NC ASSISTED LIVING ADMINISTRATOR
STATE EXAMINATION|250
COMPREHENSIVE MULTIPLE-CHOICE
QUESTIONS WITH ANSWERS AND
RATIONALES
SECTION 1: LICENSING, REGULATIONS & DHSR REQUIREMENTS
1. Which state agency regulates assisted living facilities in North Carolina?
A) Department of Labor
B) Department of Health and Human Services (DHHS)
C) Department of Justice
D) Department of Social Services
Correct Answer: B
Rationale: The North Carolina Department of Health and Human Services
(DHHS), through its Division of Health Service Regulation (DHSR), is the
regulatory agency overseeing assisted living facilities in North Carolina.
,2. The North Carolina Administrative Code (NCAC) that governs assisted living
facilities is:
A) 10A NCAC 13F and 13G
B) 12B NCAC 5D
C) 14A NCAC 10F
D) 11A NCAC 13C
Correct Answer: A
Rationale: Adult care homes (7 or more beds) are governed by 10A NCAC 13F,
and family care homes (6 beds or less) are governed by 10A NCAC 13G.
3. How often must an assisted living facility renew its license in North
Carolina?
A) Every year
B) Every two years
C) Every five years
D) Only once
Correct Answer: A
Rationale: Assisted living facilities in North Carolina are required to renew
their license annually to maintain compliance with state regulations.
,4. What is the minimum age requirement to be licensed as an assisted living
administrator in North Carolina?
A) 18 years
B) 21 years
C) 25 years
D) No minimum age
Correct Answer: B
Rationale: N.C. law requires assisted living administrators to be at least 21
years old to ensure a minimum level of maturity and legal capacity to manage
resident care, finances, and regulatory compliance.
5. What is the minimum passing score required on the North Carolina Assisted
Living Administrator written examination?
A) 65%
B) 70%
C) 75%
D) 80%
Correct Answer: C
, Rationale: Applicants must complete the written examination with 75 percent
accuracy within 12 months of completing the administratorintraining
program.
6. The term "assisted living residence" in North Carolina includes:
A) Adult care homes and family care homes
B) Nursing homes only
C) Rehabilitation centers only
D) Hospitals only
Correct Answer: A
Rationale: In North Carolina, "assisted living residence" encompasses both
adult care homes (7 or more beds) and family care homes (6 beds or less).
7. What is the primary role of the North Carolina Division of Health Service
Regulation (DHSR) regarding assisted living?
A) To provide direct patient care
B) To regulate and inspect assisted living facilities for compliance
C) To fund assisted living facility construction
D) To hire facility administrators
STATE EXAMINATION|250
COMPREHENSIVE MULTIPLE-CHOICE
QUESTIONS WITH ANSWERS AND
RATIONALES
SECTION 1: LICENSING, REGULATIONS & DHSR REQUIREMENTS
1. Which state agency regulates assisted living facilities in North Carolina?
A) Department of Labor
B) Department of Health and Human Services (DHHS)
C) Department of Justice
D) Department of Social Services
Correct Answer: B
Rationale: The North Carolina Department of Health and Human Services
(DHHS), through its Division of Health Service Regulation (DHSR), is the
regulatory agency overseeing assisted living facilities in North Carolina.
,2. The North Carolina Administrative Code (NCAC) that governs assisted living
facilities is:
A) 10A NCAC 13F and 13G
B) 12B NCAC 5D
C) 14A NCAC 10F
D) 11A NCAC 13C
Correct Answer: A
Rationale: Adult care homes (7 or more beds) are governed by 10A NCAC 13F,
and family care homes (6 beds or less) are governed by 10A NCAC 13G.
3. How often must an assisted living facility renew its license in North
Carolina?
A) Every year
B) Every two years
C) Every five years
D) Only once
Correct Answer: A
Rationale: Assisted living facilities in North Carolina are required to renew
their license annually to maintain compliance with state regulations.
,4. What is the minimum age requirement to be licensed as an assisted living
administrator in North Carolina?
A) 18 years
B) 21 years
C) 25 years
D) No minimum age
Correct Answer: B
Rationale: N.C. law requires assisted living administrators to be at least 21
years old to ensure a minimum level of maturity and legal capacity to manage
resident care, finances, and regulatory compliance.
5. What is the minimum passing score required on the North Carolina Assisted
Living Administrator written examination?
A) 65%
B) 70%
C) 75%
D) 80%
Correct Answer: C
, Rationale: Applicants must complete the written examination with 75 percent
accuracy within 12 months of completing the administratorintraining
program.
6. The term "assisted living residence" in North Carolina includes:
A) Adult care homes and family care homes
B) Nursing homes only
C) Rehabilitation centers only
D) Hospitals only
Correct Answer: A
Rationale: In North Carolina, "assisted living residence" encompasses both
adult care homes (7 or more beds) and family care homes (6 beds or less).
7. What is the primary role of the North Carolina Division of Health Service
Regulation (DHSR) regarding assisted living?
A) To provide direct patient care
B) To regulate and inspect assisted living facilities for compliance
C) To fund assisted living facility construction
D) To hire facility administrators
