Maryland Assisted Living Manager Final Exam | 200 Questions with Verified Answers
& Rationales | ALM Certification Prep 2026-2028 | COMAR 10.07.14 | INSTANT PDF
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SHORT COVERAGE BY SECTION
Section Topic Questions
Licensing Requirements & Manager
1 1–30
Qualifications
Resident Assessment & Service
2 31–60
Planning
3 Resident Rights & Abuse Reporting 61–85
4 Medication Management & Delegation 86–110
5 Staffing, Training & Personnel 111–135
Facility Operations & Emergency
6 136–160
Preparedness
7 Infection Control & Safety 161–175
Admission, Discharge & Resident
8 176–200
Agreements
,Total Questions: 200 | Passing Score: 70% | Governing Body: Maryland Office of
Health Care Quality (OHCQ) | Governing Regulations: COMAR 10.07.14
Section 1: Licensing Requirements & Manager Qualifications (Questions 1–30)
1. What is the minimum age requirement to be a Maryland Assisted Living Manager?
a) 18 years old
b) 21 years old
c) 25 years old
d) No age requirement
Maryland regulations require assisted living managers to be at least 21 years old to ensure
maturity and decision-making capability.
2. How many hours of initial training are required for a new Assisted Living Manager
in Maryland?
a) 40 hours
b) 60 hours
c) 80 hours
d) 100 hours
,The Maryland Office of Health Care Quality mandates 80 hours of manager training before
assuming full responsibilities. COMAR 10.07.14.16 requires the manager's training course
to consist of at least 80 hours of coursework and include an examination.
3. What is the maximum civil money penalty for an assisted living program that fails
to employ a qualified assisted living manager?
a) $5,000
b) $7,500
**_c) $10,000_**
d) $15,000
Health-General Article §19-1807(c) and COMAR 10.07.14.16(D)(2) state that a program
failing to employ a qualified manager may be subject to a civil money penalty not to exceed
$10,000.
4. Under what circumstances may an individual serve as a temporary assisted living
manager without completing the 80-hour training course?
a) For up to 45 days when the previous manager leaves
b) For up to 90 days with Department approval
c) For an unlimited period if enrolled in a course
d) For up to 30 days while the facility seeks a replacement
, COMAR 10.07.14.16(E)(2) allows an individual to serve temporarily for less than 45 days
due to a manager leaving employment, before hiring a permanent manager. The program
may request an extension for good cause.
5. According to COMAR 10.07.14.17, which course in the manager training curriculum
requires the most hours?
a) Dementia, mental health, and behavior management (12 hours)
b) Aging process and its impact (4 hours)
c) Clinical management (20 hours)
d) Nutrition and food safety (8 hours)
COMAR 10.07.14.17 specifies that Clinical Management requires 20 hours, making it the
largest component of the 80-hour curriculum. This includes medication management,
infection control, staffing patterns, and coordination of care.
6. How many hours of Department-approved continuing education are required for
Maryland assisted living managers every two years?
a) 10 hours
b) 15 hours
c) 20 hours
d) 30 hours
& Rationales | ALM Certification Prep 2026-2028 | COMAR 10.07.14 | INSTANT PDF
DOWNLOAD
SHORT COVERAGE BY SECTION
Section Topic Questions
Licensing Requirements & Manager
1 1–30
Qualifications
Resident Assessment & Service
2 31–60
Planning
3 Resident Rights & Abuse Reporting 61–85
4 Medication Management & Delegation 86–110
5 Staffing, Training & Personnel 111–135
Facility Operations & Emergency
6 136–160
Preparedness
7 Infection Control & Safety 161–175
Admission, Discharge & Resident
8 176–200
Agreements
,Total Questions: 200 | Passing Score: 70% | Governing Body: Maryland Office of
Health Care Quality (OHCQ) | Governing Regulations: COMAR 10.07.14
Section 1: Licensing Requirements & Manager Qualifications (Questions 1–30)
1. What is the minimum age requirement to be a Maryland Assisted Living Manager?
a) 18 years old
b) 21 years old
c) 25 years old
d) No age requirement
Maryland regulations require assisted living managers to be at least 21 years old to ensure
maturity and decision-making capability.
2. How many hours of initial training are required for a new Assisted Living Manager
in Maryland?
a) 40 hours
b) 60 hours
c) 80 hours
d) 100 hours
,The Maryland Office of Health Care Quality mandates 80 hours of manager training before
assuming full responsibilities. COMAR 10.07.14.16 requires the manager's training course
to consist of at least 80 hours of coursework and include an examination.
3. What is the maximum civil money penalty for an assisted living program that fails
to employ a qualified assisted living manager?
a) $5,000
b) $7,500
**_c) $10,000_**
d) $15,000
Health-General Article §19-1807(c) and COMAR 10.07.14.16(D)(2) state that a program
failing to employ a qualified manager may be subject to a civil money penalty not to exceed
$10,000.
4. Under what circumstances may an individual serve as a temporary assisted living
manager without completing the 80-hour training course?
a) For up to 45 days when the previous manager leaves
b) For up to 90 days with Department approval
c) For an unlimited period if enrolled in a course
d) For up to 30 days while the facility seeks a replacement
, COMAR 10.07.14.16(E)(2) allows an individual to serve temporarily for less than 45 days
due to a manager leaving employment, before hiring a permanent manager. The program
may request an extension for good cause.
5. According to COMAR 10.07.14.17, which course in the manager training curriculum
requires the most hours?
a) Dementia, mental health, and behavior management (12 hours)
b) Aging process and its impact (4 hours)
c) Clinical management (20 hours)
d) Nutrition and food safety (8 hours)
COMAR 10.07.14.17 specifies that Clinical Management requires 20 hours, making it the
largest component of the 80-hour curriculum. This includes medication management,
infection control, staffing patterns, and coordination of care.
6. How many hours of Department-approved continuing education are required for
Maryland assisted living managers every two years?
a) 10 hours
b) 15 hours
c) 20 hours
d) 30 hours
