Colorado Nursing Home Administrators (NHA) Complete Practice Exam

One key phrase in the question is "in lieu of", which means in place of or instead of. This means that instead of following the traditional quality management program requirements, there may be an alternate option that can be accepted by the department.

Options C and D, statements from facility staff and annual financial reports, do not provide the necessary evidence of compliance with quality management standards. Therefore, they are not acceptable alternative options.

Option A mentions compliance with the facility's internal standards, which may vary and may not include all necessary quality management measures. This is why option A is not the preferred answer.

Option B, documented evidence of compliance with applicable standards of JCA and HCO Medicare conditions of participation or other acceptable standards, is the correct answer. This option provides clear standards that are accepted by the department and show evidence of compliance with quality management requirements.