California Nursing Home Administrator License Practice Exam

What is not a reason for denying admission to an ALF?

1. Person requires total care with activities of daily living

2. Individual has a legal guardian appointed

3. Client does not have a hospice care plan

4. Resident feels uncomfortable with the living arrangements

The correct answer is: Resident feels uncomfortable with the living arrangements

In the context of Assisted Living Facilities (ALFs), an individual feeling uncomfortable with the living arrangements is not a reason for denying admission. Residents have personal preferences and emotional needs that can influence their comfort level in a new environment. While the facility strives to create a welcoming and suitable living space, discomfort does not automatically disqualify someone from admission. In contrast, the other options reflect more objective criteria related to the care needs or legal status of the individual. For example, requiring total care with activities of daily living may exceed the level of care that the facility is licensed or equipped to provide, and thus may be a valid reason to deny admission. Similarly, having a legal guardian might raise considerations about the individual's ability to make decisions regarding their care, potentially leading to denial based on suitability for the environment. Lastly, not having a hospice care plan suggests a lack of necessary support or planning for end-of-life care, which could also present significant challenges to admission. Thus, the emotional or subjective aspect of feeling uncomfortable does not constitute a legitimate basis for an ALF to deny someone access to its services compared to the other more objective factors.