Kansas Adult Care Home Operator (ACHO) Exam – Newest
2026/2027 Actual Exam Test Bank | Questions and Correct
Detailed Answers with Rationales | Verified Answers | Already
Graded A+ | Latest Version
Section 1: Introduction
This document provides a highly structured exam test bank for the Kansas Adult Care
Home Operator (ACHO) credentialing examination, required for individuals administering or
operating adult care homes, residential care facilities, and assisted living facilities in
Kansas. It covers high-priority core domains mandated by the Kansas Department for Aging
and Disability Services (KDADS) and Kansas Administrative Regulations (K.A.R.) Article 28-
39, including resident rights, dietary and nutritional standards, medication administration
networks, environmental safety and fire protection codes, fiscal management, and state and
federal labor guidelines. Each question features a 100% verified correct answer choice
marked directly in line, accompanied by a detailed regulatory rationale to guarantee passing
results and mastery of Kansas long-term care operations.
1. According to Kansas Administrative Regulations (K.A.R.) Article 28-39, an adult care home
operator must ensure that all resident clinical records are safely preserved for a minimum of
how many years following a resident's discharge or death?
A) 3 years
B) 5 years
C) 7 years
D) 10 years
Answer: B
, KDADS licensing regulations mandate that the complete clinical record for an adult care
home resident must be maintained and retrievable for at least 5 years following discharge or
date of death.
2. Under Kansas law, if an adult care home intends to involuntarily transfer or discharge a
resident due to non-payment or a change in care needs, how many days of advance written
notice must be provided to the resident and their legal representative?
A) 10 days
B) 15 days
C) 30 days
D) 60 days
Answer: C
K.A.R. 28-39-147 explicitly states that a facility must provide at least 30 days of advance
written notice before an involuntary transfer or discharge, except in medical emergencies or
when the safety of other residents is threatened.
3. If a change in ownership, operator, or corporate status occurs within a licensed Kansas
adult care home, within how many days must the licensee notify KDADS in writing?
A) 10 days
B) 30 days
C) 45 days
D) 60 days
, Answer: B
State licensure guidelines dictate that a written application for a new license or notification
of an operator change must be submitted to KDADS at least 30 days prior to the effective
date of the structural change.
4. A licensed adult care home operator is reviewing the facility’s emergency preparedness
plan. According to Kansas state fire marshal and KDADS regulations, fire drills must be
conducted at what frequency?
A) Once every six months
B) Quarterly flat across all shifts
C) At least once per month, alternating across different shifts and times of day
D) Only during annual state inspection weeks
Answer: C
To ensure all staff members are trained in emergency evacuation, Kansas regulations
require monthly fire drills that rotate through different operational shifts.
5. According to Kansas dietary regulations for adult care homes, what is the maximum
allowable time interval permitted between the serving of a substantial evening meal and the
breakfast meal the following morning?
A) 12 hours
B) 14 hours, unless a substantial evening snack is provided, which extends the
window to 15 hours
, C) 16 hours flat
D) There is no statutory restriction on meal schedules if residents approve
Answer: B
K.A.R. 28-39-153 mandates that the time between the evening meal and breakfast cannot
exceed 14 hours. Providing a nutrient-dense evening snack allows an extension to 15 hours
under specific clinical criteria.
6. Which Kansas entity holds the primary statutory responsibility for investigating formal
complaints regarding resident abuse, neglect, or exploitation within a licensed adult care
home?
A) The Kansas Department of Revenue
B) The Kansas Department for Aging and Disability Services (KDADS) Health
Occupations Credentialing/Survey Division
C) The local municipal police department exclusively
D) The Kansas Board of Nursing
Answer: B
KDADS acts as the state regulatory and enforcement agency tasked with handling facility
surveys, auditing compliance, and investigating protection reports under the Kansas Adult
Protective Services framework.
7. Under the Kansas State Building Code and fire safety codes for assisted living facilities,
what is the minimum required width for a primary exit corridor used as a means of egress?
2026/2027 Actual Exam Test Bank | Questions and Correct
Detailed Answers with Rationales | Verified Answers | Already
Graded A+ | Latest Version
Section 1: Introduction
This document provides a highly structured exam test bank for the Kansas Adult Care
Home Operator (ACHO) credentialing examination, required for individuals administering or
operating adult care homes, residential care facilities, and assisted living facilities in
Kansas. It covers high-priority core domains mandated by the Kansas Department for Aging
and Disability Services (KDADS) and Kansas Administrative Regulations (K.A.R.) Article 28-
39, including resident rights, dietary and nutritional standards, medication administration
networks, environmental safety and fire protection codes, fiscal management, and state and
federal labor guidelines. Each question features a 100% verified correct answer choice
marked directly in line, accompanied by a detailed regulatory rationale to guarantee passing
results and mastery of Kansas long-term care operations.
1. According to Kansas Administrative Regulations (K.A.R.) Article 28-39, an adult care home
operator must ensure that all resident clinical records are safely preserved for a minimum of
how many years following a resident's discharge or death?
A) 3 years
B) 5 years
C) 7 years
D) 10 years
Answer: B
, KDADS licensing regulations mandate that the complete clinical record for an adult care
home resident must be maintained and retrievable for at least 5 years following discharge or
date of death.
2. Under Kansas law, if an adult care home intends to involuntarily transfer or discharge a
resident due to non-payment or a change in care needs, how many days of advance written
notice must be provided to the resident and their legal representative?
A) 10 days
B) 15 days
C) 30 days
D) 60 days
Answer: C
K.A.R. 28-39-147 explicitly states that a facility must provide at least 30 days of advance
written notice before an involuntary transfer or discharge, except in medical emergencies or
when the safety of other residents is threatened.
3. If a change in ownership, operator, or corporate status occurs within a licensed Kansas
adult care home, within how many days must the licensee notify KDADS in writing?
A) 10 days
B) 30 days
C) 45 days
D) 60 days
, Answer: B
State licensure guidelines dictate that a written application for a new license or notification
of an operator change must be submitted to KDADS at least 30 days prior to the effective
date of the structural change.
4. A licensed adult care home operator is reviewing the facility’s emergency preparedness
plan. According to Kansas state fire marshal and KDADS regulations, fire drills must be
conducted at what frequency?
A) Once every six months
B) Quarterly flat across all shifts
C) At least once per month, alternating across different shifts and times of day
D) Only during annual state inspection weeks
Answer: C
To ensure all staff members are trained in emergency evacuation, Kansas regulations
require monthly fire drills that rotate through different operational shifts.
5. According to Kansas dietary regulations for adult care homes, what is the maximum
allowable time interval permitted between the serving of a substantial evening meal and the
breakfast meal the following morning?
A) 12 hours
B) 14 hours, unless a substantial evening snack is provided, which extends the
window to 15 hours
, C) 16 hours flat
D) There is no statutory restriction on meal schedules if residents approve
Answer: B
K.A.R. 28-39-153 mandates that the time between the evening meal and breakfast cannot
exceed 14 hours. Providing a nutrient-dense evening snack allows an extension to 15 hours
under specific clinical criteria.
6. Which Kansas entity holds the primary statutory responsibility for investigating formal
complaints regarding resident abuse, neglect, or exploitation within a licensed adult care
home?
A) The Kansas Department of Revenue
B) The Kansas Department for Aging and Disability Services (KDADS) Health
Occupations Credentialing/Survey Division
C) The local municipal police department exclusively
D) The Kansas Board of Nursing
Answer: B
KDADS acts as the state regulatory and enforcement agency tasked with handling facility
surveys, auditing compliance, and investigating protection reports under the Kansas Adult
Protective Services framework.
7. Under the Kansas State Building Code and fire safety codes for assisted living facilities,
what is the minimum required width for a primary exit corridor used as a means of egress?
