California Nursing Home Administrator License Practice Exam

What could happen if an ALF makes a DNR order a requirement for admission?

1. The facility may face sanctions and potential loss of license

2. The requirement could be waived upon family petition

3. The rule is only applicable for hospice admissions

4. Such policies are legal in all states

The correct answer is: The facility may face sanctions and potential loss of license

If an Assisted Living Facility (ALF) makes a Do Not Resuscitate (DNR) order a requirement for admission, it may face significant legal and regulatory consequences. This practice can be seen as discriminatory and contrary to the rights of residents, especially since a DNR order is a personal medical decision that should be made by the individual resident in consultation with their physician and family, rather than imposed as a blanket requirement by the facility. The imposition of such a requirement could lead to sanctions from licensing authorities, as it violates state regulations that protect patient autonomy and rights. Additionally, if a facility is found to be enforcing such a policy, it may risk losing its license, as this would likely be considered a deviation from accepted standards of care and regulatory compliance in the provision of services. Other options do not accurately reflect the implications of making a DNR order a requirement for admission. For example, waiving the requirement upon family petition does not address the fundamental issue of enforcing a DNR as a condition of entry, and stating that the rule is only applicable for hospice admissions or that such policies are legal in all states misrepresents the regulatory environment that governs skilled nursing and assisted living facilities. Proper adherence to regulations around patient care and the rights