TEXAS LTC TEST FINAL STUDY PAPER 2026
COMPLETE QUESTIONS AND ANSWERS
◉ Lighting for Corridors, Nurses Stations, Dining Rooms, Lobbies,
Toilets, Bathing Facilities, Laundries, Stairways, and Elevators.
Answer: at least 20 Foot Candles, 30 in. measured above the floor
anywhere
◉ Lighting for Over-bed Reading Lamps, Medication Preparation or
Storage Areas, Kitchens, and Nurse Station Desks. Answer: at least
50 Foot Candles (50 FC) - use a light meter, 30 in. measured above
the floor anywhere
◉ Resident Room Temperature. Answer: 71-81 Degrees F.
◉ Air Systems. Answer: must provide for the INDUCTION and
MIXING of AT LEAST 10% OUTSIDE FRESH AIR INTO THE FACILITY
unless otherwise approved by TX HHSC - that is, 100%
CONTINUOUS RE-CIRCULATION of INTERIOR AIR in MOST AREAS IS
NOT ACCEPTABLE
◉ Sewage. Answer: must be discharged into a STATE-APPROVED
SEWERAGE SYSTEM or the SEWAGE MUST BE COLLECTED,
TREATED, and DISPOSED of in ACCORDANCE with applicable TEXAS
,NATURAL RESOURCE CONSERVATION and COMMISSION RULES and
REGULATIONS
◉ Water Supply Source. Answer: must also be approved by TEXAS
NATURAL RESOURCE and CONSERVATION COMMISSION
◉ Resident Use Hot Water. Answer: 100 - 110 Degrees F.
◉ Occupied Rooms. Answer: must be cleaned and put in order DAILY
◉ FIRE SAFETY PLAN. Answer: must be REHEARSED QUARTERLY
on EACH SHIFT WITH AT LEAST 1 REHEARSAL CONDUCTED EACH
MONTH
◉ Fires. Answer: all fires must be reported to TX HHSC on the FIRE
REPORT for LONG TERM CARE FACILITIES FORM WITHIN 15 DAYS
AFTER the FIRE
◉ FIRE ALARM PULL STATIONS. Answer: are LOCATED WITHIN 5
FT. OF AN EXIT
◉ FIRE ALARM and SPRINKLER SYSTEMS. Answer: must be
INSPECTED and TESTED AT LEAST ONCE EVERY 3 MONTHS BY A
LICENSED AGENT
, ◉ SPRINKLER SYSTEM. Answer: when a SPRINKLER SYSTEM is
SHUT DOWN for MORE THAN 10 HRS., the LTC facility must
EVACUATE the building or portion of the building affected by the
system outage UNTIL the SYSTEM IS BACK IN SERVICE, or
ESTABLISH a FIRE WATCH UNTIL the SYSTEM is BACK in SERVICE
◉ GENERATORS. Answer: must be INSPECTED and RUN UNDER
LOAD for AT LEAST 30 MINUTES EACH WEEK - a SIGNED or
INITIALED RECORD or LOG MUST BE KEPT ON FILE BY THE
FACILITY - LOG SHOULD DOCUMENT MAINTENANCE PERFORMED,
TIME TAKEN TO TRANSFER LOAD, and LENGTH OF RUN TIMES
◉ WRITTEN EMERGENCY PLAN. Answer: MUST BE TESTED
ANNUALLY and must address (1) DIRECTION and CONTROL (2)
WARNING (how the facility will be notified of emergencies and who
they will notify) (3) COMMUNICATION (with whom and by what
mechanism) (4) SHELTERING ARRANGEMENTS (5) EVACUATION
(destinations, routes) (6) TRANSPORTATION (7) HEALTH and
MEDICAL NEEDS (8) RESOURCE MANAGEMENT (supplies, staffing,
emergency equipment, records)
◉ FACILITY EMERGENCY PLAN. Answer: must be BASED ON and
INCLUDE DOCUMENTED FACILITY-BASED RISK ASSESSMENT
UTILIZING and ALL-HAZARDS APPROACH to INCLUDE MISSING
RESIDENTS (to include ELOPEMENT DRILL) -ALSO INCLUDE
SHELTER-IN-PLACE
COMPLETE QUESTIONS AND ANSWERS
◉ Lighting for Corridors, Nurses Stations, Dining Rooms, Lobbies,
Toilets, Bathing Facilities, Laundries, Stairways, and Elevators.
Answer: at least 20 Foot Candles, 30 in. measured above the floor
anywhere
◉ Lighting for Over-bed Reading Lamps, Medication Preparation or
Storage Areas, Kitchens, and Nurse Station Desks. Answer: at least
50 Foot Candles (50 FC) - use a light meter, 30 in. measured above
the floor anywhere
◉ Resident Room Temperature. Answer: 71-81 Degrees F.
◉ Air Systems. Answer: must provide for the INDUCTION and
MIXING of AT LEAST 10% OUTSIDE FRESH AIR INTO THE FACILITY
unless otherwise approved by TX HHSC - that is, 100%
CONTINUOUS RE-CIRCULATION of INTERIOR AIR in MOST AREAS IS
NOT ACCEPTABLE
◉ Sewage. Answer: must be discharged into a STATE-APPROVED
SEWERAGE SYSTEM or the SEWAGE MUST BE COLLECTED,
TREATED, and DISPOSED of in ACCORDANCE with applicable TEXAS
,NATURAL RESOURCE CONSERVATION and COMMISSION RULES and
REGULATIONS
◉ Water Supply Source. Answer: must also be approved by TEXAS
NATURAL RESOURCE and CONSERVATION COMMISSION
◉ Resident Use Hot Water. Answer: 100 - 110 Degrees F.
◉ Occupied Rooms. Answer: must be cleaned and put in order DAILY
◉ FIRE SAFETY PLAN. Answer: must be REHEARSED QUARTERLY
on EACH SHIFT WITH AT LEAST 1 REHEARSAL CONDUCTED EACH
MONTH
◉ Fires. Answer: all fires must be reported to TX HHSC on the FIRE
REPORT for LONG TERM CARE FACILITIES FORM WITHIN 15 DAYS
AFTER the FIRE
◉ FIRE ALARM PULL STATIONS. Answer: are LOCATED WITHIN 5
FT. OF AN EXIT
◉ FIRE ALARM and SPRINKLER SYSTEMS. Answer: must be
INSPECTED and TESTED AT LEAST ONCE EVERY 3 MONTHS BY A
LICENSED AGENT
, ◉ SPRINKLER SYSTEM. Answer: when a SPRINKLER SYSTEM is
SHUT DOWN for MORE THAN 10 HRS., the LTC facility must
EVACUATE the building or portion of the building affected by the
system outage UNTIL the SYSTEM IS BACK IN SERVICE, or
ESTABLISH a FIRE WATCH UNTIL the SYSTEM is BACK in SERVICE
◉ GENERATORS. Answer: must be INSPECTED and RUN UNDER
LOAD for AT LEAST 30 MINUTES EACH WEEK - a SIGNED or
INITIALED RECORD or LOG MUST BE KEPT ON FILE BY THE
FACILITY - LOG SHOULD DOCUMENT MAINTENANCE PERFORMED,
TIME TAKEN TO TRANSFER LOAD, and LENGTH OF RUN TIMES
◉ WRITTEN EMERGENCY PLAN. Answer: MUST BE TESTED
ANNUALLY and must address (1) DIRECTION and CONTROL (2)
WARNING (how the facility will be notified of emergencies and who
they will notify) (3) COMMUNICATION (with whom and by what
mechanism) (4) SHELTERING ARRANGEMENTS (5) EVACUATION
(destinations, routes) (6) TRANSPORTATION (7) HEALTH and
MEDICAL NEEDS (8) RESOURCE MANAGEMENT (supplies, staffing,
emergency equipment, records)
◉ FACILITY EMERGENCY PLAN. Answer: must be BASED ON and
INCLUDE DOCUMENTED FACILITY-BASED RISK ASSESSMENT
UTILIZING and ALL-HAZARDS APPROACH to INCLUDE MISSING
RESIDENTS (to include ELOPEMENT DRILL) -ALSO INCLUDE
SHELTER-IN-PLACE
