KANSAS ADULT CARE HOME OPERATOR (ACHO) EXAM/
Adult Home Care Operator/ Kansas Operator's Course|
Updated 2026 NEW EDITION
Adult Care Home Operators must be how old?
21 years old
What kind of places can an Operator oversee?
State Licensed only
Asst Living 6 to 60 people;
Residen&al Health Care Facility RHCF6 to 60 people, 24 hours care;
Intermediate Care Facility w/ intellectual disability - no more than 16 people;
Home Plus - No more than 12 people;
Adult Day Care - No more than 60 people
How many residents can live in a home plus with an Operator?
not more than 12
How long to keep clinical records a0er death or discharge?
5 years
Who can administer medica&ons?
RN, LPN, CMA, Resident can self-administer
Who can do the Func&onal Capacity Screen (FCS), Nego&ated Service Agreement (NSA)?
Nurse, Social Worker or Admin/Operator can do FCS; Admin/Operator does NSA
how do you determine whether an Health Service Plan (HSP) is needed?
If FCS indicates medica&on or treatment needed then have to do HSP
How frequently does a Func&onal Capacity Screen (FCS), Nego&ated Service Agreement (NSA),
and Health Service Plan (HSP) needed to be completed?
,Minimum is annually, must do any&me significant change and quarterly if resident is ge7ng
assistance with ea&ng
Who decides who to admit to the facility?
Administrator or Operator
How o0en to do fire drills and evacua&ons?
6 per year every other month and at least 2 at night, but residents do no have to leave the
facility for the night drills
How many days to provide no&ce of rate change or involuntary discharge?
30 days
What is the meaning of a universal employee?
Staff that completes tasks of various roles, wears many hats
What is your role for outside services provided and do these services have to go on a
Nego&ated Service Agreement (NSA)?
Role is to ensure care meets resident's needs.
NSA must list outside serve providers and who is responsible for payment if not the resident
What is the difference between delirium vs demen&a vs depression?
Delirium - confusion, more immediate;
Demen&a - symptom, slow over &me;
Depression - develops fast can remember something when asked
Who can review clinical record?
Pharmacist, DR, Nurse, CMA, Direct Care Staff;Admin/Operator
When can we share clinical record without having signed permission?
Can be shared without a signed release when transferring to another health care facility
What kind of paperwork needs to be provided to residents on admission?
NSA - Nego&ated Service Agreement; HSP - Health Service Plan; FCS- Func&onal Capacity
Screen; Acknowledgement of Risk Agreement
How soon to respond to a wri<en complaint?
within 30 days
, How can facili&es effec&vely prevent abuse, neglect, and exploita&ons of residents?
Training at Orienta&on and annual educa&on
Who is required to assess each resident admi<ed to a facility?
Nurse is required to assess if any heal care services; Administrator/Operator required to
complete FCS???
Can residents smoke by regula&on in assisted living/residen&al health care facili&es?
Regula&ons allow smoking but its up to the facility if they allow smoking on property
What are common stereotypes of the elderly and aging?
Hard of hearing; Confused or have demen&a, Angry, Poor
Can Residents self administer med?
Yes, if safe to do so and they pass the self-admin test
How to prevent spread of infec&on
One way flow
What is one way flow
from soled area to clean area and handwashing
How o0en must food menu be available?
weekly
When can surveyor enter facility and who can they talk to?
Any&me and anyone
Recent copy of survey
must be available an have pos&ng sta&ng where it is
When are restraints allowed in adult care homes?
Never
Do Residents have the right to choose physician and pharmacy?
Yes, but you can give them a list of choices
Building and grounds
Adult Home Care Operator/ Kansas Operator's Course|
Updated 2026 NEW EDITION
Adult Care Home Operators must be how old?
21 years old
What kind of places can an Operator oversee?
State Licensed only
Asst Living 6 to 60 people;
Residen&al Health Care Facility RHCF6 to 60 people, 24 hours care;
Intermediate Care Facility w/ intellectual disability - no more than 16 people;
Home Plus - No more than 12 people;
Adult Day Care - No more than 60 people
How many residents can live in a home plus with an Operator?
not more than 12
How long to keep clinical records a0er death or discharge?
5 years
Who can administer medica&ons?
RN, LPN, CMA, Resident can self-administer
Who can do the Func&onal Capacity Screen (FCS), Nego&ated Service Agreement (NSA)?
Nurse, Social Worker or Admin/Operator can do FCS; Admin/Operator does NSA
how do you determine whether an Health Service Plan (HSP) is needed?
If FCS indicates medica&on or treatment needed then have to do HSP
How frequently does a Func&onal Capacity Screen (FCS), Nego&ated Service Agreement (NSA),
and Health Service Plan (HSP) needed to be completed?
,Minimum is annually, must do any&me significant change and quarterly if resident is ge7ng
assistance with ea&ng
Who decides who to admit to the facility?
Administrator or Operator
How o0en to do fire drills and evacua&ons?
6 per year every other month and at least 2 at night, but residents do no have to leave the
facility for the night drills
How many days to provide no&ce of rate change or involuntary discharge?
30 days
What is the meaning of a universal employee?
Staff that completes tasks of various roles, wears many hats
What is your role for outside services provided and do these services have to go on a
Nego&ated Service Agreement (NSA)?
Role is to ensure care meets resident's needs.
NSA must list outside serve providers and who is responsible for payment if not the resident
What is the difference between delirium vs demen&a vs depression?
Delirium - confusion, more immediate;
Demen&a - symptom, slow over &me;
Depression - develops fast can remember something when asked
Who can review clinical record?
Pharmacist, DR, Nurse, CMA, Direct Care Staff;Admin/Operator
When can we share clinical record without having signed permission?
Can be shared without a signed release when transferring to another health care facility
What kind of paperwork needs to be provided to residents on admission?
NSA - Nego&ated Service Agreement; HSP - Health Service Plan; FCS- Func&onal Capacity
Screen; Acknowledgement of Risk Agreement
How soon to respond to a wri<en complaint?
within 30 days
, How can facili&es effec&vely prevent abuse, neglect, and exploita&ons of residents?
Training at Orienta&on and annual educa&on
Who is required to assess each resident admi<ed to a facility?
Nurse is required to assess if any heal care services; Administrator/Operator required to
complete FCS???
Can residents smoke by regula&on in assisted living/residen&al health care facili&es?
Regula&ons allow smoking but its up to the facility if they allow smoking on property
What are common stereotypes of the elderly and aging?
Hard of hearing; Confused or have demen&a, Angry, Poor
Can Residents self administer med?
Yes, if safe to do so and they pass the self-admin test
How to prevent spread of infec&on
One way flow
What is one way flow
from soled area to clean area and handwashing
How o0en must food menu be available?
weekly
When can surveyor enter facility and who can they talk to?
Any&me and anyone
Recent copy of survey
must be available an have pos&ng sta&ng where it is
When are restraints allowed in adult care homes?
Never
Do Residents have the right to choose physician and pharmacy?
Yes, but you can give them a list of choices
Building and grounds
