Michigan Nursing Home Administrator (NHA) Practice Exam

In the absence of an organized governing body, who is responsible for the nursing home's operations?

1. The board of directors

2. The owner or operator

3. The state licensing board

4. The chief medical officer

The correct answer is: The owner or operator

In the absence of an organized governing body, the responsibility for the nursing home's operations falls to the owner or operator. This means that they must ensure that the facility adheres to regulations, maintains quality care, and effectively manages resources and staff. This accountability is critical because it places the overall operational oversight in the hands of those who have a vested interest in the facility's success and compliance with established standards. Understanding the role of the owner or operator is essential, especially in scenarios where there are no formal governance structures in place, such as a board of directors. The owner or operator not only manages the day-to-day operations but also often represents the facility in dealings with regulatory agencies and other stakeholders. In this context, their actions are pivotal in shaping the quality of care provided to residents and ensuring that the nursing home meets the necessary legal and regulatory requirements.