CCP Federal Regulations and Surveys 2 — Questions and Answers
Question 1: Under OBRA '87, what is the minimum frequency for pharmacist drug regimen reviews in nursing facilities for residents who are stable?
- Every 30 days
- Every 60 days
- Monthly
- Quarterly (Correct answer)
Correct answer: Quarterly
OBRA '87 requires pharmacist drug regimen reviews at least monthly for most residents, but CMS allows quarterly reviews for stable residents in certain circumstances under the Mega Rule.
Question 2: The CMS Mega Rule (F-tag F757) requires a prescriber to respond to a pharmacist's drug regimen review irregularity report within how many days?
- 5 days
- 7 days (Correct answer)
- 10 days
- 30 days
Correct answer: 7 days
F-tag F757 requires prescribers to document their response to pharmacist-identified irregularities within 7 days of receiving the report.
Question 3: Which federal act established the Prescription Drug Monitoring Program (PDMP) infrastructure at the state level through federal grants?
- Controlled Substances Act
- Harold Rogers PDMP Act (Correct answer)
- Combat Methamphetamine Epidemic Act
- SUPPORT for Patients and Communities Act
Correct answer: Harold Rogers PDMP Act
The Harold Rogers PDMP Act provided the initial federal grant funding that established the PDMP infrastructure across states.
Question 4: Which DEA form is required when a DEA registrant discovers a theft or significant loss of controlled substances?
- DEA Form 41
- DEA Form 106 (Correct answer)
- DEA Form 222
- DEA Form 224
Correct answer: DEA Form 106
DEA Form 106 (Report of Theft or Significant Loss of Controlled Substances) must be completed and submitted to the DEA upon discovery of theft or significant loss.
Question 5: Under the Combat Methamphetamine Epidemic Act (CMEA), what is the daily sales limit per purchaser for pseudoephedrine products?
- 2.4 grams
- 3.6 grams (Correct answer)
- 7.5 grams
- 9 grams
Correct answer: 3.6 grams
CMEA limits daily pseudoephedrine sales to 3.6 grams per purchaser, with a 30-day limit of 9 grams.
Question 6: A long-term care facility receives a complaint survey. Under federal regulations, what must the facility do if it disagrees with a cited deficiency?
- File an injunction in federal court
- Request an Informal Dispute Resolution (IDR) (Correct answer)
- Contact CMS headquarters directly
- Suspend all corrective actions pending review
Correct answer: Request an Informal Dispute Resolution (IDR)
Facilities that disagree with cited deficiencies may request an Informal Dispute Resolution (IDR) process through the State Survey Agency.
Question 7: Which federal regulation requires long-term care facilities to have sufficient nursing staff based on resident needs, not a fixed minimum staffing ratio?
- 42 CFR Part 483.30 (Correct answer)
- 42 CFR Part 483.45
- 42 CFR Part 483.60
- 42 CFR Part 483.80
Correct answer: 42 CFR Part 483.30
42 CFR Part 483.30 mandates sufficient nursing staff to meet residents' needs rather than setting a fixed nurse-to-resident ratio.
CCP Federal Regulations and Surveys 2
Under OBRA '87, what is the minimum frequency for pharmacist drug regimen reviews in nursing facilities for residents who are stable?