Missouri Nursing Home Administrator Exam – Official State Healthcare Licensing Board – 2026/2027 Academic Year – Verified Questions and Answers for Aspiring Nursing Home Administrators and Long-Term Care Professionals

Missouri Nursing Home Administrator Exam – Official State
Healthcare Licensing Board – 2026/2027 Academic Year – Verified
Questions and Answers for Aspiring Nursing Home Administrators
and Long-Term Care Professionals




Federal & Missouri Long-Term Care Regulations

Question 1
Which federal law established the minimum standards for nursing home certification
and participation in Medicare/Medicaid?

 A) HIPAA
 B) OBRA 1987
 C) ADA
 D) Stark Law

Correct Answer: B) OBRA 1987




Question 2
Under Missouri state regulations, how often must a nursing home conduct a full fire
drill?

 A) Monthly
 B) Quarterly
 C) Annually

,  D) Every six months

Correct Answer: B) Quarterly




Question 3
Which federal agency is primarily responsible for enforcing nursing home regulations
under Medicare?

 A) DEA
 B) CMS
 C) FDA
 D) OSHA

Correct Answer: B) CMS (Centers for Medicare & Medicaid Services)




Question 4
A Class I violation means a violation of what type?

 A) Minor administrative deficiency
 B) Imminent Jeopardy to resident health or safety
 C) Paperwork violation
 D) Staffing shortage

Correct Answer: B) Imminent Jeopardy to resident health or safety

,Question 5
Under RSMo Chapter 344, which of the following is NOT a required element for initial
nursing home administrator licensure?

 A) Proof of U.S. citizenship
 B) Completed application form
 C) Evidence of required education
 D) Verification of experience in health-care administration

Correct Answer: A) Proof of U.S. citizenship




Question 6
How many continuing education hours must a Missouri nursing home administrator
complete every two years for license renewal?

 A) 10 hours
 B) 20 hours
 C) 30 hours
 D) 40 hours

Correct Answer: B) 20 hours




Question 7
Reciprocity for out-of-state administrators is granted when the other state's licensing
requirements are:

 A) Identical to Missouri's
 B) More stringent than Missouri's

,  C) At least equivalent to Missouri's standards
 D) Less restrictive than Missouri's

Correct Answer: C) At least equivalent to Missouri's standards




Question 8
Which of the following is a ground for immediate suspension of a nursing home
administrator's license?

 A) Failure to attend a single board meeting
 B) Conviction of a felony involving fraud
 C) Missing one continuing-education deadline
 D) Changing residence out of state

Correct Answer: B) Conviction of a felony involving fraud




Question 9
The Board of Nursing Home Administrators is composed of how many members
appointed by the Governor?

 A) Five
 B) Seven
-- C) Nine
 D) Eleven

Correct Answer: C) Nine