KANSAS ADULT CARE HOME OPERATOR (ACHO)
EXAMINATION 300 MULTIPLE-CHOICE QUESTIONS WITH
ANSWERS AND RATIONALES
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SECTION 1: FACILITY TYPES AND DEFINITIONS (Questions 1-30)
1. Under Kansas law, "adult care home" includes which of the following facility
types?
A) Only nursing facilities
B) Only assisted living facilities
C) Nursing facilities, assisted living facilities, residential health care facilities, home
plus, boarding care homes, and adult day care
D) Hospitals and rehabilitation centers
Correct Answer: C
Rationale: Kansas law defines "adult care home" broadly to encompass nursing
facilities, nursing facilities for mental health, intermediate care facilities for
individuals with intellectual disability, assisted living facilities, residential health
care facilities, home plus, boarding care homes, and adult day care facilities . All
are classifications required to be licensed by the Secretary for Aging and Disability
Services.
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2. What is the minimum number of residents that defines a nursing facility under
Kansas law?
A) 4 or more individuals
B) 6 or more individuals
C) 10 or more individuals
D) 12 or more individuals
Correct Answer: B
Rationale: Under K.S.A. 39-923(2), a nursing facility is defined as any place or
facility operating 24 hours a day, seven days a week, caring for six or more
individuals not related within the third degree of relationship to the administrator
or owner by blood or marriage .
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3. What is the maximum number of residents in a traditional Home Plus facility?
A) 8 residents
B) 10 residents
C) 12 residents
D) 16 residents
,Correct Answer: C
Rationale: Under K.S.A. 39-923(7), a "home plus" is defined as any residence or
facility caring for not more than 12 individuals not related within the third degree
of relationship to the operator or owner by blood or marriage . Recent legislation
(HB 2520) has increased this cap to 16 residents .
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4. Which of the following is NOT a classification of adult care home under Kansas
law?
A) Nursing facility
B) Assisted living facility
C) Independent living facility
D) Intermediate care facility for individuals with intellectual disability
Correct Answer: C
Rationale: The defined classifications of adult care homes under K.S.A. 39-923
include nursing facility, nursing facility for mental health, intermediate care facility
for people with intellectual disability, assisted living facility, residential healthcare
facility, home plus, boarding care home, and adult day care facility. "Independent
living facility" is not itself a classification of adult care home .
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, 5. How many residents can a boarding care home serve under Kansas law?
A) Not more than 6 individuals
B) Not more than 8 individuals
C) Not more than 10 individuals
D) Not more than 12 individuals
Correct Answer: C
Rationale: Under K.S.A. 39-923(8), a boarding care home is defined as any place or
facility operating 24 hours a day, seven days a week, caring for not more than 10
individuals not related within the third degree of relationship to the operator or
owner by blood or marriage .
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6. What distinguishes an assisted living facility from other adult care homes?
A) It provides skilled nursing care only
B) It includes apartments for residents and provides or coordinates a range of
services including personal care or supervised nursing care available 24/7
C) It only serves residents with dementia
D) It operates less than 24 hours a day
Correct Answer: B
EXAMINATION 300 MULTIPLE-CHOICE QUESTIONS WITH
ANSWERS AND RATIONALES
---
SECTION 1: FACILITY TYPES AND DEFINITIONS (Questions 1-30)
1. Under Kansas law, "adult care home" includes which of the following facility
types?
A) Only nursing facilities
B) Only assisted living facilities
C) Nursing facilities, assisted living facilities, residential health care facilities, home
plus, boarding care homes, and adult day care
D) Hospitals and rehabilitation centers
Correct Answer: C
Rationale: Kansas law defines "adult care home" broadly to encompass nursing
facilities, nursing facilities for mental health, intermediate care facilities for
individuals with intellectual disability, assisted living facilities, residential health
care facilities, home plus, boarding care homes, and adult day care facilities . All
are classifications required to be licensed by the Secretary for Aging and Disability
Services.
,---
2. What is the minimum number of residents that defines a nursing facility under
Kansas law?
A) 4 or more individuals
B) 6 or more individuals
C) 10 or more individuals
D) 12 or more individuals
Correct Answer: B
Rationale: Under K.S.A. 39-923(2), a nursing facility is defined as any place or
facility operating 24 hours a day, seven days a week, caring for six or more
individuals not related within the third degree of relationship to the administrator
or owner by blood or marriage .
---
3. What is the maximum number of residents in a traditional Home Plus facility?
A) 8 residents
B) 10 residents
C) 12 residents
D) 16 residents
,Correct Answer: C
Rationale: Under K.S.A. 39-923(7), a "home plus" is defined as any residence or
facility caring for not more than 12 individuals not related within the third degree
of relationship to the operator or owner by blood or marriage . Recent legislation
(HB 2520) has increased this cap to 16 residents .
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4. Which of the following is NOT a classification of adult care home under Kansas
law?
A) Nursing facility
B) Assisted living facility
C) Independent living facility
D) Intermediate care facility for individuals with intellectual disability
Correct Answer: C
Rationale: The defined classifications of adult care homes under K.S.A. 39-923
include nursing facility, nursing facility for mental health, intermediate care facility
for people with intellectual disability, assisted living facility, residential healthcare
facility, home plus, boarding care home, and adult day care facility. "Independent
living facility" is not itself a classification of adult care home .
---
, 5. How many residents can a boarding care home serve under Kansas law?
A) Not more than 6 individuals
B) Not more than 8 individuals
C) Not more than 10 individuals
D) Not more than 12 individuals
Correct Answer: C
Rationale: Under K.S.A. 39-923(8), a boarding care home is defined as any place or
facility operating 24 hours a day, seven days a week, caring for not more than 10
individuals not related within the third degree of relationship to the operator or
owner by blood or marriage .
---
6. What distinguishes an assisted living facility from other adult care homes?
A) It provides skilled nursing care only
B) It includes apartments for residents and provides or coordinates a range of
services including personal care or supervised nursing care available 24/7
C) It only serves residents with dementia
D) It operates less than 24 hours a day
Correct Answer: B
