MISSOURI STATE NURSING HOME
ADMINISTRATOR EXAM STUDY GUIDE 2026
TEST PAPER QUESTIONS AND SOLUTIONS
● Agency. Answer: Agency for Health Care Administration
● Department. Answer: Department of Health
● Board. Answer: Board of Nursing Home Administrators
● Controlling Interest. Answer: an officer, director, or person with 5%+
ownership interest in a facility or management company that operates a
facility
● Facility. Answer: any entity providing nursing, custodial, or personal
care exceeding 24 hours for 3+ person (not related to the owner or
manager by blood or marriage) and require nursing services due to
illness, physical infirmity, or advanced age
● Nursing Home Bed. Answer: an accommodation (including necessary
equipment and furnishings) immediately available or can be ready for
occupancy within 48 hours
,● Nursing Home Facility. Answer: any facility which provides nursing
services
● Voluntary Board Member. Answer: a director of a not-for-profit
corporation or organization serving in a voluntary capacity and does not
receive any remuneration
● Responsibility of Licensee. Answer: - the licensee (owner, corporate
body) has full legal responsibility for the operation of the facility
- must hire a licensed administrator to manage day-to-day operation of a
facility
- facility must be organized according to a written table of organization
● Vacant bed report must be submitted to. Answer: AHCA monthly
● Nursing home staffing report must be submitted to. Answer: AHCA
quarterly
● Quality of Long Term Care Improvement Fund. Answer: supports
activities and programs directly related to improving resident care
(dementia training)
,● Level 2 Background Screening. Answer: 1) involves FBI fingerprint
check
2) fingerprints collected electronically and submitted to Florida
Department of Law Enforcement (FDLE)
3) FDLE submits fingerprints to FBI
● Who must have a Level 2 screening. Answer: 1) licensee, if an
individual
2) administrator
3) financial officer
4) any person with a controlling interest, if agency has reason to believe
5) any employee or contractor who will provide personal care or services
directly to residents or have access to resident funds, personal property,
or living areas
● Disqualifying Offenses/Convictions. Answer: 1) murder/homocide
2) assault or batter on elderly/child
3) domestic violence
4) theft or robbery
5) MCD provider fraud
6) MCD fraud
7) fraud in obtaining medicinal drugs
8) kidnapping or false imprisonment
, 9) sexual misconduct
10) prostitution or indecent exposure
11) arson
12) fraudulent insurance claims
● Conditional Work Status. Answer: an individual may start work before
their background results are finalized but can't have contact with
residents
● Re-screening. Answer: each employee must be rescreened every 5
years
● General ledgers and disbursement journals must be brought current no
less than. Answer: quarterly
● Resident Bill of Rights. Answer: must be given at time of admission,
as changes are made, and upon request
● Facility's admission and discharge policies. Answer: must be given at
time of admission, as changes are made, and upon request
● Information regarding advanced directives. Answer: must be given at
time of admission, as changes are made, and upon request
ADMINISTRATOR EXAM STUDY GUIDE 2026
TEST PAPER QUESTIONS AND SOLUTIONS
● Agency. Answer: Agency for Health Care Administration
● Department. Answer: Department of Health
● Board. Answer: Board of Nursing Home Administrators
● Controlling Interest. Answer: an officer, director, or person with 5%+
ownership interest in a facility or management company that operates a
facility
● Facility. Answer: any entity providing nursing, custodial, or personal
care exceeding 24 hours for 3+ person (not related to the owner or
manager by blood or marriage) and require nursing services due to
illness, physical infirmity, or advanced age
● Nursing Home Bed. Answer: an accommodation (including necessary
equipment and furnishings) immediately available or can be ready for
occupancy within 48 hours
,● Nursing Home Facility. Answer: any facility which provides nursing
services
● Voluntary Board Member. Answer: a director of a not-for-profit
corporation or organization serving in a voluntary capacity and does not
receive any remuneration
● Responsibility of Licensee. Answer: - the licensee (owner, corporate
body) has full legal responsibility for the operation of the facility
- must hire a licensed administrator to manage day-to-day operation of a
facility
- facility must be organized according to a written table of organization
● Vacant bed report must be submitted to. Answer: AHCA monthly
● Nursing home staffing report must be submitted to. Answer: AHCA
quarterly
● Quality of Long Term Care Improvement Fund. Answer: supports
activities and programs directly related to improving resident care
(dementia training)
,● Level 2 Background Screening. Answer: 1) involves FBI fingerprint
check
2) fingerprints collected electronically and submitted to Florida
Department of Law Enforcement (FDLE)
3) FDLE submits fingerprints to FBI
● Who must have a Level 2 screening. Answer: 1) licensee, if an
individual
2) administrator
3) financial officer
4) any person with a controlling interest, if agency has reason to believe
5) any employee or contractor who will provide personal care or services
directly to residents or have access to resident funds, personal property,
or living areas
● Disqualifying Offenses/Convictions. Answer: 1) murder/homocide
2) assault or batter on elderly/child
3) domestic violence
4) theft or robbery
5) MCD provider fraud
6) MCD fraud
7) fraud in obtaining medicinal drugs
8) kidnapping or false imprisonment
, 9) sexual misconduct
10) prostitution or indecent exposure
11) arson
12) fraudulent insurance claims
● Conditional Work Status. Answer: an individual may start work before
their background results are finalized but can't have contact with
residents
● Re-screening. Answer: each employee must be rescreened every 5
years
● General ledgers and disbursement journals must be brought current no
less than. Answer: quarterly
● Resident Bill of Rights. Answer: must be given at time of admission,
as changes are made, and upon request
● Facility's admission and discharge policies. Answer: must be given at
time of admission, as changes are made, and upon request
● Information regarding advanced directives. Answer: must be given at
time of admission, as changes are made, and upon request
