NORTH CAROLINA ASSISTED LIVING ADMINISTRATOR
STATE PRACTICE EXAM BANK NEWEST 2026 ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
PART 1: LICENSING & REGULATORY FRAMEWORK
(QUESTIONS 1 – 50)
1. Which state agency regulates assisted living facilities in North Carolina?
a) Department of Labor
b) Department of Health and Human Services (DHHS)
c) Department of Justice
d) Department of Social Services
Answer: b)
Rationale: The North Carolina Department of Health and Human Services
(DHHS),
through its Division of Health Service Regulation (DHSR), is the state agency
responsible for licensing and regulating assisted living facilities.
2. The North Carolina Administrative Code (NCAC) that governs assisted living
facilities is:
a) 10A NCAC 13F and 13G
b) 12B NCAC 5D
c) 14A NCAC 10F
d) 11A NCAC 13C
Answer: a)
Rationale: 10A NCAC 13F (Adult Care Homes) and 10A NCAC 13G (Family Care
Homes) are the primary North Carolina Administrative Code sections that
govern assisted living facilities.
3. A facility must renew its assisted living license:
1
, a) Every year
b) Every two years
c) Every five years
d) Only once
Answer: a)
Rationale: Assisted living licenses in North Carolina must be renewed
annually to ensure ongoing compliance with all regulatory standards.
4. An applicant for a North Carolina assisted living administrator license must
be at least what age?
a) 18 years
b) 21 years
c) 25 years
d) No minimum age
Answer: b)
Rationale: North Carolina law requires assisted living administrators to be
at least 21 years old to ensure sufficient maturity and legal capacity.
5. The primary codes governing assisted living facilities in North Carolina are
found in:
a) 10A NCAC 13F and 13G
b) 10A NCAC 14A
c) 11 NCAC 08
d) 21 NCAC 46
Answer: a)
Rationale: 10A NCAC 13F and 13G are the specific sections containing the
minimum standards for adult care homes and family care homes respectively.
6. An assisted living facility must report a change of licensee to DHSR within:
a) 7 days
b) 14 days
c) 30 days
d) 60 days
2
, Answer: c)
Rationale: Changes regarding facility operations must be notified to DHSR
within 30 days to ensure accurate licensing records.
7. A facility planning to close must provide written notice to DHSR, county DSS,
and residents at least how many days in advance?
a) 14 days
b) 21 days
c) 30 days
d) 45 days
Answer: c)
Rationale: Facilities must provide at least 30 days' written notice of
closure to allow for proper transition planning and resident relocation.
8. The term "assisted living residence" in North Carolina includes:
a) Adult care homes and family care homes
b) Nursing homes only
c) Rehabilitation centers only
d) Hospitals only
Answer: a)
Rationale: Assisted living residences include adult care homes and family
care homes, which are distinct from nursing homes and hospitals.
9. An adult care home in North Carolina is defined as a facility with:
a) 1-6 beds
b) 2-6 beds
c) 7 or more beds
d) No minimum bed requirement
Answer: c)
Rationale: Adult care homes are facilities with seven or more beds that
provide room, board, and personal care services.
10. A family care home in North Carolina is defined as a facility with:
3
, a) 1 bed
b) 2-6 beds
c) 7 or more beds
d) No minimum bed requirement
Answer: b)
Rationale: Family care homes are residential facilities with 2 to 6 beds
that provide room, board, and personal care services.
11. Multi-unit assisted housing with services in North Carolina is:
a) Licensed as an adult care home
b) Licensed as a family care home
c) Registered, not licensed
d) Exempt from regulation
Answer: c)
Rationale: Multi-unit assisted housing with services is registered with DHSR
but is not licensed as an adult care home or family care home.
12. Which document defines residents' legal rights in North Carolina assisted
living facilities?
a) Resident Bill of Rights
b) Code of Federal Regulations
c) HIPAA Privacy Rule
d) NC Administrative Law Manual
Answer: a)
Rationale: The Resident Bill of Rights is the legal document that defines the
rights of residents in assisted living facilities.
13. The primary responsibility of an assisted living administrator is:
a) Providing all direct resident care
b) Managing facility operations and ensuring compliance
c) Dispensing medications to residents
d) Conducting physician examinations
Answer: b)
4
STATE PRACTICE EXAM BANK NEWEST 2026 ACTUAL EXAM
COMPLETE 300 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED
A+||BRAND NEW!!
PART 1: LICENSING & REGULATORY FRAMEWORK
(QUESTIONS 1 – 50)
1. Which state agency regulates assisted living facilities in North Carolina?
a) Department of Labor
b) Department of Health and Human Services (DHHS)
c) Department of Justice
d) Department of Social Services
Answer: b)
Rationale: The North Carolina Department of Health and Human Services
(DHHS),
through its Division of Health Service Regulation (DHSR), is the state agency
responsible for licensing and regulating assisted living facilities.
2. The North Carolina Administrative Code (NCAC) that governs assisted living
facilities is:
a) 10A NCAC 13F and 13G
b) 12B NCAC 5D
c) 14A NCAC 10F
d) 11A NCAC 13C
Answer: a)
Rationale: 10A NCAC 13F (Adult Care Homes) and 10A NCAC 13G (Family Care
Homes) are the primary North Carolina Administrative Code sections that
govern assisted living facilities.
3. A facility must renew its assisted living license:
1
, a) Every year
b) Every two years
c) Every five years
d) Only once
Answer: a)
Rationale: Assisted living licenses in North Carolina must be renewed
annually to ensure ongoing compliance with all regulatory standards.
4. An applicant for a North Carolina assisted living administrator license must
be at least what age?
a) 18 years
b) 21 years
c) 25 years
d) No minimum age
Answer: b)
Rationale: North Carolina law requires assisted living administrators to be
at least 21 years old to ensure sufficient maturity and legal capacity.
5. The primary codes governing assisted living facilities in North Carolina are
found in:
a) 10A NCAC 13F and 13G
b) 10A NCAC 14A
c) 11 NCAC 08
d) 21 NCAC 46
Answer: a)
Rationale: 10A NCAC 13F and 13G are the specific sections containing the
minimum standards for adult care homes and family care homes respectively.
6. An assisted living facility must report a change of licensee to DHSR within:
a) 7 days
b) 14 days
c) 30 days
d) 60 days
2
, Answer: c)
Rationale: Changes regarding facility operations must be notified to DHSR
within 30 days to ensure accurate licensing records.
7. A facility planning to close must provide written notice to DHSR, county DSS,
and residents at least how many days in advance?
a) 14 days
b) 21 days
c) 30 days
d) 45 days
Answer: c)
Rationale: Facilities must provide at least 30 days' written notice of
closure to allow for proper transition planning and resident relocation.
8. The term "assisted living residence" in North Carolina includes:
a) Adult care homes and family care homes
b) Nursing homes only
c) Rehabilitation centers only
d) Hospitals only
Answer: a)
Rationale: Assisted living residences include adult care homes and family
care homes, which are distinct from nursing homes and hospitals.
9. An adult care home in North Carolina is defined as a facility with:
a) 1-6 beds
b) 2-6 beds
c) 7 or more beds
d) No minimum bed requirement
Answer: c)
Rationale: Adult care homes are facilities with seven or more beds that
provide room, board, and personal care services.
10. A family care home in North Carolina is defined as a facility with:
3
, a) 1 bed
b) 2-6 beds
c) 7 or more beds
d) No minimum bed requirement
Answer: b)
Rationale: Family care homes are residential facilities with 2 to 6 beds
that provide room, board, and personal care services.
11. Multi-unit assisted housing with services in North Carolina is:
a) Licensed as an adult care home
b) Licensed as a family care home
c) Registered, not licensed
d) Exempt from regulation
Answer: c)
Rationale: Multi-unit assisted housing with services is registered with DHSR
but is not licensed as an adult care home or family care home.
12. Which document defines residents' legal rights in North Carolina assisted
living facilities?
a) Resident Bill of Rights
b) Code of Federal Regulations
c) HIPAA Privacy Rule
d) NC Administrative Law Manual
Answer: a)
Rationale: The Resident Bill of Rights is the legal document that defines the
rights of residents in assisted living facilities.
13. The primary responsibility of an assisted living administrator is:
a) Providing all direct resident care
b) Managing facility operations and ensuring compliance
c) Dispensing medications to residents
d) Conducting physician examinations
Answer: b)
4
