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NAB RCAL Exam Questions & Answers | Residential Care/Assisted Living Administrator Study Guide & Exam Prep 2026/2027

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NAB RCAL Exam Questions & Answers | Residential Care/Assisted Living Administrator Study Guide & Exam Prep 2026/2027

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NAB RCAL Exam
-responsible for appointing top management
-policy making
-ensuring that policies are administered in a manner in which they were written -
ANS-Governing boards

(# of resident days/facility beds) x 365 - ANS-Occupancy rate

(cash + AR + short-term investments) / current liabilities - ANS-Acid-test (quick) ratio

1 year - ANS-Disability accommodations paperwork should be kept for

1 year from date of action - ANS-Employment actions (hires, promotions, layoffs, test results,
etc.) should be kept for

1 year- keep equal employment info separate - ANS-Hiring records should be kept for

3 years - ANS-FMLA paperwork should be kept for

3 years after hire or 1 year after fire, whichever is later - ANS-Basic Employee Information
(example: I-9) should be kept for

30 years - ANS-Medical exam paperwork, toxic substance exposure records and BB pathogen
records should be kept for

36, 32, 60 - ANS-ADA hallway, doorway, and T-space inches requirements?

4 years - ANS-Payroll and tax records should be kept for

5 years - ANS-Job-related illnesses and injuries paperwork should be kept for

6.2% and 1.45% - ANS-FICA SS Tax and Medicare Tax

A document that indicates what medical intervention an individual wants if he or she becomes
incapable of expressing those wishes. - ANS-living will

A legal document designed to indicate a person's wishes regarding care in case of a terminal
illness or during the dying process - ANS-advance directives

A list of every account (5 groups: ass, Lia, capital, Rev, expenses) - ANS-chart of accounts

,A unique government creation that looks like a corporation but is taxed like sole proprietorships
and partnerships - ANS-S corporation

Ability to achieve common goals through the organization and productivity. Create environment
to work with no friction - ANS-Management

accompany mission statement, describes key behaviors that are expected of staff -
ANS-Organizational Values

Advocate, nationally funded by the Admin on Aging and administered by state agencies -
ANS-Ombudsman

Age Discrimination in Employment Act of 1967 - ANS-Bans age discrimination for jobs unless
age is related to job performance. 40 yrs or older.

agreement, consideration, contractual capacity, legality (in writing) "ACCL" - ANS-4 elements of
a valid contract

Americans with Disabilities Act (ADA) of 1990 - ANS-15 employees or more. Reasonably
remove barriers so disabled can be accommodated

An "X" based policy kicks in when you file a claim during the policy period. As long as an
insurable event happened after the policy's retroactive date, your insurer should provide
coverage. With a claims-made policy, you need to have active insurance when you file a claim. -
ANS-Claims-made policy

An "X"-based policy provides coverage for injuries arising out of incidents occurring during the
period the policy was in effect, even if the policy subsequently expires or is not renewed by the
policy-holder. With an "X" policy, it does not matter if you are covered when the suit is brought. -
ANS-Occurrence Based Policy

Annual basis, at least - ANS-How often should goals and objectives be evaluated?

Assessing environment, Programming, Developing operating budget, Building cash budget,
Determing capital budget - ANS-5 steps of budgeting

Assets - Liabilities - ANS-Net Worth Formula

Assets = Liabilities + Shareholders Equity - ANS-Balance sheet formula

assist providers and their agents and develop effective internal controls that promote adherence
to applicable federal and state law - ANS-Corporate Compliance Programs

Bodily injury and property damage - ANS-Liability insurance usually covers..

,Cash receipts less cash disbursements from a given operation or set of operations from a
period of time - ANS-Cash Flow

Civil Rights Act (1964) Title VII - ANS-Applies to employers of 15 or more. Race, color, religion,
gender, pregnancy, or national origin.

Civil Rights Act 1991 - ANS-Sexual harassment - unwelcome sexual advances, does not have
to be the harassed to report. Must be unwelcome, implicitly or explicitly affects an individuals
employment, work performance

Combustable metals (aluminum) - ANS-Extinguisher class D

Commercial cooking equipment (cooking oil, animal fats) - ANS-Extinguisher class K

components of the claims handling process include developing strategies to cut costs and
reduce fraud while keeping customers satisfied - ANS-Effective Claims Management for working
with insurance agencies

Consolidated Omnibus Budget Reconciliation Act (COBRA) - ANS-continues healthcare
benefits to individuals and families for limited period of time such as job loss, reduced hours,
death, divorce, etc. Qualified individuals may have to pay entire premium

Consumer Credit Protection Act - ANS-Act that limits the amount of wages that can be
garnished or withheld in any one week by an employer to satisfy creditors.

Conversation style of decision making where issues and opinions are discussed- reach a
shared opinion - ANS-Consensus Building

Cost that are directly attributable to providing resident care (i.e. salaries, payroll, pay taxes,
benefits, supplies) - ANS-Direct cost

current assets / current liabilities - ANS-Working capital ratio

Do not relate to changes in census. - ANS-Fixed cost

DPOA just includes language that means the documents covers individual when they become
incapacitated - ANS-DPOA vs POA

Earnings before interest, taxes, depreciation, and amortization - ANS-EBITDA

Fair Labor Standards Act (FLSA) - ANS-Minimum wage, child labor laws, overtime

, Family and Medical Leave Act (FMLA) - ANS-12 weeks unpaid if an employee has worked 1250
hrs within last 12 months. Covers -serious health condition -care for family member. -birth or
adoption

Federal law requiring organizations with 50 or more employees to provide up to 12 weeks of
unpaid leave (12 months employed by the company with 1250hrs) - ANS-Family and Medical
Leave Act (FMLA)

fire plan, regular fire drills, detectors, training on procedure, non combustable
furnishing/draperies - ANS-Following NFPA Life Safety Code

Fluctuate directly with changes in census (i.e. food, salary) - ANS-Variable cost

For all electrical equipment - ANS-Lock out tag out

For flammable liquids and gas fires (grease, paint) - ANS-Extinguisher Class B

General administrative charge of the day-to-day operations of an ALF. May be owner of hired by
the organization. - ANS-Administrator

Hazard Communication Standard. OSHA standard requiring employers to inform workers of
potentially hazardous chemicals. - ANS-HCS

HIPPA (Health Insurance Portability and Accountability Act) - ANS-Protections for coverage
under group health plans, prohibit discrimination against employees based on health status

hires admin, delegates management, develops mission and vision, fiduciary responsibility -
ANS-Board of Directors/Governing body

How much revenue and profit generated over a certain period of time - ANS-Income statement
(or statement of financial position)

i.e. administrative salary, depreciation - ANS-Indirect cost

Immigration Reform and Control Act of 1986 - ANS-Federal law requiring employers to verify
and maintain records on applicants' legal rights to work in the United States. 1-9 Form complete
within 3 days of employment, retain copy 3 years or 1 year following terminiation

Information filed with a state official by persons wishing to form a corporation - ANS-articles of
incorporation

Limited liability, pass through income taxation, flexibility - ANS-LLC (Limited Liability Company)

Live electrical equipment (panelling) - ANS-Extinguisher class C

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