MARYLAND ASSISTED LIVING MANAGER
FINAL EXAM Comprehensive State
Certification Review 2026 Edition | Verified
Questions with Detailed Rationales
Core Domains Covered:
Domain I: Regulatory Framework & COMAR (15 questions)
• COMAR regulations and requirements
• Licensing and certification standards
• Facility classifications and capacity limits
• State oversight and inspection processes
Domain II: Resident Rights & Protection (15 questions)
• Resident Bill of Rights
• Abuse, neglect, and exploitation prevention
• Confidentiality and privacy
• Risk agreements and informed consent
Domain III: Service Planning & Assessment (15 questions)
• Initial and ongoing assessments
• Service plan development and implementation
• Reassessment requirements and timelines
• Delegating nurse responsibilities
Domain IV: Medication Management (10 questions)
• Medication administration and storage
• Delegation of medication tasks
, • Documentation and recordkeeping
• Medication errors and reporting
Domain V: Staffing, Training & Supervision (10 questions)
• Staff qualifications and ratios
• Continuing education requirements
• Training programs and competencies
• Staff supervision and evaluation
Domain VI: Physical Plant & Safety (10 questions)
• Environmental safety requirements
• Emergency preparedness and evacuation
• Fire safety and building codes
• Infection control and sanitation
Domain VII: Health Monitoring & Resident Care (10 questions)
• Health status monitoring
• Care for chronic conditions
• Fall prevention and safety
• Nutrition and dietary services
Domain VIII: Admissions, Transfers & Discharge (5 questions)
• Admission criteria and process
• Resident agreements
• Transfer and discharge procedures
• Readmission requirements
Domain IX: Administration & Operations (5 questions)
• Recordkeeping and documentation
• Financial management
, • Quality assurance
• Community resources and referrals
Domain I: Regulatory Framework & COMAR
1. What is the maximum number of residents allowed in a Level 2
assisted living program in Maryland?
Answer: C. 16 residents
Rationale: Level 2 programs in Maryland typically serve 5-16
residents. Over 16 residents transitions a program into Level 3, which
has additional regulatory requirements and staffing standards.
A. 4 residents
B. 8 residents
C. 16 residents
D. 25 residents
2. Which regulatory code governs assisted living facilities in Maryland?
Answer: B. COMAR 10.07.14
Rationale: COMAR 10.07.14 is the Maryland regulation that
specifically governs assisted living programs. It establishes standards
for staffing, resident care, physical plant, and operational requirements.
A. COMAR 10.01.01
B. COMAR 10.07.14
C. COMAR 10.07.20
D. COMAR 10.09.01
3. Who is responsible for ensuring the development and implementation
of each resident's service plan?
Answer: B. The Assisted Living Manager
Rationale: The Assisted Living Manager ensures the service plan
, meets individual needs and complies with COMAR regulations. The
manager oversees the assessment process, plan development, and
ongoing monitoring.
A. The resident's family
B. The Assisted Living Manager
C. The dietary staff
D. The cleaning staff
4. How soon after admission must a resident's service plan be completed
in Maryland?
Answer: C. 30 days
Rationale: Maryland regulations require a service plan to be
completed within 30 days of admission. This timeframe allows for a
comprehensive assessment and development of an individualized care
plan.
A. 72 hours
B. 14 days
C. 30 days
D. 60 days
5. What is the required temperature range for storing medications in an
assisted living facility?
Answer: C. 59°F to 86°F (15°C to 30°C)
Rationale: Medications must be stored at room temperature,
typically between 59°F and 86°F (15°C to 30°C), unless otherwise
specified by the manufacturer or pharmacist. Refrigerated medications
must be stored at appropriate temperatures.
A. 20°F to 30°F
B. 35°F to 40°F
C. 59°F to 86°F (15°C to 30°C)
D. 90°F to 100°F
FINAL EXAM Comprehensive State
Certification Review 2026 Edition | Verified
Questions with Detailed Rationales
Core Domains Covered:
Domain I: Regulatory Framework & COMAR (15 questions)
• COMAR regulations and requirements
• Licensing and certification standards
• Facility classifications and capacity limits
• State oversight and inspection processes
Domain II: Resident Rights & Protection (15 questions)
• Resident Bill of Rights
• Abuse, neglect, and exploitation prevention
• Confidentiality and privacy
• Risk agreements and informed consent
Domain III: Service Planning & Assessment (15 questions)
• Initial and ongoing assessments
• Service plan development and implementation
• Reassessment requirements and timelines
• Delegating nurse responsibilities
Domain IV: Medication Management (10 questions)
• Medication administration and storage
• Delegation of medication tasks
, • Documentation and recordkeeping
• Medication errors and reporting
Domain V: Staffing, Training & Supervision (10 questions)
• Staff qualifications and ratios
• Continuing education requirements
• Training programs and competencies
• Staff supervision and evaluation
Domain VI: Physical Plant & Safety (10 questions)
• Environmental safety requirements
• Emergency preparedness and evacuation
• Fire safety and building codes
• Infection control and sanitation
Domain VII: Health Monitoring & Resident Care (10 questions)
• Health status monitoring
• Care for chronic conditions
• Fall prevention and safety
• Nutrition and dietary services
Domain VIII: Admissions, Transfers & Discharge (5 questions)
• Admission criteria and process
• Resident agreements
• Transfer and discharge procedures
• Readmission requirements
Domain IX: Administration & Operations (5 questions)
• Recordkeeping and documentation
• Financial management
, • Quality assurance
• Community resources and referrals
Domain I: Regulatory Framework & COMAR
1. What is the maximum number of residents allowed in a Level 2
assisted living program in Maryland?
Answer: C. 16 residents
Rationale: Level 2 programs in Maryland typically serve 5-16
residents. Over 16 residents transitions a program into Level 3, which
has additional regulatory requirements and staffing standards.
A. 4 residents
B. 8 residents
C. 16 residents
D. 25 residents
2. Which regulatory code governs assisted living facilities in Maryland?
Answer: B. COMAR 10.07.14
Rationale: COMAR 10.07.14 is the Maryland regulation that
specifically governs assisted living programs. It establishes standards
for staffing, resident care, physical plant, and operational requirements.
A. COMAR 10.01.01
B. COMAR 10.07.14
C. COMAR 10.07.20
D. COMAR 10.09.01
3. Who is responsible for ensuring the development and implementation
of each resident's service plan?
Answer: B. The Assisted Living Manager
Rationale: The Assisted Living Manager ensures the service plan
, meets individual needs and complies with COMAR regulations. The
manager oversees the assessment process, plan development, and
ongoing monitoring.
A. The resident's family
B. The Assisted Living Manager
C. The dietary staff
D. The cleaning staff
4. How soon after admission must a resident's service plan be completed
in Maryland?
Answer: C. 30 days
Rationale: Maryland regulations require a service plan to be
completed within 30 days of admission. This timeframe allows for a
comprehensive assessment and development of an individualized care
plan.
A. 72 hours
B. 14 days
C. 30 days
D. 60 days
5. What is the required temperature range for storing medications in an
assisted living facility?
Answer: C. 59°F to 86°F (15°C to 30°C)
Rationale: Medications must be stored at room temperature,
typically between 59°F and 86°F (15°C to 30°C), unless otherwise
specified by the manufacturer or pharmacist. Refrigerated medications
must be stored at appropriate temperatures.
A. 20°F to 30°F
B. 35°F to 40°F
C. 59°F to 86°F (15°C to 30°C)
D. 90°F to 100°F
