Michigan Nursing Home Administrator (NHA) Practice Exam

How many beds must a licensed nursing home have to require a full-time LNHA?

1. 25

2. 35

3. 50

4. 75

The correct answer is: 50

A licensed nursing home must have at least 50 beds to be required to employ a full-time Licensed Nursing Home Administrator (LNHA). This regulation is grounded in the need for effective management and oversight in facilities of a certain size, where the complexity of operations, resident needs, and regulatory requirements increase significantly. A full-time LNHA is essential for ensuring that the facility adheres to all state and federal regulations, manages staff effectively, maintains quality care for residents, and handles any issues that arise in a timely manner. As the number of residents grows, the demands on administration also expand, making the role of a full-time LNHA critical for operational success and care quality. In nursing homes with fewer than 50 beds, the operational needs can often be met with part-time administrative oversight, which allows smaller facilities to function efficiently without the same level of administrative staff as larger ones. Thus, the threshold of 50 beds serves as a benchmark to ensure that there is adequate professional oversight in larger facilities.