NC Assisted Living Administrator
Exam
Actual Questions and Answers
North Carolina Adult Care Home / Assisted Living Licensure
Covers all major content domains:
NC Regulatory Framework & Licensure
Admission, Resident Rights & Discharge
Personnel & Staffing
Resident Care, Health Services & Medication Management
Life Safety, Physical Environment & Emergency Preparedness
Financial & Business Management
Special Care Units & Memory Care
Quality Assurance, Ethics & Risk Management
,1. Which state agency is primarily responsible for licensing and regulating adult care
homes (assisted living facilities) in North Carolina?
A. NC Division of Health Service Regulation (DHSR)
B. NC Department of Revenue
C. NC Department of Public Instruction
D. NC Board of Nursing
Answer: A
Rationale: DHSR, within NC DHHS, licenses and inspects adult care homes/assisted
living facilities and enforces compliance with state regulations.
2. In North Carolina, assisted living residences are generally licensed under which
broad category?
A. Skilled Nursing Facility
B. Adult Care Home
C. Hospital
D. Home Health Agency
Answer: B
Rationale: NC regulations classify most assisted living residences under the adult care
home licensure category, distinct from nursing homes and hospitals.
3. Who oversees the credentialing/licensing of individuals serving as administrators of
adult care homes in NC?
A. NC State Board of Examiners for Nursing Home Administrators
B. NC Real Estate Commission
C. NC Board of Cosmetic Art Examiners
D. The local county health department
Answer: A
Rationale: The NC State Board of Examiners for Nursing Home Administrators also
licenses administrators of adult care homes/assisted living facilities under a separate
credential category.
4. Which type of facility license in NC typically allows for a small number of residents
operated in a residential, home-like setting?
A. Family Care Home
B. Continuing Care Retirement Community
C. Multi-unit Assisted Housing with Services
, D. General hospital
Answer: A
Rationale: Family care homes are a licensed adult care home type designed for a
small number of residents in a residential setting.
5. What is the primary purpose of an unannounced survey conducted by DHSR at an
assisted living facility?
A. To evaluate compliance with state licensure rules and resident care standards
B. To set resident room rates
C. To hire new administrators
D. To approve building expansions only
Answer: A
Rationale: Unannounced and complaint-based surveys assess ongoing compliance
with licensure regulations, resident rights, and care and safety standards.
6. If a facility is found in violation of licensure rules during a survey, DHSR may require
the facility to submit:
A. A statement of deficiencies with a plan of correction
B. An immediate criminal indictment
C. A parking citation payment
D. A tax refund request
Answer: A
Rationale: Deficiencies identified during a survey typically require the facility to
implement a plan of correction within a specified timeframe.
7. Which of the following best describes the role of an Administrator-in-Charge in an
NC adult care home?
A. Overall responsibility for day-to-day operations, regulatory compliance, and
resident care oversight
B. Only responsible for building maintenance
C. Only responsible for meal preparation
D. Only responsible for marketing
Answer: A
Rationale: The administrator holds overall responsibility for ensuring the facility
operates in compliance with applicable laws and provides appropriate resident care
and services.
, 8. What is the general purpose of NC's licensure rules found in Title 10A, Chapter 13,
Subchapter 13F of the NC Administrative Code?
A. They establish specific standards for the licensure and operation of adult care
homes
B. They govern hospital billing procedures
C. They regulate public school curricula
D. They set minimum wage laws
Answer: A
Rationale: Subchapter 13F contains the specific licensure rules governing adult care
home operations in North Carolina.
9. Which entity typically investigates complaints of resident abuse, neglect, or
exploitation in an NC assisted living facility?
A. DHSR's Complaint Investigation Unit, often in coordination with Adult Protective
Services
B. The facility's marketing department
C. The state lottery commission
D. The Department of Transportation
Answer: A
Rationale: DHSR investigates licensure-related complaints, often coordinating with
county Adult Protective Services for abuse, neglect, or exploitation allegations.
10. A facility's license to operate as an adult care home in NC must generally be:
A. Renewed periodically per state requirements and available for review at the
facility
B. Purchased annually from a private company
C. Optional if the facility has fewer than 5 residents
D. Issued only by the federal government
Answer: A
Rationale: Licenses must be renewed according to state requirements and are
typically required to be displayed or made available for review at the facility.
11. Which of the following is a key function of the NC Long-Term Care Ombudsman
Program?
A. Advocating for the rights and well-being of residents in long-term care facilities
B. Approving facility construction permits
C. Setting resident admission fees
Exam
Actual Questions and Answers
North Carolina Adult Care Home / Assisted Living Licensure
Covers all major content domains:
NC Regulatory Framework & Licensure
Admission, Resident Rights & Discharge
Personnel & Staffing
Resident Care, Health Services & Medication Management
Life Safety, Physical Environment & Emergency Preparedness
Financial & Business Management
Special Care Units & Memory Care
Quality Assurance, Ethics & Risk Management
,1. Which state agency is primarily responsible for licensing and regulating adult care
homes (assisted living facilities) in North Carolina?
A. NC Division of Health Service Regulation (DHSR)
B. NC Department of Revenue
C. NC Department of Public Instruction
D. NC Board of Nursing
Answer: A
Rationale: DHSR, within NC DHHS, licenses and inspects adult care homes/assisted
living facilities and enforces compliance with state regulations.
2. In North Carolina, assisted living residences are generally licensed under which
broad category?
A. Skilled Nursing Facility
B. Adult Care Home
C. Hospital
D. Home Health Agency
Answer: B
Rationale: NC regulations classify most assisted living residences under the adult care
home licensure category, distinct from nursing homes and hospitals.
3. Who oversees the credentialing/licensing of individuals serving as administrators of
adult care homes in NC?
A. NC State Board of Examiners for Nursing Home Administrators
B. NC Real Estate Commission
C. NC Board of Cosmetic Art Examiners
D. The local county health department
Answer: A
Rationale: The NC State Board of Examiners for Nursing Home Administrators also
licenses administrators of adult care homes/assisted living facilities under a separate
credential category.
4. Which type of facility license in NC typically allows for a small number of residents
operated in a residential, home-like setting?
A. Family Care Home
B. Continuing Care Retirement Community
C. Multi-unit Assisted Housing with Services
, D. General hospital
Answer: A
Rationale: Family care homes are a licensed adult care home type designed for a
small number of residents in a residential setting.
5. What is the primary purpose of an unannounced survey conducted by DHSR at an
assisted living facility?
A. To evaluate compliance with state licensure rules and resident care standards
B. To set resident room rates
C. To hire new administrators
D. To approve building expansions only
Answer: A
Rationale: Unannounced and complaint-based surveys assess ongoing compliance
with licensure regulations, resident rights, and care and safety standards.
6. If a facility is found in violation of licensure rules during a survey, DHSR may require
the facility to submit:
A. A statement of deficiencies with a plan of correction
B. An immediate criminal indictment
C. A parking citation payment
D. A tax refund request
Answer: A
Rationale: Deficiencies identified during a survey typically require the facility to
implement a plan of correction within a specified timeframe.
7. Which of the following best describes the role of an Administrator-in-Charge in an
NC adult care home?
A. Overall responsibility for day-to-day operations, regulatory compliance, and
resident care oversight
B. Only responsible for building maintenance
C. Only responsible for meal preparation
D. Only responsible for marketing
Answer: A
Rationale: The administrator holds overall responsibility for ensuring the facility
operates in compliance with applicable laws and provides appropriate resident care
and services.
, 8. What is the general purpose of NC's licensure rules found in Title 10A, Chapter 13,
Subchapter 13F of the NC Administrative Code?
A. They establish specific standards for the licensure and operation of adult care
homes
B. They govern hospital billing procedures
C. They regulate public school curricula
D. They set minimum wage laws
Answer: A
Rationale: Subchapter 13F contains the specific licensure rules governing adult care
home operations in North Carolina.
9. Which entity typically investigates complaints of resident abuse, neglect, or
exploitation in an NC assisted living facility?
A. DHSR's Complaint Investigation Unit, often in coordination with Adult Protective
Services
B. The facility's marketing department
C. The state lottery commission
D. The Department of Transportation
Answer: A
Rationale: DHSR investigates licensure-related complaints, often coordinating with
county Adult Protective Services for abuse, neglect, or exploitation allegations.
10. A facility's license to operate as an adult care home in NC must generally be:
A. Renewed periodically per state requirements and available for review at the
facility
B. Purchased annually from a private company
C. Optional if the facility has fewer than 5 residents
D. Issued only by the federal government
Answer: A
Rationale: Licenses must be renewed according to state requirements and are
typically required to be displayed or made available for review at the facility.
11. Which of the following is a key function of the NC Long-Term Care Ombudsman
Program?
A. Advocating for the rights and well-being of residents in long-term care facilities
B. Approving facility construction permits
C. Setting resident admission fees
