2026 NJ CALA CORRECT FINAL EXAM QUESTIONS
AND ANSWERS SURE A+
✔✔Total Bed Complement - ✔✔Another term for resident census.
✔✔Unit Dose Drug Distribution System - ✔✔A system in which medications are
delivered to the residents areas in single unit packaging, and which meets the following
criteria:
1.) Each medication shall be individually wrapped and labeled with the generic or trade
(brand) name and strength of medication, lot number or reference code, expiration date,
and manufacturer's name, and shall be ready for administration to the resident.
2.) Cautionary instructions shall appear on the resident's record of medication
administration, and the system shall include provisions for noting additional information,
including but no limited to, special times or routes of administration and storage
conditions.
3.) Commercial repackages shall comply with 21 CFR 201.1, incorporated herein by
reference, as amended and supplemented, and N.J.A.C. 8:39.
✔✔Unit-of-Use - ✔✔A system of in which medications are delivered to the resident
areas either in single unity packaging, bingo or punch cards, blister or strip packs, or
other system where each medication is physically separate. Individually labeled unit
dose medications may be combined in a "bingo or punch card" to create a unit-of-dose
drug distribution system.
✔✔20 percent - ✔✔An assisted living facility shall indicate within 36 months of after
licensure, at least ______________ of the facility's residents shall be individuals with
nursing home-level care. This percentage shall be computed based upon the number of
residents days per calendar year and may include direct admissions as well as
maintained residents with nursing home-level of care needs.
✔✔Biennially - ✔✔Each assisted living, comprehensive personal care home, and
assisted living program will be assessed and inspected __________________.
,✔✔Survey Visits - ✔✔This may be made to a facility at any time by authorized staff of
the Department . Such may include, but not limited to, the review of all facility
documents and resident records and conferences with residents.
✔✔Facility Licensure - ✔✔A licensure shall be granted for a period of one year or less
as determined by the Department.
✔✔Facility Licensure Renewal - ✔✔The license, unless suspended or revoked, shall be
renewed annually on the original license date, or within 30 days thereafter as of the
original licensure date. The facility will receive a request for renewal fee 30 days prior to
the expiration of the license. A renewal license will not be issued unless the licensure
fee is received by the Department.
✔✔Surrender of Facility License - ✔✔The facility shall notify each resident, the
resident's physician, and any guarantors of payment at least 30 days prior to the
voluntary surrender of a license, or as directed under an order of revocation, refusal to
renew, or suspension of license. In such cases, the license shall be returned to the
Long-Term Care Licensing Program of the Department within 7 working days after the
voluntary surrender, revocation, non-renewal, or suspension of license.
✔✔CALA Qualifications - ✔✔1.) 21 years or older; 2.) Possess a high school diploma or
equivalent; 3.) hold a CALA or LNHA license.
✔✔2 Years - ✔✔An applicant for certification as an assisted living administrator shall sit
for the Assisted Living Competency Examination within ____________ of successful
completion of the assisted living training course.
✔✔3 Years - ✔✔An assisted living administrator certification shall be valid for a period
of ____________ from date of issue.
✔✔3 Years - ✔✔At least once every ___________, on a schedule to be determined by
the Department, an assisted living administrator shall file an application for renewal of
current certification.
✔✔30 hours - ✔✔Complete at least ____________, of continuing education regarding
assisted living concepts and related topics, as specified and approved by the
Department of Health and Senior Services.
✔✔Eligibility for Renewal - ✔✔1.) Complete 30 hours of CEUs, 2.) Criminal History
Background Check
✔✔Lapse of Certification - ✔✔The applicant shall be required to complete 10 hours of
continuing education credit for each year in which the certification was inactive in
addition to the required 30 hours of continuing education for the last completed triennial
certification period in which the applicant's certification was active.
,✔✔40 Hours - ✔✔In order to be an assisted living administrator trainer, they must
complete at least ____________ of the basic concepts etc. of assisted living.
✔✔Administrator's Responsibilites - ✔✔1.) Ensuring the development, implementation,
and enforcement of all policies and procedures, including resident rights; 2.) Planning
for, and administration of, the managerial, operational, fiscal, and report components of
the facility; 3.) Ensuring that all personnel are assigned duties based upon their ability
and competency to perform the job and in accordance with written job descriptions; 4.)
Ensuring the provision of staff orientation and staff education; 5.) Establishing and
maintaining liaison relationships and communication with facility staff and services and
with residents and their families; 6.) Establishing and maintaining liaison relationships
and communications with community hospitals, social services agencies, and mental
health service agencies.
✔✔Ombudsman - ✔✔An advocate who is an official in charge of representing the
interests of the public by investigating and addressing complaints of maladministration
or a violation of rights.
✔✔Informed Consent in Different Languaes - ✔✔The resident has a right to refuse
medication and treatment after the resident has been informed, in language that the
resident understands, of the possible consequences of this decision.
✔✔30 Days - ✔✔The resident has the right to receive written notice at least
___________ in advance when the facility requests the resident's transfer or discharge,
except in an emergency. This written notice shall include the name, address, and
telephone number of the New Jersey Office of the Ombudsman for the Institutionalized
Elderly, and shall also be provided to the resident's legally appointed guardian, if
applicable, or, with the resident's consent, to the resident's family, ___________ in
advance.
✔✔Types of Services for ALF - ✔✔1.) Assistance with Personal Care; 2.) Nursing; 3.)
Pharmacy; 4.) Dining; 5.) Activities; 6.) Recreational; 7.) and Social Work services.
✔✔Nursing Home Level Care Characteristics - ✔✔1.) The resident requires 24/7
nursing supervision; 2.) The resident is bedridden for more than 14 days; 3.) The
resident is consistently and totally dependent in four or more of the following activities of
daily living: dressing, bathing, toilet use, transfer, locomotion, bed mobility, and eating;
4.) The resident has a cognitive decline severe enough to prevent the making of simple
decisions regarding activities such as bathing, dressing, and eating and cannot respond
appropriately to cueing and simple directions; 5.) The resident requires treatment of a
stage 3 or 4 pressure sore or multiple stage two pressure sores; 6.) The residents
requires than assistance with transfer; 7.) The resident is a danger to self or others; 8.)
The resident has a medically unstable condition and/or has special health problems,
, and a regimen of therapy cannot be appropriately developed and implemented in the
assisted living environment.
✔✔10 Percent - ✔✔A new or existing assisted living residence or comprehensive
personal care home licensed on or after Sept. 1st, 2001, shall attain a level of
occupancy by Medicaid-eligible persons of at least ______________ of its total bed
complement within 3 years of licensure (for new ALFs) and shall maintain this level of
Medicaid occupancy thereafter. In cases in which either the total bed complement or the
total number of beds added in an existing facility is less than that amount, at least one
bed shall be reserved for a Medicaid-eligible person. (p.34-35)
✔✔Specialized Long-Term Care - ✔✔Residents who shall not remain in the assisted
living residence or comprehensive personal care home and shall be transferred to a
long-term care facility.
✔✔Medicaid-Eligible Person - ✔✔An individual who has been determined as satisfying
the financial eligibility criteria for medical assistance under the Medicaid program, and
has been assessed as being in need of nursing home-level care, and has been
approved by the Department for participation in a Federally approved waiver program
for assisted living services.
✔✔April 15th - ✔✔The facility shall report the number of resident days per calendar
year to the Department's Long-Tern Care Licensing Program by _______________ of
each year, for the prior calendar year.
✔✔Inservices - ✔✔1.) Concepts of Assisted Living; 2.) Emergency plans and
procedures; 3.) Infection Prevention & Control Program; 4.) Resident's Rights; 5.) Abuse
& Neglect; 6.) Pain Management; 7.) Alzheimer's and related Dementia conditions.
✔✔Acuity - ✔✔Staffing is based upon the an assessment of the ___________ of
residents' needs.
✔✔60 - ✔✔Policies and procedures for reporting all alleged and/or suspected cases of
resident abuse or exploitation to the Complaints Program of the Division of Long-Term
Care Systems. If the resident is ___________ years of age or older, the State of New
Jersey Office of the Ombudsman for the Institutionalized Elderly shall be notified.
✔✔Resident Transportation - ✔✔The facility shall be capable of providing this, either
directly or by arrangement, to and from health care services provided outside the
facility, and shall promote reasonable plans for security and accountability for the
resident and his or her personal possessions, as well as transfer of resident information
to and form the provider of the service, as required by individual residents and specified
in resident service plans.
AND ANSWERS SURE A+
✔✔Total Bed Complement - ✔✔Another term for resident census.
✔✔Unit Dose Drug Distribution System - ✔✔A system in which medications are
delivered to the residents areas in single unit packaging, and which meets the following
criteria:
1.) Each medication shall be individually wrapped and labeled with the generic or trade
(brand) name and strength of medication, lot number or reference code, expiration date,
and manufacturer's name, and shall be ready for administration to the resident.
2.) Cautionary instructions shall appear on the resident's record of medication
administration, and the system shall include provisions for noting additional information,
including but no limited to, special times or routes of administration and storage
conditions.
3.) Commercial repackages shall comply with 21 CFR 201.1, incorporated herein by
reference, as amended and supplemented, and N.J.A.C. 8:39.
✔✔Unit-of-Use - ✔✔A system of in which medications are delivered to the resident
areas either in single unity packaging, bingo or punch cards, blister or strip packs, or
other system where each medication is physically separate. Individually labeled unit
dose medications may be combined in a "bingo or punch card" to create a unit-of-dose
drug distribution system.
✔✔20 percent - ✔✔An assisted living facility shall indicate within 36 months of after
licensure, at least ______________ of the facility's residents shall be individuals with
nursing home-level care. This percentage shall be computed based upon the number of
residents days per calendar year and may include direct admissions as well as
maintained residents with nursing home-level of care needs.
✔✔Biennially - ✔✔Each assisted living, comprehensive personal care home, and
assisted living program will be assessed and inspected __________________.
,✔✔Survey Visits - ✔✔This may be made to a facility at any time by authorized staff of
the Department . Such may include, but not limited to, the review of all facility
documents and resident records and conferences with residents.
✔✔Facility Licensure - ✔✔A licensure shall be granted for a period of one year or less
as determined by the Department.
✔✔Facility Licensure Renewal - ✔✔The license, unless suspended or revoked, shall be
renewed annually on the original license date, or within 30 days thereafter as of the
original licensure date. The facility will receive a request for renewal fee 30 days prior to
the expiration of the license. A renewal license will not be issued unless the licensure
fee is received by the Department.
✔✔Surrender of Facility License - ✔✔The facility shall notify each resident, the
resident's physician, and any guarantors of payment at least 30 days prior to the
voluntary surrender of a license, or as directed under an order of revocation, refusal to
renew, or suspension of license. In such cases, the license shall be returned to the
Long-Term Care Licensing Program of the Department within 7 working days after the
voluntary surrender, revocation, non-renewal, or suspension of license.
✔✔CALA Qualifications - ✔✔1.) 21 years or older; 2.) Possess a high school diploma or
equivalent; 3.) hold a CALA or LNHA license.
✔✔2 Years - ✔✔An applicant for certification as an assisted living administrator shall sit
for the Assisted Living Competency Examination within ____________ of successful
completion of the assisted living training course.
✔✔3 Years - ✔✔An assisted living administrator certification shall be valid for a period
of ____________ from date of issue.
✔✔3 Years - ✔✔At least once every ___________, on a schedule to be determined by
the Department, an assisted living administrator shall file an application for renewal of
current certification.
✔✔30 hours - ✔✔Complete at least ____________, of continuing education regarding
assisted living concepts and related topics, as specified and approved by the
Department of Health and Senior Services.
✔✔Eligibility for Renewal - ✔✔1.) Complete 30 hours of CEUs, 2.) Criminal History
Background Check
✔✔Lapse of Certification - ✔✔The applicant shall be required to complete 10 hours of
continuing education credit for each year in which the certification was inactive in
addition to the required 30 hours of continuing education for the last completed triennial
certification period in which the applicant's certification was active.
,✔✔40 Hours - ✔✔In order to be an assisted living administrator trainer, they must
complete at least ____________ of the basic concepts etc. of assisted living.
✔✔Administrator's Responsibilites - ✔✔1.) Ensuring the development, implementation,
and enforcement of all policies and procedures, including resident rights; 2.) Planning
for, and administration of, the managerial, operational, fiscal, and report components of
the facility; 3.) Ensuring that all personnel are assigned duties based upon their ability
and competency to perform the job and in accordance with written job descriptions; 4.)
Ensuring the provision of staff orientation and staff education; 5.) Establishing and
maintaining liaison relationships and communication with facility staff and services and
with residents and their families; 6.) Establishing and maintaining liaison relationships
and communications with community hospitals, social services agencies, and mental
health service agencies.
✔✔Ombudsman - ✔✔An advocate who is an official in charge of representing the
interests of the public by investigating and addressing complaints of maladministration
or a violation of rights.
✔✔Informed Consent in Different Languaes - ✔✔The resident has a right to refuse
medication and treatment after the resident has been informed, in language that the
resident understands, of the possible consequences of this decision.
✔✔30 Days - ✔✔The resident has the right to receive written notice at least
___________ in advance when the facility requests the resident's transfer or discharge,
except in an emergency. This written notice shall include the name, address, and
telephone number of the New Jersey Office of the Ombudsman for the Institutionalized
Elderly, and shall also be provided to the resident's legally appointed guardian, if
applicable, or, with the resident's consent, to the resident's family, ___________ in
advance.
✔✔Types of Services for ALF - ✔✔1.) Assistance with Personal Care; 2.) Nursing; 3.)
Pharmacy; 4.) Dining; 5.) Activities; 6.) Recreational; 7.) and Social Work services.
✔✔Nursing Home Level Care Characteristics - ✔✔1.) The resident requires 24/7
nursing supervision; 2.) The resident is bedridden for more than 14 days; 3.) The
resident is consistently and totally dependent in four or more of the following activities of
daily living: dressing, bathing, toilet use, transfer, locomotion, bed mobility, and eating;
4.) The resident has a cognitive decline severe enough to prevent the making of simple
decisions regarding activities such as bathing, dressing, and eating and cannot respond
appropriately to cueing and simple directions; 5.) The resident requires treatment of a
stage 3 or 4 pressure sore or multiple stage two pressure sores; 6.) The residents
requires than assistance with transfer; 7.) The resident is a danger to self or others; 8.)
The resident has a medically unstable condition and/or has special health problems,
, and a regimen of therapy cannot be appropriately developed and implemented in the
assisted living environment.
✔✔10 Percent - ✔✔A new or existing assisted living residence or comprehensive
personal care home licensed on or after Sept. 1st, 2001, shall attain a level of
occupancy by Medicaid-eligible persons of at least ______________ of its total bed
complement within 3 years of licensure (for new ALFs) and shall maintain this level of
Medicaid occupancy thereafter. In cases in which either the total bed complement or the
total number of beds added in an existing facility is less than that amount, at least one
bed shall be reserved for a Medicaid-eligible person. (p.34-35)
✔✔Specialized Long-Term Care - ✔✔Residents who shall not remain in the assisted
living residence or comprehensive personal care home and shall be transferred to a
long-term care facility.
✔✔Medicaid-Eligible Person - ✔✔An individual who has been determined as satisfying
the financial eligibility criteria for medical assistance under the Medicaid program, and
has been assessed as being in need of nursing home-level care, and has been
approved by the Department for participation in a Federally approved waiver program
for assisted living services.
✔✔April 15th - ✔✔The facility shall report the number of resident days per calendar
year to the Department's Long-Tern Care Licensing Program by _______________ of
each year, for the prior calendar year.
✔✔Inservices - ✔✔1.) Concepts of Assisted Living; 2.) Emergency plans and
procedures; 3.) Infection Prevention & Control Program; 4.) Resident's Rights; 5.) Abuse
& Neglect; 6.) Pain Management; 7.) Alzheimer's and related Dementia conditions.
✔✔Acuity - ✔✔Staffing is based upon the an assessment of the ___________ of
residents' needs.
✔✔60 - ✔✔Policies and procedures for reporting all alleged and/or suspected cases of
resident abuse or exploitation to the Complaints Program of the Division of Long-Term
Care Systems. If the resident is ___________ years of age or older, the State of New
Jersey Office of the Ombudsman for the Institutionalized Elderly shall be notified.
✔✔Resident Transportation - ✔✔The facility shall be capable of providing this, either
directly or by arrangement, to and from health care services provided outside the
facility, and shall promote reasonable plans for security and accountability for the
resident and his or her personal possessions, as well as transfer of resident information
to and form the provider of the service, as required by individual residents and specified
in resident service plans.
