CERTIFIED ASSISTED LIVING ADMINISTRATOR
2026 EXAMS SCRIPT ALL QUESTIONS AND
ANSWERS SURE A+
✔✔1.) Ensuring the development, implementation, and enforcement of all policies and
procedures, including resident rights; 2.) Planning for, and administration of, the
managerial, operational, fiscal, and report components of the facility; 3.) Ensuring that
all personnel are assigned duties based upon their ability and competency to perform
the job and in accordance with written job descriptions; 4.) Ensuring the provision of
staff orientation and staff education; 5.) Establishing and maintaining liaison
relationships and communication with facility staff and services and with residents and
their families; 6.) Establishing and maintaining liaison relationships and communications
with community hospitals, social services agencies, and mental health service agencies.
- ✔✔Administrator's Responsibilites
✔✔An advocate who is an official in charge of representing the interests of the public by
investigating and addressing complaints of maladministration or a violation of rights. -
✔✔Ombudsman
✔✔The resident has a right to refuse medication and treatment after the resident has
been informed, in language that the resident understands, of the possible
consequences of this decision. - ✔✔Informed Consent in Different Languaes
,✔✔The resident has the right to receive written notice at least ___________ in advance
when the facility requests the resident's transfer or discharge, except in an emergency.
This written notice shall include the name, address, and telephone number of the New
Jersey Office of the Ombudsman for the Institutionalized Elderly, and shall also be
provided to the resident's legally appointed guardian, if applicable, or, with the resident's
consent, to the resident's family, ___________ in advance. - ✔✔30 Days
✔✔1.) Assistance with Personal Care; 2.) Nursing; 3.) Pharmacy; 4.) Dining; 5.)
Activities; 6.) Recreational; 7.) and Social Work services. - ✔✔Types of Services for
ALF
✔✔1.) The resident requires 24/7 nursing supervision; 2.) The resident is bedridden for
more than 14 days; 3.) The resident is consistently and totally dependent in four or more
of the following activities of daily living: dressing, bathing, toilet use, transfer,
locomotion, bed mobility, and eating; 4.) The resident has a cognitive decline severe
enough to prevent the making of simple decisions regarding activities such as bathing,
dressing, and eating and cannot respond appropriately to cueing and simple directions;
5.) The resident requires treatment of a stage 3 or 4 pressure sore or multiple stage two
pressure sores; 6.) The residents requires than assistance with transfer; 7.) The
resident is a danger to self or others; 8.) The resident has a medically unstable
condition and/or has special health problems, and a regimen of therapy cannot be
appropriately developed and implemented in the assisted living environmen -
✔✔Nursing Home Level Care Characteristics
✔✔A new or existing assisted living residence or comprehensive personal care home
licensed on or after Sept. 1st, 2001, shall attain a level of occupancy by Medicaid-
eligible persons of at least ______________ of its total bed complement within 3 years
of licensure (for new ALFs) and shall maintain this level of Medicaid occupancy
thereafter. In cases in which either the total bed complement or the total number of beds
added in an existing facility is less than that amount, at least one bed shall be reserved
for a Medicaid-eligible person. (p.34-35) - ✔✔10 Percent
✔✔Residents who shall not remain in the assisted living residence or comprehensive
personal care home and shall be transferred to a long-term care facility. -
✔✔Specialized Long-Term Care
✔✔An individual who has been determined as satisfying the financial eligibility criteria
for medical assistance under the Medicaid program, and has been assessed as being in
need of nursing home-level care, and has been approved by the Department for
participation in a Federally approved waiver program for assisted living services. -
✔✔Medicaid-Eligible Person
,✔✔The facility shall report the number of resident days per calendar year to the
Department's Long-Tern Care Licensing Program by _______________ of each year,
for the prior calendar year. - ✔✔April 15th
✔✔1.) Concepts of Assisted Living; 2.) Emergency plans and procedures; 3.) Infection
Prevention & Control Program; 4.) Resident's Rights; 5.) Abuse & Neglect; 6.) Pain
Management; 7.) Alzheimer's and related Dementia conditions. - ✔✔Inservices
✔✔Staffing is based upon the an assessment of the ___________ of residents' needs. -
✔✔Acuity
✔✔Policies and procedures for reporting all alleged and/or suspected cases of resident
abuse or exploitation to the Complaints Program of the Division of Long-Term Care
Systems. If the resident is ___________ years of age or older, the State of New Jersey
Office of the Ombudsman for the Institutionalized Elderly shall be notified. - ✔✔60
✔✔The facility shall be capable of providing this, either directly or by arrangement, to
and from health care services provided outside the facility, and shall promote
reasonable plans for security and accountability for the resident and his or her personal
possessions, as well as transfer of resident information to and form the provider of the
service, as required by individual residents and specified in resident service plans. -
✔✔Resident Transportation
✔✔The facility or program shall have a written agreement or its equivalent, or a linkage
for services not provided directly by the facility or program. - ✔✔Written Agreements
✔✔If the facility or program provides care to residents with
_________________________, the facility or program shall also have a written
agreement with one or more community mental health centers specifying which services
will be provided by the mental health center. - ✔✔Psychiartric Disorders
✔✔The facility shall notify the Department immediately by telephone, followed by
________ by written confirmation for a reportable event. - ✔✔72 Hours
✔✔Interruption for ____________________ of basic physical plant services, such as
heat, light, power, water, food, or staff is a reportable event. - ✔✔3 or more hours
✔✔Any major occurrence or incident of an unusual nature, including, but not limited to,
all fires, disasters, elopements, and all deaths resulting from accidents or incidents in
the facility or related to facility services. Incidents shall also contain information about
injuries to residents and/or personnel disruption of services, and extent of damages; All
suspected cases of resident abuse, neglect, or misappropriation of resident property,
including incidents reported to the Ombudsman; All alleged or suspected crimes which
, are serious crimes commitment by or against residents, reported at the time of
occurrence to the local police department; Occurrence of epidemic disease in the
facility; Termination of employment of the administrator, and the name and qualifications
of his or her replacement. - ✔✔Reportable Events
✔✔1.) All waivers granted by the Department
2.) A copy of the last annual licensure inspection survey report and the list of
deficiencies from any valid complaint investigation during the past 12 months.
3.) Policies and procedures regarding resident rights.
4.) Business hours of the facility.
5.) Policies and procedures for maintaining security of the assisted living residence and
comprehensive personal care homes.
6.) The toll-free hot line number of the Department; telephone numbers of county
agencies and the of the State of New Jersey Office of the Ombudsman.
7.) The names of, and a means to formally contact, the owner and/or members of the
governing agency. - ✔✔Notices for Residents & the Public
✔✔The facility shall maintain an annual chronological listings of residents admitted and
discharged, including the destination of residents who are discharged. It contains a
current census of all residents, along with other pertinent information, shall be
maintained by each assisted living residence, comprehensive personal care home, or
assisted living program. The following standards for maintenance shall apply:
1.) The adminstrator or the administrator's desginee shall make all the entries and shall
be responsible for its maintenance and safe-keeping.
2.) It shall be kept up-to-date at all times. Admissions, discharges and discharge
destinations, and other changes shall be recorded within in 48 hours.
3.) It is a permanent record and shall be kept in a safe place.
4.) All entries into it shall be clear, legible, and written in ink or typed. - ✔✔Register
✔✔A register of residents are to be maintained, along with statistical data; such as
resident census and facility characteristics shall be forwarded to the Department on
request, in a format provided by the Department. - ✔✔Maintenance of Records
✔✔This shall include at least orientation to the facility's or program's policies, business
hours, fee schedule, services provided, residents rights, and criteria for admission and
discharge. Documentation of this shall be included in the resident record. - ✔✔Resident
Interview
✔✔If an applicant, after applying in writing, is denied admission to the assisted living
residence, comprehensive personal care home, or assisted living program, the applicant
and/or his or her family, guardian, or responsible person shall, upon written request, be
given the reason for such denial in writing, signed by the administrator, within
____________ of the receipt of the written request. - ✔✔15 Days
2026 EXAMS SCRIPT ALL QUESTIONS AND
ANSWERS SURE A+
✔✔1.) Ensuring the development, implementation, and enforcement of all policies and
procedures, including resident rights; 2.) Planning for, and administration of, the
managerial, operational, fiscal, and report components of the facility; 3.) Ensuring that
all personnel are assigned duties based upon their ability and competency to perform
the job and in accordance with written job descriptions; 4.) Ensuring the provision of
staff orientation and staff education; 5.) Establishing and maintaining liaison
relationships and communication with facility staff and services and with residents and
their families; 6.) Establishing and maintaining liaison relationships and communications
with community hospitals, social services agencies, and mental health service agencies.
- ✔✔Administrator's Responsibilites
✔✔An advocate who is an official in charge of representing the interests of the public by
investigating and addressing complaints of maladministration or a violation of rights. -
✔✔Ombudsman
✔✔The resident has a right to refuse medication and treatment after the resident has
been informed, in language that the resident understands, of the possible
consequences of this decision. - ✔✔Informed Consent in Different Languaes
,✔✔The resident has the right to receive written notice at least ___________ in advance
when the facility requests the resident's transfer or discharge, except in an emergency.
This written notice shall include the name, address, and telephone number of the New
Jersey Office of the Ombudsman for the Institutionalized Elderly, and shall also be
provided to the resident's legally appointed guardian, if applicable, or, with the resident's
consent, to the resident's family, ___________ in advance. - ✔✔30 Days
✔✔1.) Assistance with Personal Care; 2.) Nursing; 3.) Pharmacy; 4.) Dining; 5.)
Activities; 6.) Recreational; 7.) and Social Work services. - ✔✔Types of Services for
ALF
✔✔1.) The resident requires 24/7 nursing supervision; 2.) The resident is bedridden for
more than 14 days; 3.) The resident is consistently and totally dependent in four or more
of the following activities of daily living: dressing, bathing, toilet use, transfer,
locomotion, bed mobility, and eating; 4.) The resident has a cognitive decline severe
enough to prevent the making of simple decisions regarding activities such as bathing,
dressing, and eating and cannot respond appropriately to cueing and simple directions;
5.) The resident requires treatment of a stage 3 or 4 pressure sore or multiple stage two
pressure sores; 6.) The residents requires than assistance with transfer; 7.) The
resident is a danger to self or others; 8.) The resident has a medically unstable
condition and/or has special health problems, and a regimen of therapy cannot be
appropriately developed and implemented in the assisted living environmen -
✔✔Nursing Home Level Care Characteristics
✔✔A new or existing assisted living residence or comprehensive personal care home
licensed on or after Sept. 1st, 2001, shall attain a level of occupancy by Medicaid-
eligible persons of at least ______________ of its total bed complement within 3 years
of licensure (for new ALFs) and shall maintain this level of Medicaid occupancy
thereafter. In cases in which either the total bed complement or the total number of beds
added in an existing facility is less than that amount, at least one bed shall be reserved
for a Medicaid-eligible person. (p.34-35) - ✔✔10 Percent
✔✔Residents who shall not remain in the assisted living residence or comprehensive
personal care home and shall be transferred to a long-term care facility. -
✔✔Specialized Long-Term Care
✔✔An individual who has been determined as satisfying the financial eligibility criteria
for medical assistance under the Medicaid program, and has been assessed as being in
need of nursing home-level care, and has been approved by the Department for
participation in a Federally approved waiver program for assisted living services. -
✔✔Medicaid-Eligible Person
,✔✔The facility shall report the number of resident days per calendar year to the
Department's Long-Tern Care Licensing Program by _______________ of each year,
for the prior calendar year. - ✔✔April 15th
✔✔1.) Concepts of Assisted Living; 2.) Emergency plans and procedures; 3.) Infection
Prevention & Control Program; 4.) Resident's Rights; 5.) Abuse & Neglect; 6.) Pain
Management; 7.) Alzheimer's and related Dementia conditions. - ✔✔Inservices
✔✔Staffing is based upon the an assessment of the ___________ of residents' needs. -
✔✔Acuity
✔✔Policies and procedures for reporting all alleged and/or suspected cases of resident
abuse or exploitation to the Complaints Program of the Division of Long-Term Care
Systems. If the resident is ___________ years of age or older, the State of New Jersey
Office of the Ombudsman for the Institutionalized Elderly shall be notified. - ✔✔60
✔✔The facility shall be capable of providing this, either directly or by arrangement, to
and from health care services provided outside the facility, and shall promote
reasonable plans for security and accountability for the resident and his or her personal
possessions, as well as transfer of resident information to and form the provider of the
service, as required by individual residents and specified in resident service plans. -
✔✔Resident Transportation
✔✔The facility or program shall have a written agreement or its equivalent, or a linkage
for services not provided directly by the facility or program. - ✔✔Written Agreements
✔✔If the facility or program provides care to residents with
_________________________, the facility or program shall also have a written
agreement with one or more community mental health centers specifying which services
will be provided by the mental health center. - ✔✔Psychiartric Disorders
✔✔The facility shall notify the Department immediately by telephone, followed by
________ by written confirmation for a reportable event. - ✔✔72 Hours
✔✔Interruption for ____________________ of basic physical plant services, such as
heat, light, power, water, food, or staff is a reportable event. - ✔✔3 or more hours
✔✔Any major occurrence or incident of an unusual nature, including, but not limited to,
all fires, disasters, elopements, and all deaths resulting from accidents or incidents in
the facility or related to facility services. Incidents shall also contain information about
injuries to residents and/or personnel disruption of services, and extent of damages; All
suspected cases of resident abuse, neglect, or misappropriation of resident property,
including incidents reported to the Ombudsman; All alleged or suspected crimes which
, are serious crimes commitment by or against residents, reported at the time of
occurrence to the local police department; Occurrence of epidemic disease in the
facility; Termination of employment of the administrator, and the name and qualifications
of his or her replacement. - ✔✔Reportable Events
✔✔1.) All waivers granted by the Department
2.) A copy of the last annual licensure inspection survey report and the list of
deficiencies from any valid complaint investigation during the past 12 months.
3.) Policies and procedures regarding resident rights.
4.) Business hours of the facility.
5.) Policies and procedures for maintaining security of the assisted living residence and
comprehensive personal care homes.
6.) The toll-free hot line number of the Department; telephone numbers of county
agencies and the of the State of New Jersey Office of the Ombudsman.
7.) The names of, and a means to formally contact, the owner and/or members of the
governing agency. - ✔✔Notices for Residents & the Public
✔✔The facility shall maintain an annual chronological listings of residents admitted and
discharged, including the destination of residents who are discharged. It contains a
current census of all residents, along with other pertinent information, shall be
maintained by each assisted living residence, comprehensive personal care home, or
assisted living program. The following standards for maintenance shall apply:
1.) The adminstrator or the administrator's desginee shall make all the entries and shall
be responsible for its maintenance and safe-keeping.
2.) It shall be kept up-to-date at all times. Admissions, discharges and discharge
destinations, and other changes shall be recorded within in 48 hours.
3.) It is a permanent record and shall be kept in a safe place.
4.) All entries into it shall be clear, legible, and written in ink or typed. - ✔✔Register
✔✔A register of residents are to be maintained, along with statistical data; such as
resident census and facility characteristics shall be forwarded to the Department on
request, in a format provided by the Department. - ✔✔Maintenance of Records
✔✔This shall include at least orientation to the facility's or program's policies, business
hours, fee schedule, services provided, residents rights, and criteria for admission and
discharge. Documentation of this shall be included in the resident record. - ✔✔Resident
Interview
✔✔If an applicant, after applying in writing, is denied admission to the assisted living
residence, comprehensive personal care home, or assisted living program, the applicant
and/or his or her family, guardian, or responsible person shall, upon written request, be
given the reason for such denial in writing, signed by the administrator, within
____________ of the receipt of the written request. - ✔✔15 Days
