Documentation and Regulatory Compliance Flashcards
6 cards from real CAD practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Documentation and Regulatory Compliance flashcards as text
An activity director who falsifies attendance records is committing:
Answer: Healthcare fraud, which is a serious legal and ethical violation
Falsifying attendance records in a Medicare/Medicaid-certified facility constitutes healthcare fraud with serious legal consequences.
Which assessment tool is commonly used to identify a resident's strengths, interests, and history for activity planning?
Answer: The activity intake or interest inventory
Activity intake and interest inventories systematically gather information about a resident's past and current interests, preferences, and life history.
When writing activity progress notes, the SOAP format stands for:
Answer: Subjective, Objective, Assessment, Plan
The SOAP format (Subjective, Objective, Assessment, Plan) is a structured documentation method used across healthcare disciplines.
Federal regulations require that residents have the right to:
Answer: Refuse any activity without fear of reprisal
Residents have the federally protected right to refuse activities without facing negative consequences.
Which of the following best describes the role of the activity director in the Resident Assessment Instrument (RAI) process?
Answer: The activity director contributes to MDS completion and care planning through activity-related assessments
The activity director contributes to the RAI process by providing activity-related assessment data that informs the MDS and the care plan.
How long must nursing facilities typically retain resident activity records?
Answer: At least 5 years or in accordance with state law, whichever is longer
Federal and state regulations generally require nursing facilities to retain resident records for a minimum of 5 years or per state law.