Quality of Life, Assessment and Quality of Care
About 7 of every 50 questions on a Texas NFA State Exam practice exam come from this topic.
Sources checked
What to know
Each resident must get the care needed to reach or keep the highest practicable physical, mental and psychosocial well-being. Abilities in daily living, range of motion and skin integrity may decline only when the resident's clinical condition makes that unavoidable. Staff give CPR unless a physician order or advance directive says otherwise. The facility needs physician orders at admission and finishes a comprehensive assessment within 14 days, after a significant change, and at least every 12 months, with quarterly reviews. A registered nurse coordinates and certifies each assessment, and knowingly false certification brings civil money penalties. A baseline care plan is due within 48 hours and the comprehensive plan within seven days of the assessment. The interdisciplinary team includes the attending physician, the resident's RN and nurse aide, and the dietitian or food service director. Quality-of-care rules cover catheters, hydration, bed rails (try alternatives first), accident hazards, behavioral health and pediatric care. A qualified director runs the activities program and completes eight hours of continuing education a year. HHSC's early warning system sends quality monitors, with follow-up within 45 days, and rapid response teams go to high-risk facilities.
Where it comes from
- 26 TAC §§ 554.701, 554.702
- 26 TAC §§ 554.801, 554.802
- 26 TAC §§ 554.901, 554.904
- 26 TAC §§ 554.910, 554.911
Try a practice question
A resident arrives from the hospital on a Saturday evening. What must the facility have at the time of admission?
- AA completed PASRR Level II evaluation for the resident
- BA completed comprehensive MDS assessment
- CA signed comprehensive care plan
- DPhysician orders for the resident's immediate care
Show the answer
Physician orders for the resident's immediate care. At admission, the facility must have physician orders for the resident's immediate care; the comprehensive assessment follows within 14 days.
26 TAC § 554.801(1)
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.