RCFE STATE LICENSING EXAM PRACTICE 2026 COMPLETE
(105) CURRENT TESTING QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES.
LICENSING
Prepare for the RCFE State Licensing Exam with this comprehensive practice resource
designed to reinforce essential Residential Care Facility for the Elderly (RCFE)
regulations, resident care standards, medication management, dementia care,
residents’ rights, safety procedures, and state licensing requirements. This document
helps you review key topics, assess your understanding, and identify areas that may
require additional study before the licensing exam. Use it to strengthen your
knowledge and build confidence through focused, organized preparation. An excellent
companion for successful RCFE State Licensing exam preparation.
MULTIPLE CHOICE.
Question 1: A change of administrator in an RCFE requires written notification
to the licensing agency within how many working days?
A. 7 days
B. 15 days
C. 30 days
D. 60 days
Correct answer: C. 30 days
Rationale: A change in administrator requires written notification to the
licensing agency within 30 working days .
Question 2: In facilities licensed for 16 to 100 residents, what are the night
supervision staffing requirements?
A. One awake staff member on the premises and one employee on call
B. Two awake staff members on the premises
C. One awake staff member only
D. Staff on call only
Correct answer: A. One awake staff member on the premises and one
employee on call
Rationale: In facilities licensed for 16 to 100 residents, night staff must
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include one qualified person on duty on the premises and awake, and one
employee on call and capable of responding within 10 minutes .
Question 3: How often must bed linens be changed in an RCFE?
A. Twice a month
B. Once a week
C. Every two weeks
D. Once a month
Correct answer: B. Once a week
Rationale: Bed linens shall be changed at a minimum of once a week .
Question 4: The final rinse cycle of a dishwasher must reach a minimum of
what temperature, or disinfect by using a sanitizing agent?
A. 160°F
B. 165°F
C. 170°F
D. 175°F
Correct answer: C. 170°F
Rationale: The final rinse cycle of a dishwasher must reach a minimum of
170°F or disinfect by using a sanitizing agent .
Question 5: Who is considered to be "an appropriately skilled professional"
for the purposes of RCFE care?
A. CNA
B. Certified Administrator
C. RN
D. All of the above
Correct answer: D. All of the above
Rationale: RN, CNA, and Certified Administrator are all considered
appropriately skilled professionals .
Question 6: Prior to a person's acceptance as a resident, the licensee shall
obtain documentation of a medical assessment signed by a physician, made
within the last how many months?
A. 6 months
B. 12 months
C. 18 months
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D. 24 months
Correct answer: B. 12 months
Rationale: Prior to acceptance, the licensee must obtain a medical
assessment signed by a physician made within the last 12 months .
Question 7: Refrigerators in an RCFE shall maintain a maximum temperature
of what degree Fahrenheit?
A. 32°F
B. 36°F
C. 40°F
D. 45°F
Correct answer: C. 40°F
Rationale: Refrigerators shall maintain a maximum temperature of 40°F .
Question 8: At least one bathtub or shower is required for how many persons?
A. 5 persons
B. 6 persons
C. 10 persons
D. 15 persons
Correct answer: C. 10 persons
Rationale: At least one bathtub or shower is required for each 10 persons,
which includes residents, family, and live-in personnel .
Question 9: How many days of perishable food supply must be maintained in
the facility?
A. 1 day
B. 2 days
C. 3 days
D. 7 days
Correct answer: B. 2 days
Rationale: A 2-day supply of perishable food must be maintained in the
facility .
Question 10: What is the maximum number of residents who may sleep in a
bedroom?
A. 1 resident
B. 2 residents