
C. To set meal prices
D. To prepare for hazards and continuity of care
To prepare for hazards and continuity of care
What should staff do if a resident is missing?
A. Search only after calling family
B. Wait until the next shift
C. Change the resident record
D. Follow the facility elopement/emergency procedure
Follow the facility elopement/emergency procedure
What are standard precautions?
A. Basic practices to reduce exposure to blood and body fluids
B. A medication policy
C. A licensing category
D. A resident contract requirement
Basic practices to reduce exposure to blood and body fluids
Why is hand hygiene important?
A. It reduces spread of infection
B. It is only needed after meals
C. It eliminates all infection risk
D. It replaces PPE
It reduces spread of infection
What should staff do with unlabeled cleaning chemicals?
A. Mix them with water
B. Use them only at night
C. Store them in a resident room
D. Do not use them; follow safety procedure
Do not use them; follow safety procedure
Why should spoiled food not be served?
A. It is allowed if reheated
B. It improves nutrition
C. It can cause foodborne illness
D. It is only a cosmetic issue
It can cause foodborne illness
What is the purpose of an AHCA inspection?
A. To choose facility décor
B. To assess compliance with applicable requirements
C. To hire staff
D. To set resident rent
To assess compliance with applicable requirements
What should staff do during an inspection?
A. Guess at answers
B. Hide documents
C. Alter records
D. Provide accurate information through proper channels
Provide accurate information through proper channels
What is a resident right?
A. The right to access any resident record
B. The right to ignore all safety rules
C. The right to direct staff outside policy
D. The right to respectful and dignified treatment
The right to respectful and dignified treatment
What should be considered before admitting a resident?
A. Only family preference
B. Only room availability
C. Whether the facility can meet the resident’s needs
D. Only the resident’s ability to pay
Whether the facility can meet the resident’s needs
Which agency licenses and regulates Florida ALFs?
A. Department of Elder Affairs
B. Representative Payee
C. AHCA
D. DCF
AHCA
What does AHCA stand for?
A. Association for Health Care Agencies
B. Agency for Health and Care Assistance
C. Agency for Health Care Administration
D. Administration of Human Care Affairs
Agency for Health Care Administration
What does ALF stand for?
A. Assisted Living Foundation
B. Agency Living Facility
C. Assisted Living Facility
D. Adult Long-term Facility
Assisted Living Facility
What does LMH stand for?
A. Limited Mental Health
B. Limited Medication Handling
C. Licensed Medical Home
D. Long-term Mental Housing
Limited Mental Health
What does LNS stand for?
A. Limited Nursing Services
B. Long-term Nursing Support
C. Local Nursing Services
D. Licensed Nursing Staff
Limited Nursing Services
What does ECC stand for?
A. Elderly Congregate Center
B. Emergency Clinical Care
C. Enhanced Community Care
D. Extended Congregate Care
Extended Congregate Care
What does OSS stand for?
A. Optional State Supplementation
B. Office of Senior Services
C. On-site Safety Standard
D. Optional Service Support
Optional State Supplementation
Which specialty license is associated with residents receiving OSS?
A. Standard license only
B. Extended Congregate Care
C. Limited Nursing Services
D. Limited Mental Health
Limited Mental Health
A standard-license ALF may retain a bedridden resident for no more than how many consecutive days?
A. 30 days
B. 7 days
C. 3 days
D. 14 days
7 days
How many hours of Florida ALF core training are required before the competency test?
A. 16 hours
B. 20 hours
C. 26 hours
D. 40 hours
26 hours
What minimum score is required to pass the ALF core-training competency test?
A. 75%
B. 60%
C. 90%
D. 70%
75%
Within what period must a new administrator or manager complete core training?
A. Within 30 days
B. Within 1 year
C. Within 6 months
D. Within 3 months
Within 3 months
What is the minimum age for an ALF administrator?
A. 30 years old
B. 21 years old
C. 25 years old
D. 18 years old
21 years old
Which of the following is NOT a basic ADL?
A. Paying bills
B. Toileting
C. Eating
D. Dressing
Paying bills
Which of the following is a basic ADL?
A. Balancing a checkbook
B. Driving
C. Shopping
D. Transferring
Transferring
Which of the following is a basic ADL?
A. Using public transportation
B. Managing investments
C. Preparing taxes
D. Ambulation
Ambulation
What does MAR stand for?
A. Monthly Activity Record
B. Medical Assessment Report
C. Medication Authorization Rule
D. Medication Administration Record
Medication Administration Record
What does PRN mean on a medication order?
A. As needed
B. At bedtime
C. Do not administer
D. Before meals
As needed
What should staff do if a medication order is unclear?
A. Guess the intended dose
B. Seek clarification
C. Ask another resident
D. Use the previous order
Seek clarification
What should staff do if a resident refuses medication?
A. Force the medication
B. Hide it in food without authorization
C. Discard it without documentation
D. Document and notify as required
Document and notify as required
What is the purpose of a service plan?
A. To schedule inspections
B. To set employee pay
C. To identify services needed to meet assessed needs
D. To replace the resident contract
To identify services needed to meet assessed needs
When should a resident be reassessed?
A. Never if the resident refuses
B. After a significant change in condition
C. Only at admission
D. Only once each year
After a significant change in condition
What does confidentiality protect?
A. Staff schedules
B. Facility advertising
C. Public inspection reports
D. Private resident information
Private resident information
What is objective documentation?
A. A rumor from another resident
B. A prediction about future behavior
C. Observable facts without opinions
D. A staff member's personal belief
Observable facts without opinions
What should an incident report avoid?
A. Actions taken
B. Blame and speculation
C. Facts observed
D. Date and time
Blame and speculation
When is a preliminary adverse-incident report due to AHCA?
A. Within 15 days
B. Within 30 days
C. Within 7 days
D. Within 1 business day
Within 1 business day
When is a full adverse-incident report due to AHCA?
A. Within 15 days
B. Within 1 business day
C. Within 7 days
D. Within 30 days
Within 15 days
Why are fire drills required?
A. To avoid inspections
B. To test resident contracts
C. To replace staff training
D. To practice emergency response
To practice emergency response
What should be kept clear for evacuation?
A. Resident closets
B. Exits and corridors
C. Medication carts only
D. Administrative offices
Exits and corridors
What should staff do if an exit is blocked?
A. Ignore it until the next drill
B. Remove the obstruction promptly
C. Use it for storage
D. Lock the exit
Remove the obstruction promptly
What is the main purpose of an emergency management plan?
A. To set meal prices
B. To prepare for hazards and continuity of care
C. To determine payroll
D. To replace a service plan
To prepare for hazards and continuity of care
What should staff do if a resident is missing?
A. Change the resident record
B. Search only after calling family
C. Wait until the next shift
D. Follow the facility elopement/emergency procedure
Follow the facility elopement/emergency procedure
What are standard precautions?
A. A licensing category
B. Basic practices to reduce exposure to blood and body fluids
C. A medication policy
D. A resident contract requirement
Basic practices to reduce exposure to blood and body fluids
Why is hand hygiene important?
A. It replaces PPE
B. It reduces spread of infection
C. It is only needed after meals
D. It eliminates all infection risk
It reduces spread of infection
What should staff do with unlabeled cleaning chemicals?
A. Store them in a resident room
B. Do not use them; follow safety procedure
C. Mix them with water
D. Use them only at night
Do not use them; follow safety procedure
Why should spoiled food not be served?
A. It improves nutrition
B. It is allowed if reheated
C. It can cause foodborne illness
D. It is only a cosmetic issue
It can cause foodborne illness
What is the purpose of an AHCA inspection?
A. To choose facility décor
B. To set resident rent
C. To assess compliance with applicable requirements
D. To hire staff
To assess compliance with applicable requirements
What should staff do during an inspection?
A. Hide documents
B. Alter records
C. Guess at answers
D. Provide accurate information through proper channels
Provide accurate information through proper channels
What is a resident right?
A. The right to access any resident record
B. The right to ignore all safety rules
C. The right to direct staff outside policy
D. The right to respectful and dignified treatment
The right to respectful and dignified treatment
What should be considered before admitting a resident?
A. Only the resident’s ability to pay
B. Only room availability
C. Whether the facility can meet the resident’s needs
D. Only family preference
Whether the facility can meet the resident’s needs
Which agency licenses and regulates Florida ALFs?
A. AHCA
B. Department of Elder Affairs
C. DCF
D. Representative Payee
AHCA
What does AHCA stand for?
A. Association for Health Care Agencies
B. Agency for Health Care Administration
C. Agency for Health and Care Assistance
D. Administration of Human Care Affairs
Agency for Health Care Administration
What does ALF stand for?
A. Agency Living Facility
B. Assisted Living Facility
C. Assisted Living Foundation
D. Adult Long-term Facility
Assisted Living Facility
What does LMH stand for?
A. Limited Mental Health
B. Long-term Mental Housing
C. Limited Medication Handling
D. Licensed Medical Home
Limited Mental Health
What does LNS stand for?
A. Local Nursing Services
B. Licensed Nursing Staff
C. Long-term Nursing Support
D. Limited Nursing Services
Limited Nursing Services
What does ECC stand for?
A. Emergency Clinical Care
B. Extended Congregate Care
C. Elderly Congregate Center
D. Enhanced Community Care
Extended Congregate Care
What does OSS stand for?
A. Optional State Supplementation
B. On-site Safety Standard
C. Office of Senior Services
D. Optional Service Support
Optional State Supplementation
Which specialty license is associated with residents receiving OSS?
A. Extended Congregate Care
B. Standard license only
C. Limited Mental Health
D. Limited Nursing Services
Limited Mental Health
A standard-license ALF may retain a bedridden resident for no more than how many consecutive days?
A. 7 days
B. 14 days
C. 3 days
D. 30 days
7 days
How many hours of Florida ALF core training are required before the competency test?
A. 26 hours
B. 40 hours
C. 16 hours
D. 20 hours
26 hours
What minimum score is required to pass the ALF core-training competency test?
A. 70%
B. 60%
C. 75%
D. 90%
75%
Within what period must a new administrator or manager complete core training?
A. Within 1 year
B. Within 30 days
C. Within 3 months
D. Within 6 months
Within 3 months
What is the minimum age for an ALF administrator?
A. 25 years old
B. 21 years old
C. 18 years old
D. 30 years old
21 years old
Which of the following is NOT a basic ADL?
A. Paying bills
B. Eating
C. Toileting
D. Dressing
Paying bills
Which of the following is a basic ADL?
A. Transferring
B. Balancing a checkbook
C. Driving
D. Shopping
Transferring
Which of the following is a basic ADL?
A. Preparing taxes
B. Using public transportation
C. Ambulation
D. Managing investments
Ambulation
What does MAR stand for?
A. Monthly Activity Record
B. Medical Assessment Report
C. Medication Administration Record
D. Medication Authorization Rule
Medication Administration Record
What does PRN mean on a medication order?
A. At bedtime
B. Before meals
C. Do not administer
D. As needed
As needed
What should staff do if a medication order is unclear?
A. Seek clarification
B. Use the previous order
C. Ask another resident
D. Guess the intended dose
Seek clarification
What should staff do if a resident refuses medication?
A. Force the medication
B. Hide it in food without authorization
C. Document and notify as required
D. Discard it without documentation
Document and notify as required
Florida agency that licenses assisted living facilities
AHCA
Florida rule chapter used for ALF operations
59A-36, F.A.C.
Florida statute chapter containing ALF law
Chapter 429, Part I
Meaning of ALF
Assisted Living Facility
Meaning of F.A.C.
Florida Administrative Code
Meaning of F.S.
Florida Statutes
Meaning of CEMP
Comprehensive Emergency Management Plan
Meaning of DNRO
Do Not Resuscitate Order
Meaning of ADRD
Alzheimer's Disease and Related Disorders
Meaning of ADL
Activity of Daily Living
Meaning of MOR
Medication Observation Record
Meaning of ECC
Extended Congregate Care
Meaning of LNS
Limited Nursing Services
Meaning of LMH
Limited Mental Health
Meaning of OSS
Optional State Supplementation
Meaning of CLSP
Community Living Support Plan
Meaning of POA
Power of Attorney
Meaning of HCS
Health Care Surrogate
Meaning of CNA
Certified Nursing Assistant
Meaning of HHA
Home Health Aide
Basic license every Florida ALF must hold
Standard ALF license
License associated with extended congregate care services
ECC license
License associated with limited nursing services
LNS license
License required when serving mental health residents
LMH license
Documented maximum number of residents allowed
Licensed capacity
Operating above licensed capacity creates this problem
Capacity violation
Transfer of facility ownership is commonly called
Change of ownership
Common abbreviation for change of ownership
CHOW
License document should be visible to residents and visitors
Posted facility license
Specialty license focused on frail residents needing more support
Extended care approval
Specialty license connected to community living support plans
Mental health approval
Specialty license connected to nursing tasks within limits
Limited nursing approval
Application topic covered in ALF core module 1
Initial license application
Core module 1 teaches difference between standard and specialty
License comparison
Administrator change is a reportable operational event
Change of administrator
Closing an ALF requires planned resident transition
Facility closure
ALF license renewal topic belongs under
General license activity
AHCA inspection before opening is commonly called
Initial survey
Uncorrected violations can block specialty licensing
Licensure barrier
Public lookup site for licensed Florida providers
Florida Health Finder
Florida ALF resident rights statute
F.S. 429.28
Resident rights may not be removed because someone enters an ALF
Civil rights preserved
Right involving private communication and personal matters
Privacy right
Right involving respectful treatment and individuality
Dignity right
Right involving personal choices when safe and lawful
Decision-making right
Right to be free from improper force or intimidation
Freedom from abuse
Right to be free from staff failing to provide needed care
Freedom from neglect
Right to be free from misuse of money or property
Freedom from exploitation
Right related to sending and receiving private mail
Mail confidentiality
Right related to receiving visitors subject to policy and safety
Visitation access
Right related to managing personal funds unless delegated
Financial control
Right related to participating in social and community life
Community participation
Right related to religious practice and personal belief
Religious choice
Right related to being informed about services and charges
Service-charge disclosure
Right related to making complaints without punishment
Grievance without retaliation
Right related to choosing personal clothing
Clothing choice
Can an ALF force residents to wear uniforms?
Uniforms not required
Resident information should be discussed only with authorized persons
Confidentiality duty
Resident should be encouraged to maintain independence when appropriate
Independence support
Resident should live in the least restrictive appropriate setting
Least restrictive environment
Minimum ALF core training duration
26-hour core training
Core training must be followed by this assessment
Core competency test
Minimum score to pass the ALF core competency test
75 percent passing score
Deadline for administrators and managers to complete core training after role start
3-month core deadline
Continuing education required for administrators and managers every two years
12 hours biennial CE
New employee orientation required before resident interaction
Preservice orientation
Minimum length of preservice orientation
2-hour preservice
Proof of preservice orientation belongs in
Personnel record statement
Direct care staff infection control training timing
Before personal care
Minimum infection control in-service for direct care staff
1-hour infection control
Direct care in-service on adverse incidents and emergency procedures
Incident-emergency training
Direct care in-service on resident rights and abuse reporting
Rights-abuse training
Direct care ADL and resident behavior in-service
3-hour ADL training
Food staff in-service if they have not taken core training
1-hour safe food handling
All staff must learn the facility's elopement response procedures
Elopement policy training
New staff DNRO policy training minimum
1-hour DNRO training
Unlicensed medication assistance initial training
6-hour medication assistance
Annual CE for unlicensed medication assistance staff
2-hour medication CE
ECC administrator/supervisor initial specialty training
4-hour ECC initial
ECC administrator/supervisor continuing education
4-hour ECC biennial CE
Florida resident health assessment form commonly used for ALF admission
AHCA Form 1823
AHCA Form 1823 full title
Resident Health Assessment
Person who completes the medical examination section
Licensed health care practitioner
Examination type required for the health assessment
Face-to-face examination
Missing 1823 items after admission must be obtained and documented within
30-day omitted-item window
Oral missing health assessment information must include this staff proof
Administrator/designee signature
Health assessment must state whether needs can be met in
Assisted living setting
A CARES assessment may substitute for
Medical examination requirement
Orders for meds, treatments, therapy, or diets may be attached to
Health assessment record
Continued residency medical examination frequency
Every 3 years or significant change
Temporary emergency placement resident must be entered on
Admission and discharge log
Emergency placement resident still counts in
Facility census
Resident bedridden retention limit without hospice exception
7 consecutive days
ALF admission decision should be based on
Appropriateness of placement
Resident services and needs are discussed through
Service plan process
Process of discussing choices and risks with the resident
Managed risk
Change that can trigger reassessment
Significant change
Record that captures resident entry and exit
Admission-discharge log
Admission paperwork should verify resident identity and contacts
Resident identifying information
Special diet orders should be connected to
Practitioner diet order
Resident capable of taking meds independently should be
Allowed to self-administer
A resident may not be forced to take medication
No compelled medication
Document used to record observed medication assistance
Medication Observation Record (MOR)
Medication assistance includes advising resident of
Medication name and dosage
Medication assistance includes verbally prompting resident to
Take meds as prescribed
Before assisting, staff must confirm medication is for
Right resident
Medication safety check for medication identity
Right medication
Medication safety check for prescribed amount
Right dosage
Medication safety check for schedule
Right time
Medication safety check for route or form
Right route
Staff must be able to read and understand
Prescription label
Medication assistance training includes recognizing
Side effects and adverse reactions
When a medication order requires judgment, unlicensed staff should
Seek clarification
As-needed medication abbreviation
PRN medication
Unlicensed staff may assist with oral dosage forms after training
Oral dosage assistance
Unlicensed staff may assist with topical medication forms after training
Topical dosage assistance
Unlicensed staff may assist with eye, ear, and nasal topical forms
Ophthalmic-otic-nasal assistance
Unlicensed staff may measure this medication form if trained
Liquid medication measurement
Unlicensed staff may break this tablet type if directions allow
Scored tablet splitting
Unlicensed staff may crush tablets only according to
Prescription directions
Residents at elopement risk must be identified so staff are
Alerted to support needs
All residents must be assessed for elopement risk within
30-day elopement assessment
Daily effort for at-risk residents checks
Resident identification on person
At-risk resident ID should include resident name plus facility
Name address phone
High-risk elopement residents require staff awareness of
General location
At-risk resident file must include
Photo identification
Elopement response policy must start with
Immediate facility search
Elopement policy must assign staff
Specific duties
Elopement policy must identify who contacts
Law enforcement and family
During elopement, facility must continue
Care of other residents
Facility must conduct and document
Resident elopement drills
Emergency procedures training should include
Chain of command
Plan for disasters and emergency preparedness
CEMP plan
Core curriculum includes knowing where to submit the CEMP
CEMP submission knowledge
Core curriculum includes how often to review CEMP
CEMP review knowledge
Fire safety topic in core training
Uniform fire safety standards
Facility drill for resident wandering scenario
Elopement drill
Adverse event documentation starts with
Incident reporting
AHCA office area for adverse incident questions
Risk Management and Patient Safety
Emergency planning must protect residents during evacuation
Resident evacuation readiness
Core module focused on maintaining facility documentation
Records module
Resident record should contain assessment and care information
Resident file
Employee training proof belongs in
Staff personnel file
Missing training certificates create
Training deficiency risk
Facility must document staff understanding of elopement procedures
Elopement competency proof
A survey citation for noncompliance is commonly called
Deficiency
Facility response to a cited deficiency
Plan of correction
Core module covering administrator duties and fiscal stability
Administration module
Facility money-handling topic for residents
Resident funds management
Screening requirement topic in core curriculum
Background screening
Staffing calculation should account for
Resident census and needs
Administrator or designee responsible for food service needs annual
Nutrition food-service CE
Nutrition and food service CE minimum
2-hour annual food CE
Qualified trainer for food-service staff may be
Certified food manager
Food service standards include maintaining
Non-perishable food supply
Therapeutic diet refusal should be
Documented and addressed
Survey readiness requires current resident assessments
Assessment file audit
Survey readiness requires current medication records
MOR audit
Survey readiness requires current employee training proof
Training file audit
Survey readiness requires current emergency documents
CEMP audit
ALF serving one or more mental health residents must obtain
Limited mental health license
LMH facility must keep each mental health resident's
Community living support plan
LMH facility must keep a cooperative agreement with
Mental health provider
If CLSP is not available at admission, facility needs written evidence of
72-hour request
CLSP should be available for lawful inspection by
Resident or legal representative
Facility duty under CLSP is to
Assist plan activities
Mental health provider can act as
Case manager
CLSP is prepared with resident and
Mental health case manager
CLSP should include services needed to live in
ALF and community
CLSP should describe signs needing professional services
Behavioral warning signs
CLSP update trigger after annual cycle
Significant behavioral change
Cooperative agreement includes access to
Emergency after-hours care
Provider must give resident and facility a
24-hour crisis number
ECC initial training is prerequisite after
Core training completion
ECC direct care training addresses
Personal care and supportive services
ECC CE topics include needs of
Frail elderly and disabled persons
ADRD facilities include those advertising
Special Alzheimer care
Secured area for dementia care can trigger
ADRD staff training
ADRD training is tied to this Florida statute section
F.S. 430.5025
LNS services must stay within
Limited nursing scope
Resident has missing 1823 allergy information after admission
Obtain omitted information
A resident refuses a therapeutic diet
Document diet refusal
A new caregiver has not completed preservice orientation
Do not allow resident interaction
A med tech cannot read a prescription label
Do not assign med assistance
A resident is high risk for elopement
Know general location
A resident at risk for elopement lacks photo ID on file
Create photo ID record
A facility serves a mental health resident without LMH
Obtain LMH license
A mental health resident has no CLSP in file
Request CLSP documentation
A new administrator starts without completed core training
Track 3-month deadline
Administrator CE is expired
Restart core compliance
Food employee lacks core training and handles meals
Provide safe food training
Direct care staff lack emergency evacuation role training
Provide emergency procedure training
Staff have not received elopement policy copy
Distribute elopement procedures
Facility cannot show medication observation records
MOR deficiency risk
Medication order says PRN but has unclear parameters
Clarify PRN order
Unlicensed staff wants to change oxygen levels
Do not titrate oxygen
Unlicensed staff wants to manipulate a stoma site
Do not manipulate stoma
Resident complaint is ignored
Investigate grievance
Resident money is handled without documentation
Correct funds record
Facility admits beyond licensed capacity
Stop over-capacity admission
What right allows residents to make personal choices?
Residents may make decisions about daily activities unless limited by law or care needs.
Why isolate residents with contagious symptoms?
Separation reduces disease transmission while evaluation and treatment are arranged.
What behavior may signal worsening dementia?
Sudden confusion or increased wandering can indicate a change requiring assessment.
When assisting with self-administered medication, what is required?
Follow authorization procedures and observe the resident taking the medication.
Where should evacuation routes be posted?
Routes should be clearly displayed in accessible areas throughout the facility.
How often should fire exits remain accessible?
Fire exits must stay unobstructed and available at all times.
What is exploitation of a vulnerable adult?
It is the improper use of a resident's funds, assets, or property.
Why document resident refusals of care?
Records show what was declined and the follow-up actions taken.
Why monitor fluid intake during hot weather?
Tracking intake helps identify dehydration risks before complications develop.
How should staff speak with hearing-impaired residents?
Face the resident, speak clearly, and confirm understanding.
Why protect resident health information?
Privacy laws require limiting access to authorized individuals only.
What increases fall risk in resident rooms?
Poor lighting and cluttered walkways make falls more likely.