Illinois Nursing Home Administrators (NHA) Practice Exam

A facility's license may be revoked for any except which one of the following reasons?

1. If the facility is decertified from the Medicare and/or Medicaid programs.

2. If, during an inspection, a nurse aide is found to have lied to a Dept. inspector in response to a question about care provided to a resident.

3. If the facility fails to have a licensed administrator on duty and present in the building for a minimum of 36 hours over four days each week.

4. If the facility refuses to allow an inspection.

The correct answer is: If the facility fails to have a licensed administrator on duty and present in the building for a minimum of 36 hours over four days each week.

In the context of nursing home regulations, the revocation of a facility's license is closely linked to compliance with state and federal standards essential for maintaining quality care and safety for residents. Having a licensed administrator on duty is critical for the overall management and operational integrity of a facility. However, the specific requirement of being present for a minimum of 36 hours over four days each week may not directly lead to automatic license revocation. Instead, inadequate administrative presence might result in noncompliance citations, but revocation typically hinges on more severe infractions or systemic failures that compromise resident care and safety. The other reasons provided—decertification from Medicare/Medicaid, dishonesty during an inspection, and refusal to permit inspections—are all actions that directly threaten the integrity of care or compliance with essential legal obligations. Each of these can lead to swift and serious repercussions, including the revocation of a facility's license, because they reflect a failure to meet critical regulatory requirements. Therefore, the answer recognizing that license revocation wouldn't generally arise for the absence of an administrator under the specified conditions aligns with the broader framework of nursing home regulations focused on protecting residents and ensuring compliance with care standards.