CAD Documentation and Regulatory Compliance 1 — Questions and Answers
Question 1: Under federal regulations, activity documentation must demonstrate that programming:
- Is the same for every resident
- Meets each resident's individual interests and needs (Correct answer)
- Is focused only on group activities
- Is conducted only by licensed staff
Correct answer: Meets each resident's individual interests and needs
Federal regulations require that activity documentation show individualized programming tailored to each resident's needs and interests.
Question 2: The MDS (Minimum Data Set) Section F focuses on:
- Physical therapy goals
- Resident preferences for daily life and activities (Correct answer)
- Medication management
- Dietary restrictions
Correct answer: Resident preferences for daily life and activities
MDS Section F captures resident preferences for daily routines and activities to inform person-centered care planning.
Question 3: Which of the following is NOT typically included in an activity progress note?
- Resident's level of participation
- Resident's response to the activity
- Physician's medication orders (Correct answer)
- Observed changes in behavior or mood
Correct answer: Physician's medication orders
Activity progress notes document participation, response, and behavioral observations, not physician medication orders.
Question 4: When a resident refuses an activity, the activity director should document:
- Nothing, since refusals are not relevant
- The refusal, the reason if known, and any alternative offered (Correct answer)
- Only that the activity was scheduled
- The refusal without any explanation
Correct answer: The refusal, the reason if known, and any alternative offered
Thorough documentation of refusals, reasons, and alternatives demonstrates respect for autonomy and professional accountability.
Question 5: Care plan goals for activity services should be:
- Vague to allow flexibility
- Specific, measurable, and tied to the resident's individual preferences and needs (Correct answer)
- Identical for all residents with the same diagnosis
- Written only by the nursing staff
Correct answer: Specific, measurable, and tied to the resident's individual preferences and needs
Effective care plan goals are specific, measurable, and individualized to each resident's unique preferences and needs.
Question 6: Which federal agency oversees the regulations governing activity services in nursing facilities?
- The Joint Commission
- Centers for Medicare & Medicaid Services (CMS) (Correct answer)
- The American Health Care Association
- The Department of Labor
Correct answer: Centers for Medicare & Medicaid Services (CMS)
CMS establishes and enforces the federal regulations governing activity services in Medicare and Medicaid certified nursing facilities.
CAD Documentation and Regulatory Compliance 1
Under federal regulations, activity documentation must demonstrate that programming: