Nursing Home Administrator NC State Exam Questions
with Correct Answers 2025/2026
How long does a legal entity have to submit licensure application before license is issued or
patients being admitted? - CORRECT ANSWER -legal entity shall submit application for licensure
for a new facility at least 30 days prior.
To whom is the new facility licensure submitted to? - CORRECT ANSWER -nursing home
licensure and certification section of the department of health service regulations.
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
with Correct Answers 2025/2026
How long does a legal entity have to submit licensure application before license is issued or
patients being admitted? - CORRECT ANSWER -legal entity shall submit application for licensure
for a new facility at least 30 days prior.
To whom is the new facility licensure submitted to? - CORRECT ANSWER -nursing home
licensure and certification section of the department of health service regulations.
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
