MARYLAND ASSISTED LIVING
MANAGER FINAL EXAM PREP 2026:
Practice Questions with Verified
Answers & In-Depth Rationales
Question 1
What is the minimum age requirement to be a Maryland Assisted Living
Manager?
A) 18 years old
B) 21 years old
C) 25 years old
D) No age requirement
Answer: B) 21 years old
Rationale: Maryland regulations require assisted living managers to be at
least 21 years old to ensure maturity and decision-making capability .
Question 2
How many hours of initial training are required for a new Assisted Living
Manager in Maryland?
A) 40 hours
B) 60 hours
C) 80 hours
, D) 100 hours
Answer: C) 80 hours
Rationale: The Maryland Office of Health Care Quality mandates 80 hours of
manager training before assuming full responsibilities .
Question 3
Effective July 1, 2026, assisted living managers in Maryland must be
licensed by which board?
A) Maryland Board of Nursing
B) Board of Long-Term Care Administrators (BLTCA)
C) Maryland Board of Physicians
D) Maryland Department of Aging
Answer: B) Board of Long-Term Care Administrators (BLTCA)
Rationale: Pursuant to HB 1034/SB 720 (2022), all ALMs must be licensed by
the BLTCA effective July 1, 2026 .
Question 4
Which of the following is NOT a required course topic in the assisted living
manager training curriculum under COMAR 10.07.14.17?
A) Philosophy of assisted living
B) Real estate property management
C) End of life care
D) Emergency planning
Answer: B) Real estate property management
Rationale: Required topics include Philosophy of Assisted Living, Aging
Process, Assessment, Service Planning, Clinical Management,
Admission/Discharge Criteria, Nutrition, Dementia/Mental Health, End of Life
,Care, Management/Operation, Emergency Planning, Quality Assurance, and
Survey Process. Real estate property management is not a required topic .
Question 5
How many hours of Department-approved continuing education are
required for Maryland assisted living managers every two years?
A) 10 hours
B) 15 hours
C) 20 hours
D) 30 hours
Answer: C) 20 hours
Rationale: Both Health-General Article §19-1807(b) and COMAR
10.07.14.16(C) require 20 hours of Department-approved continuing
education every two years .
Question 6
Under what circumstances may an individual be exempt from the 80-hour
assisted living manager training requirement?
A) If they have a bachelor's degree in healthcare administration
B) If they are licensed as a nursing home administrator in Maryland
C) If they have 5 years of experience in long-term care
D) If they complete a 40-hour alternative course
Answer: B) If they are licensed as a nursing home administrator in
Maryland
Rationale: COMAR 10.07.14.16(E)(4) exempts individuals licensed as nursing
home administrators from the manager training requirements. Under HG
§19-1807(d)(1)(iii), a person licensed as a Nursing Home Administrator in
Maryland is not required to complete the initial 80-hour ALM training
course .
, Question 7
What is the maximum percentage of the 80-hour manager training that can
be completed through internet or correspondence courses that do not
require direct interaction?
A) 10 hours (12.5%)
B) 20 hours (25%)
C) 25 hours (31.25%)
D) 30 hours (37.5%)
Answer: C) 25 hours (31.25%)
Rationale: COMAR 10.07.14.16(B)(3) specifies that no more than 25 hours of
the 80-hour manager training course may be completed through internet,
correspondence courses, or other training methods that do not require direct
interaction .
Question 8
What is the maximum number of residents allowed in a Level 1 assisted
living program in Maryland?
A) 2 residents
B) 4 residents
C) 6 residents
D) 10 residents
Answer: B) 4 residents
Rationale: Maryland COMAR 10.07.14 defines Level 1 assisted living
programs as facilities serving a maximum of 4 residents who are largely
independent and require minimal assistance .
Question 9
What is the maximum number of residents allowed in a Level 2 assisted
living program in Maryland?
MANAGER FINAL EXAM PREP 2026:
Practice Questions with Verified
Answers & In-Depth Rationales
Question 1
What is the minimum age requirement to be a Maryland Assisted Living
Manager?
A) 18 years old
B) 21 years old
C) 25 years old
D) No age requirement
Answer: B) 21 years old
Rationale: Maryland regulations require assisted living managers to be at
least 21 years old to ensure maturity and decision-making capability .
Question 2
How many hours of initial training are required for a new Assisted Living
Manager in Maryland?
A) 40 hours
B) 60 hours
C) 80 hours
, D) 100 hours
Answer: C) 80 hours
Rationale: The Maryland Office of Health Care Quality mandates 80 hours of
manager training before assuming full responsibilities .
Question 3
Effective July 1, 2026, assisted living managers in Maryland must be
licensed by which board?
A) Maryland Board of Nursing
B) Board of Long-Term Care Administrators (BLTCA)
C) Maryland Board of Physicians
D) Maryland Department of Aging
Answer: B) Board of Long-Term Care Administrators (BLTCA)
Rationale: Pursuant to HB 1034/SB 720 (2022), all ALMs must be licensed by
the BLTCA effective July 1, 2026 .
Question 4
Which of the following is NOT a required course topic in the assisted living
manager training curriculum under COMAR 10.07.14.17?
A) Philosophy of assisted living
B) Real estate property management
C) End of life care
D) Emergency planning
Answer: B) Real estate property management
Rationale: Required topics include Philosophy of Assisted Living, Aging
Process, Assessment, Service Planning, Clinical Management,
Admission/Discharge Criteria, Nutrition, Dementia/Mental Health, End of Life
,Care, Management/Operation, Emergency Planning, Quality Assurance, and
Survey Process. Real estate property management is not a required topic .
Question 5
How many hours of Department-approved continuing education are
required for Maryland assisted living managers every two years?
A) 10 hours
B) 15 hours
C) 20 hours
D) 30 hours
Answer: C) 20 hours
Rationale: Both Health-General Article §19-1807(b) and COMAR
10.07.14.16(C) require 20 hours of Department-approved continuing
education every two years .
Question 6
Under what circumstances may an individual be exempt from the 80-hour
assisted living manager training requirement?
A) If they have a bachelor's degree in healthcare administration
B) If they are licensed as a nursing home administrator in Maryland
C) If they have 5 years of experience in long-term care
D) If they complete a 40-hour alternative course
Answer: B) If they are licensed as a nursing home administrator in
Maryland
Rationale: COMAR 10.07.14.16(E)(4) exempts individuals licensed as nursing
home administrators from the manager training requirements. Under HG
§19-1807(d)(1)(iii), a person licensed as a Nursing Home Administrator in
Maryland is not required to complete the initial 80-hour ALM training
course .
, Question 7
What is the maximum percentage of the 80-hour manager training that can
be completed through internet or correspondence courses that do not
require direct interaction?
A) 10 hours (12.5%)
B) 20 hours (25%)
C) 25 hours (31.25%)
D) 30 hours (37.5%)
Answer: C) 25 hours (31.25%)
Rationale: COMAR 10.07.14.16(B)(3) specifies that no more than 25 hours of
the 80-hour manager training course may be completed through internet,
correspondence courses, or other training methods that do not require direct
interaction .
Question 8
What is the maximum number of residents allowed in a Level 1 assisted
living program in Maryland?
A) 2 residents
B) 4 residents
C) 6 residents
D) 10 residents
Answer: B) 4 residents
Rationale: Maryland COMAR 10.07.14 defines Level 1 assisted living
programs as facilities serving a maximum of 4 residents who are largely
independent and require minimal assistance .
Question 9
What is the maximum number of residents allowed in a Level 2 assisted
living program in Maryland?
