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Texas Nursing Home Administrator Exam Prep 2026 | Practice Questions, Explanations & Comprehensive Study Guide

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Prepare confidently for the Texas Nursing Home Administrator Exam with this updated 2026 comprehensive study guide designed to strengthen knowledge of long-term care administration, regulatory compliance, leadership, resident care standards, and facility operations. This review resource includes practice questions, detailed explanations, scenario-based exercises, and structured study materials to help candidates reinforce key concepts and improve exam readiness. What's Included Practice questions with detailed explanations Long-term care administration review Regulatory compliance concept summaries Leadership and management exercises Scenario-based learning activities High-yield study notes and revision materials Key Topics Covered Nursing home administration principles Long-term care regulations and compliance Resident rights and quality of care Health care leadership and supervision Human resources and staff management Financial and operational management Risk management and quality assurance Ethics and professional responsibilities Safety and emergency preparedness Communication and conflict resolution Documentation and recordkeeping standards Facility administration best practices Benefits Strengthens long-term care administration knowledge Improves understanding of regulatory requirements Enhances leadership and management skills Supports administrator licensing preparation Builds confidence through structured review Ideal For Nursing home administrator candidates Long-term care professionals Health care managers and supervisors Assisted living and skilled nursing leaders Individuals preparing for administrator licensure examinations Strengthen leadership skills. Improve regulatory understanding. Prepare with confidence.

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Texas Nursing Home Administrator
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Texas Nursing Home Administrator

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Texas Nursing Home Administrator Exam |
Questions with Correct Answers | Latest
Update 2026 | Exam Prep | Graded A+
Facility License Period - correct answer2 years

Licensed Nurse Ratio in 24 hr period - correct answer1 to 20

TDADS approval for plans for new buildings, additions, conversion is good for... -
correct answerTwo years

Must not use any nurse aide who has worked less than... - correct answer4 months

A written report of suspected abuse is required by TDADs within... - correct answer5
days

Dietary department days of perishables supply - correct answer2 days

Dietary department days of staples supply - correct answer7 days

Days the Hep B vaccination must be offered to employees at risk - correct answer10
days

Frequency of review of drug regimen by a licensed pharmacist - correct answerOnce a
month

Minimum square footage for single bed - correct answer100 sq ft

Minimum square footage for semi-private room - correct answer160 sq ft

Maximum number of residents per ward - correct answer4

Maximum number of residents per toilet - correct answer8

The amount of time an initial Admin license is good for - correct answer1 year

Maximum distance between resident room and nurse station - correct answer150 feet

The annual balance in the trust fund - correct answer10 million

Maximum time to inventory personal property of new admission - correct answer72
hours

,Minimum discharge notice - correct answer30 days

CNAs must complete new training if they have not worked for... - correct answer24
months

Amount of days still considered timely by physician after a visit is required - correct
answer10 days

Annual CEU hours for CNAs - correct answer12 hours

Timeframe a prospective new owner must complete a license application - correct
answer30 days before sale

Amount of time required to retain discharge resident records - correct answer5 years
after discharge

Amount of time required to retain nursing schedules - correct answer2 years

Number of days required to notify TDADS that an agreement will not be renewed -
correct answer30 days

Time of Accountability period - correct answer24 months

Number of years DHS looks back on applicant record - correct answer5 years

Time TDADS can place vendor payments on hold during change of ownership - correct
answer12 months

Maximum number of days between physician visits during 1st quarter of stay - correct
answer30 days

Minimum space between beds - correct answer36 inches

Number of days after the last day of the month to submit to TDADS the List of resident
deaths - correct answer10

Combined minimum sq feet for dining and living area per licensed bed - correct
answer19 sq ft

Number of working days to submit reason for refusal of patient from closing facility -
correct answer10

Annual cost reports to TDADS are due - correct answer3 months after provider fiscal
year ends

, The requirement for physician recertification for a resident is how many days? - correct
answer180

OBRA mandated hours for initial CNA training - correct answer75

Number of Days required for disclosure of business transactions - correct answer35
days

Number of CEUs to be completed by Activities Director annually - correct answer8

The maximum number of hours for a physician approved therapeutic home visit -
correct answer72

Maximum number of days to complete a comprehensive assessment of a new resident -
correct answer14

Minimum number of times a year a comprehensive assessment must be done - correct
answerOnce

Maximum amount of time to provide a clinical record once a request is received -
correct answer24 hours

The frequency that an MDS must be examined and reviewed - correct answerQuarterly

Frequency of providing written transactions of resident funds - correct answerOnce a
quarter

Maximum and minimum kitchen temperatures - correct answer70 to 85

Amount of fresh air mixing required from an air system - correct answer10%

The licensure period for an administrator - correct answer2 years

CEUs required for an administrator per licensure period - correct answer40

Medication errors must be less than % - correct answer5

The maximum percentage of licensed beds that can be in wards - correct answer50%

Minimum illumination in resident rooms - correct answer10 foot candles

Time required to run emergency generators on full load weekly - correct answer30
minutes

Minimum measurement for medication rooms - correct answer50 sq ft

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Texas Nursing Home Administrator
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