Federal Nursing Home Administrator Practice Exam

Which document is essential for tracking all incoming and outgoing financial transactions in a nursing home?

1. Income Statement

2. Balance Sheet

3. General Ledger

4. Cash Flow Statement

The correct answer is: General Ledger

The general ledger is the crucial document for tracking all incoming and outgoing financial transactions in a nursing home. It serves as a comprehensive record that includes all financial data related to the operations of the facility. Each financial transaction—whether income generated from patient services or expenses incurred for supplies and services—gets recorded in the general ledger, which provides a detailed account of the financial activities over a given period. In a nursing home, accurate financial tracking is vital for budgeting, forecasting, and ensuring compliance with regulations. The general ledger consolidates this financial information, allowing administrators to have a clear and organized view of the overall financial status. This helps in making informed decisions and provides stakeholders with necessary insights into the fiscal health of the organization. While the other documents, like the income statement and balance sheet, are important components of financial reporting, they do not capture every single transaction. The income statement summarizes revenues and expenses over a period, the balance sheet provides a snapshot of assets, liabilities, and equity at a specific point in time, and the cash flow statement highlights the cash inflows and outflows. However, none of these documents serve the comprehensive tracking function provided by the general ledger.