CA NURSING HOME ADMINISTRATOR LICENSE COMPLETE
EXAM MASTERY GUIDE WITH VERIFIED ANSWERS (2025–2026)
Bowel and bladder management program is to begin - correct answer -2 weeks after admission
(weekly notes, review every 30 days)
ICF - correct answer -intermediate care facility; long term custodial care
Facility characteristics (demographic) - correct answer -info about resident populations %
compared to others in the state
Facility quality indicator profile - correct answer -shows each QI (24), the facility % and how
facility compares to the state %
Resident level summary - correct answer -lists each resident by name, assessment date an
reason for assessment; each of the 24 QI's are listed with
Written maintenance manual required for - correct answer -heating, a/c and ventilation
systems (HVAC)
Information NOT required to be posted - correct answer -HCFA Regional Office
Must be posted per OBRA - correct answer -Medicaid Fraud Unit
What happens if facility is not in substantial compliance in 6 months? - correct answer -23- day
fast track to termination
What happens if not in compliance after 3 months? - correct answer -Stop payment of new
admissions
,If a B Citation of $200 is received and facility chooses not to contest? - correct answer -Pay $50
in 4 business days
If A Citation and facility chooses not to contest? - correct answer -$1000 pay in 4 business days
Temperature of pipes - correct answer -105-120
Which equipment requires hospital grade 3- prong plug? - correct answer -oxygen equipment
What survey follows a standard survey? - correct answer -extended survey - within 14 days of
standard
Who approves administrative policies and procedures? - correct answer -governing body or
licensee
Medical director - correct answer -only reviews and evaluate P&P
Who authorizes conversion of utility room to office? - correct answer -dept of health
How long are records kept relating to drugs return to pharmacy in an ICF? - correct answer -3
years - Pharmacist and RN signatures required
Storage of non legend drugs at bedside must meet all requirements - correct answer -prevent
access by other patients, record in patient health record, quantity stored shall be recorded
Non legend drugs - correct answer -does not have to be ordered
,Medical director acts as a liaison b/n - correct answer -Administrator and attending physician
Consultant to DON; review and evaluate administrative and PCP P&P's; reviews employee's pre-
employment and annual health exams - correct answer -Medical director
Isolation bed ration in ICF? - correct answer -1:35 (same as SNF)
PCP committee includes - correct answer -DON, activity leader, pharmacist plus Administrator
and at least 1 physician
How many secs. emergency generator required to come on after power failure? - correct
answer -10 seconds
Emergency generator must last how long? - correct answer -6 hours; be tested every 14 days
for 30 mins
Upon change of attending physician - correct answer -patient evaluation review of orders for
care and treatment
For what size facility is an RN required at all times + DON - correct answer -100+ beds
59 or less - correct answer -RN or LVN (now may be charge nurse)
60-99 - correct answer -RN or LVN + DON
Who holds final responsibility for the care of patients in an ICF? - correct answer -Physician
, Physician visits - correct answer -at least every 60 day
Who should screen patients for admission? - correct answer -Administrator or designee
Unusual occurrences needs to be reported - correct answer -in 24 hours - Confirm in writing by
phone or telegraphy
Unusual occurrence reports shall be retained for - correct answer -1 year
Unusual occurrence reports within how many days? - correct answer -5 days
3 committees required - correct answer -PCP committee, Infection control (quarterly meetings),
Pharmaceutical (PIP)
Patients' rights in ICF do not include? - correct answer -setting visiting hours
Patients' rights in ICF do not include? - correct answer -setting visiting hours
Can patient funds be mingled between facilities? - correct answer -no
After d/c advance rent paid must be returned within - correct answer -2 weeks (not 14 days)
An Administrator can act as a patient's representative or manage the estate if - correct answer -
blood relative (2nd degree of consanguinity)
EXAM MASTERY GUIDE WITH VERIFIED ANSWERS (2025–2026)
Bowel and bladder management program is to begin - correct answer -2 weeks after admission
(weekly notes, review every 30 days)
ICF - correct answer -intermediate care facility; long term custodial care
Facility characteristics (demographic) - correct answer -info about resident populations %
compared to others in the state
Facility quality indicator profile - correct answer -shows each QI (24), the facility % and how
facility compares to the state %
Resident level summary - correct answer -lists each resident by name, assessment date an
reason for assessment; each of the 24 QI's are listed with
Written maintenance manual required for - correct answer -heating, a/c and ventilation
systems (HVAC)
Information NOT required to be posted - correct answer -HCFA Regional Office
Must be posted per OBRA - correct answer -Medicaid Fraud Unit
What happens if facility is not in substantial compliance in 6 months? - correct answer -23- day
fast track to termination
What happens if not in compliance after 3 months? - correct answer -Stop payment of new
admissions
,If a B Citation of $200 is received and facility chooses not to contest? - correct answer -Pay $50
in 4 business days
If A Citation and facility chooses not to contest? - correct answer -$1000 pay in 4 business days
Temperature of pipes - correct answer -105-120
Which equipment requires hospital grade 3- prong plug? - correct answer -oxygen equipment
What survey follows a standard survey? - correct answer -extended survey - within 14 days of
standard
Who approves administrative policies and procedures? - correct answer -governing body or
licensee
Medical director - correct answer -only reviews and evaluate P&P
Who authorizes conversion of utility room to office? - correct answer -dept of health
How long are records kept relating to drugs return to pharmacy in an ICF? - correct answer -3
years - Pharmacist and RN signatures required
Storage of non legend drugs at bedside must meet all requirements - correct answer -prevent
access by other patients, record in patient health record, quantity stored shall be recorded
Non legend drugs - correct answer -does not have to be ordered
,Medical director acts as a liaison b/n - correct answer -Administrator and attending physician
Consultant to DON; review and evaluate administrative and PCP P&P's; reviews employee's pre-
employment and annual health exams - correct answer -Medical director
Isolation bed ration in ICF? - correct answer -1:35 (same as SNF)
PCP committee includes - correct answer -DON, activity leader, pharmacist plus Administrator
and at least 1 physician
How many secs. emergency generator required to come on after power failure? - correct
answer -10 seconds
Emergency generator must last how long? - correct answer -6 hours; be tested every 14 days
for 30 mins
Upon change of attending physician - correct answer -patient evaluation review of orders for
care and treatment
For what size facility is an RN required at all times + DON - correct answer -100+ beds
59 or less - correct answer -RN or LVN (now may be charge nurse)
60-99 - correct answer -RN or LVN + DON
Who holds final responsibility for the care of patients in an ICF? - correct answer -Physician
, Physician visits - correct answer -at least every 60 day
Who should screen patients for admission? - correct answer -Administrator or designee
Unusual occurrences needs to be reported - correct answer -in 24 hours - Confirm in writing by
phone or telegraphy
Unusual occurrence reports shall be retained for - correct answer -1 year
Unusual occurrence reports within how many days? - correct answer -5 days
3 committees required - correct answer -PCP committee, Infection control (quarterly meetings),
Pharmaceutical (PIP)
Patients' rights in ICF do not include? - correct answer -setting visiting hours
Patients' rights in ICF do not include? - correct answer -setting visiting hours
Can patient funds be mingled between facilities? - correct answer -no
After d/c advance rent paid must be returned within - correct answer -2 weeks (not 14 days)
An Administrator can act as a patient's representative or manage the estate if - correct answer -
blood relative (2nd degree of consanguinity)
