Illinois Nursing Home Administrator ACTUAL
EXAM 2026/2027 | 150 Verified Q&A | A+
Graded | Pass Guaranteed - A+ Graded
SECTION 1: ILLINOIS STATE REGULATIONS (Q1–Q40)
Q1: Under the Illinois Nursing Home Care Act (210 ILCS 45/1-128.5), a Type "AA" violation is defined as a
violation that creates a condition or occurrence relating to a resident that results in, or creates a
substantial risk of, what level of harm?
A. Minor injury
B. Moderate injury
C. Death or serious mental or physical harm
D. Financial loss only
Correct Answer: C
Rationale: A Type "AA" violation under 210 ILCS 45/1-128.5 is defined as a violation that creates a
condition relating to a resident that results in, or creates a substantial risk of, death or serious mental or
physical harm, representing the most serious category of regulatory violation.
Q2: Under the Illinois Nursing Home Care Act, what is the maximum civil monetary penalty per violation
for a Type "AA" violation?
A. $10,000
B. $12,500
C. $25,000
D. $50,000
Correct Answer: C
Rationale: 210 ILCS 45/3-305(1) states that a licensee who commits a Type "AA" violation is
automatically issued a conditional license for 6 months and assessed a fine up to $25,000 per violation,
reflecting the severity of harm or risk involved.
Q3: Under the Illinois Nursing Home Care Act, what is the maximum civil monetary penalty per violation
for a Type "A" violation?
A. $5,000
B. $10,000
C. $12,500
D. $25,000
Correct Answer: C
Rationale: 210 ILCS 45/3-305(1.5) provides that a licensee who commits a Type "A" violation is
,automatically issued a conditional license for 6 months and assessed a fine of up to $12,500 per
violation.
Q4: Under the Illinois Nursing Home Care Act, what is the maximum civil monetary penalty per violation
for a Type "B" violation?
A. $500
B. $1,100
C. $2,500
D. $5,000
Correct Answer: B
Rationale: 210 ILCS 45/3-305(2) states that a licensee who commits a Type "B" violation shall be
assessed a fine of up to $1,100 per violation.
Q5: Under 210 ILCS 45/3-303, a facility must submit a plan of correction for a Type "B" violation within
how many days after receipt of the notice of violation?
A. 5 days
B. 10 days
C. 15 days
D. 30 days
Correct Answer: B
Rationale: 210 ILCS 45/3-303(b) requires that the facility shall have 10 days after receipt of notice of a
Type "B" violation in which to prepare and submit a plan of correction, subject to the Department's
approval.
Q6: Under 210 ILCS 45/3-303, if a Type "B" violation plan of correction involves substantial capital
improvement, the Department may extend the submission period up to how many days?
A. 15 days
B. 30 days
C. 45 days
D. 60 days
Correct Answer: B
Rationale: 210 ILCS 45/3-303(b) allows the Department to extend the plan of correction submission
period up to 30 days where correction involves substantial capital improvement, recognizing the time
needed for major physical plant modifications.
Q7: Under 210 ILCS 45/3-303, the plan of correction for a Type "B" violation shall include a fixed time
period not in excess of how many days within which violations are to be corrected?
A. 30 days
B. 60 days
C. 90 days
D. 120 days
Correct Answer: C
Rationale: 210 ILCS 45/3-303(b) specifies that the plan of correction shall include a fixed time period not
, in excess of 90 days within which Type "B" violations are to be corrected, providing a reasonable
compliance timeline.
Q8: Under the Illinois Nursing Home Care Act, a facility with a 2-year license must meet which condition
to maintain that license?
A. No Type "AA" violations within the last 12 months
B. No Type "A" or Type "B" violations within the last 24 months
C. No federal deficiencies within the last 6 months
D. No resident complaints within the last 36 months
Correct Answer: B
Rationale: 210 ILCS 45/3-110(b) requires that for a 2-year license, the facility must not have received a
Type "A" violation or Type "B" violation within the last 24 months, among other compliance conditions.
Q9: Under the Illinois Nursing Home Care Act, if a facility with a 2-year license receives a Type "A"
violation, what happens to the license?
A. It is automatically revoked
B. It is replaced by a one-year license until compliance conditions are met again
C. It remains a 2-year license with a warning
D. It is converted to a provisional license for 3 months
Correct Answer: B
Rationale: 210 ILCS 45/3-110(b) states that if a facility with a 2-year license fails to meet the conditions,
the facility's 2-year license shall be replaced by a one-year license until such time as the facility again
meets the compliance conditions.
Q10: Under 210 ILCS 45/3-305, a facility that commits 2 Type "AA" violations within what timeframe is
subject to license revocation?
A. 6 months
B. 1 year
C. 2-year period
D. 5-year period
Correct Answer: C
Rationale: 210 ILCS 45/3-119(a)(6) provides that the facility has committed 2 Type "AA" violations within
a 2-year period as grounds for license suspension, revocation, or refusal to renew.
Q11: Under the Illinois Nursing Home Care Act, all penalties assessed shall be paid to the Department
within how many days of receipt of notice of assessment?
A. 5 days
B. 10 days
C. 15 days
D. 30 days
Correct Answer: B
Rationale: 210 ILCS 45/3-310 requires that all penalties shall be paid to the Department within 10 days
EXAM 2026/2027 | 150 Verified Q&A | A+
Graded | Pass Guaranteed - A+ Graded
SECTION 1: ILLINOIS STATE REGULATIONS (Q1–Q40)
Q1: Under the Illinois Nursing Home Care Act (210 ILCS 45/1-128.5), a Type "AA" violation is defined as a
violation that creates a condition or occurrence relating to a resident that results in, or creates a
substantial risk of, what level of harm?
A. Minor injury
B. Moderate injury
C. Death or serious mental or physical harm
D. Financial loss only
Correct Answer: C
Rationale: A Type "AA" violation under 210 ILCS 45/1-128.5 is defined as a violation that creates a
condition relating to a resident that results in, or creates a substantial risk of, death or serious mental or
physical harm, representing the most serious category of regulatory violation.
Q2: Under the Illinois Nursing Home Care Act, what is the maximum civil monetary penalty per violation
for a Type "AA" violation?
A. $10,000
B. $12,500
C. $25,000
D. $50,000
Correct Answer: C
Rationale: 210 ILCS 45/3-305(1) states that a licensee who commits a Type "AA" violation is
automatically issued a conditional license for 6 months and assessed a fine up to $25,000 per violation,
reflecting the severity of harm or risk involved.
Q3: Under the Illinois Nursing Home Care Act, what is the maximum civil monetary penalty per violation
for a Type "A" violation?
A. $5,000
B. $10,000
C. $12,500
D. $25,000
Correct Answer: C
Rationale: 210 ILCS 45/3-305(1.5) provides that a licensee who commits a Type "A" violation is
,automatically issued a conditional license for 6 months and assessed a fine of up to $12,500 per
violation.
Q4: Under the Illinois Nursing Home Care Act, what is the maximum civil monetary penalty per violation
for a Type "B" violation?
A. $500
B. $1,100
C. $2,500
D. $5,000
Correct Answer: B
Rationale: 210 ILCS 45/3-305(2) states that a licensee who commits a Type "B" violation shall be
assessed a fine of up to $1,100 per violation.
Q5: Under 210 ILCS 45/3-303, a facility must submit a plan of correction for a Type "B" violation within
how many days after receipt of the notice of violation?
A. 5 days
B. 10 days
C. 15 days
D. 30 days
Correct Answer: B
Rationale: 210 ILCS 45/3-303(b) requires that the facility shall have 10 days after receipt of notice of a
Type "B" violation in which to prepare and submit a plan of correction, subject to the Department's
approval.
Q6: Under 210 ILCS 45/3-303, if a Type "B" violation plan of correction involves substantial capital
improvement, the Department may extend the submission period up to how many days?
A. 15 days
B. 30 days
C. 45 days
D. 60 days
Correct Answer: B
Rationale: 210 ILCS 45/3-303(b) allows the Department to extend the plan of correction submission
period up to 30 days where correction involves substantial capital improvement, recognizing the time
needed for major physical plant modifications.
Q7: Under 210 ILCS 45/3-303, the plan of correction for a Type "B" violation shall include a fixed time
period not in excess of how many days within which violations are to be corrected?
A. 30 days
B. 60 days
C. 90 days
D. 120 days
Correct Answer: C
Rationale: 210 ILCS 45/3-303(b) specifies that the plan of correction shall include a fixed time period not
, in excess of 90 days within which Type "B" violations are to be corrected, providing a reasonable
compliance timeline.
Q8: Under the Illinois Nursing Home Care Act, a facility with a 2-year license must meet which condition
to maintain that license?
A. No Type "AA" violations within the last 12 months
B. No Type "A" or Type "B" violations within the last 24 months
C. No federal deficiencies within the last 6 months
D. No resident complaints within the last 36 months
Correct Answer: B
Rationale: 210 ILCS 45/3-110(b) requires that for a 2-year license, the facility must not have received a
Type "A" violation or Type "B" violation within the last 24 months, among other compliance conditions.
Q9: Under the Illinois Nursing Home Care Act, if a facility with a 2-year license receives a Type "A"
violation, what happens to the license?
A. It is automatically revoked
B. It is replaced by a one-year license until compliance conditions are met again
C. It remains a 2-year license with a warning
D. It is converted to a provisional license for 3 months
Correct Answer: B
Rationale: 210 ILCS 45/3-110(b) states that if a facility with a 2-year license fails to meet the conditions,
the facility's 2-year license shall be replaced by a one-year license until such time as the facility again
meets the compliance conditions.
Q10: Under 210 ILCS 45/3-305, a facility that commits 2 Type "AA" violations within what timeframe is
subject to license revocation?
A. 6 months
B. 1 year
C. 2-year period
D. 5-year period
Correct Answer: C
Rationale: 210 ILCS 45/3-119(a)(6) provides that the facility has committed 2 Type "AA" violations within
a 2-year period as grounds for license suspension, revocation, or refusal to renew.
Q11: Under the Illinois Nursing Home Care Act, all penalties assessed shall be paid to the Department
within how many days of receipt of notice of assessment?
A. 5 days
B. 10 days
C. 15 days
D. 30 days
Correct Answer: B
Rationale: 210 ILCS 45/3-310 requires that all penalties shall be paid to the Department within 10 days
