FL ALF CORE TRAINING COMPETENCY EXAM –
2026/2027 Full 100 Questions with Rationales
ALREADY GRADED A+
SECTION 1: ADMISSION & RETENTION (Questions 1–12)
Question 1
A resident's AHCA Form 1823 (Health Assessment) must be completed no more than how many
days prior to admission?
A) 30 days
B) 60 days
C) 90 days
D) 120 days
Answer: B) 60 days
Rationale: Florida Administrative Code 58A-5.0182(1)(a) requires the health assessment to be
completed within 60 days before admission OR within 30 days after admission. The "prior"
window is specifically 60 days to ensure the resident's medical condition is current at move-in.
Question 2
A resident is admitted with a Stage II pressure ulcer. The facility has a Limited Nursing Services
(LNS) license. What is required?
A) The resident must be discharged immediately
B) The ulcer must show improvement within 30 days
C) The facility must hire a wound care nurse
D) No action is required for Stage II
Answer: B) The ulcer must show improvement within 30 days
Rationale: Under 58A-5.0182(3)(a), even with an LNS license, a resident with a Stage II pressure
ulcer must demonstrate documented improvement within 30 days. If not, the resident must be
transferred to a nursing home.
,Question 3
Which of the following conditions automatically disqualifies a person from admission to any
ALF in Florida?
A) Diabetes requiring insulin
B) Use of a wheelchair
C) Dependence on a ventilator
D) Mild dementia
Answer: C) Dependence on a ventilator
Rationale: Florida law explicitly prohibits ALFs (even those with LNS licenses) from admitting
ventilator-dependent residents. This requires a nursing home level of care.
Question 4
A resident's health assessment (Form 1823) is one year old and has expired. How long does the
facility have to obtain a new assessment?
A) 15 days
B) 30 days
C) 45 days
D) 60 days
Answer: B) 30 days
Rationale: Form 1823 is valid for one year. When it expires, the facility has 30 days to obtain an
updated assessment. Failure to do so is a Class II violation.
Question 5
A resident who uses a walker and requires assistance with bathing can be admitted to a
standard ALF (no LNS license).
A) True
B) False
Answer: A) True
,Rationale: ALFs are designed for residents who need assistance with activities of daily living
(ADLs) such as bathing, dressing, and mobility. A walker and bathing assistance are within
standard ALF scope.
Question 6
A 22-year-old with controlled epilepsy seeks admission. Can the ALF admit them?
A) Yes, age 18+ is acceptable
B) No, ALFs are only for seniors 65+
C) Only if they have a guardian
D) Only with a special waiver
Answer: A) Yes, age 18+ is acceptable
Rationale: The minimum age for ALF admission is 18 years unless a specific waiver is granted for
younger individuals with exceptional needs.
Question 7
A resident is given a 45-day involuntary discharge notice for failure to pay. After 30 days, the
resident pays all back rent. Can the facility rescind the notice?
A) Yes, if the resident now meets all retention criteria
B) No, 45-day notices are irrevocable
C) Only if AHCA approves
D) Only if the resident signs a new admission agreement
Answer: A) Yes, if the resident now meets all retention criteria
Rationale: Florida law allows a facility to rescind an involuntary discharge notice if the condition
that triggered it (non-payment) is resolved and the resident meets all other retention criteria.
Question 8
How many days' written notice must be given for involuntary discharge due to non-payment
(non-emergency)?
A) 15 days
B) 30 days
, C) 45 days
D) 60 days
Answer: C) 45 days
Rationale: Florida law requires at least 45 days' written notice for involuntary discharge except
in emergencies (e.g., resident poses immediate threat).
Question 9
A resident is admitted with a do-not-resuscitate (DNR) order. The facility must:
A) Ignore the DNR and perform CPR if needed
B) Honor the DNR and provide comfort care only
C) Transfer the resident to a hospice facility
D) Have the family re-sign the DNR
Answer: B) Honor the DNR and provide comfort care only
Rationale: A valid DNR order is legally binding. Staff must not perform CPR, intubation, or
defibrillation. Comfort measures (positioning, oxygen, family notification) are provided.
Question 10
A resident develops a Stage III pressure ulcer after admission. The facility does not have an LNS
license. What must happen?
A) Continue care and monitor weekly
B) Transfer the resident within 30 days
C) Apply for an LNS license immediately
D) Nothing – Stage III is allowed
Answer: B) Transfer the resident within 30 days
Rationale: Without an LNS license, the facility cannot retain a resident with a Stage III or IV
pressure ulcer. The facility has 30 days to transfer the resident to a nursing home.
Question 11
Which of the following must be included in the admission agreement?
2026/2027 Full 100 Questions with Rationales
ALREADY GRADED A+
SECTION 1: ADMISSION & RETENTION (Questions 1–12)
Question 1
A resident's AHCA Form 1823 (Health Assessment) must be completed no more than how many
days prior to admission?
A) 30 days
B) 60 days
C) 90 days
D) 120 days
Answer: B) 60 days
Rationale: Florida Administrative Code 58A-5.0182(1)(a) requires the health assessment to be
completed within 60 days before admission OR within 30 days after admission. The "prior"
window is specifically 60 days to ensure the resident's medical condition is current at move-in.
Question 2
A resident is admitted with a Stage II pressure ulcer. The facility has a Limited Nursing Services
(LNS) license. What is required?
A) The resident must be discharged immediately
B) The ulcer must show improvement within 30 days
C) The facility must hire a wound care nurse
D) No action is required for Stage II
Answer: B) The ulcer must show improvement within 30 days
Rationale: Under 58A-5.0182(3)(a), even with an LNS license, a resident with a Stage II pressure
ulcer must demonstrate documented improvement within 30 days. If not, the resident must be
transferred to a nursing home.
,Question 3
Which of the following conditions automatically disqualifies a person from admission to any
ALF in Florida?
A) Diabetes requiring insulin
B) Use of a wheelchair
C) Dependence on a ventilator
D) Mild dementia
Answer: C) Dependence on a ventilator
Rationale: Florida law explicitly prohibits ALFs (even those with LNS licenses) from admitting
ventilator-dependent residents. This requires a nursing home level of care.
Question 4
A resident's health assessment (Form 1823) is one year old and has expired. How long does the
facility have to obtain a new assessment?
A) 15 days
B) 30 days
C) 45 days
D) 60 days
Answer: B) 30 days
Rationale: Form 1823 is valid for one year. When it expires, the facility has 30 days to obtain an
updated assessment. Failure to do so is a Class II violation.
Question 5
A resident who uses a walker and requires assistance with bathing can be admitted to a
standard ALF (no LNS license).
A) True
B) False
Answer: A) True
,Rationale: ALFs are designed for residents who need assistance with activities of daily living
(ADLs) such as bathing, dressing, and mobility. A walker and bathing assistance are within
standard ALF scope.
Question 6
A 22-year-old with controlled epilepsy seeks admission. Can the ALF admit them?
A) Yes, age 18+ is acceptable
B) No, ALFs are only for seniors 65+
C) Only if they have a guardian
D) Only with a special waiver
Answer: A) Yes, age 18+ is acceptable
Rationale: The minimum age for ALF admission is 18 years unless a specific waiver is granted for
younger individuals with exceptional needs.
Question 7
A resident is given a 45-day involuntary discharge notice for failure to pay. After 30 days, the
resident pays all back rent. Can the facility rescind the notice?
A) Yes, if the resident now meets all retention criteria
B) No, 45-day notices are irrevocable
C) Only if AHCA approves
D) Only if the resident signs a new admission agreement
Answer: A) Yes, if the resident now meets all retention criteria
Rationale: Florida law allows a facility to rescind an involuntary discharge notice if the condition
that triggered it (non-payment) is resolved and the resident meets all other retention criteria.
Question 8
How many days' written notice must be given for involuntary discharge due to non-payment
(non-emergency)?
A) 15 days
B) 30 days
, C) 45 days
D) 60 days
Answer: C) 45 days
Rationale: Florida law requires at least 45 days' written notice for involuntary discharge except
in emergencies (e.g., resident poses immediate threat).
Question 9
A resident is admitted with a do-not-resuscitate (DNR) order. The facility must:
A) Ignore the DNR and perform CPR if needed
B) Honor the DNR and provide comfort care only
C) Transfer the resident to a hospice facility
D) Have the family re-sign the DNR
Answer: B) Honor the DNR and provide comfort care only
Rationale: A valid DNR order is legally binding. Staff must not perform CPR, intubation, or
defibrillation. Comfort measures (positioning, oxygen, family notification) are provided.
Question 10
A resident develops a Stage III pressure ulcer after admission. The facility does not have an LNS
license. What must happen?
A) Continue care and monitor weekly
B) Transfer the resident within 30 days
C) Apply for an LNS license immediately
D) Nothing – Stage III is allowed
Answer: B) Transfer the resident within 30 days
Rationale: Without an LNS license, the facility cannot retain a resident with a Stage III or IV
pressure ulcer. The facility has 30 days to transfer the resident to a nursing home.
Question 11
Which of the following must be included in the admission agreement?
