TEXAS LTC LONG TERM CARE EXAMINATION
TEST 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Exploitation. Answer: taking advantage of a resident for personal gain
through the use of manipulation, intimidation, threats, or coercion
◉ Incident. Answer: an abnormal event, including accidents or injury to
staff or residents, which are documented in facility reports - an
occurrence in which a resident may have been subject to abuse, neglect,
or exploitation must be reported to TX HHSC IMMEDIATELY!! after
reporting via telephone immediately, the facility is allowed 5 WORK
DAYS to send final report to TX HHSC
◉ Accident Prevention. Answer: each resident must receive adequate
supervision and assistance devices to prevent accidents
◉ Life Safety Code - LSC. Answer: also referred to as the THE CODE
or NFPA 101
◉ PASARR 1 (Level 1). Answer: Pre-Admission Screening and Annual
Resident Review for all people to identify mental illness or IDD to
ensure appropriate placement in the community or nursing facility
,(Medicaid certified facility), and ensures people receive the required
services for mental illness and/or IDD
◉ PASARR 2 (Level 2). Answer: comprehensive evaluation required as
a result of a positive PASARR 1 Screening - PASARR 2 is necessary to
confirm the indicated diagnosis noted in the PASARR 1 Screening to
determine whether placement or continued stay in a nursing facility is
appropriate
◉ State Mental Health Authority or State Intellectual Disability
Authority. Answer: a nursing facility must notify the state mental health
authority/state intellectual disability authority, as applicable,
PROMPTLY, after a SIGNIFICANT CHANGE in the mental or physical
condition of a resident who has a mental disorder or intellectual
disability for resident review
◉ Disclosable Interest. Answer: any person who owns at least a 5.0%
interest in any corporation, partnership, or other business entity that is
required to be licensed under HEALTH and SAFETY CODE,
CHAPTER 242
◉ Facility License Renewal. Answer: nursing facilities must renew the
facility license every 2 years
◉ Nursing Facility Licensure Rules/Regulations. Answer: found in
TITLE 40, TAC, CHAPTER 19
,◉ Nursing Facility Administrators. Answer: NFAs must renew license
every 2 years which requires 40 CEUs and 6 of the 40 CEUs must be on
Ethics - now more than 34 clock hours of NAB-Approved self-study
courses will be accepted for continuing education - 6 hours must be in-
person seminars
◉ Nursing Facility Administrator Rules. Answer: TITLE 40, TAC,
CHAPTER 18
◉ Podiatrist. Answer: practitioner whose profession encompasses the
care and treatment of feet who is licensed by the Texas State Board of
Podiatry Examiners (not medical doctors)
◉ Social Worker. Answer: a qualified social worker is an individual who
is licensed, or provisionally licensed, by the Texas State Board of Social
Work Examiners who has at least a Bachelor in Social Work degree or
similar professional qualifications, which include a minimum
educational requirement of a bachelor's degree and 1 yr. experience met
by employment providing social services in a health care setting
◉ TITLE XVI (16). Answer: Supplemental Social Security Income
(SSI) of the Social Security Act (SSA)
◉ TITLE XVIII (18) MCR. Answer: MEDICARE (MCR) provisions of
the SSA - FEDERAL INSURANCE PROGRAM for those over the age
, of 65, those on SS disability benefits for more than 2 yrs., and those with
Lou Gehrig's disease or end-stage renal disease (ESRD)
◉ TITLE XIX (19) MCD. Answer: MEDICAID (MCD) provisions of
the SSA
◉ CHOW (Change of Ownership). Answer: (1) a change of 50% or
more of the OWNERSHIP of the business organization, (2) a change in
the FEDERAL TAXPAYER ID NUMBER, or (3) relinquishment by the
LICENSE HOLDER of the MGMT of the FACILITY - the
PROSPECTIVE NEW OWNER must submit APPLICATION to TX
HHSC at LEAST 30 DAYS BEFORE the ANTICIPATED DATE of
SALE or OTHER TRANSFER of OWNERSHIP
◉ Change of Administrator. Answer: FORM must be completed
WITHIN 30 DAYS of the EFFECTIVE DATE of CHANGE and the
COST is $20.00 - an administrator can be imposeda $500.00 PENALTY
by the TEXAS BOARD of NURSING FACILITY ADMINISTRATORS
for not reporting such a change
◉ Building Insulation Materials. Answer: building insulation materials,
unless sealed on all sides and edges in an approved manner with non-
combustible material, MUST HAVE a FLAME-SPREAD RATING of
25 or LESS when tested in accordance with NFPA 255 and NFPA 258 -
TRASH CANS in resident rooms must be NON-COMBUSTIBLE (there
should be 1 trash can in each room), as well as, each room should have
FIRE-RATED CURTAINS and BEDSPREADS
TEST 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ Exploitation. Answer: taking advantage of a resident for personal gain
through the use of manipulation, intimidation, threats, or coercion
◉ Incident. Answer: an abnormal event, including accidents or injury to
staff or residents, which are documented in facility reports - an
occurrence in which a resident may have been subject to abuse, neglect,
or exploitation must be reported to TX HHSC IMMEDIATELY!! after
reporting via telephone immediately, the facility is allowed 5 WORK
DAYS to send final report to TX HHSC
◉ Accident Prevention. Answer: each resident must receive adequate
supervision and assistance devices to prevent accidents
◉ Life Safety Code - LSC. Answer: also referred to as the THE CODE
or NFPA 101
◉ PASARR 1 (Level 1). Answer: Pre-Admission Screening and Annual
Resident Review for all people to identify mental illness or IDD to
ensure appropriate placement in the community or nursing facility
,(Medicaid certified facility), and ensures people receive the required
services for mental illness and/or IDD
◉ PASARR 2 (Level 2). Answer: comprehensive evaluation required as
a result of a positive PASARR 1 Screening - PASARR 2 is necessary to
confirm the indicated diagnosis noted in the PASARR 1 Screening to
determine whether placement or continued stay in a nursing facility is
appropriate
◉ State Mental Health Authority or State Intellectual Disability
Authority. Answer: a nursing facility must notify the state mental health
authority/state intellectual disability authority, as applicable,
PROMPTLY, after a SIGNIFICANT CHANGE in the mental or physical
condition of a resident who has a mental disorder or intellectual
disability for resident review
◉ Disclosable Interest. Answer: any person who owns at least a 5.0%
interest in any corporation, partnership, or other business entity that is
required to be licensed under HEALTH and SAFETY CODE,
CHAPTER 242
◉ Facility License Renewal. Answer: nursing facilities must renew the
facility license every 2 years
◉ Nursing Facility Licensure Rules/Regulations. Answer: found in
TITLE 40, TAC, CHAPTER 19
,◉ Nursing Facility Administrators. Answer: NFAs must renew license
every 2 years which requires 40 CEUs and 6 of the 40 CEUs must be on
Ethics - now more than 34 clock hours of NAB-Approved self-study
courses will be accepted for continuing education - 6 hours must be in-
person seminars
◉ Nursing Facility Administrator Rules. Answer: TITLE 40, TAC,
CHAPTER 18
◉ Podiatrist. Answer: practitioner whose profession encompasses the
care and treatment of feet who is licensed by the Texas State Board of
Podiatry Examiners (not medical doctors)
◉ Social Worker. Answer: a qualified social worker is an individual who
is licensed, or provisionally licensed, by the Texas State Board of Social
Work Examiners who has at least a Bachelor in Social Work degree or
similar professional qualifications, which include a minimum
educational requirement of a bachelor's degree and 1 yr. experience met
by employment providing social services in a health care setting
◉ TITLE XVI (16). Answer: Supplemental Social Security Income
(SSI) of the Social Security Act (SSA)
◉ TITLE XVIII (18) MCR. Answer: MEDICARE (MCR) provisions of
the SSA - FEDERAL INSURANCE PROGRAM for those over the age
, of 65, those on SS disability benefits for more than 2 yrs., and those with
Lou Gehrig's disease or end-stage renal disease (ESRD)
◉ TITLE XIX (19) MCD. Answer: MEDICAID (MCD) provisions of
the SSA
◉ CHOW (Change of Ownership). Answer: (1) a change of 50% or
more of the OWNERSHIP of the business organization, (2) a change in
the FEDERAL TAXPAYER ID NUMBER, or (3) relinquishment by the
LICENSE HOLDER of the MGMT of the FACILITY - the
PROSPECTIVE NEW OWNER must submit APPLICATION to TX
HHSC at LEAST 30 DAYS BEFORE the ANTICIPATED DATE of
SALE or OTHER TRANSFER of OWNERSHIP
◉ Change of Administrator. Answer: FORM must be completed
WITHIN 30 DAYS of the EFFECTIVE DATE of CHANGE and the
COST is $20.00 - an administrator can be imposeda $500.00 PENALTY
by the TEXAS BOARD of NURSING FACILITY ADMINISTRATORS
for not reporting such a change
◉ Building Insulation Materials. Answer: building insulation materials,
unless sealed on all sides and edges in an approved manner with non-
combustible material, MUST HAVE a FLAME-SPREAD RATING of
25 or LESS when tested in accordance with NFPA 255 and NFPA 258 -
TRASH CANS in resident rooms must be NON-COMBUSTIBLE (there
should be 1 trash can in each room), as well as, each room should have
FIRE-RATED CURTAINS and BEDSPREADS
