TEXAS LTC TEST ACTUAL PAPER 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
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
