MARYLAND ASSISTED LIVING MANAGER FINAL EXAM PRACTICE TEST QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE|
INSTANT DOWNLOAD PDF
Core Domains
Organizational Management
Human Resources Management
Business and Financial Management
Environmental Management
Resident Care Management
Regulatory and Legal Compliance
Ethics and Professional Standards
Emergency Preparedness and Safety
,Introduction
This practice exam is designed to prepare candidates for the Maryland Assisted Living Manager Final Exam
by assessing essential skills and knowledge required for effective administration of assisted living facilities.
The exam features multiple-choice and scenario-based questions that emphasize real-world application and
decision-making in daily operational contexts. Candidates will evaluate their understanding of Maryland
COMAR regulations, resident care management, human resources, financial operations, environmental
safety, and ethical professional standards. Successful mastery of these domains ensures compliance with state
licensing requirements and promotes high-quality care for residents in Level 1, Level 2, and Level 3 assisted
living programs.
Section One: Questions 1–100
Question 1
What is the maximum number of residents allowed in a Level 2 assisted living program in Maryland?
A. 4 residents
B. 5–16 residents
C. 17–49 residents
D. 50+ residents
🟢 B. 5–16 residents
,🔴 RATIONALE: Maryland COMAR 10.07.14 defines Level 2 assisted living programs as facilities serving 5–16
residents who require supervision and some assistance with daily activities but do not need comprehensive
nursing care.
Question 2
How many hours of continuing education must a Maryland assisted living manager complete every two years to
maintain licensure?
A. 10 hours
B. 20 hours
C. 40 hours
D. 80 hours
🟢 B. 20 hours
🔴 RATIONALE: Maryland requires assisted living managers to complete 20 hours of continuing education
every two years as part of the licensure renewal process, in addition to completing the initial 80-hour manager
training course.
Question 3
Which of the following residents is NOT eligible to reside in a Level 1 assisted living program?
, A. A resident who is independent and requires only occasional monitoring
B. A resident who needs assistance with one activity of daily living (ADL)
C. A resident who requires 24-hour nursing care and ventilator support
D. A resident who needs help with medication reminders
🟢 C. A resident who requires 24-hour nursing care and ventilator support
🔴 RATIONALE: Level 1 programs in Maryland serve residents who are independent or require minimal
assistance (up to 4 residents). Residents requiring 24-hour nursing care or ventilator support exceed the scope
of Level 1 and must be in a nursing facility or higher-level assisted living program.
Question 4
What is the required timeframe for an assisted living manager to reassess a resident's service plan after
delegating nursing tasks?
A. 15 days
B. 30 days
C. 45 days
D. 60 days
🟢 C. 45 days
🔴 RATIONALE: Maryland COMAR requires that a registered nurse reassess the resident's service plan within
45 days after delegating nursing functions to ensure the tasks remain appropriate and safe.
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |STUDY GUIDE|
INSTANT DOWNLOAD PDF
Core Domains
Organizational Management
Human Resources Management
Business and Financial Management
Environmental Management
Resident Care Management
Regulatory and Legal Compliance
Ethics and Professional Standards
Emergency Preparedness and Safety
,Introduction
This practice exam is designed to prepare candidates for the Maryland Assisted Living Manager Final Exam
by assessing essential skills and knowledge required for effective administration of assisted living facilities.
The exam features multiple-choice and scenario-based questions that emphasize real-world application and
decision-making in daily operational contexts. Candidates will evaluate their understanding of Maryland
COMAR regulations, resident care management, human resources, financial operations, environmental
safety, and ethical professional standards. Successful mastery of these domains ensures compliance with state
licensing requirements and promotes high-quality care for residents in Level 1, Level 2, and Level 3 assisted
living programs.
Section One: Questions 1–100
Question 1
What is the maximum number of residents allowed in a Level 2 assisted living program in Maryland?
A. 4 residents
B. 5–16 residents
C. 17–49 residents
D. 50+ residents
🟢 B. 5–16 residents
,🔴 RATIONALE: Maryland COMAR 10.07.14 defines Level 2 assisted living programs as facilities serving 5–16
residents who require supervision and some assistance with daily activities but do not need comprehensive
nursing care.
Question 2
How many hours of continuing education must a Maryland assisted living manager complete every two years to
maintain licensure?
A. 10 hours
B. 20 hours
C. 40 hours
D. 80 hours
🟢 B. 20 hours
🔴 RATIONALE: Maryland requires assisted living managers to complete 20 hours of continuing education
every two years as part of the licensure renewal process, in addition to completing the initial 80-hour manager
training course.
Question 3
Which of the following residents is NOT eligible to reside in a Level 1 assisted living program?
, A. A resident who is independent and requires only occasional monitoring
B. A resident who needs assistance with one activity of daily living (ADL)
C. A resident who requires 24-hour nursing care and ventilator support
D. A resident who needs help with medication reminders
🟢 C. A resident who requires 24-hour nursing care and ventilator support
🔴 RATIONALE: Level 1 programs in Maryland serve residents who are independent or require minimal
assistance (up to 4 residents). Residents requiring 24-hour nursing care or ventilator support exceed the scope
of Level 1 and must be in a nursing facility or higher-level assisted living program.
Question 4
What is the required timeframe for an assisted living manager to reassess a resident's service plan after
delegating nursing tasks?
A. 15 days
B. 30 days
C. 45 days
D. 60 days
🟢 C. 45 days
🔴 RATIONALE: Maryland COMAR requires that a registered nurse reassess the resident's service plan within
45 days after delegating nursing functions to ensure the tasks remain appropriate and safe.
