ASSISTED LIVING ADMINISTRATOR EXAM OVERVIEW QUESTIONS AND ANSWERS | ASSISTED LIVING
ADMINISTRATOR STUDY GUIDE & PRACTICE TEST 2026/2027
Key Concepts in Assisted Living Administration
Evacuation Capabilities
Facilities must have defined evacuation capabilities categorized into three groups:
o Three minutes or less: Immediate evacuation is possible.
o More than three minutes but not exceeding thirteen minutes: Requires a planned
evacuation strategy.
o Thirteen minutes or more: Considered impractical for safe evacuation.
Roles and Responsibilities
An individual authorized to perform the same functions as the administrator is referred to as a
Manager.
In the event of the Death of a facility administrator, the agency may allow an individual who has
not met training requirements to temporarily serve as the facility administrator for a period not
exceeding 90 days.
Resident Contracts and Financial Management
Facilities must provide safekeeping for personal effects and funds of residents, with limits set at
$500.00 for personal effects and cash.
A provision in the Resident Contract states that at least 30 days written notice will be given
before any rate increase.
Staff Training Requirements
Staff providing direct care, excluding nurses and certified nursing assistants, must receive a
minimum of 1 hour of in-service training in infection control and sanitation procedures before
providing personal care.
For assistance with self-administration of medication, staff must complete 6 hours of training.
Medication Management and Observation
Medication Observation Records
Facilities must maintain a daily Medication Observation Record (MOR) for every resident
receiving assistance with self-administration of medications.
Medication Administration Procedures
Ducting any examination or testing, such as blood glucose testing, necessary for proper
medication administration must be performed by licensed staff if the resident cannot conduct it
personally.
Facility Design and Staffing
Facility Design Standards
A bathroom shared by a maximum of 4 residents must include a toilet, sink, and bathtub or
shower, adhering to a maximum ratio of 4 residents to 1 bathroom, applicable to ECC (Extended
Congregate Care) facilities.
Staffing Requirements
Staff whose duties are exclusively related to building maintenance, clerical work, or food
preparation do not count towards meeting the minimum staffing hours requirement. This is a
True statement.
Discussion questions
ADMINISTRATOR STUDY GUIDE & PRACTICE TEST 2026/2027
Key Concepts in Assisted Living Administration
Evacuation Capabilities
Facilities must have defined evacuation capabilities categorized into three groups:
o Three minutes or less: Immediate evacuation is possible.
o More than three minutes but not exceeding thirteen minutes: Requires a planned
evacuation strategy.
o Thirteen minutes or more: Considered impractical for safe evacuation.
Roles and Responsibilities
An individual authorized to perform the same functions as the administrator is referred to as a
Manager.
In the event of the Death of a facility administrator, the agency may allow an individual who has
not met training requirements to temporarily serve as the facility administrator for a period not
exceeding 90 days.
Resident Contracts and Financial Management
Facilities must provide safekeeping for personal effects and funds of residents, with limits set at
$500.00 for personal effects and cash.
A provision in the Resident Contract states that at least 30 days written notice will be given
before any rate increase.
Staff Training Requirements
Staff providing direct care, excluding nurses and certified nursing assistants, must receive a
minimum of 1 hour of in-service training in infection control and sanitation procedures before
providing personal care.
For assistance with self-administration of medication, staff must complete 6 hours of training.
Medication Management and Observation
Medication Observation Records
Facilities must maintain a daily Medication Observation Record (MOR) for every resident
receiving assistance with self-administration of medications.
Medication Administration Procedures
Ducting any examination or testing, such as blood glucose testing, necessary for proper
medication administration must be performed by licensed staff if the resident cannot conduct it
personally.
Facility Design and Staffing
Facility Design Standards
A bathroom shared by a maximum of 4 residents must include a toilet, sink, and bathtub or
shower, adhering to a maximum ratio of 4 residents to 1 bathroom, applicable to ECC (Extended
Congregate Care) facilities.
Staffing Requirements
Staff whose duties are exclusively related to building maintenance, clerical work, or food
preparation do not count towards meeting the minimum staffing hours requirement. This is a
True statement.
Discussion questions
