Case or Activity or Neither?
Decision Makers
Residents' Rights
All Things Ombudsman
Who pays? etc.
100
Ombudsman sees several uncovered linen carts and several missing names outside of resident rooms. Ombudsman tells the administrator.
What is a case?
100
A document in which a person appoints a health care agent to make future medical decisions in the event that the person becomes incapacitated.
What is a Health Care Proxy?
100
True or False? Residents have the right to choose their own doctor and refuse treatment.
What is True?
100
Normal Ombudsman visit frequency.
What is weekly (but not the same day or time each week)?
100
The length of a medical bedhold for a resident on MassHealth.
What is 20 days?
200
A resident asks you to help them to the bathroom. You offer (and they agree) to get a staff member of their facility to help them. The staff member assists them right away.
What is Neither?
200
A reason why the facility might not listen/respond to the adult child of a resident who is the health care proxy.
What is the HCP is not invoked/activated?
200
True or False? & Why? Staff may open personal mail if a resident is in the hospital.
What is False because a resident has a right to privacy?
200
They investigate complaints and negotiate on the residents' behalf to resolve complaints to the residents' satisfaction.
What is an Ombudsman?
200
True or False? & Why? Sam the resident in a NH with MassHealth as the payer source is planning to visit his family out of state for 2 full weeks. The NH is required to hold his bed.
What is False? The non-medical bed hold is 10 days per calendar year.
300
A resident asks the ombudsman about other facilities in the area and if they have a chapel. Ombudsman did not know but gives the resident a list of area facilities so that the resident can call and find out if they wish.
What is an activity?
300
True or False? & Why? When the facility is a resident's Rep Payee they have access to a resident's pension.
What is False. Rep Payee is authorized by the Social Security Administration and only applies to Social Security or SSI benefits.
300
Name 3 of the 6 possible reasons for involuntary discharge from a nursing home and what must the facility give to the resident beforehand?
What are: (1) The resident’s welfare and the resident’s needs cannot be met in the nursing facility (2) The resident’s health has improved sufficiently and the resident no longer needs the services provided by the nursing facility (3) the safety of individuals in the nursing facility is endangered (4) the health of individuals in the nursing facility would otherwise be endangered (5) the resident has failed, after reasonable and appropriate notice, to pay for (or has failed to have MassHealth or Medicare pay for) a stay at the nursing facility or (6) the nursing facility ceases to operate. A 30 DAY NOTICE.
300
The federal law that mandates the Ombudsman Program.
What is The Older Americans Act.
300
True or False? MassHealth pays for a resident's stay at a Rest Home.
What is False?
400
Ombudsman notices a very strong odor of urine and feces during a routine visit on D-wing. It was so strong that the ombudsman mentioned it to the staff at the nurses station. At the end of the visit the ombudsman goes back to check. The odor is gone.
What is a case?
400
A court-appointed individual granted authority to make certain decisions regarding the rights of a person with a clinically diagnosed condition that results in an inability to meet essential requirements for physical health, safety or self-care.
What is a Guardian?
400
Resident Ben tells you (the Ombudsman) that the staff at the NH will not give him salt with his meals no matter how much he asks. He thinks it is because he has high blood pressure. His HCP is not invoked. He tells you he understands the potential consequences of his choice. He asks for your help to exercise his right to ___________.
What is self-determination?
400
Generally the hours an Ombudsman can visit a facility.
What is between 10 am and 8 pm?
400
Sue (the resident) had a knee replacement. On day 3 of her Medicare rehab stay at the NH she gets an infection and goes back to the hospital. How long will the NH hold her bed?
What is as long as she is willing to pay for it?
500
Resident tells the ombudsman that the food is cold each day at lunch. Ombudsman offers to assist and the resident declines.
What is neither.
500
A probate court proceeding utilized when an individual is mentally ill, in need of anti-psychotic medications and unable to consent to treatment or has a guardian.
What is Rogers Guardianship?
500
Resident Sophie tells the ombudsman that she is a night owl and likes to watch TV late into the night. She is a bit hard of hearing and the TV disturbs her roommate. With Sophie's permission the ombudsman works with the contact person and gets Sophie a headset. Now she can watch TV as late as she wants and her roommate is no longer bothered. The ombudsman helped Sophie exercise her right to _________?
What is reasonable accommodation of need & preference.
500
The resident tells the ombudsman that the staff is mean to him - they call him names and laugh at him. He has also witnessed the same staff members doing this to other residents. What must the ombudsman do before anything else?
What is get the resident's permission to advocate on his behalf.
500
Resident Gregory's iPad was stolen despite following the facility's policy to keep it locked in the nurse's closet and including it on his inventory list that is kept by the facility. He used it last on Tuesday night and then gave it to the nurse on duty to lock up. When he asked for it back on Thursday it was missing and not able to be found. He wants to replace it. Who is responsible for replacement cost?
Who is the nursing home?
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