Emergency procedure preparedness in nursing

QUESTIONJUN 18, 2020

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What happens if a facility receives four stars in Quality Measures?

One star is added to the survey rating for the overall rating.

One star is subtracted from the survey rating for the overall rating.

There is no effect on the overall rating.

One star is added if the survey rating is three stars or less.

What is a recommended approach to improving a facility’s Five-Star rating over the long run?

Focus efforts proactively on bottom-line care issues up front rather than chasing down problems after the fact.

Assign the bulk of available resources to analyze each domain line by line, to identify possible problems after receiving each Five-Star rating update.

Contact the state automation coordinator and review each component of each domain to ensure the accuracy of the information that underlies the rating.

Since the ratings are retrospective, no action is required.

A Special Focus Facility (SFF) that has not graduated can earn a maximum of how many stars?

One stars

Two stars

Three stars

None, no ratings are assigned

Happy Valley Nursing Home has the following rating:

Survey: three stars

Staffing: four stars

Quality Measures: one star.

What is the overall Five-Star rating for this facility?

Two stars

Three stars

Four stars

Five stars

What would the overall quality score be for a skilled nursing facility with the following star ratings? Health Inspection score of two stars, Quality Measures score of four stars, RN staffing of four stars, and Total Nursing staffing score of three stars. (Hint: Calculate the staffing star before calculating the overall star rating.)

One star

Two stars

Three stars

Four stars

Which of the following is an effective strategy to help a facility manage its Five-Star rating?

Wait for the annual survey to identify systems for improvement

Continuously monitor clinical systems to foster high-quality resident care

Correct facility systems when the overall Five-Star rating goes below three stars

Monitor clinical systems when problem trends occur

Which of the following describes the scoring for the majority of the measures in the Quality Measures (QM) domain?

Points are assigned to each QM based on the percentage of residents who have the QM condition; the higher the percentile, the better the care, the more points, and the more stars the facility receives.

Points are assigned to each QM based on the percentage of residents who have the QM condition; the lower the percentile, the better the care, the more points, and the more stars the facility receives.

Points are assigned based on the risk adjustments; the more risk adjustments, the better the care, the higher the star rating.

Points are assigned based on the number of residents affected by the QM. The more residents included, the higher the score.

Which of the following Quality Measures is used for computation in the Five-Star Quality Rating System?

Percentage of low-risk residents who lose control of their bowels or bladder

Percentage of residents who had a urinary tract infection

Percentage of residents who lose too much weight

Percentage of residents who are more depressed or anxious

 Previous Next  Review

Ratings for the Quality Measures domain are calculated using what time period specification?

The most recent quarter for which data is available

The two most recent quarters for which data is available

The three most recent quarters for which data is available

The four most recent quarters for which data is available

For the short-stay antipsychotic Quality Measure, how many points are awarded for nursing homes with a QM value of zero?

20 points

40 points

60 points

100 points

In the calculation of a facility’s Staffing star rating, how are the nursing hours reported?

Number of licensed staff scheduled to work in a pay period

Nursing staffing hours per resident day as reported in the Payroll-Based Journal system

Staffing hours per resident day based on the mix of RUG-IV groups from the most recent MDS

The average across all facilities of the reported hours per resident day

Happy Valley Nursing Facility obtained an RN case-mix adjusted hours rating of 0.887 hours during their latest annual survey (Adjusted Hours = [Hours Reported/Hours Case-Mix] * Hours National Average). How many RN staffing stars did the facility earn?

Two stars

Three stars

Four stars

Five stars

How can a facility earn five stars for the Staffing measure?

Meet or exceed the CMS staffing study thresholds for both RN and total nursing staffing

Maintain a 3.2 HPPD ratio at all times

Ensure a ratio of one nurse aide for every 10 residents

Maintain staffing hours at or above the national averag

In the Survey domain, what are nursing facilities compared to?

Other nursing facilities in the nation.

Other nursing facilities in the region.

Other similar nursing facilities, based on certification of the beds.

Other nursing facilities in the state.

Which of the following describes how points are assigned for complaint investigations in the Health Inspection domain?

Points are assigned to complaint deficiencies during the last 36 months and any repeat revisits needed to verify corrections.

Points are assigned based on the number of deficiencies received from the last three complaint surveys regardless of how far back in time they occurred.

Points are assigned based on deficiencies from complaint investigations from the previous year.

Points are assigned based on deficiencies only when the complaint was substantiated and the scope and severity were indicated at the level of substandard care.

Which of the following describes how points are assigned for complaint investigations in the Health Inspection domain?

Points are assigned to complaint deficiencies during the last 36 months and any repeat revisits needed to verify corrections.

Points are assigned based on the number of deficiencies received from the last three complaint surveys regardless of how far back in time they occurred.

Points are assigned based on deficiencies from complaint investigations from the previous year.

Points are assigned based on deficiencies only when the complaint was substantiated and the scope and severity were indicated at the level of substandard care.

How are complaint inspections weighted in the Five-Star Rating System?

The most recent 12 months receive a weighting factor of 1/2, those from 13–24 months ago have a weighting factor of 1/4, and those from 25–36 months ago have a weighting factor of 1/4.

The last three years of complaint inspection citations are used. They are weighted evenly.

The last two years of complaint inspection citations are used. The most recent annual survey counts 1/3. The next one back counts 1/4.

The most recent 12 months receive a weighting factor of 1/2, those from 13–24 months ago have a weighting factor of 1/3, and those from 25–36 months ago have a weighting factor of 1/6.

Which statement about the Health Inspection scoring process is correct?

All deficiencies are assigned the same number of points in the scoring process.

Deficiencies with a past non-compliance status receive no additional points.

Substandard quality of care results in additional assigned points only when immediate jeopardy also exists.

Substandard quality of care deficiencies result in assignment of additional points to the Health Inspection score.

Which of the following is true for a facility that has had only one standard survey in its history?

The weight will be 100, weighted by the one standard survey.

No overall quality rating is assigned; Nursing Home Compare will display “Too New to Rate.”

It will be awarded an automatic five stars for the rating until the second survey is completed.

The facility will undergo an extra standard survey.

State survey results are used to calculate the Health Inspection star rating. Which response describes the survey(s) that are used?

The most recent period is assigned a weighting factor of 60%, the previous period has a weighting factor of 30%, and the second prior period has a weighting factor of 10%.

Deficiencies from the last four annual state surveys are weighted equally.

The most recent survey is assigned a weighting factor of 1/2, the previous period has a weighting factor of 1/3, and the second prior period has a weighting factor of 1/6.

Only the most recent standard survey is used.

State survey results are used to calculate the Health Inspection star rating. Which response describes the survey(s) that are used?

The most recent period is assigned a weighting factor of 60%, the previous period has a weighting factor of 30%, and the second prior period has a weighting factor of 10%.

Deficiencies from the last four annual state surveys are weighted equally.

The most recent survey is assigned a weighting factor of 1/2, the previous period has a weighting factor of 1/3, and the second prior period has a weighting factor of 1/6.

Only the most recent standard survey is used.

tate survey results are used to calculate the Health Inspection star rating. Which response describes the survey(s) that are used?

The most recent period is assigned a weighting factor of 60%, the previous period has a weighting factor of 30%, and the second prior period has a weighting factor of 10%.

Deficiencies from the last four annual state surveys are weighted equally.

The most recent survey is assigned a weighting factor of 1/2, the previous period has a weighting factor of 1/3, and the second prior period has a weighting factor of 1/6.

Only the most recent standard survey is used.

Happy Valley Nursing Center received a D on its annual survey. How many points would be assigned to that deficiency in the Survey domain of the Five-Star Quality Rating System?

1 point

4 points

8 points

10 points

Which response describes the factors taken into account when the Health Inspection star rating is determined?

Standard annual surveys prior to November 28, 2017

Standard annual surveys and revisits after the first revisit prior to November 28, 2017

Standard annual surveys, all revisits, and substantiated complaints during the last 48 months

The three most recent standard annual surveys, revisits after the first revisit, and 36 months of substantiated complaint investigations

What is the purpose of the Five-Star Quality Rating System?

It was designed to help consumers compare the quality of nursing home care provided to residents.

It is factored into survey results to help determine the scope and severity of deficiencies.

It is updated monthly at www.medicare.gov.

It assigns a rating of between one and five stars for each of five domains

What is the purpose of the Five-Star Quality Rating System?

It was designed to help consumers compare the quality of nursing home care provided to residents.

It is factored into survey results to help determine the scope and severity of deficiencies.

It is updated monthly at www.medicare.gov.

It assigns a rating of between one and five stars for each of five domains

Which item below is true about the Five-Star Quality Rating System?

It assigns one to five stars to all Medicare-certified, Medicaid-certified, and private pay nursing homes and assisted living facilities in the United States.

It rates a facility in four specific domains based on comparison with the other nursing homes in the nation.

It rates the facility based on other facilities statewide for the Health Inspection domain and nationwide for the Staffing domain.

It uses all the Quality Measures posted on Nursing Home Compare to calculate the star rating for the Quality Measures domain.

Which item below is true about the Five-Star Quality Rating System?

It assigns one to five stars to all Medicare-certified, Medicaid-certified, and private pay nursing homes and assisted living facilities in the United States.

It rates a facility in four specific domains based on comparison with the other nursing homes in the nation.

It rates the facility based on other facilities statewide for the Health Inspection domain and nationwide for the Staffing domain.

It uses all the Quality Measures posted on Nursing Home Compare to calculate the star rating for the Quality Measures domain.

Which of the domains carries the most weight toward the overall star rating?

Health Inspection.

Staffing.

Quality Measures.

All domains have the same weight.

What does a one-star rating mean about the performance of a facility?

Much below average, but still met Medicare’s minimum requirements

Average

Above average

Among the top-rated in the country

Which of the following may change a facility’s overall Five-Star rating?

When a facility successfully clears on the first revisit

When staff turnover exceeds the national average

When a new unsubstantiated complaint survey is added

When the Quality Measures Five-Star rating increases from four to five

The Five-Star Quality Rating System rates Quality Measures, staffing, and which of the following?

Fire code violations

Health inspections

Physical plant renovations

Emergency procedure preparedness

The Five-Star Quality Rating System rates Quality Measures, staffing, and which of the following?

Fire code violations

Health inspections

Physical plant renovations

Emergency procedure preparedness

Happy Valley Nursing Center received four stars in the Five-Star Quality Rating System in the Survey domain. They received four stars in the Staffing domain and four stars in the Quality Measures domain. What is the overall star rating for this center?

Two stars

Three stars

Four stars

Five star


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