Nursing, Physician, Rehabilitative, Dental and Pharmacy Services
About 8 of every 50 questions on a Texas NFA State Exam practice exam come from this topic.
Sources checked
What to know
Nursing, physician, rehabilitative, dental and pharmacy services in a Texas nursing facility. Absent a waiver, a registered nurse must be used at least eight consecutive hours a day, seven days a week, a full-time RN serves as director of nursing for one facility only, and a licensed charge nurse covers each shift; the DON may double as charge nurse only at an average daily occupancy of 60 or fewer. The minimum licensed staffing is one licensed nurse per 20 residents, or .4 licensed-care hours per resident day, and staffing hours are posted each shift. Nurse aides who are not yet competency-evaluated may work full time no more than four months, and aides get at least 12 in-service hours a year. A physician approves each admission in writing; in Medicaid-certified facilities residents are seen every 30 days for the first 90 days and every 60 days after, with a ten-day grace period, and need is certified within 20 days and recertified every 180 days. Psychoactive drugs need consent, in writing on an HHSC form for antipsychotics. A pharmacist reviews every drug regimen monthly, Schedule II to IV drugs are tracked with shift-change counts, and lost dentures are referred within three days.
Where it comes from
- 26 TAC §§ 554.1001, 554.1002, 554.1004, 554.1006, 554.1010–.1012
- 26 TAC §§ 554.1201–.1210
- 26 TAC §§ 554.1301, 554.1302
- 26 TAC § 554.1401
- 26 TAC §§ 554.1501–.1510
Try a practice question
Absent a waiver, what minimum registered nurse coverage must a Texas nursing facility use?
- AAt least eight consecutive hours a day, seven days a week
- BAt least eight hours a day, Monday through Friday
- CAt least four hours on each shift, seven days a week
- DAt least twelve consecutive hours a day, five days a week
Show the answer
At least eight consecutive hours a day, seven days a week. The rule requires a registered nurse for at least eight consecutive hours a day, every day of the week, unless a waiver applies.
26 TAC § 554.1001(a)(2)(A)
Ready for a full run? The Texas Nursing Facility Administrator State Exam Practice Test is 50 questions in 120 minutes, scored at 75%. For the official exam's details, see Texas Nursing Facility Administrator License Exam Requirements.