TEXAS LTC TEST CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ Abuse.
Answer: any act, failure to act, or incitement to act done willfully,
knowingly, or recklessly through words or physical action which causes or
could cause mental or physical injury or harm or death to a patient/resident
◍ Exploitation.
Answer: taking advantage of a resident for personal gain through the use of
manipulation, intimidation, threats, or coercion
◍ Incident.
Answer: an abnormal event, including accidents or injury to staff or
residents, which are documented in facility reports - an occurrence in which
a resident may have been subject to abuse, neglect, or exploitation must be
reported to TX HHSC IMMEDIATELY!! after reporting via telephone
immediately, the facility is allowed 5 WORK DAYS to send final report to
TX HHSC
◍ Accident Prevention.
Answer: each resident must receive adequate supervision and assistance
devices to prevent accidents
◍ Life Safety Code - LSC.
Answer: also referred to as the THE CODE or NFPA 101
◍ What is the primary purpose of TREC?.
Answer: Protect consumers
◍ How many members are on TREC?.
, Answer: 9 members (6 brokers, 3 public)
◍ PASARR 1 (Level 1).
Answer: Pre-Admission Screening and Annual Resident Review for all
people to identify mental illness or IDD to ensure appropriate placement in
the community or nursing facility (Medicaid certified facility), and ensures
people receive the required services for mental illness and/or IDD
◍ Who appoints TREC members?.
Answer: The Governor
◍ What is the maximum payout from the Recovery Trust per transaction?.
Answer: $50,000
◍ What is the lifetime maximum payout from the Recovery Trust?.
Answer: $100,000
◍ PASARR 2 (Level 2).
Answer: comprehensive evaluation required as a result of a positive
PASARR 1 Screening - PASARR 2 is necessary to confirm the indicated
diagnosis noted in the PASARR 1 Screening to determine whether
placement or continued stay in a nursing facility is appropriate
◍ State Mental Health Authority or State Intellectual Disability Authority.
Answer: a nursing facility must notify the state mental health authority/state
intellectual disability authority, as applicable, PROMPTLY, after a
SIGNIFICANT CHANGE in the mental or physical condition of a resident
who has a mental disorder or intellectual disability for resident review
◍ Disclosable Interest.
Answer: any person who owns at least a 5.0% interest in any corporation,
partnership, or other business entity that is required to be licensed under
HEALTH and SAFETY CODE, CHAPTER 242
◍ Facility License Renewal.
Answer: nursing facilities must renew the facility license every 2 years
◍ When must you notify TREC of changes?.
, Answer: Within 30 days
◍ Nursing Facility Licensure Rules/Regulations.
Answer: found in TITLE 40, TAC, CHAPTER 19
◍ What can TREC NOT do?.
Answer: Set commission rates
◍ What does OLDCAR stand for?.
Answer: Obedience, Loyalty, Disclosure, Confidentiality, Accounting,
Reasonable Care
◍ Nursing Facility Administrators.
Answer: NFAs must renew license every 2 years which requires 40 CEUs
and 6 of the 40 CEUs must be on Ethics - now more than 34 clock hours of
NAB-Approved self-study courses will be accepted for continuing education
- 6 hours must be in-person seminars
◍ Nursing Facility Administrator Rules.
Answer: TITLE 40, TAC, CHAPTER 18
◍ Podiatrist.
Answer: practitioner whose profession encompasses the care and treatment
of feet who is licensed by the Texas State Board of Podiatry Examiners (not
medical doctors)
◍ What is the difference between a customer and a client?.
Answer: Customer = no fiduciary duties; Client = signed agreement
◍ Social Worker.
Answer: a qualified social worker is an individual who is licensed, or
provisionally licensed, by the Texas State Board of Social Work Examiners
who has at least a Bachelor in Social Work degree or similar professional
qualifications, which include a minimum educational requirement of a
bachelor's degree and 1 yr. experience met by employment providing social
services in a health care setting
◍ Is dual agency legal in Texas?.
, Answer: No, illegal
◍ TITLE XVI (16).
Answer: Supplemental Social Security Income (SSI) of the Social Security
Act (SSA)
◍ TITLE XVIII (18) MCR.
Answer: MEDICARE (MCR) provisions of the SSA - FEDERAL
INSURANCE PROGRAM for those over the age of 65, those on SS
disability benefits for more than 2 yrs., and those with Lou Gehrig's disease
or end-stage renal disease (ESRD)
◍ TITLE XIX (19) MCD.
Answer: MEDICAID (MCD) provisions of the SSA
◍ What is required for an intermediary with appointments?.
Answer: Written consent from both parties
◍ CHOW (Change of Ownership).
Answer: (1) a change of 50% or more of the OWNERSHIP of the business
organization, (2) a change in the FEDERAL TAXPAYER ID NUMBER, or
(3) relinquishment by the LICENSE HOLDER of the MGMT of the
FACILITY - the PROSPECTIVE NEW OWNER must submit
APPLICATION to TX HHSC at LEAST 30 DAYS BEFORE the
ANTICIPATED DATE of SALE or OTHER TRANSFER of OWNERSHIP
◍ Who can appoint associates in an intermediary?.
Answer: Only the broker
◍ Change of Administrator.
Answer: FORM must be completed WITHIN 30 DAYS of the EFFECTIVE
DATE of CHANGE and the COST is $20.00 - an administrator can be
imposeda $500.00 PENALTY by the TEXAS BOARD of NURSING
FACILITY ADMINISTRATORS for not reporting such a change
◍ Building Insulation Materials.
Answer: building insulation materials, unless sealed on all sides and edges
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ Abuse.
Answer: any act, failure to act, or incitement to act done willfully,
knowingly, or recklessly through words or physical action which causes or
could cause mental or physical injury or harm or death to a patient/resident
◍ Exploitation.
Answer: taking advantage of a resident for personal gain through the use of
manipulation, intimidation, threats, or coercion
◍ Incident.
Answer: an abnormal event, including accidents or injury to staff or
residents, which are documented in facility reports - an occurrence in which
a resident may have been subject to abuse, neglect, or exploitation must be
reported to TX HHSC IMMEDIATELY!! after reporting via telephone
immediately, the facility is allowed 5 WORK DAYS to send final report to
TX HHSC
◍ Accident Prevention.
Answer: each resident must receive adequate supervision and assistance
devices to prevent accidents
◍ Life Safety Code - LSC.
Answer: also referred to as the THE CODE or NFPA 101
◍ What is the primary purpose of TREC?.
Answer: Protect consumers
◍ How many members are on TREC?.
, Answer: 9 members (6 brokers, 3 public)
◍ PASARR 1 (Level 1).
Answer: Pre-Admission Screening and Annual Resident Review for all
people to identify mental illness or IDD to ensure appropriate placement in
the community or nursing facility (Medicaid certified facility), and ensures
people receive the required services for mental illness and/or IDD
◍ Who appoints TREC members?.
Answer: The Governor
◍ What is the maximum payout from the Recovery Trust per transaction?.
Answer: $50,000
◍ What is the lifetime maximum payout from the Recovery Trust?.
Answer: $100,000
◍ PASARR 2 (Level 2).
Answer: comprehensive evaluation required as a result of a positive
PASARR 1 Screening - PASARR 2 is necessary to confirm the indicated
diagnosis noted in the PASARR 1 Screening to determine whether
placement or continued stay in a nursing facility is appropriate
◍ State Mental Health Authority or State Intellectual Disability Authority.
Answer: a nursing facility must notify the state mental health authority/state
intellectual disability authority, as applicable, PROMPTLY, after a
SIGNIFICANT CHANGE in the mental or physical condition of a resident
who has a mental disorder or intellectual disability for resident review
◍ Disclosable Interest.
Answer: any person who owns at least a 5.0% interest in any corporation,
partnership, or other business entity that is required to be licensed under
HEALTH and SAFETY CODE, CHAPTER 242
◍ Facility License Renewal.
Answer: nursing facilities must renew the facility license every 2 years
◍ When must you notify TREC of changes?.
, Answer: Within 30 days
◍ Nursing Facility Licensure Rules/Regulations.
Answer: found in TITLE 40, TAC, CHAPTER 19
◍ What can TREC NOT do?.
Answer: Set commission rates
◍ What does OLDCAR stand for?.
Answer: Obedience, Loyalty, Disclosure, Confidentiality, Accounting,
Reasonable Care
◍ Nursing Facility Administrators.
Answer: NFAs must renew license every 2 years which requires 40 CEUs
and 6 of the 40 CEUs must be on Ethics - now more than 34 clock hours of
NAB-Approved self-study courses will be accepted for continuing education
- 6 hours must be in-person seminars
◍ Nursing Facility Administrator Rules.
Answer: TITLE 40, TAC, CHAPTER 18
◍ Podiatrist.
Answer: practitioner whose profession encompasses the care and treatment
of feet who is licensed by the Texas State Board of Podiatry Examiners (not
medical doctors)
◍ What is the difference between a customer and a client?.
Answer: Customer = no fiduciary duties; Client = signed agreement
◍ Social Worker.
Answer: a qualified social worker is an individual who is licensed, or
provisionally licensed, by the Texas State Board of Social Work Examiners
who has at least a Bachelor in Social Work degree or similar professional
qualifications, which include a minimum educational requirement of a
bachelor's degree and 1 yr. experience met by employment providing social
services in a health care setting
◍ Is dual agency legal in Texas?.
, Answer: No, illegal
◍ TITLE XVI (16).
Answer: Supplemental Social Security Income (SSI) of the Social Security
Act (SSA)
◍ TITLE XVIII (18) MCR.
Answer: MEDICARE (MCR) provisions of the SSA - FEDERAL
INSURANCE PROGRAM for those over the age of 65, those on SS
disability benefits for more than 2 yrs., and those with Lou Gehrig's disease
or end-stage renal disease (ESRD)
◍ TITLE XIX (19) MCD.
Answer: MEDICAID (MCD) provisions of the SSA
◍ What is required for an intermediary with appointments?.
Answer: Written consent from both parties
◍ CHOW (Change of Ownership).
Answer: (1) a change of 50% or more of the OWNERSHIP of the business
organization, (2) a change in the FEDERAL TAXPAYER ID NUMBER, or
(3) relinquishment by the LICENSE HOLDER of the MGMT of the
FACILITY - the PROSPECTIVE NEW OWNER must submit
APPLICATION to TX HHSC at LEAST 30 DAYS BEFORE the
ANTICIPATED DATE of SALE or OTHER TRANSFER of OWNERSHIP
◍ Who can appoint associates in an intermediary?.
Answer: Only the broker
◍ Change of Administrator.
Answer: FORM must be completed WITHIN 30 DAYS of the EFFECTIVE
DATE of CHANGE and the COST is $20.00 - an administrator can be
imposeda $500.00 PENALTY by the TEXAS BOARD of NURSING
FACILITY ADMINISTRATORS for not reporting such a change
◍ Building Insulation Materials.
Answer: building insulation materials, unless sealed on all sides and edges
