TX Nursing Home Administrator License
Practice Test 2026 with 250 Latest Exam
Questions and Correct Answers/ Texas
Nursing Home Administrator 2026 Exam
Prep Guide (Latest!)
**Question 1**
Which agency is responsible for licensing and regulating Texas nursing facilities?
A. CMS (Centers for Medicare & Medicaid Services)
B. CDC (Centers for Disease Control and Prevention)
C. Texas Health & Human Services Commission (HHSC)
D. DADS (Department of Aging and Disability Services)
**Answer:** C. Texas Health & Human Services Commission (HHSC)
*Rationale: HHSC now has authority from DADS as the regulatory agency for long-term care facilities in
Texas.*
---
,**Question 2**
A nursing home administrator is licensed by which Texas agency?
A. Texas Department of Health
B. Texas Board of Nursing
C. Texas Department of Aging and Disability Services (DADS)
D. Texas Medical Board
**Answer:** C. Texas Department of Aging and Disability Services (DADS)
*Rationale: DADS is responsible for licensing nursing home administrators in Texas.*
---
**Question 3**
Which of the following agencies is responsible for administering the Texas Title XIX (Medicaid) program?
A. CMS
B. Texas Department of Insurance
C. Texas Department of Aging and Disability Services (DADS)
D. Texas Workforce Commission
**Answer:** C. Texas Department of Aging and Disability Services (DADS)
*Rationale: DADS administers the Texas Title XIX (Medicaid) program for nursing facilities.*
---
,**Question 4**
The Client Assessment Review and CARE forms are completed by whom?
A. The Administrator
B. A nurse assessor (RN or LVN)
C. The Medical Director
D. The Social Worker
**Answer:** B. A nurse assessor (RN or LVN)
*Rationale: Client assessment and CARE forms require completion by a licensed nurse assessor.*
---
**Question 5**
Who holds final responsibility for the care of patients in an ICF (Intermediate Care Facility)?
A. The Administrator
B. The Director of Nursing
C. The Physician
D. The Medical Director
**Answer:** C. The Physician
*Rationale: The physician ultimately holds responsibility for patient care in an ICF.*
, ---
**Question 6**
A nursing facility licensee is required to notify DADS under which circumstances? (Select all that apply)
A. A facility's financial condition changes significantly
B. The facility has major cash flow problems adversely affecting resident care
C. The facility cannot pay its bills
D. The facility hires a new CNA
**Answer:** A, B, C
*Rationale: Licensees must report significant financial changes, cash flow problems affecting care, or
inability to pay bills to DADS.*
---
**Question 7**
The required annual balance in the DADS nursing and convalescent trust fund is:
A. $1 million
B. $5 million
C. $10 million
D. $25 million
**Answer:** C. $10 million
*Rationale: DADS nursing and convalescent trust fund requires $10 million annual balance.*
Practice Test 2026 with 250 Latest Exam
Questions and Correct Answers/ Texas
Nursing Home Administrator 2026 Exam
Prep Guide (Latest!)
**Question 1**
Which agency is responsible for licensing and regulating Texas nursing facilities?
A. CMS (Centers for Medicare & Medicaid Services)
B. CDC (Centers for Disease Control and Prevention)
C. Texas Health & Human Services Commission (HHSC)
D. DADS (Department of Aging and Disability Services)
**Answer:** C. Texas Health & Human Services Commission (HHSC)
*Rationale: HHSC now has authority from DADS as the regulatory agency for long-term care facilities in
Texas.*
---
,**Question 2**
A nursing home administrator is licensed by which Texas agency?
A. Texas Department of Health
B. Texas Board of Nursing
C. Texas Department of Aging and Disability Services (DADS)
D. Texas Medical Board
**Answer:** C. Texas Department of Aging and Disability Services (DADS)
*Rationale: DADS is responsible for licensing nursing home administrators in Texas.*
---
**Question 3**
Which of the following agencies is responsible for administering the Texas Title XIX (Medicaid) program?
A. CMS
B. Texas Department of Insurance
C. Texas Department of Aging and Disability Services (DADS)
D. Texas Workforce Commission
**Answer:** C. Texas Department of Aging and Disability Services (DADS)
*Rationale: DADS administers the Texas Title XIX (Medicaid) program for nursing facilities.*
---
,**Question 4**
The Client Assessment Review and CARE forms are completed by whom?
A. The Administrator
B. A nurse assessor (RN or LVN)
C. The Medical Director
D. The Social Worker
**Answer:** B. A nurse assessor (RN or LVN)
*Rationale: Client assessment and CARE forms require completion by a licensed nurse assessor.*
---
**Question 5**
Who holds final responsibility for the care of patients in an ICF (Intermediate Care Facility)?
A. The Administrator
B. The Director of Nursing
C. The Physician
D. The Medical Director
**Answer:** C. The Physician
*Rationale: The physician ultimately holds responsibility for patient care in an ICF.*
, ---
**Question 6**
A nursing facility licensee is required to notify DADS under which circumstances? (Select all that apply)
A. A facility's financial condition changes significantly
B. The facility has major cash flow problems adversely affecting resident care
C. The facility cannot pay its bills
D. The facility hires a new CNA
**Answer:** A, B, C
*Rationale: Licensees must report significant financial changes, cash flow problems affecting care, or
inability to pay bills to DADS.*
---
**Question 7**
The required annual balance in the DADS nursing and convalescent trust fund is:
A. $1 million
B. $5 million
C. $10 million
D. $25 million
**Answer:** C. $10 million
*Rationale: DADS nursing and convalescent trust fund requires $10 million annual balance.*
