1|Page
**NC ASSISTED LIVING ADMINISTRATOR STATE
EXAM**COMPLETE TEST BANK**200+ PRACTICE
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
RATIONALES**10A NCAC 13F/13G • RESIDENT
RIGHTS • PHYSICAL PLANT • MEDICATION
ADMINISTRATION • EMERGENCY PREPAREDNESS •
STAFFING • AIT PROGRAM**2025–2026 EDITION •
FIRST-TIME PASS**
# TABLE OF CONTENTS
| Section | Topic | Questions |
| 1 | Licensing, Regulations & NCAC | 1–25 |
| 2 | Resident Rights & Admission | 26–50 |
| 3 | Physical Plant Requirements | 51–70 |
| 4 | Medication Administration & Health Services | 71–90 |
| 5 | Staffing, Training & Supervision | 91–105 |
| 6 | Emergency Preparedness & Safety | 106–120 |
| 7 | Resident Care Planning & Assessments | 121–135 |
| 8 | Nutrition & Dietary Services | 136–145 |
| 9 | Financial Management & Resident Funds | 146–155 |
| 10 | Abuse, Neglect & Reporting | 156–170 |
| 11 | AIT Program & Administrator Certification | 171–185 |
| 12 | Survey, Enforcement & Penalties | 186–200 |
,2|Page
# SECTION 1: LICENSING, REGULATIONS & NCAC – Questions 1–
25
**Q1. Which state agency is primarily responsible for regulating
assisted living facilities in North Carolina?**
A) Department of Labor
B) Department of Health and Human Services (DHHS) – Division of
Health Service Regulation (DHSR)
C) Department of Justice
D) Department of Social Services
**Answer: B**
*Rationale:* The NC Department of Health and Human Services
(DHHS), specifically the Division of Health Service Regulation (DHSR)
– Adult Care Licensure Section (ACLS), is responsible for licensing,
inspecting, and regulating adult care homes (assisted living facilities) in
North Carolina .
**Q2. The North Carolina Administrative Code (NCAC) sections that
govern adult care homes (assisted living) are:**
A) 10A NCAC 13F and 10A NCAC 13G
B) 12B NCAC 5D
C) 14A NCAC 10F
D) 11A NCAC 13C
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**Answer: A**
*Rationale:* 10A NCAC 13F governs Adult Care Homes (facilities with
7 or more beds). 10A NCAC 13G governs Family Care Homes (facilities
with 2–6 beds). These are the primary regulations for assisted living in
North Carolina .
**Q3. Under NC law, what is the term for a facility licensed to provide
assistance with activities of daily living to seven or more unrelated
residents?**
A) Family Care Home
B) Adult Care Home
C) Skilled Nursing Facility
D) Residential Care Facility
**Answer: B**
*Rationale:* An Adult Care Home (ACF) is defined as a facility with 7
or more beds providing supervision and personal care services to adults
who cannot live independently but do not require 24-hour skilled
nursing care. Family Care Homes have 2–6 beds .
**Q4. What is the minimum age requirement for certification as an
assisted living administrator in North Carolina?**
A) 18 years
, 4|Page
B) 21 years
C) 25 years
D) 30 years
**Answer: B**
*Rationale:* NC rules (10A NCAC 13F .0401 and 13G .0401) require
an administrator applicant to be at least 21 years of age. Additional
education, experience, and training requirements also apply .
**Q5. Which NCAC section addresses applying for a license to operate
a home not currently licensed?**
A) NCAC 13G .0202
B) NCAC 13G .0204
C) NCAC 13G .0206
D) NCAC 13G .0208
**Answer: B**
*Rationale:* NCAC 13G .0204 specifically covers the procedure for
applying for a license to operate a home that is not currently licensed.
New applicants must submit forms, fees, and documentation to DHSR .
**Q6. Which NCAC section addresses the capacity of a family care
home?**
A) NCAC 13G .0202
**NC ASSISTED LIVING ADMINISTRATOR STATE
EXAM**COMPLETE TEST BANK**200+ PRACTICE
QUESTIONS WITH VERIFIED ANSWERS & DETAILED
RATIONALES**10A NCAC 13F/13G • RESIDENT
RIGHTS • PHYSICAL PLANT • MEDICATION
ADMINISTRATION • EMERGENCY PREPAREDNESS •
STAFFING • AIT PROGRAM**2025–2026 EDITION •
FIRST-TIME PASS**
# TABLE OF CONTENTS
| Section | Topic | Questions |
| 1 | Licensing, Regulations & NCAC | 1–25 |
| 2 | Resident Rights & Admission | 26–50 |
| 3 | Physical Plant Requirements | 51–70 |
| 4 | Medication Administration & Health Services | 71–90 |
| 5 | Staffing, Training & Supervision | 91–105 |
| 6 | Emergency Preparedness & Safety | 106–120 |
| 7 | Resident Care Planning & Assessments | 121–135 |
| 8 | Nutrition & Dietary Services | 136–145 |
| 9 | Financial Management & Resident Funds | 146–155 |
| 10 | Abuse, Neglect & Reporting | 156–170 |
| 11 | AIT Program & Administrator Certification | 171–185 |
| 12 | Survey, Enforcement & Penalties | 186–200 |
,2|Page
# SECTION 1: LICENSING, REGULATIONS & NCAC – Questions 1–
25
**Q1. Which state agency is primarily responsible for regulating
assisted living facilities in North Carolina?**
A) Department of Labor
B) Department of Health and Human Services (DHHS) – Division of
Health Service Regulation (DHSR)
C) Department of Justice
D) Department of Social Services
**Answer: B**
*Rationale:* The NC Department of Health and Human Services
(DHHS), specifically the Division of Health Service Regulation (DHSR)
– Adult Care Licensure Section (ACLS), is responsible for licensing,
inspecting, and regulating adult care homes (assisted living facilities) in
North Carolina .
**Q2. The North Carolina Administrative Code (NCAC) sections that
govern adult care homes (assisted living) are:**
A) 10A NCAC 13F and 10A NCAC 13G
B) 12B NCAC 5D
C) 14A NCAC 10F
D) 11A NCAC 13C
,3|Page
**Answer: A**
*Rationale:* 10A NCAC 13F governs Adult Care Homes (facilities with
7 or more beds). 10A NCAC 13G governs Family Care Homes (facilities
with 2–6 beds). These are the primary regulations for assisted living in
North Carolina .
**Q3. Under NC law, what is the term for a facility licensed to provide
assistance with activities of daily living to seven or more unrelated
residents?**
A) Family Care Home
B) Adult Care Home
C) Skilled Nursing Facility
D) Residential Care Facility
**Answer: B**
*Rationale:* An Adult Care Home (ACF) is defined as a facility with 7
or more beds providing supervision and personal care services to adults
who cannot live independently but do not require 24-hour skilled
nursing care. Family Care Homes have 2–6 beds .
**Q4. What is the minimum age requirement for certification as an
assisted living administrator in North Carolina?**
A) 18 years
, 4|Page
B) 21 years
C) 25 years
D) 30 years
**Answer: B**
*Rationale:* NC rules (10A NCAC 13F .0401 and 13G .0401) require
an administrator applicant to be at least 21 years of age. Additional
education, experience, and training requirements also apply .
**Q5. Which NCAC section addresses applying for a license to operate
a home not currently licensed?**
A) NCAC 13G .0202
B) NCAC 13G .0204
C) NCAC 13G .0206
D) NCAC 13G .0208
**Answer: B**
*Rationale:* NCAC 13G .0204 specifically covers the procedure for
applying for a license to operate a home that is not currently licensed.
New applicants must submit forms, fees, and documentation to DHSR .
**Q6. Which NCAC section addresses the capacity of a family care
home?**
A) NCAC 13G .0202
