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Texas Nursing Home Administrator Exam 2026/2027 – 200+ Questions & Answers, Texas Regulations, Resident Rights, MDS, Staffing, Safety & Long-Term Care Administration

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This comprehensive Texas Nursing Home Administrator Exam 2026/2027 study document contains 200+ exam-style questions and answers covering the regulatory, operational, clinical, and administrative knowledge required for nursing facility administration in Texas. Major areas include facility and administrator licensure, continuing education, staffing requirements, nurse aide training, physician services, resident assessments, MDS requirements, comprehensive care plans, resident records, Medicaid procedures, pharmaceutical services, dietary operations, infection control, abuse and neglect reporting, facility inspections, emergency preparedness, Life Safety Code requirements, and physical plant standards. The material provides extensive review of resident rights and quality of care, including informed participation in care, refusal of treatment, self-determination, personal funds, room arrangements, discharge and relocation requirements, protection from abuse and involuntary seclusion, Activities of Daily Living (ADLs), and access to rehabilitative services. It also addresses administrator responsibilities and facility governance through topics such as Quality Assessment and Assurance committees, medical director duties, Director of Nursing requirements, social services, dietary consultation, employee competency and performance reviews, continuing education, documentation, and regulatory inspections. A significant portion focuses on Texas nursing-facility compliance and federal long-term-care standards. Questions cover DADS/TDADS terminology used in the source, CMS requirements, OBRA, PASARR, Medicaid-certified facilities, resident assessment procedures, pharmaceutical regimen reviews, Schedule II–IV medication records, medication security, communicable-disease procedures, tuberculosis risk assessment, vaccinations, and mandatory abuse and neglect investigations. The document also reviews detailed facility requirements involving NFPA standards, fire protection, emergency generators, elevators, resident-room dimensions, lighting, water temperatures, HVAC systems, wheelchair accessibility, food storage, sanitation and emergency egress. The questions incorporate numerous high-yield numerical and time-based requirements that are useful for focused exam review, including licensing periods, renewal deadlines, continuing-education hours, assessment schedules, record-retention periods, staffing requirements, reporting deadlines, minimum room dimensions, dietary supplies, inspection frequencies, emergency-power requirements and care-plan timelines. For example, the source reviews a two-year administrator licensure period and 40 continuing-education hours per licensure period, monthly pharmacist drug-regimen reviews, annual nurse-aide performance reviews, and quarterly Quality Assessment and Assurance Committee meetings. Reference Context: The document itself references regulatory authorities and standards including the Centers for Medicare & Medicaid Services (CMS), Code of Federal Regulations, OBRA 1987, NFPA Life Safety standards, ASHRAE guidance, CDC tuberculosis guidance, and Texas long-term-care regulations. These are regulatory and professional standards referenced within the study material rather than a formal book or peer-reviewed journal bibliography. The PDF does not provide a verifiable textbook or journal reference, so attributing a particular academic book or journal to it would be inaccurate. Relevant Students: Texas Nursing Home Administrator licensure candidates, Nursing Facility Administrator candidates, long-term care administration students, healthcare administration students, nursing home administrators, assisted and long-term care professionals, nursing facility managers, administrators preparing for Texas regulatory examinations, and professionals reviewing Texas nursing facility compliance, resident rights, CMS requirements, Medicaid regulations, MDS, quality assurance and Life Safety standards. Keywords: Texas Nursing Home Administrator Exam, Texas NHA exam 2026, Texas NHA exam 2027, Texas Nursing Home Administrator questions and answers, Nursing Home Administrator practice test, Texas nursing facility regulations, NHA exam preparation, long term care administration, nursing facility administrator exam, Texas nursing home regulations, resident rights, MDS assessment, comprehensive care plan, CMS nursing home regulations, OBRA 1987, PASARR, Medicaid nursing facility, nursing home staffing requirements, nurse aide requirements, nursing facility licensure, administrator continuing education, Quality Assessment and Assurance Committee, pharmaceutical services, drug regimen review, nursing home dietary requirements, abuse and neglect reporting, infection control nursing home, Life Safety Code, NFPA nursing facility, emergency preparedness, Texas long term care, nursing home compliance, nursing home administrator study guide

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Texas Nursing Home
Administrator Exam 2026/2027
Exam Questions and Answers |
Already Graded A+



Facility License Period - ANSWER ✔✔2 years


Licensed Nurse Ratio in 24 hr period - ANSWER ✔✔1 to 20


TDADS approval for plans for new buildings, additions, conversion is

good for... - ANSWER ✔✔Two years


Must not use any nurse aide who has worked less than... - ANSWER

✔✔4 months

,A written report of suspected abuse is required by TDADs within... -

ANSWER ✔✔5 days


Dietary department days of perishables supply - ANSWER ✔✔2 days


Dietary department days of staples supply - ANSWER ✔✔7 days


Days the Hep B vaccination must be offered to employees at risk -

ANSWER ✔✔10 days


Frequency of review of drug regimen by a licensed pharmacist -

ANSWER ✔✔Once a month


Minimum square footage for single bed - ANSWER ✔✔100 sq ft


Minimum square footage for semi-private room - ANSWER ✔✔160

sq ft


Maximum number of residents per ward - ANSWER ✔✔4


Maximum number of residents per toilet - ANSWER ✔✔8


The amount of time an initial Admin license is good for - ANSWER

✔✔1 year


Maximum distance between resident room and nurse station -

ANSWER ✔✔150 feet

,The annual balance in the trust fund - ANSWER ✔✔10 million


Maximum time to inventory personal property of new admission -

ANSWER ✔✔72 hours


Minimum discharge notice - ANSWER ✔✔30 days


CNAs must complete new training if they have not worked for... -

ANSWER ✔✔24 months


Amount of days still considered timely by physician after a visit is

required - ANSWER ✔✔10 days


Annual CEU hours for CNAs - ANSWER ✔✔12 hours


Timeframe a prospective new owner must complete a license application

- ANSWER ✔✔30 days before sale


Amount of time required to retain discharge resident records -

ANSWER ✔✔5 years after discharge


Amount of time required to retain nursing schedules - ANSWER ✔✔2

years

Number of days required to notify TDADS that an agreement will not be

renewed - ANSWER ✔✔30 days


3
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, Time of Accountability period - ANSWER ✔✔24 months


Number of years DHS looks back on applicant record - ANSWER

✔✔5 years


Time TDADS can place vendor payments on hold during change of

ownership - ANSWER ✔✔12 months


Maximum number of days between physician visits during 1st quarter of

stay - ANSWER ✔✔30 days


Minimum space between beds - ANSWER ✔✔36 inches


Number of days after the last day of the month to submit to TDADS the

List of resident deaths - ANSWER ✔✔10


Combined minimum sq feet for dining and living area per licensed bed -

ANSWER ✔✔19 sq ft


Number of working days to submit reason for refusal of patient from

closing facility - ANSWER ✔✔10


Annual cost reports to TDADS are due - ANSWER ✔✔3 months after

provider fiscal year ends

The requirement for physician recertification for a resident is how many

days? - ANSWER ✔✔180

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