ALF Core Training EXAM STUDY GUIDE
2026/2027 ACCURATE QUESTIONS WITH
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<NEWEST VERSION>
1. True or False? An ALF can be only one building? - ANSWER ✔ False
2. A resident can be bedridden in an ALF with a standard licence for no more
then __ days? - ANSWER ✔ 7
3. Which agency is responsible for regulatory inspections of ALF's? -
ANSWER ✔ AHCA
4. Capacity in an ALF is the ____ of residents it is licensed to care for. -
ANSWER ✔ number
5. True of False a terminally ill resident that no longer meets the criteria for
continued residency may continue to reside in the facility if the following
conditions are met:
-resident has hospice
-continued residency is agreeable to the resident and faculty
-An ICP is developed and implemented by a licensed Hospice
-faculty staff may provide an nursing services permitted under the facility
licence
-documentation of the requirements of this are in the residents file - ANSWER
✔ True
6. True or False the administrator of a facility is responsible for monitoring the
continued appropriateness of placement of the resident in the facility. -
ANSWER ✔ True
,7. true or False If the resident no longer meets the criteria for continued
residency or the facility is unable to meet the residents need - as determined
by the administrator or health care provider the resident shall be discharged.
- ANSWER ✔ True
8. True or False Significant change means; a sudden change or major shift in
behavior or meed or deterioration of health status such as (weight , stroke,
hearth condition, or not participating in activities) - ANSWER ✔ False,
stage 2,3,4 pressure sores instead of activities
9. True of False for admission to a facility a resident must be at least 21 years
of age. - ANSWER ✔ False, 18
10.True or False For admission to a facility a resident must be free of
communicable diseases - ANSWER ✔ True
11.True or False For admission to a facility a resident must be able to preform
ADL's with supervision & assistance as necessary. - ANSWER ✔ True
12.True or False For admission to a facility a resident must not have any stage
2,3,4 pressure sores. - ANSWER ✔ False, only stage 3,4 not allowed
13.What is the common living area in an ALF? - ANSWER ✔ 35 square feet
per resident, any area used by all residents and staff
14.what is the minimum square footage for a resident room? - ANSWER ✔ 80
square feet
15.what is the minimum square footage for a double occupancy room? -
ANSWER ✔ 120 square feet
16.an (1823) health assessment must be completed ___ prior to admission or
with in ___ days after admission. - ANSWER ✔ 60 days and 30 days
17.Menus must be reviewed ______ - ANSWER ✔ Annualy
18.Menu substitutions and a copy of them are to be kept on file for ____ -
ANSWER ✔ 6 months
,19.What must a resident receive in order to be noted as LMH resident in a LMH
facility? - ANSWER ✔ Resident must receive OSS, optional state
supplementation, social security income, SSI social security disability
income SSDI
20.How does an ALF keep track of LMH residents? - ANSWER ✔ on
admission and discharge log with note of who is LMH resident.
21.When can an ALF admit a LMH resident? - ANSWER ✔ An ALF may
admit an LMH resident only AFTER receiving licensing as an LMH.
22.How can ALF confirm that a mental health resident is a LMH resident? -
ANSWER ✔ Obtain copy of
Alternate Care Certification for OSS form
Written verification from social security admin
A statement from mental health care provider or case manager
23.Who can do an Appropriate Placement Assessment for a mental health
resident in an ALF? - ANSWER ✔ Psychiatrist; clinical psychologist,
clinical social worker; psychiatric nurse or someone supervised by any of
these people.
24.How can an ALF obtain an Appropriate Placement Assessment for a mental
health resident? - ANSWER ✔ Discharge statement from state mental
hospital completed in past 90 days
Completed 1823
Completed Alternate Care Certification for OSS form
25.What must an LMH ALF complete within 30 days of admission? -
ANSWER ✔ Verify that resident is receiving SSDI or SSI AND OSS
Obtain Appropriate Placement Assessment
Dev. Community Living Support Plan
Obtain Cooperative Agreement
26.When must a community living support plan be completed and updated? -
ANSWER ✔ within 30 days of admission OR within 30 days of receiving
, the Appropriate Placement Assessment whichever is LATER. Must be
updated annually or if significant change in behavioral health.
27.Who must sign the community living support plan? - ANSWER ✔
resident, administrator or designee, resident's case manager
28.When does a community living support plan need to be updated? -
ANSWER ✔ When a resident experiences a significant change; Must
update 1823 at the same time.
29.Community Living Support Plan - ANSWER ✔ means a written document
prepared by a mental health resident and the resident's mental health case
manager in consultation with the administrator of an assisted living facility
with a limited mental health license or the administrator's designee. A copy
must be provided to the administrator. The plan must include information
about the supports, services, and special needs of the resident which enable
the resident to live in the assisted living facility and a method by which
facility staff can recognize and respond to the signs and symptoms particular
to that resident which indicate the need for professional services.
30.What must be complete within 72 of admission of LMH resident? -
ANSWER ✔ Appropriate Placement Assessment *
Community Living Support Plan
Cooperative Agreement
*Must show doc requesting this form and good faith effort to obtain info incl.
name, title, phone number of who was requested and keep in resident file.
31.How often do nursing assessment need to be done for LNS residents? -
ANSWER ✔ Monthly
32.Do logs need to be kept of who is receiving LNS services and types of
services? - ANSWER ✔ Yes
33.When must an 1823 be complete for an ECC resident? - ANSWER ✔
BEFORE admission to an ECC (this is different than a standard license
ALF!!)
2026/2027 ACCURATE QUESTIONS WITH
CORRECT DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
1. True or False? An ALF can be only one building? - ANSWER ✔ False
2. A resident can be bedridden in an ALF with a standard licence for no more
then __ days? - ANSWER ✔ 7
3. Which agency is responsible for regulatory inspections of ALF's? -
ANSWER ✔ AHCA
4. Capacity in an ALF is the ____ of residents it is licensed to care for. -
ANSWER ✔ number
5. True of False a terminally ill resident that no longer meets the criteria for
continued residency may continue to reside in the facility if the following
conditions are met:
-resident has hospice
-continued residency is agreeable to the resident and faculty
-An ICP is developed and implemented by a licensed Hospice
-faculty staff may provide an nursing services permitted under the facility
licence
-documentation of the requirements of this are in the residents file - ANSWER
✔ True
6. True or False the administrator of a facility is responsible for monitoring the
continued appropriateness of placement of the resident in the facility. -
ANSWER ✔ True
,7. true or False If the resident no longer meets the criteria for continued
residency or the facility is unable to meet the residents need - as determined
by the administrator or health care provider the resident shall be discharged.
- ANSWER ✔ True
8. True or False Significant change means; a sudden change or major shift in
behavior or meed or deterioration of health status such as (weight , stroke,
hearth condition, or not participating in activities) - ANSWER ✔ False,
stage 2,3,4 pressure sores instead of activities
9. True of False for admission to a facility a resident must be at least 21 years
of age. - ANSWER ✔ False, 18
10.True or False For admission to a facility a resident must be free of
communicable diseases - ANSWER ✔ True
11.True or False For admission to a facility a resident must be able to preform
ADL's with supervision & assistance as necessary. - ANSWER ✔ True
12.True or False For admission to a facility a resident must not have any stage
2,3,4 pressure sores. - ANSWER ✔ False, only stage 3,4 not allowed
13.What is the common living area in an ALF? - ANSWER ✔ 35 square feet
per resident, any area used by all residents and staff
14.what is the minimum square footage for a resident room? - ANSWER ✔ 80
square feet
15.what is the minimum square footage for a double occupancy room? -
ANSWER ✔ 120 square feet
16.an (1823) health assessment must be completed ___ prior to admission or
with in ___ days after admission. - ANSWER ✔ 60 days and 30 days
17.Menus must be reviewed ______ - ANSWER ✔ Annualy
18.Menu substitutions and a copy of them are to be kept on file for ____ -
ANSWER ✔ 6 months
,19.What must a resident receive in order to be noted as LMH resident in a LMH
facility? - ANSWER ✔ Resident must receive OSS, optional state
supplementation, social security income, SSI social security disability
income SSDI
20.How does an ALF keep track of LMH residents? - ANSWER ✔ on
admission and discharge log with note of who is LMH resident.
21.When can an ALF admit a LMH resident? - ANSWER ✔ An ALF may
admit an LMH resident only AFTER receiving licensing as an LMH.
22.How can ALF confirm that a mental health resident is a LMH resident? -
ANSWER ✔ Obtain copy of
Alternate Care Certification for OSS form
Written verification from social security admin
A statement from mental health care provider or case manager
23.Who can do an Appropriate Placement Assessment for a mental health
resident in an ALF? - ANSWER ✔ Psychiatrist; clinical psychologist,
clinical social worker; psychiatric nurse or someone supervised by any of
these people.
24.How can an ALF obtain an Appropriate Placement Assessment for a mental
health resident? - ANSWER ✔ Discharge statement from state mental
hospital completed in past 90 days
Completed 1823
Completed Alternate Care Certification for OSS form
25.What must an LMH ALF complete within 30 days of admission? -
ANSWER ✔ Verify that resident is receiving SSDI or SSI AND OSS
Obtain Appropriate Placement Assessment
Dev. Community Living Support Plan
Obtain Cooperative Agreement
26.When must a community living support plan be completed and updated? -
ANSWER ✔ within 30 days of admission OR within 30 days of receiving
, the Appropriate Placement Assessment whichever is LATER. Must be
updated annually or if significant change in behavioral health.
27.Who must sign the community living support plan? - ANSWER ✔
resident, administrator or designee, resident's case manager
28.When does a community living support plan need to be updated? -
ANSWER ✔ When a resident experiences a significant change; Must
update 1823 at the same time.
29.Community Living Support Plan - ANSWER ✔ means a written document
prepared by a mental health resident and the resident's mental health case
manager in consultation with the administrator of an assisted living facility
with a limited mental health license or the administrator's designee. A copy
must be provided to the administrator. The plan must include information
about the supports, services, and special needs of the resident which enable
the resident to live in the assisted living facility and a method by which
facility staff can recognize and respond to the signs and symptoms particular
to that resident which indicate the need for professional services.
30.What must be complete within 72 of admission of LMH resident? -
ANSWER ✔ Appropriate Placement Assessment *
Community Living Support Plan
Cooperative Agreement
*Must show doc requesting this form and good faith effort to obtain info incl.
name, title, phone number of who was requested and keep in resident file.
31.How often do nursing assessment need to be done for LNS residents? -
ANSWER ✔ Monthly
32.Do logs need to be kept of who is receiving LNS services and types of
services? - ANSWER ✔ Yes
33.When must an 1823 be complete for an ECC resident? - ANSWER ✔
BEFORE admission to an ECC (this is different than a standard license
ALF!!)
