MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR|| NEWEST EXAM
MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR|| NEWEST EXAM
Question 1: Under Minnesota Statute 144G.10, what are the minimum requirements to be
licensed as an Assisted Living Director (ALD)?
A. 21 years old, high school diploma, complete 30-hour ALD course and pass exam, background study
B. 18 years old, no education required
C. Must be a registered nurse
D. Must be a physician
Answer:
A. Rationale: Per MN Statute 144G.10 and MN Rules 4659, ALD must be at least 21 years of age, possess
high school diploma/GED or higher, complete Board-approved 30-hour Assisted Living Director course
covering 144G regulations, resident rights, dementia care, staffing, financial management, pass MN ALD
licensing exam with 75%, complete NETStudy 2.0 background study with no disqualifying offenses, and
2,000 hours experience in health care or housing with services within past 5 years. Must maintain 20
hours continuing education every 2 years. Effective 2021 new 144G law.
Question 2: According to MN 144G.41, what is required for an assisted living facility license?
A. No license required
B. License from Minnesota Department of Health (MDH) required, cannot operate without it, must meet
physical plant, staffing, and service requirements
C. Only city license required
D. Federal license only
Answer:
B. Rationale: Under MN 144G.41, all assisted living facilities must be licensed by Minnesota Department
of Health (MDH) Health Regulation Division. Two license types: Assisted Living Facility (ALF) and
Assisted Living Facility with Dementia Care (ALFDC) requiring additional dementia training and physical
plant standards. Must submit application, fees, floor plans, policies, staffing plan, background studies,
proof of financial capacity. Must renew annually, allow surveys. Operating without license is
misdemeanor.
Question 3: What are resident rights under Minnesota Statute 144G.90?
A. No rights specified
B. Right to be free from maltreatment, right to privacy, dignity, confidentiality, participate in care
planning, file complaints without retaliation, manage own finances, visitors, etc.
C. Only right to food
D. Rights can be waived by facility
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,MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR|| NEWEST EXAM
Answer:
B. Rationale: MN 144G.90 Resident Bill of Rights includes: freedom from maltreatment (abuse, neglect,
financial exploitation) per 626.557 Vulnerable Adult Act, right to privacy, dignity, respect, confidentiality
of records, right to participate in development of service plan, right to refuse treatment, right to manage
own finances or choose designee, right to have visitors, right to file complaints with MDH Office of
Health Facility Complaints (OHFC) and Ombudsman without retaliation, right to receive 30-day notice of
termination except emergency. Must be posted and given to resident at admission.
Question 4: What is required in the Uniform Consumer Information Guide (UCIG) per 144G.52?
A. Not required
B. Must be provided to prospective residents including services offered, base rates, staffing, licensure
status, survey results, contact info for MDH and Ombudsman
C. Only rates required
D. Only facility name
Answer:
B. Rationale: Per 144G.52, facility must provide Uniform Consumer Information Guide (UCIG) developed
by MDH to all prospective residents before signing contract. Must include: facility name, address, license
type and status, services offered (housing, health-related, supportive), staffing pattern, RN availability,
base rate and additional fees, payment sources accepted, MDH survey results and complaint findings,
contact for MDH and Ombudsman for Long-Term Care, statement of resident rights. Must be updated
annually.
Question 5: Under MN 144G.70, what are requirements for initial assessment and service plan?
A. No assessment needed
B. RN must conduct initial assessment within 14 days prior to or 5 days after move-in, service plan
developed within 14 days of assessment, reassessment at least every 90 days or change of condition,
must include ADLs, IADLs, health needs, preferences
C. Assessment after 60 days
D. Only CNAs can assess
Answer:
B. Rationale: Per 144G.70 and 144G.71, RN must conduct comprehensive initial assessment using tool
that evaluates physical, mental, cognitive, functional status, ADLs (bathing, dressing, toileting, eating,
mobility), IADLs, medications, health conditions, risks, preferences, and need for dementia care. Must be
done no earlier than 14 days before move-in or no later than 5 days after. Service plan (person-centered)
developed within 14 days of assessment, signed by resident/representative, reviewed at least every 90
days or with significant change. Must be implemented and staff trained on plan.
Question 6: What are staffing requirements for assisted living in Minnesota per 144G.80?
A. No staffing requirements
B. Must have sufficient qualified staff to meet scheduled and unscheduled needs, RN must be available
for consultation, direct care staff must have 8 hours initial training plus 8 hours dementia training within
160 hours, staff must pass background study
C. Only one staff per 100 residents
D. No training required
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,MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR|| NEWEST EXAM
Answer:
B. Rationale: Per 144G.80, facility must have sufficient staff with competencies to meet resident needs
24/7 including scheduled and unscheduled needs. Direct care staff minimum 8 hours initial training
within first 120 hours covering 144G regulations, resident rights, VAA, emergency procedures, infection
control, plus 8 hours dementia training within first 160 hours if serving dementia residents. Additional
annual training 8 hours. All staff must have completed NETStudy 2.0 background study with no
disqualification, no disqualifying offenses. RN must be available for consultation and to conduct
assessments, care coordination. ALFDC must have at least one staff awake 24/7 and dementia-trained.
Question 7: What is required for medication management in assisted living per 144G.71 Subd.
2?
A. No medication management allowed
B. Unlicensed staff may administer medications after training and delegation by RN, must follow 7
rights, document, store properly, controlled substances double-locked, RN must do medication
reconciliation and review monthly
C. Anyone can give meds without training
D. No documentation needed
Answer:
B. Rationale: Per 144G.71 and MN Rules 4659, unlicensed personnel may administer medications if
trained (medication administration training course 4-6 hours), competency verified, and delegated by RN
per Nurse Practice Act 148.211. Must follow 7 rights (right resident, drug, dose, time, route,
documentation, reason), store medications properly labeled, controlled substances double-locked with
counts each shift, refrigeration if needed. RN must complete medication reconciliation at move-in,
change of condition, and monthly medication review for appropriateness, side effects, interactions. PRN
medications must have parameters.
Question 8: Under Minnesota Vulnerable Adult Act 626.557, what is mandated reporting
requirement for ALD?
A. No reporting required
B. ALD and all staff are mandated reporters must report suspected maltreatment (abuse, neglect,
financial exploitation) immediately to Minnesota Adult Abuse Reporting Center (MAARC)
1-844-880-1574 within 24 hours
C. Report only if witnessed
D. Report after 1 week
Answer:
B. Rationale: Per MN Statute 626.557 Vulnerable Adult Act and 144G.90, all facility staff including ALD are
mandated reporters. Must report immediately suspected maltreatment (physical abuse, neglect, financial
exploitation, sexual abuse) to MAARC common entry point. Failure to report is misdemeanor. Facility
must also report internally and to MDH OHFC. Must have policies for reporting, investigation, protection
of vulnerable adult, retraining. Retaliation prohibited. MDH investigates and may issue correction orders,
fines.
Question 9: What are requirements for dementia care license ALFDC per 144G.20 and 144G.81?
A. Same as regular ALF
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, MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR|| NEWEST EXAM
B. Additional requirements: secure egress, dementia-specific training for all staff (8 hours initial plus 8
hours annually), activities tailored to dementia, RN with dementia training, environmental design to
reduce confusion, door alarms, person-centered care for BPSD
C. No extra training
D. Can lock residents in rooms
Answer:
B. Rationale: ALF with Dementia Care (ALFDC) per 144G.20 Subd. 4 requires: physical plant with secured
perimeter, door alarms/coded doors to prevent elopement but allow freedom, visual cues, safe outdoor
space, additional staffing awake 24/7, all direct care staff must have 8 hours dementia training within 160
hours and 8 hours annually covering dementia types, BPSD behavioral psychological symptoms,
person-centered approaches, communication, de-escalation, Activities must be dementia-specific
meaningful. RN must have dementia care competency. Cannot lock in rooms - least restrictive
environment. Must have dementia care policies approved by MDH.
Question 10: What is required for termination of housing with services per 144G.55?
A. Can terminate immediately for any reason
B. Must give 30-day written notice except emergency (imminent risk, non-payment, failure to comply
with medical orders, facility closure) with reasons, appeal rights, and 60-day notice if facility closes or
changes ownership. Must provide information on Ombudsman and MDH.
C. No notice required
D. Only verbal notice
Answer:
B. Rationale: Per 144G.55, facility may only terminate housing or services for: nonpayment, violation of
contract, failure to comply with health needs, facility unable to meet needs, or imminent risk. Must
provide 30-day written notice with specific reasons, effective date, right to appeal and request
reconsideration within 15 days, contact for Ombudsman for Long-Term Care and MDH, and information
about relocation assistance. Emergency termination allowed with 15-day notice if imminent risk of harm.
If facility closes, 60-day notice required. Must have discharge planning. Retaliation prohibited.
Question 11: What are requirements for handling resident grievances per 144G.90?
A. Ignore grievances
B. Must have written grievance policy, inform residents of right to file grievance without retaliation,
investigate, resolve within 14 days, document outcome, inform resident of right to file complaint with
MDH and Ombudsman
C. Only verbal complaints accepted
D. Retaliation allowed
Answer:
B. Rationale: Per 144G.90 and 144G.91, facility must have written grievance/complaint policy, inform
residents at admission of right to file grievance internally and externally with MDH OHFC and
Ombudsman for Long-Term Care without fear of retaliation. Must investigate grievances promptly,
attempt resolution within 14 days, document complaint, investigation, resolution, and notify
resident/representative of outcome. Must post MDH and Ombudsman contact info. Retaliation prohibited
and subject to penalties.
Page 4
MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS
YEAR|| NEWEST EXAM
Question 1: Under Minnesota Statute 144G.10, what are the minimum requirements to be
licensed as an Assisted Living Director (ALD)?
A. 21 years old, high school diploma, complete 30-hour ALD course and pass exam, background study
B. 18 years old, no education required
C. Must be a registered nurse
D. Must be a physician
Answer:
A. Rationale: Per MN Statute 144G.10 and MN Rules 4659, ALD must be at least 21 years of age, possess
high school diploma/GED or higher, complete Board-approved 30-hour Assisted Living Director course
covering 144G regulations, resident rights, dementia care, staffing, financial management, pass MN ALD
licensing exam with 75%, complete NETStudy 2.0 background study with no disqualifying offenses, and
2,000 hours experience in health care or housing with services within past 5 years. Must maintain 20
hours continuing education every 2 years. Effective 2021 new 144G law.
Question 2: According to MN 144G.41, what is required for an assisted living facility license?
A. No license required
B. License from Minnesota Department of Health (MDH) required, cannot operate without it, must meet
physical plant, staffing, and service requirements
C. Only city license required
D. Federal license only
Answer:
B. Rationale: Under MN 144G.41, all assisted living facilities must be licensed by Minnesota Department
of Health (MDH) Health Regulation Division. Two license types: Assisted Living Facility (ALF) and
Assisted Living Facility with Dementia Care (ALFDC) requiring additional dementia training and physical
plant standards. Must submit application, fees, floor plans, policies, staffing plan, background studies,
proof of financial capacity. Must renew annually, allow surveys. Operating without license is
misdemeanor.
Question 3: What are resident rights under Minnesota Statute 144G.90?
A. No rights specified
B. Right to be free from maltreatment, right to privacy, dignity, confidentiality, participate in care
planning, file complaints without retaliation, manage own finances, visitors, etc.
C. Only right to food
D. Rights can be waived by facility
Page 1
,MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR|| NEWEST EXAM
Answer:
B. Rationale: MN 144G.90 Resident Bill of Rights includes: freedom from maltreatment (abuse, neglect,
financial exploitation) per 626.557 Vulnerable Adult Act, right to privacy, dignity, respect, confidentiality
of records, right to participate in development of service plan, right to refuse treatment, right to manage
own finances or choose designee, right to have visitors, right to file complaints with MDH Office of
Health Facility Complaints (OHFC) and Ombudsman without retaliation, right to receive 30-day notice of
termination except emergency. Must be posted and given to resident at admission.
Question 4: What is required in the Uniform Consumer Information Guide (UCIG) per 144G.52?
A. Not required
B. Must be provided to prospective residents including services offered, base rates, staffing, licensure
status, survey results, contact info for MDH and Ombudsman
C. Only rates required
D. Only facility name
Answer:
B. Rationale: Per 144G.52, facility must provide Uniform Consumer Information Guide (UCIG) developed
by MDH to all prospective residents before signing contract. Must include: facility name, address, license
type and status, services offered (housing, health-related, supportive), staffing pattern, RN availability,
base rate and additional fees, payment sources accepted, MDH survey results and complaint findings,
contact for MDH and Ombudsman for Long-Term Care, statement of resident rights. Must be updated
annually.
Question 5: Under MN 144G.70, what are requirements for initial assessment and service plan?
A. No assessment needed
B. RN must conduct initial assessment within 14 days prior to or 5 days after move-in, service plan
developed within 14 days of assessment, reassessment at least every 90 days or change of condition,
must include ADLs, IADLs, health needs, preferences
C. Assessment after 60 days
D. Only CNAs can assess
Answer:
B. Rationale: Per 144G.70 and 144G.71, RN must conduct comprehensive initial assessment using tool
that evaluates physical, mental, cognitive, functional status, ADLs (bathing, dressing, toileting, eating,
mobility), IADLs, medications, health conditions, risks, preferences, and need for dementia care. Must be
done no earlier than 14 days before move-in or no later than 5 days after. Service plan (person-centered)
developed within 14 days of assessment, signed by resident/representative, reviewed at least every 90
days or with significant change. Must be implemented and staff trained on plan.
Question 6: What are staffing requirements for assisted living in Minnesota per 144G.80?
A. No staffing requirements
B. Must have sufficient qualified staff to meet scheduled and unscheduled needs, RN must be available
for consultation, direct care staff must have 8 hours initial training plus 8 hours dementia training within
160 hours, staff must pass background study
C. Only one staff per 100 residents
D. No training required
Page 2
,MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR|| NEWEST EXAM
Answer:
B. Rationale: Per 144G.80, facility must have sufficient staff with competencies to meet resident needs
24/7 including scheduled and unscheduled needs. Direct care staff minimum 8 hours initial training
within first 120 hours covering 144G regulations, resident rights, VAA, emergency procedures, infection
control, plus 8 hours dementia training within first 160 hours if serving dementia residents. Additional
annual training 8 hours. All staff must have completed NETStudy 2.0 background study with no
disqualification, no disqualifying offenses. RN must be available for consultation and to conduct
assessments, care coordination. ALFDC must have at least one staff awake 24/7 and dementia-trained.
Question 7: What is required for medication management in assisted living per 144G.71 Subd.
2?
A. No medication management allowed
B. Unlicensed staff may administer medications after training and delegation by RN, must follow 7
rights, document, store properly, controlled substances double-locked, RN must do medication
reconciliation and review monthly
C. Anyone can give meds without training
D. No documentation needed
Answer:
B. Rationale: Per 144G.71 and MN Rules 4659, unlicensed personnel may administer medications if
trained (medication administration training course 4-6 hours), competency verified, and delegated by RN
per Nurse Practice Act 148.211. Must follow 7 rights (right resident, drug, dose, time, route,
documentation, reason), store medications properly labeled, controlled substances double-locked with
counts each shift, refrigeration if needed. RN must complete medication reconciliation at move-in,
change of condition, and monthly medication review for appropriateness, side effects, interactions. PRN
medications must have parameters.
Question 8: Under Minnesota Vulnerable Adult Act 626.557, what is mandated reporting
requirement for ALD?
A. No reporting required
B. ALD and all staff are mandated reporters must report suspected maltreatment (abuse, neglect,
financial exploitation) immediately to Minnesota Adult Abuse Reporting Center (MAARC)
1-844-880-1574 within 24 hours
C. Report only if witnessed
D. Report after 1 week
Answer:
B. Rationale: Per MN Statute 626.557 Vulnerable Adult Act and 144G.90, all facility staff including ALD are
mandated reporters. Must report immediately suspected maltreatment (physical abuse, neglect, financial
exploitation, sexual abuse) to MAARC common entry point. Failure to report is misdemeanor. Facility
must also report internally and to MDH OHFC. Must have policies for reporting, investigation, protection
of vulnerable adult, retraining. Retaliation prohibited. MDH investigates and may issue correction orders,
fines.
Question 9: What are requirements for dementia care license ALFDC per 144G.20 and 144G.81?
A. Same as regular ALF
Page 3
, MINNESOTA ASSISTED LIVING DIRECTOR (ALD) LICENSING EXAMINATION COMPLETE QUESTIONS AND DETAILED SOLUTIONS LATEST UPDATE THIS YEAR|| NEWEST EXAM
B. Additional requirements: secure egress, dementia-specific training for all staff (8 hours initial plus 8
hours annually), activities tailored to dementia, RN with dementia training, environmental design to
reduce confusion, door alarms, person-centered care for BPSD
C. No extra training
D. Can lock residents in rooms
Answer:
B. Rationale: ALF with Dementia Care (ALFDC) per 144G.20 Subd. 4 requires: physical plant with secured
perimeter, door alarms/coded doors to prevent elopement but allow freedom, visual cues, safe outdoor
space, additional staffing awake 24/7, all direct care staff must have 8 hours dementia training within 160
hours and 8 hours annually covering dementia types, BPSD behavioral psychological symptoms,
person-centered approaches, communication, de-escalation, Activities must be dementia-specific
meaningful. RN must have dementia care competency. Cannot lock in rooms - least restrictive
environment. Must have dementia care policies approved by MDH.
Question 10: What is required for termination of housing with services per 144G.55?
A. Can terminate immediately for any reason
B. Must give 30-day written notice except emergency (imminent risk, non-payment, failure to comply
with medical orders, facility closure) with reasons, appeal rights, and 60-day notice if facility closes or
changes ownership. Must provide information on Ombudsman and MDH.
C. No notice required
D. Only verbal notice
Answer:
B. Rationale: Per 144G.55, facility may only terminate housing or services for: nonpayment, violation of
contract, failure to comply with health needs, facility unable to meet needs, or imminent risk. Must
provide 30-day written notice with specific reasons, effective date, right to appeal and request
reconsideration within 15 days, contact for Ombudsman for Long-Term Care and MDH, and information
about relocation assistance. Emergency termination allowed with 15-day notice if imminent risk of harm.
If facility closes, 60-day notice required. Must have discharge planning. Retaliation prohibited.
Question 11: What are requirements for handling resident grievances per 144G.90?
A. Ignore grievances
B. Must have written grievance policy, inform residents of right to file grievance without retaliation,
investigate, resolve within 14 days, document outcome, inform resident of right to file complaint with
MDH and Ombudsman
C. Only verbal complaints accepted
D. Retaliation allowed
Answer:
B. Rationale: Per 144G.90 and 144G.91, facility must have written grievance/complaint policy, inform
residents at admission of right to file grievance internally and externally with MDH OHFC and
Ombudsman for Long-Term Care without fear of retaliation. Must investigate grievances promptly,
attempt resolution within 14 days, document complaint, investigation, resolution, and notify
resident/representative of outcome. Must post MDH and Ombudsman contact info. Retaliation prohibited
and subject to penalties.
Page 4
