Nursing Home Administrator NC State
Exam Questions with Actual Detailed
Answers 2025-2026 Version.
How long does a legal entity have to submit licensure application before license is issued or
patients being admitted? - Answer legal entity shall submit application for licensure for a new
facility at least 30 days prior.
To whom is the new facility licensure submitted to? - Answer nursing home licensure and
certification section of the department of health service regulations.
Which components is contained in the new facility application? - Answer 1. legal entity of
applicant and mailing address
2. name or names under which the facility is presented to public
3. location and mailing address of facility
4. ownership disclosure
5. bed complement
6. magnitude and scope of services offered
7. name and current license number of administrator
8. name and current license number of DON
9. name and current license number of MD
Before issuing a license, DHHS must do what? - Answer The Department of Health and Human
Services shall issue a license to the licensee of the facility following review of operational
policies and procedures and verification of compliance with laws and rules
Only one license shall be issued to each facility
Are licenses transferable? - Answer licenses are not transferable
Where should a license be posted? - Answer the license shall be posted in a prominent
location, accessible to public view, within the licensed premises
,How long does a license remain in effect, unless which conditions occur? - Answer A license
remains in effect up to 12 months, unless any of the following occurs
1. dhhs imposes an administrative sanction which specifies license expiration
2. closure
3. change of ownership
4. change of site
5. change in bed complement
6. failure to comply with rule .2104 of this section
When do license get renewed? - Answer dhhs shall renew the facility's license at the end of
each calendar year
Under which conditions must occur for dhhs to renew license? - Answer 1. licensee maintain
and submits to dhhs at least 30 days prior to expiration
2. facility is in conformance with GS 131E-102(c)
A combination facility must specify what on a license renewal application? - Answer A
combination facility shall specify on the annual license renewal application with which rules for
the adult care home beds it plans to comply for the upcoming year. Facility may chose from the
following
1. nursing home licensure rules under this subchapter
2. adult care home licensure under 10A NCAC 13F
3. a combination of both.
What changes could occur that would result in filing for a new license? How long prior does the
facility need to submit new application? - Answer The facility shall notify the nursing home
licensure and certification section of department of health service regulation in writing at least
30 days prior to the following occurrences
1. change in name/names the facility it presented to the public
2. change in legal identity (licensee) which has ownership responsibility and liability (new owner
must submit)
3. change in licensed bed capacity
4. change in location of facility
, 3. change in magnitude or scope of practice
4. change in facility mailing address or phone number
5. emergencies resulting in relocation of patients to temporary location away from facility
How much can a CCRC temporarily increase bed capacity and for how long? - Answer A CCRC
may temporarily increase bed capacity by 10% or 10 bed (whichever is less) for a period of 60
days following the notification and approval by the division of health service regulation
How long can bed capacity be exceeded during an emergency situation? - Answer A facility
may exceed its licensed bed capacity as determined by its disaster plan and as authorized by
dhsr up to 60 days
What condition shall DHSR authorize temporary increases in bed capacity? - Answer DHSR
shall authorize increase in bed capacity if it is determined that
1. the increase is not associated with a capital expenditure
2. the increase would not jeopardize the health, safety and welfare of patients
When can DHHS deny licensure application? - Answer the department of health and human
services shall deny licensure application upon becoming aware that the applicant is not in
compliance with GS 131E article 9 and the rules adopted under that law
When can DHHS amend license from full to provisional? - Answer the department of health
and human services may amend a license when it finds that
1. the licensee has substantially failed to comply with provisions of GS 131e article 6
2. there is a continued non-compliance after the 3rd revisit
What components are in a written notice of amended license from dhhs? - Answer the dhhs
shall give the licensee written notice of the amendment to the license. This notice shall be given
personally or by certified mail ans shall set forth
1. length of provisional license
2.a reference to the statement of deficiencies that contains the facts
3. the statues or rules alleged to be violated
4. notice of the facility's right to a contested case hearing on the amendment of the license.
Exam Questions with Actual Detailed
Answers 2025-2026 Version.
How long does a legal entity have to submit licensure application before license is issued or
patients being admitted? - Answer legal entity shall submit application for licensure for a new
facility at least 30 days prior.
To whom is the new facility licensure submitted to? - Answer nursing home licensure and
certification section of the department of health service regulations.
Which components is contained in the new facility application? - Answer 1. legal entity of
applicant and mailing address
2. name or names under which the facility is presented to public
3. location and mailing address of facility
4. ownership disclosure
5. bed complement
6. magnitude and scope of services offered
7. name and current license number of administrator
8. name and current license number of DON
9. name and current license number of MD
Before issuing a license, DHHS must do what? - Answer The Department of Health and Human
Services shall issue a license to the licensee of the facility following review of operational
policies and procedures and verification of compliance with laws and rules
Only one license shall be issued to each facility
Are licenses transferable? - Answer licenses are not transferable
Where should a license be posted? - Answer the license shall be posted in a prominent
location, accessible to public view, within the licensed premises
,How long does a license remain in effect, unless which conditions occur? - Answer A license
remains in effect up to 12 months, unless any of the following occurs
1. dhhs imposes an administrative sanction which specifies license expiration
2. closure
3. change of ownership
4. change of site
5. change in bed complement
6. failure to comply with rule .2104 of this section
When do license get renewed? - Answer dhhs shall renew the facility's license at the end of
each calendar year
Under which conditions must occur for dhhs to renew license? - Answer 1. licensee maintain
and submits to dhhs at least 30 days prior to expiration
2. facility is in conformance with GS 131E-102(c)
A combination facility must specify what on a license renewal application? - Answer A
combination facility shall specify on the annual license renewal application with which rules for
the adult care home beds it plans to comply for the upcoming year. Facility may chose from the
following
1. nursing home licensure rules under this subchapter
2. adult care home licensure under 10A NCAC 13F
3. a combination of both.
What changes could occur that would result in filing for a new license? How long prior does the
facility need to submit new application? - Answer The facility shall notify the nursing home
licensure and certification section of department of health service regulation in writing at least
30 days prior to the following occurrences
1. change in name/names the facility it presented to the public
2. change in legal identity (licensee) which has ownership responsibility and liability (new owner
must submit)
3. change in licensed bed capacity
4. change in location of facility
, 3. change in magnitude or scope of practice
4. change in facility mailing address or phone number
5. emergencies resulting in relocation of patients to temporary location away from facility
How much can a CCRC temporarily increase bed capacity and for how long? - Answer A CCRC
may temporarily increase bed capacity by 10% or 10 bed (whichever is less) for a period of 60
days following the notification and approval by the division of health service regulation
How long can bed capacity be exceeded during an emergency situation? - Answer A facility
may exceed its licensed bed capacity as determined by its disaster plan and as authorized by
dhsr up to 60 days
What condition shall DHSR authorize temporary increases in bed capacity? - Answer DHSR
shall authorize increase in bed capacity if it is determined that
1. the increase is not associated with a capital expenditure
2. the increase would not jeopardize the health, safety and welfare of patients
When can DHHS deny licensure application? - Answer the department of health and human
services shall deny licensure application upon becoming aware that the applicant is not in
compliance with GS 131E article 9 and the rules adopted under that law
When can DHHS amend license from full to provisional? - Answer the department of health
and human services may amend a license when it finds that
1. the licensee has substantially failed to comply with provisions of GS 131e article 6
2. there is a continued non-compliance after the 3rd revisit
What components are in a written notice of amended license from dhhs? - Answer the dhhs
shall give the licensee written notice of the amendment to the license. This notice shall be given
personally or by certified mail ans shall set forth
1. length of provisional license
2.a reference to the statement of deficiencies that contains the facts
3. the statues or rules alleged to be violated
4. notice of the facility's right to a contested case hearing on the amendment of the license.
