Correct Questions and answers for North
Carolina Nursing Home Administrator State
Exam 2025/2026
Abuse definition the willful infliction of injury, unreasonable
confinement, intimidation or punishment with resulting physical harm,
pain, or mental anguish
Accident definition an unplanned event resulting in the injury or
wounding of a patient or other individual
Addition definition an extension or increase in floor area or height
of a building
Alteration definition any construction or renovation to an existing
structure other than repair, maintenance, or addition
"Brain injury long term care" definition an interdisciplinary, intensive
maintenance program for patients who have incurred brain damage
caused by external physical trauma and who have completed a
primary course of rehabilitative treatment and have reached a point of
no gain or progress for more than three consecutive months. Provided
through a medically supervised interdisciplinary process and is
directed toward maintaining the individual at the optimal level of
physical, cognitive, and behavioral functions.
Capacity definition the maximum number of patient or resident
beds for which the facility is licensed to maintain at any given time
"Comprehensive, inpatient rehabilitation program" definition
program for the treatment of persons with
functional limitations or chronic disabling conditions who have the
potential to achieve a significant improvement in activities of daily
living, including bathing, dressing, grooming, transferring, eating, and
, using speech, language, or other communication systems. Utilizes a
coordinated and integrated, interdisciplinary approach, directed by a
physician, to assess patient needs and to provide treatment and
evaluation of physical, psychosocial, and cognitive deficits.
Discharge definition a physical relocation of a patient to another
health care setting; the discharge of a patient to his or her home; or
the relocation of a patient from a nursing bed to an adult care home
bed, or from an adult care home bed to a nursing bed
Incident definition any accident, event, or occurrence that is
unplanned, or unusual, and has caused harm to a patient, or has the
potential for harm
Interdisciplinary definition an integrated process involving
representatives from disciplines of the health care team
Licensee definition the person, firm, partnership, association,
corporation, or organization to whom a license to operate the facility
has been issues. The licensee is the legal entity that is responsible for
the operation of the business.
"Medication error rate" definition and formula the measure of
discrepancies between medication that was ordered for a patient by
the health care provider and medication that is administered to the
patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition the deliberate misplacement,
exploitation, or wrongful, temporary or permanent use of a patient's
belongings or money without the patient's consent
, Neglect definition a failure to provide goods and services necessary to
avoid physical harm, mental anguish, or mental illness
"New facility" meaning a facility for which an initial license is sought, a
proposed addition to an existing facility, or a proposed remodeled
portion of an existing facility that will be built according to construction
documents and specifications approved by the Department of Health
and Human Services for compliance which standards established in
this Subchapter [13D]
"Nurse aide" definition a person who is listed on the NC Nurse Aide
Registry and provides nursing or nursing-related services to patients in
a nursing home. A nurse aide is not a licensed health professional.
Patient definition any person admitted for nursing care
Resident definition any person admitted for care to an adult care
home part of a combination facility
"Respite care" definition services provided for a patient on a
temporary basis, not to exceed 30 days
Surveyor definition a representative of the Department (of Health
and Human Services) who inspects nursing facilities and combination
facilities to determine compliance with rules, laws, and regulations as
set forth in G.S. 131E-117; Subchapters 13D and 13F of this
Subchapter; and 42 CFR Part 483, Requirements for States and Long
Term Care Facilities
Violation definition failure to comply with rules, laws, and
regulations as set forth in G.S. 131E-117 and 131D-21; Subchapters
13D and 13F of this Chapter; or 42 CFR Part 483, Requirements for
States and Long Term Care Facilities, that relates to a patient's or
resident's health, safety, or welfare, or that creates a risk that death,
or physical harm may occur
New facility licensure application requirements A legal entity shall
submit an application for licensure for a new facility to the Nursing
, Home Licensure and Certification Section of the DHSR at least 30 days
prior to a license being issued or patients admitted.
Application must include:
o legal identity of applicant (licensee) and mailing address
o name(s) under which the facility is presented to the public
o location and mailing address of the facility
o ownership disclosure
o bed complement
o magnitude and scope of services offered
o name and current license number of the administrator
o name and current license number of the DON
o name and current license number of the medical director
(T/F) Only one license shall be issued to each facility. True
(T/F) Licenses are transferable False - licenses are not transferable
Where should the license be posted? In a prominent location,
accessible to public view, within licensed premises
Licenses shall remain in effect for ________ 12 months
Licenses shall remain in effect for 12 months, unless ________ -
Department imposes an administrative sanction which specifies license
expiration;
o change of ownership;
o change of site;
o change in bed; complement; or
o failure to comply with Rule .2104 of this Section
The Department shall renew the facility's license at the end of each
_____________ calendar year
Requirements for facility license renewal - licensee maintains and
submits to the Department, at least 30 days prior to the licensure
Carolina Nursing Home Administrator State
Exam 2025/2026
Abuse definition the willful infliction of injury, unreasonable
confinement, intimidation or punishment with resulting physical harm,
pain, or mental anguish
Accident definition an unplanned event resulting in the injury or
wounding of a patient or other individual
Addition definition an extension or increase in floor area or height
of a building
Alteration definition any construction or renovation to an existing
structure other than repair, maintenance, or addition
"Brain injury long term care" definition an interdisciplinary, intensive
maintenance program for patients who have incurred brain damage
caused by external physical trauma and who have completed a
primary course of rehabilitative treatment and have reached a point of
no gain or progress for more than three consecutive months. Provided
through a medically supervised interdisciplinary process and is
directed toward maintaining the individual at the optimal level of
physical, cognitive, and behavioral functions.
Capacity definition the maximum number of patient or resident
beds for which the facility is licensed to maintain at any given time
"Comprehensive, inpatient rehabilitation program" definition
program for the treatment of persons with
functional limitations or chronic disabling conditions who have the
potential to achieve a significant improvement in activities of daily
living, including bathing, dressing, grooming, transferring, eating, and
, using speech, language, or other communication systems. Utilizes a
coordinated and integrated, interdisciplinary approach, directed by a
physician, to assess patient needs and to provide treatment and
evaluation of physical, psychosocial, and cognitive deficits.
Discharge definition a physical relocation of a patient to another
health care setting; the discharge of a patient to his or her home; or
the relocation of a patient from a nursing bed to an adult care home
bed, or from an adult care home bed to a nursing bed
Incident definition any accident, event, or occurrence that is
unplanned, or unusual, and has caused harm to a patient, or has the
potential for harm
Interdisciplinary definition an integrated process involving
representatives from disciplines of the health care team
Licensee definition the person, firm, partnership, association,
corporation, or organization to whom a license to operate the facility
has been issues. The licensee is the legal entity that is responsible for
the operation of the business.
"Medication error rate" definition and formula the measure of
discrepancies between medication that was ordered for a patient by
the health care provider and medication that is administered to the
patient.
# of errors / # of opportunities for error x 100
ex:
5 errors / 60 opportunities = 0.083 x 100 = 8.3%
"Misappropriation of property" definition the deliberate misplacement,
exploitation, or wrongful, temporary or permanent use of a patient's
belongings or money without the patient's consent
, Neglect definition a failure to provide goods and services necessary to
avoid physical harm, mental anguish, or mental illness
"New facility" meaning a facility for which an initial license is sought, a
proposed addition to an existing facility, or a proposed remodeled
portion of an existing facility that will be built according to construction
documents and specifications approved by the Department of Health
and Human Services for compliance which standards established in
this Subchapter [13D]
"Nurse aide" definition a person who is listed on the NC Nurse Aide
Registry and provides nursing or nursing-related services to patients in
a nursing home. A nurse aide is not a licensed health professional.
Patient definition any person admitted for nursing care
Resident definition any person admitted for care to an adult care
home part of a combination facility
"Respite care" definition services provided for a patient on a
temporary basis, not to exceed 30 days
Surveyor definition a representative of the Department (of Health
and Human Services) who inspects nursing facilities and combination
facilities to determine compliance with rules, laws, and regulations as
set forth in G.S. 131E-117; Subchapters 13D and 13F of this
Subchapter; and 42 CFR Part 483, Requirements for States and Long
Term Care Facilities
Violation definition failure to comply with rules, laws, and
regulations as set forth in G.S. 131E-117 and 131D-21; Subchapters
13D and 13F of this Chapter; or 42 CFR Part 483, Requirements for
States and Long Term Care Facilities, that relates to a patient's or
resident's health, safety, or welfare, or that creates a risk that death,
or physical harm may occur
New facility licensure application requirements A legal entity shall
submit an application for licensure for a new facility to the Nursing
, Home Licensure and Certification Section of the DHSR at least 30 days
prior to a license being issued or patients admitted.
Application must include:
o legal identity of applicant (licensee) and mailing address
o name(s) under which the facility is presented to the public
o location and mailing address of the facility
o ownership disclosure
o bed complement
o magnitude and scope of services offered
o name and current license number of the administrator
o name and current license number of the DON
o name and current license number of the medical director
(T/F) Only one license shall be issued to each facility. True
(T/F) Licenses are transferable False - licenses are not transferable
Where should the license be posted? In a prominent location,
accessible to public view, within licensed premises
Licenses shall remain in effect for ________ 12 months
Licenses shall remain in effect for 12 months, unless ________ -
Department imposes an administrative sanction which specifies license
expiration;
o change of ownership;
o change of site;
o change in bed; complement; or
o failure to comply with Rule .2104 of this Section
The Department shall renew the facility's license at the end of each
_____________ calendar year
Requirements for facility license renewal - licensee maintains and
submits to the Department, at least 30 days prior to the licensure
