Federal Nursing Home Administrator Practice Exam

Among the following positions, which one has no authority to make decisions for the facility?

1. Director of Nursing

2. Upper-level Manager

3. Assistant to the Administrator

4. Facility Administrator

The correct answer is: Assistant to the Administrator

The position of Assistant to the Administrator typically serves in a supportive role, assisting the Facility Administrator and other management staff in various tasks. This individual may handle administrative duties, assist in communication, and carry out specific projects but generally does not possess the authority to make final decisions for the facility. The primary responsibility is to support the leadership rather than to act independently in decisions that impact operations, staff management, or resident care. In contrast, the other roles listed—Director of Nursing, Upper-level Manager, and Facility Administrator—each hold significant authority to make decisions regarding their respective areas of responsibility within the nursing home. The Director of Nursing is responsible for overseeing clinical operations and patient care quality, the Upper-level Manager typically focuses on broader business functions and strategy, and the Facility Administrator has ultimate responsibility for the entire facility's operations and regulatory compliance. Their positions inherently come with decision-making power that affects the facility's functioning and governance.