Michigan Nursing Home Administrator (NHA) Practice Exam

What action may the department take regarding a temporary reduction in the number of patient beds?

1. Approve the reduction without any notice

2. Require immediate closures

3. Approve with prior notification for specific needs

4. Deny any changes to bed capacity

The correct answer is: Approve with prior notification for specific needs

The department's action to approve a temporary reduction in the number of patient beds with prior notification for specific needs is grounded in the regulatory framework governing healthcare facilities. This approach ensures that any changes to bed capacity are carefully evaluated and aligned with the operational needs of the facility while also maintaining oversight for patient safety and quality of care. By requiring prior notification, the department can assess the reasons behind the request, ensuring they are valid and necessary, such as temporary occupancy drops or compliance with health and safety standards. This process not only safeguards residents but also allows for necessary adjustments in planning and resource allocation, which can be crucial for maintaining adequate care in a fluctuating healthcare environment. It strikes a balance between flexibility for facilities and regulatory oversight, ensuring that all changes are appropriately managed and justifiable. This contrasts with other potential actions that either lack oversight, demand immediate and potentially disruptive actions, or completely deny any modifications, which might not consider the evolving needs of the nursing home or its residents.