North Carolina Assisted Living Administrator Exam Questions
And Correct Answers (Verified Answers) Plus Rationales
2025/2026 Q&A | Instant Download Pdf
1. What is the minimum age requirement for an Assisted Living Administrator
in North Carolina?
A. 18 years
B. 21 years
C. 25 years
D. 30 years
You must be at least 21 years old to serve as an administrator of an
assisted living facility in North Carolina.
2. Who is responsible for ensuring compliance with North Carolina’s adult
care home regulations?
A. Residents
B. Facility Administrator
C. Housekeeping Staff
D. Local Pharmacy
The administrator is ultimately responsible for compliance with all
applicable rules and laws.
3. What is the maximum number of beds allowed in a family care home in
North Carolina?
A. 12
B. 6
, C. 8
D. 10
Family care homes in North Carolina are limited to six residents.
4. How often must fire drills be conducted in assisted living facilities in NC?
A. Quarterly
B. Monthly
C. Every 6 months
D. Annually
Monthly fire drills are required to ensure staff and residents know
evacuation procedures.
5. How long must resident records be kept after discharge?
A. 3 years
B. 1 year
C. 5 years
D. 2 years
Resident records must be maintained for 5 years post-discharge for
auditing and legal purposes.
6. What is the minimum number of hours an administrator must be on-site
per week?
A. 10 hours
B. 20 hours
C. 40 hours
D. 60 hours
, North Carolina requires that the administrator be present on-site for a
minimum of 40 hours per week.
7. Which agency is responsible for licensing adult care homes in North
Carolina?
A. CMS
B. Department of Justice
C. Department of Public Instruction
D. NC Division of Health Service Regulation
The Division of Health Service Regulation under DHHS regulates and
licenses assisted living facilities in NC.
8. Who must sign the resident admission agreement?
A. Only the family
B. The nurse
C. The resident or legal representative and the administrator
D. A physician
Both parties—the resident or representative and the facility—must sign
the agreement to establish care terms.
9. What is the maximum time frame for developing a resident’s service plan
after admission?
A. 48 hours
B. 3 days
C. 5 days
D. 30 days
A service plan must be created within 30 days of admission.
And Correct Answers (Verified Answers) Plus Rationales
2025/2026 Q&A | Instant Download Pdf
1. What is the minimum age requirement for an Assisted Living Administrator
in North Carolina?
A. 18 years
B. 21 years
C. 25 years
D. 30 years
You must be at least 21 years old to serve as an administrator of an
assisted living facility in North Carolina.
2. Who is responsible for ensuring compliance with North Carolina’s adult
care home regulations?
A. Residents
B. Facility Administrator
C. Housekeeping Staff
D. Local Pharmacy
The administrator is ultimately responsible for compliance with all
applicable rules and laws.
3. What is the maximum number of beds allowed in a family care home in
North Carolina?
A. 12
B. 6
, C. 8
D. 10
Family care homes in North Carolina are limited to six residents.
4. How often must fire drills be conducted in assisted living facilities in NC?
A. Quarterly
B. Monthly
C. Every 6 months
D. Annually
Monthly fire drills are required to ensure staff and residents know
evacuation procedures.
5. How long must resident records be kept after discharge?
A. 3 years
B. 1 year
C. 5 years
D. 2 years
Resident records must be maintained for 5 years post-discharge for
auditing and legal purposes.
6. What is the minimum number of hours an administrator must be on-site
per week?
A. 10 hours
B. 20 hours
C. 40 hours
D. 60 hours
, North Carolina requires that the administrator be present on-site for a
minimum of 40 hours per week.
7. Which agency is responsible for licensing adult care homes in North
Carolina?
A. CMS
B. Department of Justice
C. Department of Public Instruction
D. NC Division of Health Service Regulation
The Division of Health Service Regulation under DHHS regulates and
licenses assisted living facilities in NC.
8. Who must sign the resident admission agreement?
A. Only the family
B. The nurse
C. The resident or legal representative and the administrator
D. A physician
Both parties—the resident or representative and the facility—must sign
the agreement to establish care terms.
9. What is the maximum time frame for developing a resident’s service plan
after admission?
A. 48 hours
B. 3 days
C. 5 days
D. 30 days
A service plan must be created within 30 days of admission.
