Texas Nursing Home Administrator EXAM
STUDY GUIDE 2026/2027 COMPLETE
QUESTIONS WITH VERIFIED CORRECT
ANSWERS || 100% GUARANTEED PASS
<NEWEST VERSION>
Facility License Period - ANSWER 2 years
Licensed Nurse Ratio in 24 hr period - ANSWER 1 to 20
TDADS approval for plans for new buildings, additions, conversion is good for... -
ANSWER Two years
Must not use any nurse aide who has worked less than... - ANSWER 4 months
A written report of suspected abuse is required by TDADs within... - ANSWER 5
days
Dietary department days of perishables supply - ANSWER 2 days
Dietary department days of staples supply - ANSWER 7 days
Days the Hep B vaccination must be offered to employees at risk - ANSWER 10
days
, Frequency of review of drug regimen by a licensed pharmacist - ANSWER Once
a month
Minimum square footage for single bed - ANSWER 100 sq ft
Minimum square footage for semi-private room - ANSWER 160 sq ft
Maximum number of residents per ward - ANSWER 4
Maximum number of residents per toilet - ANSWER 8
The amount of time an initial Admin license is good for - ANSWER 1 year
Maximum distance between resident room and nurse station - ANSWER 150 feet
The annual balance in the trust fund - ANSWER 10 million
Maximum time to inventory personal property of new admission - ANSWER 72
hours
Minimum discharge notice - ANSWER 30 days
CNAs must complete new training if they have not worked for... - ANSWER 24
months
,Amount of days still considered timely by physician after a visit is required -
ANSWER 10 days
Annual CEU hours for CNAs - ANSWER 12 hours
Timeframe a prospective new owner must complete a license application -
ANSWER 30 days before sale
What is the timeline for follow-up comprehensive assessments? - ANSWER Not
less often than once every 12 months.
What is a quarterly review assessment? - ANSWER A facility must assess a
resident using the quarterly review instrument specified by DADS and approved by
CMS not less frequently than once every three months.
How long must an assessment be maintained in the resident's active record? -
ANSWER A facility must maintain all resident assessments completed within the
previous 15 months in the resident's active record and use the results of the
assessments to develop, review, and revise the resident's comprehensive plan of
care as specified in §19.802.
Why must a Medicaid-certified facility coordinate assessments with the PASSR
process? - ANSWER To the maximum extent practicable to avoid duplicative
testing and effort.
What is the timeline for processing the assessments for a resident? - ANSWER
The facility must enter MDS data into the facility's assessment software within 7
days after completing the MDS and electronically transmit the MDS data to CMS
within 14 days after completing the MDS.
, How must the Long Term Care Medicaid Information form be summited? -
ANSWER A facility must complete the Long Term Care Medicaid Information
form on an OBRA assessment that is submitted to the state Medicaid claims
system for a Medicaid recipient or Medicaid applicant according to DADS
instructions located on the Texas Medicaid Healthcare Partnership Long Term
Care Portal at http://www.tmhp.com.
How must the MDS data be transmitted to CMS? - ANSWER The facility must
transmit MDS data to CMS in the format specified by CMS and DADS.
Can the resident assessment information be released? - ANSWER Information
concerning a resident is confidential and a facility must not release information
concerning a resident except as allowed by this chapter, including §19.407 and
§19.1910(d).
What is meant by accuracy of assessments? - ANSWER The assessment must
accurately reflect the resident's status.
Who is responsible for the coordination of the resident assessments? - ANSWER
A registered nurse must conduct or coordinate each assessment with the
appropriate participation of health professionals.
Who must sign off on the resident assessment as being completed? - ANSWER
(A) A registered nurse must sign and certify that the assessment is completed.
(B) Each individual who completes a portion of the assessment must sign and
certify the accuracy of that portion of the assessment.
What is the penalty for falsification of a resident assessment under Medicare and
Medicaid? What is not considered a false statement? - ANSWER (A) An
individual who willfully and knowingly certifies a material and false statement in a
STUDY GUIDE 2026/2027 COMPLETE
QUESTIONS WITH VERIFIED CORRECT
ANSWERS || 100% GUARANTEED PASS
<NEWEST VERSION>
Facility License Period - ANSWER 2 years
Licensed Nurse Ratio in 24 hr period - ANSWER 1 to 20
TDADS approval for plans for new buildings, additions, conversion is good for... -
ANSWER Two years
Must not use any nurse aide who has worked less than... - ANSWER 4 months
A written report of suspected abuse is required by TDADs within... - ANSWER 5
days
Dietary department days of perishables supply - ANSWER 2 days
Dietary department days of staples supply - ANSWER 7 days
Days the Hep B vaccination must be offered to employees at risk - ANSWER 10
days
, Frequency of review of drug regimen by a licensed pharmacist - ANSWER Once
a month
Minimum square footage for single bed - ANSWER 100 sq ft
Minimum square footage for semi-private room - ANSWER 160 sq ft
Maximum number of residents per ward - ANSWER 4
Maximum number of residents per toilet - ANSWER 8
The amount of time an initial Admin license is good for - ANSWER 1 year
Maximum distance between resident room and nurse station - ANSWER 150 feet
The annual balance in the trust fund - ANSWER 10 million
Maximum time to inventory personal property of new admission - ANSWER 72
hours
Minimum discharge notice - ANSWER 30 days
CNAs must complete new training if they have not worked for... - ANSWER 24
months
,Amount of days still considered timely by physician after a visit is required -
ANSWER 10 days
Annual CEU hours for CNAs - ANSWER 12 hours
Timeframe a prospective new owner must complete a license application -
ANSWER 30 days before sale
What is the timeline for follow-up comprehensive assessments? - ANSWER Not
less often than once every 12 months.
What is a quarterly review assessment? - ANSWER A facility must assess a
resident using the quarterly review instrument specified by DADS and approved by
CMS not less frequently than once every three months.
How long must an assessment be maintained in the resident's active record? -
ANSWER A facility must maintain all resident assessments completed within the
previous 15 months in the resident's active record and use the results of the
assessments to develop, review, and revise the resident's comprehensive plan of
care as specified in §19.802.
Why must a Medicaid-certified facility coordinate assessments with the PASSR
process? - ANSWER To the maximum extent practicable to avoid duplicative
testing and effort.
What is the timeline for processing the assessments for a resident? - ANSWER
The facility must enter MDS data into the facility's assessment software within 7
days after completing the MDS and electronically transmit the MDS data to CMS
within 14 days after completing the MDS.
, How must the Long Term Care Medicaid Information form be summited? -
ANSWER A facility must complete the Long Term Care Medicaid Information
form on an OBRA assessment that is submitted to the state Medicaid claims
system for a Medicaid recipient or Medicaid applicant according to DADS
instructions located on the Texas Medicaid Healthcare Partnership Long Term
Care Portal at http://www.tmhp.com.
How must the MDS data be transmitted to CMS? - ANSWER The facility must
transmit MDS data to CMS in the format specified by CMS and DADS.
Can the resident assessment information be released? - ANSWER Information
concerning a resident is confidential and a facility must not release information
concerning a resident except as allowed by this chapter, including §19.407 and
§19.1910(d).
What is meant by accuracy of assessments? - ANSWER The assessment must
accurately reflect the resident's status.
Who is responsible for the coordination of the resident assessments? - ANSWER
A registered nurse must conduct or coordinate each assessment with the
appropriate participation of health professionals.
Who must sign off on the resident assessment as being completed? - ANSWER
(A) A registered nurse must sign and certify that the assessment is completed.
(B) Each individual who completes a portion of the assessment must sign and
certify the accuracy of that portion of the assessment.
What is the penalty for falsification of a resident assessment under Medicare and
Medicaid? What is not considered a false statement? - ANSWER (A) An
individual who willfully and knowingly certifies a material and false statement in a
