Texas Nursing Home Administrator Exam (Texas-Specific +
Federal NHA Exam) | Questions and Answers | 2025/2026 |
latest Update | Instant Download!!
1. A facility in Texas has 120 beds and 96 residents. What is the current occupancy rate?
a. 72%
b. 78%
c. 80% (correct answer)
d. 85%
Rationale:
Occupancy rate = 96 ÷ 120 = 0.80 or 80%.
2. Under Texas Health & Safety Code, how long must nursing facilities keep clinical records
after a resident is discharged?
a. 1 year
b. 3 years
c. 5 years (correct answer)
d. 10 years
Rationale:
Texas requires retention of clinical records for 5 years after discharge, or longer if litigation is
involved.
3. Which agency is responsible for licensing and regulating Texas nursing facilities?
,a. CMS
b. CDC
c. Texas Health & Human Services Commission (HHSC) (correct answer)
d. DADS
Rationale:
HHSC took over authority from DADS as the regulatory agency for LTC facilities.
4. A resident requests access to their medical record. Under Texas rules, the facility must
provide it within:
a. 12 hours
b. 24 hours (correct answer)
c. 48 hours
d. 72 hours
Rationale:
Texas follows federal rules requiring access within 24 hours (excluding weekends/holidays).
5. A resident falls at 11:00 a.m. and suffers a serious injury. Texas law requires reporting to
HHSC within:
a. 12 hours
b. 24 hours (correct answer)
c. 48 hours
d. 72 hours
Rationale:
Texas requires reporting serious injuries of unknown origin or abuse/neglect allegations within 24
hours.
,6. In Texas, who may serve as a nursing facility’s “Alternate Manager”?
a. Any staff with 1 year experience
b. RN only
c. Person approved by HHSC with required qualifications (correct answer)
d. Medical Director
Rationale:
Alternate managers must be approved by HHSC and meet the same requirements as the manager-of-
record.
7. A Texas NHA must notify HHSC of a change in administrator within:
a. 3 days
b. 5 days
c. 10 days (correct answer)
d. 30 days
Rationale:
Texas regulation requires notifying HHSC within 10 working days of a change in administrator.
8. A nursing facility has 84 residents and 14 CNAs on the day shift. What is the CNA-to-
resident ratio?
a. 1:4
b. 1:5
c. 1:6 (correct answer)
d. 1:8
Rationale:
84 ÷ 14 = 6 residents per CNA.
, 9. Under federal law, a comprehensive MDS assessment must be completed:
a. Within 7 days of admission
b. Within 14 days of admission (correct answer)
c. Within 21 days of admission
d. Within 30 days of admission
Rationale:
CMS requires MDS completion within 14 days.
10. Texas requires nursing facilities to conduct a fire drill:
a. Monthly
b. Yearly
c. Quarterly on each shift (correct answer)
d. Twice a year
Rationale:
Texas adopts NFPA requirements for quarterly drills per shift.
11. When must a Texas facility submit a Plan of Correction (PoC) after receiving a Statement
of Deficiencies?
a. 24 hours
b. 3 days
c. 10 calendar days (correct answer)
d. 21 calendar days
Rationale:
Texas follows the federal deadline of 10 calendar days.
Federal NHA Exam) | Questions and Answers | 2025/2026 |
latest Update | Instant Download!!
1. A facility in Texas has 120 beds and 96 residents. What is the current occupancy rate?
a. 72%
b. 78%
c. 80% (correct answer)
d. 85%
Rationale:
Occupancy rate = 96 ÷ 120 = 0.80 or 80%.
2. Under Texas Health & Safety Code, how long must nursing facilities keep clinical records
after a resident is discharged?
a. 1 year
b. 3 years
c. 5 years (correct answer)
d. 10 years
Rationale:
Texas requires retention of clinical records for 5 years after discharge, or longer if litigation is
involved.
3. Which agency is responsible for licensing and regulating Texas nursing facilities?
,a. CMS
b. CDC
c. Texas Health & Human Services Commission (HHSC) (correct answer)
d. DADS
Rationale:
HHSC took over authority from DADS as the regulatory agency for LTC facilities.
4. A resident requests access to their medical record. Under Texas rules, the facility must
provide it within:
a. 12 hours
b. 24 hours (correct answer)
c. 48 hours
d. 72 hours
Rationale:
Texas follows federal rules requiring access within 24 hours (excluding weekends/holidays).
5. A resident falls at 11:00 a.m. and suffers a serious injury. Texas law requires reporting to
HHSC within:
a. 12 hours
b. 24 hours (correct answer)
c. 48 hours
d. 72 hours
Rationale:
Texas requires reporting serious injuries of unknown origin or abuse/neglect allegations within 24
hours.
,6. In Texas, who may serve as a nursing facility’s “Alternate Manager”?
a. Any staff with 1 year experience
b. RN only
c. Person approved by HHSC with required qualifications (correct answer)
d. Medical Director
Rationale:
Alternate managers must be approved by HHSC and meet the same requirements as the manager-of-
record.
7. A Texas NHA must notify HHSC of a change in administrator within:
a. 3 days
b. 5 days
c. 10 days (correct answer)
d. 30 days
Rationale:
Texas regulation requires notifying HHSC within 10 working days of a change in administrator.
8. A nursing facility has 84 residents and 14 CNAs on the day shift. What is the CNA-to-
resident ratio?
a. 1:4
b. 1:5
c. 1:6 (correct answer)
d. 1:8
Rationale:
84 ÷ 14 = 6 residents per CNA.
, 9. Under federal law, a comprehensive MDS assessment must be completed:
a. Within 7 days of admission
b. Within 14 days of admission (correct answer)
c. Within 21 days of admission
d. Within 30 days of admission
Rationale:
CMS requires MDS completion within 14 days.
10. Texas requires nursing facilities to conduct a fire drill:
a. Monthly
b. Yearly
c. Quarterly on each shift (correct answer)
d. Twice a year
Rationale:
Texas adopts NFPA requirements for quarterly drills per shift.
11. When must a Texas facility submit a Plan of Correction (PoC) after receiving a Statement
of Deficiencies?
a. 24 hours
b. 3 days
c. 10 calendar days (correct answer)
d. 21 calendar days
Rationale:
Texas follows the federal deadline of 10 calendar days.
