Wisconsin Nursing Home Administrators (NHA) Practice Exam

What must an application for an IMD license disclose regarding ownership?

1. Details of profits made in the last fiscal year

2. The identities of all creditors holding a security interest in the premises

3. The names of the previous employees

4. A list of all medications used within the facility

The correct answer is: The identities of all creditors holding a security interest in the premises

An application for an IMD license must disclose the identities of all creditors holding a security interest in the premises because these creditors may have a financial stake in the facility and it is important for the licensing agency to be aware of any potential conflicts of interest. Option A is incorrect because details of profits made in the last fiscal year may be relevant for business purposes, but not necessarily for the licensing process. Option C is incorrect because the names of previous employees do not necessarily pertain to the current ownership of the facility. Option D is incorrect because a list of medications used within the facility is not relevant to the ownership of the facility.