Nursing Home Administrator NC State Exam [ACTUAL
EXAM] LATEST VERSION [QUESTIONS AND ANSWERS]
WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
How long does a legal entity have to submit licensure application before license is
Which components is contained in the new facility application? - CORRECT
ANSWER 1. legal entity of applicant and mailing address
2. name or names under which the facility is presented to public
3. location and mailing address of facility
4. ownership disclosure
5. bed complement
6. magnitude and scope of services offered
7. name and current license number of administrator
8. name and current license number of DON
9. name and current license number of MD
Before issuing a license, DHHS must do what? - CORRECT ANSWER The
Department of Health and Human Services shall issue a license to the licensee of the
facility following review of operational policies and procedures and verification of
compliance with laws and rules
Only one license shall be issued to each facility
Are licenses transferable? - CORRECT ANSWER licenses are not transferable
Where should a license be posted? - CORRECT ANSWER the license shall be
posted in a prominent location, accessible to public view, within the licensed premises
Bad capacity and services provided must be in compliance with what? - CORRECT
ANSWER bed capacity and services provided must be in compliance with GS 131E
article 9 regarding Certificate of Need.
How long does a license remain in effect, unless which conditions occur? - CORRECT
ANSWER A license remains in effect up to 12 months, unless any of the following
occurs
1. dhhs imposes an administrative sanction which specifies license expiration
2. closure
3. change of ownership
4. change of site
,5. change in bed complement
6. failure to comply with rule .2104 of this section
When do license get renewed? - CORRECT ANSWER dhhs shall renew the
facility's license at the end of each calendar year
Under which conditions must occur for dhhs to renew license? - CORRECT
ANSWER 1. licensee maintain and submits to dhhs at least 30 days prior to
expiration
2. facility is in conformance with GS 131E-102(c)
A combination facility must specify what on a license renewal application? - CORRECT
ANSWER A combination facility shall specify on the annual license renewal
application with which rules for the adult care home beds it plans to comply for the
upcoming year. Facility may chose from the following
1. nursing home licensure rules under this subchapter
2. adult care home licensure under 10A NCAC 13F
3. a combination of both.
What changes could occur that would result in filing for a new license? How long prior
does the facility need to submit new application? - CORRECT ANSWER The
facility shall notify the nursing home licensure and certification section of department of
health service regulation in writing at least 30 days prior to the following occurrences
1. change in name/names the facility it presented to the public
2. change in legal identity (licensee) which has ownership responsibility and liability
(new owner must submit)
3. change in licensed bed capacity
4. change in location of facility
Which occurrence must the facility notify dhhs within one working day? - CORRECT
ANSWER facility shall notify nursing home licensure and certification section of
department of health service regulation following the occurrence of
1. change in administrator
2. change in don
3. change in magnitude or scope of practice
4. change in facility mailing address or phone number
5. emergencies resulting in relocation of patients to temporary location away from
facility
How much can a CCRC temporarily increase bed capacity and for how long? -
CORRECT ANSWER A CCRC may temporarily increase bed capacity by 10% or
10 bed (whichever is less) for a period of 60 days following the notification and approval
by the division of health service regulation
,How long can bed capacity be exceeded during an emergency situation? - CORRECT
ANSWER A facility may exceed its licensed bed capacity as determined by its
disaster plan and as authorized by dhsr up to 60 days
What condition shall DHSR authorize temporary increases in bed capacity? -
CORRECT ANSWER DHSR shall authorize increase in bed capacity if it is
determined that
1. the increase is not associated with a capital expenditure
2. the increase would not jeopardize the health, safety and welfare of patients
When can DHHS deny licensure application? - CORRECT ANSWER the
department of health and human services shall deny licensure application upon
becoming aware that the applicant is not in compliance with GS 131E article 9 and the
rules adopted under that law
When can DHHS amend license from full to provisional? - CORRECT ANSWER
the department of health and human services may amend a license when it finds that
1. the licensee has substantially failed to comply with provisions of GS 131e article 6
2. there is a continued non-compliance after the 3rd revisit
What components are in a written notice of amended license from dhhs? - CORRECT
ANSWER the dhhs shall give the licensee written notice of the amendment to the
license. This notice shall be given personally or by certified mail ans shall set forth
1. length of provisional license
2.a reference to the statement of deficiencies that contains the facts
3. the statues or rules alleged to be violated
4. notice of the facility's right to a contested case hearing on the amendment of the
license.
How long does a provisional license remain in effect? - CORRECT ANSWER
provisional license shall be effective as specified in the notice and shall be posted in a
location within the facility, accessible to public view, in lieu of full license. The license
shall remain in effect until
1. dhhs restores the license to full status
2. dhhs revokes licensee license
When can dhhs revoke a license? - CORRECT ANSWER dhhs may revoke a
license whenber they find that
1. the licensee fail to comply with GS 131e article 6
2. non-compliance after 3rd revisit
3. fail to comply with GS 131E article 6 that endanger the health, safety and welfare of
patients
, When can DHHS suspend the admission of new patients? - CORRECT ANSWER
the dhhs may suspend the admission of new patients to a facility when warrented under
GS 131-109(c)
What is components are included in the suspension of admissions? - CORRECT
ANSWER dhhs shall notify the facility personally or in certified mail which includes
1. reference to the statement of deficiencies that contains the facts
2. citation of stratus and rules alleged to be violated
3. the facility's right to a contested case hearing on suspension
How long does suspension of new admission last? - CORRECT ANSWER
Suspension is effective on the date specified on notice, and shall remain in effect until
facility demonstrates to dhhs that conditions are no longer detrimental to health and
safety.
During suspension, are patients who are hospitalized allowed to be readmitted? -
CORRECT ANSWER Yes, patients requiring hospitalization shall be readmitted to
facility based on the availability of a bed and ability to provide necessary care.
When can inspections occur by dhhs? - CORRECT ANSWER a facility shall allow
inspection by an authorized representative of dhhs at any time.
How long after survey will a written report be sent to facility? - CORRECT ANSWER
dhhs shall mail a written report to the facility within 10 working days from the date of
survey or complaint investigation.
What does a written report include? - CORRECT ANSWER the report shall include
statements of deficiencies or violations cited during visit
How long does the administrator have to write a plan of correction? - CORRECT
ANSWER administrator shall prepare a written plan of correction and mail it to dhhs
within 10 working days following receipt of any statement of deficiencies.
Who is in charge in the physical absence of administrator? - CORRECT ANSWER
a person shall be on-site who is designated to be in charge of the facility's operations.
(usually DON)
Who has authority to admit patients to a facility? - CORRECT ANSWER no patient
shall be admitted except by a physician
What has to occur prior to or on admission of new patient? - CORRECT ANSWER
the facility shall acquire prior to or at the time of admission, orders for the immediate
care of the patient from the admitting physician
EXAM] LATEST VERSION [QUESTIONS AND ANSWERS]
WITH PRACTICE EXAM DETAILED AND VERIFIED FOR
GUARANTEED PASS- LATEST UPDATE 2025 GRADED A
How long does a legal entity have to submit licensure application before license is
Which components is contained in the new facility application? - CORRECT
ANSWER 1. legal entity of applicant and mailing address
2. name or names under which the facility is presented to public
3. location and mailing address of facility
4. ownership disclosure
5. bed complement
6. magnitude and scope of services offered
7. name and current license number of administrator
8. name and current license number of DON
9. name and current license number of MD
Before issuing a license, DHHS must do what? - CORRECT ANSWER The
Department of Health and Human Services shall issue a license to the licensee of the
facility following review of operational policies and procedures and verification of
compliance with laws and rules
Only one license shall be issued to each facility
Are licenses transferable? - CORRECT ANSWER licenses are not transferable
Where should a license be posted? - CORRECT ANSWER the license shall be
posted in a prominent location, accessible to public view, within the licensed premises
Bad capacity and services provided must be in compliance with what? - CORRECT
ANSWER bed capacity and services provided must be in compliance with GS 131E
article 9 regarding Certificate of Need.
How long does a license remain in effect, unless which conditions occur? - CORRECT
ANSWER A license remains in effect up to 12 months, unless any of the following
occurs
1. dhhs imposes an administrative sanction which specifies license expiration
2. closure
3. change of ownership
4. change of site
,5. change in bed complement
6. failure to comply with rule .2104 of this section
When do license get renewed? - CORRECT ANSWER dhhs shall renew the
facility's license at the end of each calendar year
Under which conditions must occur for dhhs to renew license? - CORRECT
ANSWER 1. licensee maintain and submits to dhhs at least 30 days prior to
expiration
2. facility is in conformance with GS 131E-102(c)
A combination facility must specify what on a license renewal application? - CORRECT
ANSWER A combination facility shall specify on the annual license renewal
application with which rules for the adult care home beds it plans to comply for the
upcoming year. Facility may chose from the following
1. nursing home licensure rules under this subchapter
2. adult care home licensure under 10A NCAC 13F
3. a combination of both.
What changes could occur that would result in filing for a new license? How long prior
does the facility need to submit new application? - CORRECT ANSWER The
facility shall notify the nursing home licensure and certification section of department of
health service regulation in writing at least 30 days prior to the following occurrences
1. change in name/names the facility it presented to the public
2. change in legal identity (licensee) which has ownership responsibility and liability
(new owner must submit)
3. change in licensed bed capacity
4. change in location of facility
Which occurrence must the facility notify dhhs within one working day? - CORRECT
ANSWER facility shall notify nursing home licensure and certification section of
department of health service regulation following the occurrence of
1. change in administrator
2. change in don
3. change in magnitude or scope of practice
4. change in facility mailing address or phone number
5. emergencies resulting in relocation of patients to temporary location away from
facility
How much can a CCRC temporarily increase bed capacity and for how long? -
CORRECT ANSWER A CCRC may temporarily increase bed capacity by 10% or
10 bed (whichever is less) for a period of 60 days following the notification and approval
by the division of health service regulation
,How long can bed capacity be exceeded during an emergency situation? - CORRECT
ANSWER A facility may exceed its licensed bed capacity as determined by its
disaster plan and as authorized by dhsr up to 60 days
What condition shall DHSR authorize temporary increases in bed capacity? -
CORRECT ANSWER DHSR shall authorize increase in bed capacity if it is
determined that
1. the increase is not associated with a capital expenditure
2. the increase would not jeopardize the health, safety and welfare of patients
When can DHHS deny licensure application? - CORRECT ANSWER the
department of health and human services shall deny licensure application upon
becoming aware that the applicant is not in compliance with GS 131E article 9 and the
rules adopted under that law
When can DHHS amend license from full to provisional? - CORRECT ANSWER
the department of health and human services may amend a license when it finds that
1. the licensee has substantially failed to comply with provisions of GS 131e article 6
2. there is a continued non-compliance after the 3rd revisit
What components are in a written notice of amended license from dhhs? - CORRECT
ANSWER the dhhs shall give the licensee written notice of the amendment to the
license. This notice shall be given personally or by certified mail ans shall set forth
1. length of provisional license
2.a reference to the statement of deficiencies that contains the facts
3. the statues or rules alleged to be violated
4. notice of the facility's right to a contested case hearing on the amendment of the
license.
How long does a provisional license remain in effect? - CORRECT ANSWER
provisional license shall be effective as specified in the notice and shall be posted in a
location within the facility, accessible to public view, in lieu of full license. The license
shall remain in effect until
1. dhhs restores the license to full status
2. dhhs revokes licensee license
When can dhhs revoke a license? - CORRECT ANSWER dhhs may revoke a
license whenber they find that
1. the licensee fail to comply with GS 131e article 6
2. non-compliance after 3rd revisit
3. fail to comply with GS 131E article 6 that endanger the health, safety and welfare of
patients
, When can DHHS suspend the admission of new patients? - CORRECT ANSWER
the dhhs may suspend the admission of new patients to a facility when warrented under
GS 131-109(c)
What is components are included in the suspension of admissions? - CORRECT
ANSWER dhhs shall notify the facility personally or in certified mail which includes
1. reference to the statement of deficiencies that contains the facts
2. citation of stratus and rules alleged to be violated
3. the facility's right to a contested case hearing on suspension
How long does suspension of new admission last? - CORRECT ANSWER
Suspension is effective on the date specified on notice, and shall remain in effect until
facility demonstrates to dhhs that conditions are no longer detrimental to health and
safety.
During suspension, are patients who are hospitalized allowed to be readmitted? -
CORRECT ANSWER Yes, patients requiring hospitalization shall be readmitted to
facility based on the availability of a bed and ability to provide necessary care.
When can inspections occur by dhhs? - CORRECT ANSWER a facility shall allow
inspection by an authorized representative of dhhs at any time.
How long after survey will a written report be sent to facility? - CORRECT ANSWER
dhhs shall mail a written report to the facility within 10 working days from the date of
survey or complaint investigation.
What does a written report include? - CORRECT ANSWER the report shall include
statements of deficiencies or violations cited during visit
How long does the administrator have to write a plan of correction? - CORRECT
ANSWER administrator shall prepare a written plan of correction and mail it to dhhs
within 10 working days following receipt of any statement of deficiencies.
Who is in charge in the physical absence of administrator? - CORRECT ANSWER
a person shall be on-site who is designated to be in charge of the facility's operations.
(usually DON)
Who has authority to admit patients to a facility? - CORRECT ANSWER no patient
shall be admitted except by a physician
What has to occur prior to or on admission of new patient? - CORRECT ANSWER
the facility shall acquire prior to or at the time of admission, orders for the immediate
care of the patient from the admitting physician
