CAD Documentation and Regulatory Compliance 2 — Questions and Answers
Question 1: F-Tag 679 in the CMS State Operations Manual specifically addresses:
- Dietary requirements
- Activity programs in nursing facilities (Correct answer)
- Physical therapy documentation
- Infection control procedures
Correct answer: Activity programs in nursing facilities
F-Tag 679 (formerly F248) governs the requirements for activity programs in Medicare and Medicaid certified nursing facilities.
Question 2: During a state survey, surveyors assess activity services by:
- Reviewing only the written activity calendar
- Observing activities, interviewing residents, and reviewing documentation (Correct answer)
- Checking only staff credentials
- Looking only at group attendance sheets
Correct answer: Observing activities, interviewing residents, and reviewing documentation
Surveyors use a comprehensive approach including observation, resident interviews, and documentation review to evaluate activity services.
Question 3: Confidentiality of resident activity records is protected under:
- The Americans with Disabilities Act
- HIPAA (Health Insurance Portability and Accountability Act) (Correct answer)
- The Occupational Safety and Health Act
- The Fair Labor Standards Act
Correct answer: HIPAA (Health Insurance Portability and Accountability Act)
HIPAA protects the privacy of residents' personal health information, including activity-related documentation.
Question 4: A resident's care plan conference should include the activity director because:
- It is optional for activity staff to attend
- The activity director provides insight into the resident's social, emotional, and engagement needs (Correct answer)
- Activity staff only attend if requested by the family
- The activity director is required to lead all care plan meetings
Correct answer: The activity director provides insight into the resident's social, emotional, and engagement needs
The activity director contributes valuable information about the resident's engagement, interests, and psychosocial well-being to the interdisciplinary care plan team.
Question 5: Which of the following is required for a nursing facility to be in compliance with activity regulations?
- All activities must be led by a licensed therapist
- Activities must be directed by a qualified professional as defined by CMS (Correct answer)
- Only volunteer-led activities are permitted
- The facility must offer at least 10 activities per week
Correct answer: Activities must be directed by a qualified professional as defined by CMS
CMS requires activity programs to be directed by a qualified activity professional who meets specific education and experience criteria.
Question 6: The purpose of documenting a resident's activity history during admission is to:
- Meet staffing ratios
- Gather baseline information about interests and preferences to guide individualized programming (Correct answer)
- Create a standardized program for the unit
- Determine which activities to eliminate
Correct answer: Gather baseline information about interests and preferences to guide individualized programming
Collecting activity history at admission establishes a foundation for developing a personalized, meaningful activity plan.
CAD Documentation and Regulatory Compliance 2
F-Tag 679 in the CMS State Operations Manual specifically addresses: