Maryland Assisted Living Manager Exam Questions
And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
1. What is the minimum age requirement to be a Maryland Assisted Living
Manager?
A. 18
B. 21
C. 25
D. No age requirement
Rationale: 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. 20
B. 80
C. 40
D. 60
Rationale: The Maryland Office of Health Care Quality mandates 80 hours of
manager training before assuming full responsibilities.
, 3. How often must the delegating nurse conduct on-site visits in Level 3
assisted living facilities?
A. Annually
B. Every 6 months
C. Every 45 days
D. Weekly
Rationale: For Level 3 facilities, delegating nurses must visit residents and review
care every 45 days to ensure proper delegation and care delivery.
4. Which document outlines each resident's medical, psychological, and
functional capabilities?
A. Medication Administration Record
B. Caregiver Evaluation
C. Service Plan
D. Resident Financial Agreement
Rationale: The service plan is a required document that details a resident’s needs
and the services provided.
5. How long must resident records be retained after discharge or death in
Maryland?
A. 1 year
B. 5 years
,C. 3 years
D. 10 years
Rationale: Maryland regulations require resident records to be kept for at least 5
years after discharge or death.
6. Who is responsible for ensuring the health and safety of residents in an
assisted living facility?
A. The dietary staff
B. The nurse aide
C. The state surveyor
D. The Assisted Living Manager
Rationale: The manager has legal and regulatory responsibility for residents’
health and safety.
7. What is the maximum number of residents allowed in a Level 1 Maryland
ALF?
A. 4
B. 5
C. 9
D. Unlimited
Rationale: Level 1 homes are typically small, with a cap of 5 residents who need
low-level care.
, 8. What must be documented within 48 hours of a resident's admission?
A. Financial agreement
B. Resident Assessment
C. House rules
D. Emergency contacts
Rationale: A complete resident assessment must be conducted within 48 hours to
determine the level of care needed.
9. Which agency regulates Maryland Assisted Living Facilities?
A. Maryland Department of Aging
B. Office of Health Care Quality (OHCQ)
C. Department of Social Services
D. Department of Public Health
Rationale: OHCQ is the regulatory authority overseeing licensure and compliance
for assisted living facilities.
10.How often should the resident's service plan be reviewed?
A. Annually
B. Every 2 years
C. Every 6 months or with a significant change
D. Monthly
Rationale: Service plans must be reviewed at least every 6 months or when there's
a change in the resident’s condition.
And Correct Answers (Verified Answers) Plus
Rationales 2025/2026 Q&A | Instant Download Pdf
1. What is the minimum age requirement to be a Maryland Assisted Living
Manager?
A. 18
B. 21
C. 25
D. No age requirement
Rationale: 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. 20
B. 80
C. 40
D. 60
Rationale: The Maryland Office of Health Care Quality mandates 80 hours of
manager training before assuming full responsibilities.
, 3. How often must the delegating nurse conduct on-site visits in Level 3
assisted living facilities?
A. Annually
B. Every 6 months
C. Every 45 days
D. Weekly
Rationale: For Level 3 facilities, delegating nurses must visit residents and review
care every 45 days to ensure proper delegation and care delivery.
4. Which document outlines each resident's medical, psychological, and
functional capabilities?
A. Medication Administration Record
B. Caregiver Evaluation
C. Service Plan
D. Resident Financial Agreement
Rationale: The service plan is a required document that details a resident’s needs
and the services provided.
5. How long must resident records be retained after discharge or death in
Maryland?
A. 1 year
B. 5 years
,C. 3 years
D. 10 years
Rationale: Maryland regulations require resident records to be kept for at least 5
years after discharge or death.
6. Who is responsible for ensuring the health and safety of residents in an
assisted living facility?
A. The dietary staff
B. The nurse aide
C. The state surveyor
D. The Assisted Living Manager
Rationale: The manager has legal and regulatory responsibility for residents’
health and safety.
7. What is the maximum number of residents allowed in a Level 1 Maryland
ALF?
A. 4
B. 5
C. 9
D. Unlimited
Rationale: Level 1 homes are typically small, with a cap of 5 residents who need
low-level care.
, 8. What must be documented within 48 hours of a resident's admission?
A. Financial agreement
B. Resident Assessment
C. House rules
D. Emergency contacts
Rationale: A complete resident assessment must be conducted within 48 hours to
determine the level of care needed.
9. Which agency regulates Maryland Assisted Living Facilities?
A. Maryland Department of Aging
B. Office of Health Care Quality (OHCQ)
C. Department of Social Services
D. Department of Public Health
Rationale: OHCQ is the regulatory authority overseeing licensure and compliance
for assisted living facilities.
10.How often should the resident's service plan be reviewed?
A. Annually
B. Every 2 years
C. Every 6 months or with a significant change
D. Monthly
Rationale: Service plans must be reviewed at least every 6 months or when there's
a change in the resident’s condition.
