NAB NHA Exam Compiled Cards
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the physical plant ✔✔all designed, constructed, equipped, and maintained to protect health and
safety of residents, personnel, public
Life Safety Code (LSC)
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NAB NHA Exam Compiled Cards
Questions with Verified Answers
the physical plant ✔✔all designed, constructed, equipped, and maintained to protect health and
safety of residents, personnel, public
Life Safety Code (LSC) ✔✔Entire construction plan and materials meet LSC standards|||CMS
requires unless have waiver or exception. CMS grants waivers on SNFs; states on NFs
(NFPA) ✔✔National Fire Protection Association ||established LSC
Purpose of LSC ✔✔to provide reasonable degree of safety from fire.
Waivers for Life Safety Code ✔✔If CMS finds a state fire and safety code adequately protects
residents and personnel thenLSC does not apply. OLder facilities may obtain a waiver if they are
and have been in compliance with an older addition of LSC as specified by CMS.||Before a
nursing home may be built it must present architectural plant to State Medicaid or designated
agency that approves construction. All major renovations, such as additional beds, change in
utilization of space, and so on must receive approval. The state provides guidelines on what must
be a approved. Upkeep and repairs do not require prior approaval.
Blue Prints ✔✔keep as-built plans available for surveyors who do LSC inspection as well as for
repair persons who may need prints for big jobs.
LSC and other standards ✔✔Building and contact standards are set by LSC, CMS,
ANSI/ADAAG - (dependent on which the state chooses) and state and local codes. ||- for
handicapped|-follow which on specific state requires (ANSI/ADAAG)
LSC and ANSI/ADAAG ✔✔LSC accepts both standards so they are essentially all LSC
standards. Administrator does not need to know EVERY standard, but must keep a copy of the
"LSC Handbook" as reference. The architect who designs the facility must know and incorporate
all LSC and other standards, but it is advisable for the NHA to check his building to ensure
compliance.
LSC, ANSI/ADAAG, and CMS ✔✔**- building materials - fire-rate according to number of
stories. 2 hour and 1 hour rating|**- sprinklers - new buildings have automatically activated by
smoke/heat|- exits - no room more than 100 feet from exit. Lighted exit signs of specific size. |-
walls extend continuously to roof deck of next floor. wall finish must meet flame-spread
requirements ( have certificate of this)|- furnishings - curtains and carpet must meet fire rating|-
rooms - CMS requirements - 4 residents to room MAX. 80 sq ft/resident (multi-resident room),
100 sq ft for single occupancy.
requirement for rooms| ✔✔- direct access to corridor|- outside window (CMS) or door (LSC)|-
privacy|- furnishing| separate bed, proper size and height| bedding appropriate to climate|
individual closet space| bedside table| comfortable chair| enough overbid tables to meet needs of
rsidents|- toilets (CMS, ANSI, ADA)|- bathing facilities (CMS)|- resident call system (CMS,
LSC) 24/7 - back up system available|- temperature range (71-81 degree F) (three feet above
floor), states set actual, A/C not required
Doors ✔✔All 44" or more in new construction (41.5 opening)|outside doors open egress.|no
locks on resident door except staff has key (LSC)||Bathroom door 32" (ANSI/ADAAG)||Fire
Doors with automatic hold-open devices required in corridors||(over bed tables not required for
patient)
corridors ✔✔no dead-ends (LSC)||8 feet wide (CMS)
Floors ✔✔at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet
(ANSI, LSC)|Asphalt tile best
Fire alarms ✔✔flashing and audible. |connect with local fire dept, if possible|must have NFPA
71 certification of fire alarm service|
smoke detectors ✔✔approved detectors requried
smoking ✔✔written regulations, enforced. |smoking ares with non-combustible ashtrays, metal
containers with self-closing lids.|Prohibited areas include resident rooms and beds, oxygen,
flammable liquid storage.|proper signs posted.|supervise non-responsible.
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) ✔✔Make building
available to and usable by physically handicapped, no mental (blind, deaf, non-ambulatory, semiambulatory, uncoordinated). ADAAG = MAKE BUILDINGS AVAILABLE TO ADA'S. |State
decides whether to apply ANSI or ADAAG sta
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