Regulatory Compliance and Laws Flashcards
7 cards from real ALF practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Regulatory Compliance and Laws flashcards as text
A resident's daughter, who is not the legal representative, demands to see her mother's care records. Staff should:
Answer: Decline unless the resident or legal representative authorizes disclosure
Health records may be disclosed only to the resident, the legal representative, or others with proper authorization.
Which practice would most likely be cited as an unauthorized restraint in an ALF?
Answer: Using a lap belt the resident cannot release to keep her seated for staff convenience
A device the resident cannot remove, used for staff convenience rather than medical need, is an unlawful physical restraint.
What is the administrator's legal obligation when a reportable incident, such as a serious injury of unknown origin, occurs?
Answer: Report it to the state agency within the timeframe required by regulation
Serious incidents must be reported to the licensing agency within statutory timeframes, often 24 hours or less.
Under the Fair Labor Standards Act, non-exempt ALF caregivers who work 46 hours in a workweek must receive:
Answer: Overtime pay at 1.5 times the regular rate for the 6 extra hours
The FLSA requires non-exempt employees to be paid time-and-a-half for hours worked over 40 in a workweek.
A marketing brochure claims the facility provides 'licensed nursing care 24/7' when a nurse is only on call at night. This exposes the facility to liability for:
Answer: Misrepresentation or deceptive trade practices
False statements about services in marketing materials can constitute misrepresentation and violate consumer protection laws.
Which document must an ALF typically provide and review with each resident at admission under resident rights laws?
Answer: A written statement of resident rights and grievance procedures
Facilities must give residents a written copy of their rights, including how to file grievances, at or before admission.
An administrator discovers Medicaid was billed for personal care services never delivered. Continuing to submit such claims violates:
Answer: The False Claims Act
Knowingly submitting claims to a federal program for services not provided violates the False Claims Act.