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Certification-Board NAB-NHA : Nursing Home Administrator (NAB) Exam

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Exam Number : NAB-NHA
Exam Name : Nursing Home Administrator (NAB)
Vendor Name : Certification-Board
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Required Activity Areas:
The AIT Program should be based on the five domains of practice, which are covered in the various departments found in a long term care facility. The tool presents
the departments as modules and rotations; it is through these departments/modules that the program should be designed, so that the individual AIT can meet an appropriate and tailored amount of time in each of the domains as appropriate. These modules include:
• Administration
• Human Resources
• Nursing
• Business Office/Financial Management
• Diet
• Rehabilitation
• Medical Records
• Activities
• Social Services/Admissions
• Housekeeping/Laundry
• Environmental Management/ Maintenance

A. Quality of Care/Nursing
1. Develop a rounding sheet with the administrator and director of nursing that is resident- centered; initiate implementation.
2. Observe nurse peer review on administration of medications.
3. With director of nursing, ensure medications are not expired.
4. Develop resident satisfaction surveys and make recommendations for implementation as necessary. B. Rehabilitation
1. Organize and implement a follow-up program for discharged residents to the community.
2. Develop audit for equipment inventory and complete audit; report.
C. Medical/Resident Records
1. Conduct admission audit of current in-house resident population, analyze data and report. Assist with recommendations, as needed.
2. Conduct audit of flu vaccination response variables, analyze data and report. Assist with recommendations, as needed.
3. Conduct audit of admission and annual required vaccines, analyze data and report. Assist with recommendations, as needed.
4. Conduct medical records audit with appropriate staff.
D. Activities
1. Develop and implement a volunteer program
2. Develop/enhance Life Enrichment/Person Centered Care program
a.Interview residents and families and analyze information to ensure that desired activities are planned and implemented as necessary
b.Working with Directors of Activities and other personnel as needed, help develop in-service for Life Enrichment/Person Centered Care; assist appropriate staff with delivering in-services.
E. Social Services/Admission
1. Conduct an audit of admissions documents (per regulations and organization policy), analyze and report.
2. Complete an audit of resident preferences, such as time to eat, rise and retire, bath/showers, time of therapy, etc. Make recommendations as necessary
3. Develop and implement an outreach program that communicates regularly with residents and/or families post discharge.
F. Dietary
1. Develop a questionnaire for residents related to dietary satisfaction including variables such as taste, temperature, timeliness, presentation, etc; implement, analyze and report; make recommendations.
2. Meet with the dietician and dietary manager to learn how menus are developed, followed, and implemented; conduct an audit to confirm residents are receiving correct foods, drinks and adaptive devices.
3. Understand nutritionally compromised concerns and how weights are monitored.
4. Audit purchasing and storage of dietary supplies and food; report to dietary manager and administrator.
5. Audit to ensure foods are served and maintained at proper temperatures and in accordance with the Food Code.
G. Housekeeping/Laundry
1. Conduct weekly audits, evaluating such variables as dust, floors, toilet, showers of designated public areas; track, trend and report accordingly.
2. Audit resident rooms for housekeeping variables;track, trend and report accordingly.
3. Audit residents to determine if laundry is clean and received promptly.
4. Audit infection control, safety and cross contamination procedures and make recommendations as necessary.
5. Follow the linen distribution system from soiled to clean and report accordingly.
6. Observe resident clothing management

II. Possible Activities/Assignments related to Domain 20: Human Resources
A. Conduct an employee file audit per regulations and organizational policy.
B. Collect annual turnover rates for last few years, and develop a strategic plan with activities, timeframes, etc. for identified changes.
C. Develop an employee satisfaction questionnaire, administer it and analyze data;develop a subsequent plan.
D. Develop, organize and implement several employee activities.
E. Track absentee information, such as shift, day of week, reason, frequency;
analyze and report the findings.
F. Audit external health care providers (e.g., physicians, dentists, podiatrists) to determine current licenses, liability insurance, etc.; analyze and report the findings.
G. Study and analyze recruiting plans/staffing patterns and offer ideas to improve current processes to ensure that the needs of the residents cared for are met.
H. Review and understand the facilitys employee handbook to ensure accuracy and that all federal/state guidelines are followed and make recommendations as necessary.
I. Review and evaluate payroll plans, compensation plans, and benefit packages
J. Participate in a complete employee hiring and orientation process ( interview, background check, etc.).
K. Conduct a staff meeting and an in-service training program.
L. Participate in a disciplinary/grievance procedure and an employee counseling session.
M. Understand and have knowledge of National Labor Relations Board (NRLB) as it relates to the facility.
N. Review and evaluate the unemployment compensation record of the facility and attend an unemployment compensation hearing as necessary.
O. Review and report on ways to encourage and support professional development of team members.

III.Possible Activities/Assignments related to Domain 30: Finance
A. Assist the administrator with all budget (capital, cash, operating, etc.) development and submission.
B. Understand and assist with accounts payable processing.
C. Analyze and understand how aged accounts work.
D. Understand the facilitys bad debt and write-off policy; determine avenues for improvement.
E. Understand triple-check systems for private pay and all third party payors.
F. Describe and review regularly produced financial reports to determine if fiscal issues have arisen and make recommendations as necessary
G. Review and describe the chart of accounts, bookkeeping procedures, income and expense statements and balance sheets; make recommendations as necessary.
H. Understand the financial audit process utilized by third party payors to ensure billings are in accordance with services provided.
I. Analyze and understand third party payor cost reporting systems.

IV. Possible Activities/Assignments related to Domain 40: Environment
A. Audit preventative maintenance logs per regulations and company policy;track and trend such variables as time of day, season, staff member, etc.
B. Audit resident rooms, utilizing audit tools to evaluate such items as electrical outlet plates, call bells, water temperatures and beds; track, trend and report accordingly.
C. Review emergency generator and life safety regulatory requirements according to state, local, and federal laws specific to your building(s) and prepare a compliance report.Conduct audit of past year of the log; develop/revise preventative
maintenance log with maintenance supervisor.
D. Conduct an audit of the past years log; develop and/or revise preventative maintenance logs with the maintenance supervisor.
E. Assist the administrator and maintenance supervisor with developing and implementing an emergency plan.
F. Develop a rounding sheet with the administrator and maintenance supervisor that is environmental and safety centered; initiate its implementation.
G. Audit Log Out/Tag Out procedures to ensure compliance.

V. Possible Activities/Assignments related to Domain 50: Management & Leadership
A. Review policy and procedure manuals to determine if they are appropriate and timely, per regulations and organization policy and make recommendations for change as necessary.
B. Develop and assist the administrator with an annual strategic planning meeting.
C. Review current internal and external contracts and agreements for accuracy, efficiency and timeliness; organize and make recommendations as necessary.
D. Review and become comfortable with federal regulations and state specific regulations; assist with educating department leaders, if needed.
E. Assist with writing a Plan of Correction and/or identified regulatory violations.
F. Review and update the facilitys organizational chart and job descriptions.
G. Review short-term and long-term goals of the organization for appropriateness.
H. Study the bylaws/mission statement/vision of the governing body and how decisions and policies are made within the organization. Analyze the authority throughout the facility.
I. Plan and attend internal and external meetings and prepare reports for the organization, as necessary.
J. Review the facility marketing plan and make recommendations for change as necessary based upon facility dynamics and community needs.
K. Review and understand the facilitys media publicity efforts, including (but not limited to) writing news releases, facility publications, newsletters, etc.
L. Organize and write a report to include competitive information, such as description of services and amenities, survey history, CMS 5-Star rating and community involvement.
M. Review the facilitys corporate compliance program to ensure all appropriate rules and regulations are followed.
N. Review and describe how the facilitys risk management program minimizes legal liability.
O. Review and analyze facilitys information management system, including technology, to ensure safeguards are in place to provide resident confidentiality, data security, social media, cell phones, etc.
P. Review and analyze the facilitys quality improvement programs.
Q. Review the facilitys customer satisfaction program, including resident relations initiatives, reception/concierge duties and resident/family surveys.
R. Transitional Care: understanding the various regional lines of service and how they relate, as well as initiatives to ensure continuous delivery of safe and quality care as consumers transition between the different lines of service.

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Certification-Board Home Questions and Answers

How Howard Buffett’s Cop Fantasies cost a true Cop His Job | NAB-NHA Study Guide and Practice Test

photo Illustration by using Kelly Caminero/The each day Beast/Getty

Howard Buffett, the 66-yr-ancient son of billionaire investor Warren Buffett, has a long heritage of donating hundreds of thousands to legislation enforcement corporations whereas serving as a component-time, unofficial member of some of them.

however lately, his attempts to become an authorized officer in Illinois—devoid of completing the mandatory practicing or sitting for a written examination—cost the govt director of the state’s board that regulates officers his job, in response to a brand new file from The office of executive Inspector generic for the corporations of the Governor.

The record, first shared by way of the associated Press, particulars how Buffett and the Macon County Sheriff’s office, which he was working for as an undersheriff, attempted to get him a waiver to be certified as a component-time officer through the Illinois legislations Enforcement practising and necessities Board in 2018. that would allow him to make use of his old legislation enforcement training in other places in Illinois and become a certified half-time officer there, with most of the equal powers as a full-time officer.

The request came after Buffett had donated $15 million to the board in 2017 to build a practising facility, in addition to an additional more than $500,000 to get the power up and operating, in response to the record. It additionally came after the government director of the board, Brent Fischer, had up to now made “requests” to Buffett for money—including requesting a $10,000 donation to help their canine software.

On Jan. eleven, 2019, three hours after acknowledging the $10,000 donation from Buffett’s basis, Fischer granted Buffett’s waiver, despite the fact that the billionaire became over one hundred hours short of needed training, had not ever sat for a certification exam, and had never entered or completed a formal police academy. In February, Fischer gave Buffett a physical certification that he had chiefly printed up for him, the file states.

Fischer, whose previous legislations enforcement adventure includes main the Adams County Sheriff’s workplace for 17 years, spoke of he believed it changed into understood that the certification was a symbolic gesture or honorary degree for “all [Buffett] has completed for legislations enforcement,” according to the record.

Story continues

An unnamed employee who referred to he become current when Buffett changed into given the certificates advised investigators he believes Fischer mentioned some thing to the effect of “right here is some thing that you may put in your wall” when he gave the certification to Buffet. The unnamed worker mentioned he knew about the massive sums Buffett has given legislation enforcement and mentioned that if giving Buffett a “BS paper to throw on the wall” become a thanks, he had no issue with that.

LAPD basis: Mark Wahlberg Would Make a very good Reserve Cop

however almost immediately after receiving the certification, the Macon County Sheriff’s workplace’s web site listed Buffett as a certified officer. In Feb. 2020, Buffett used the certification to follow for a waiver to be a part of the Christian County Sheriff’s office, in line with the report. He also despatched the certification to the Cochise County Sheriff’s workplace in Arizona, where he had prior to now been serving as a volunteer deputy since 2013.

The Christian County Sheriff’s workplace, which nonetheless lists Buffett as an undersheriff on their web site, did not reply to a request for comment. The Cochise County Sheriff’s office additionally did not reply to a request for comment.

The Inspector commonplace document, made public this week, concluded in August that Fischer engaged in “mismanagement and malfeasance” when he issued the certification to Buffet. whereas investigators did not find proof Fischer individually benefited from the donations, they concluded that Buffett’s payments to the sheriff's workplace “supplied a groundwork” for why Fischer gave Buffett the certification he wasn’t certified for.

In September, Fischer, who did not reply to a request for remark, turned into fired from the Illinois legislations Enforcement working towards and requirements Board.

In a Nov. 4 letter responding to the investigation, Fischer wrote that it didn't state any rules or statutes that he broke. He mentioned it became not ever mentioned to him that Buffett would use the certification to run for office or function a sworn officer. rather, he noted, he believed the certification changed into an “expression of gratitude” for Buffett’s gifts to quite a lot of legislation enforcement corporations.

Buffett did not reply to a request for comment, and neither did the Howard G. Buffett foundation. A member of Buffett’s family unit straight away hung up the mobile when reached by way of The each day Beast and didn't respond to a subsequent text message.

In an interview with investigators from the Inspector normal’s workplace in July, Buffett said he didn’t bear in mind Fischer telling him the certification wasn’t genuine.

Buffett instructed investigators it wasn’t unless may also, when an editorial revealing his intention to run for Sheriff of Macon County become posted, that he acquired word from Fischer and others that he wasn’t eligible to run as a result of his certification he’d received in January become most effective “ceremonial,” in accordance with the file.

Buffett advised investigators he ended his run for sheriff and later mailed his certification returned. He said that if he’d accepted that the certification wasn’t authentic, he wouldn’t have ever tried to make use of it or run for office.

in accordance with the record, Buffett said he was thinking about the optics of everything and didn’t need anybody to consider he was looking for a return on the thousands and thousands he has donated to legislations enforcement companies across the country and in Illinois, his home state, over the years. Buffett began his charitable company in 1999 and has provided over $143 million in help of public defense, including donations to 115 local law enforcement companies and fireplace departments.

Buffett has made news for his law enforcement actions before.

In 2019, the Phoenix New instances posted an intensive investigation into his very own “border war” in Arizona. The record covered a photograph of Buffett and two “friends” posing with handguns, and alleged that the billionaire’s son had armed a “deepest volunteer community” and funded “the chemical defoliation of a substantial element of the county’s border,” an operation that became marketed as a “grasslands restoration” project.

the brand new instances document additional alleged that Buffett had accumulated have an impact on over native legislations enforcement by means of showering them with millions of greenbacks in “gifts and gives you.”

Buffett’s namesake basis had basically $500 million in 2019, in accordance with the most recently obtainable filings. That 12 months, the company doled out more than $200 million to dozens of recipients, together with the Macon County Sheriff’s workplace, the center to fight Human Trafficking, and U.S. Customs and Border Patrol.

at the same time, the groundwork obtained roughly $193 million from Warren Buffett, its sole contributor that year.

Buffett in the past served as sheriff of Macon County, Illinois, between 2017 and 2018.

Buffett’s work in Macon County—where he donated hundreds of thousands to open a drug medicine middle and legislations enforcement practicing facility—turned into the subject of a glowing Sunday today show section in 2018, featuring such difficult-hitting questions as: “you have got a large coronary heart. were you aware where your big heart comes from?”

Buffett credited his mother, and observed he wished he had “gone to the police academy” in his twenties.

An old-fashioned branch site web page nevertheless lists him as undersheriff, saying he assists with “exterior practising for Taser instructors, k-9 officers, DUI/DRE officers and drug interdiction officers.” It also claims he is licensed through the Illinois law Enforcement practising and requirements Board and had accomplished over 5,200 provider-obligation hours and 111 weapons skills beneath the course of 4 sheriff places of work in Illinois and Arizona, “assembly both states' certifications necessities.”

youngsters, Jim Root, the existing sheriff of Macon County, instructed The day by day Beast Buffett resigned from the office in March 2020.

Root mentioned he could not reply questions about Buffett’s certification request in 2018 as a result of he turned into no longer sheriff on the time. “His fame with their branch was under a previous administration,” he stated.

Root, who mentioned he’s served the Macon County Sheriff’s workplace for 25 years, stated he worked under Buffett after the old Sheriff Tom Schnieder retired in 2017 and Buffett become his boss on an interim groundwork.

He recalled Buffett being hands off as a sheriff, primarily with Root’s emergency management department. “He had no history in that and didn’t even bother coming over,” he referred to.

Root pointed out he’d examine the Inspector popular report, but noted he couldn't comment on any knowledge wrongdoing with the aid of Fischer, Buffett or the Sheriff’s office on the time that Buffett’s certification turned into processed.

“Mr. Buffett's a pleasant man. i admire the guy. He’s finished plenty for their group,” he noted. “however there’s best so a great deal i can stand. And any category of impropriety isn't one which I’m inclined to put my neck on the road for.”

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