Nursing Home Administration
Kris Chiles, Program Manager
Office of Behavioral Health and Consumer Services

Administrator or nursing home administrator means any individual who meets the education and training requirements of section 38-2419 and is responsible for planning, organizing, directing, and controlling the operation of a nursing home or an integrated system or who in fact performs such functions, whether or not such functions are shared by one or more other persons. Notwithstanding this section or any other provision of law, the administrator of an intermediate care facility for the mentally retarded may be either a licensed nursing home administrator or a qualified mental retardation professional.

Each administrator shall be responsible for and oversee the operation of only one licensed facility or one integrated system, except that an administrator may make application to the department for approval to be responsible for and oversee the operations of a maximum of three licensed facilities if such facilities are located within two hours' travel time of each other or to act in the dual role of administrator and department head but not in the dual role of administrator and director of nursing. In reviewing the application, the department may consider the proximity of the facilities and the number of licensed beds in each facility. An administrator responsible for and overseeing the operations of any integrated system is subject to disciplinary action against his or her license for any regulatory violations within each system.

Administrator-in-training means a person who is undergoing training to become a nursing home administrator and is directly supervised in a nursing home by a certified preceptor.

Certified preceptor means a person who is currently licensed by the State of Nebraska as a nursing home administrator, has three years of experience as a nursing home administrator, has practiced within the last two years in a nursing home, and is approved by the department to supervise an administrator-in-training or a person in a mentoring program.

License Requirements

Initial Licensure: (See pdf icon172 NAC 106)

To obtain a license, an applicant must meet the following requirements:

1.         Education: 

a.          Have an associate degree which includes the core educational requirements and an administrator-in-training program under a certified preceptor, or

b.          Have an associate degree which includes the core educational requirements, previous work experience, and a mentoring program under a certified preceptor; or

c.          Have a degree or an advanced degree and a mentoring program under a certified
                         preceptor, or

d.          Have a nursing degree, previous work experience in health care administration, and a mentoring program under a certified preceptor, or

e.          Have a degree or an advanced degree in health care and previous work experience in health care administration.

 2.      Examination:  Successful passage of the National Association of Boards of Examiners for Nursing Home Administration written examination.

 3.      Age/Citizenship/Resident Information:  Be at least 19 years old and be a citizen of the United States, an alien lawfully admitted into the United States for permanent residence under the Immigration and Naturalization Act (INA) and who is eligible for a credential under the Uniform Credentialing Act, or a nonimmigrant whose visa for entry, or application for visa for entry, is related to employment in the United States.

Reciprocity: (See pdf icon172 NAC 106)

To obtain a license, an applicant must meet the following requirements:

1.       License:  Hold a current license as a Nursing Home Administrator in another state
          or jurisdiction.

2.      Age/Citizenship/Resident Information:  Be at least 19 years old and be a citizen of the
          United States, an alien lawfully admitted into the United States for permanent residence
          under the Immigration and Naturalization Act (INA) and who is eligible for a credential
          under the Uniform Credentialing Act, or a nonimmigrant whose visa for entry, or
          application for visa for entry, is related to employment in the United States.

Administrator of a Facility Caring Primarily for Persons with Head Injuries: (See pdf icon172 NAC 106)

To obtain a license, an applicant must meet the following requirements:

1 . Experience:  Has at least two years of experience working with persons with head injuries or severe physical disabilities, at least one of which was spent in an administrative capacity.

2 . Licensure or Other Credentials :  The applicant must be a:

a.          Psychologist with at least a master's degree in psychology from an accredited college or university and has specialized training or one year of experience working with persons with traumatic head injury or severe physical disability,

b.          Physician licensed under the Uniform Credentialing Act to practice medicine and surgery or psychiatry and has specialized training or one year of experience working with persons with traumatic head injury or severe physical disability,

c.          Educator with at least a master's degree in education from an accredited college or university and has specialized training or one year of experience working with persons with traumatic head injury or severe physical disability, or

d.          Certified social worker, a certified master social worker, or a licensed mental health practitioner certified or licensed under the Uniform Credentialing Act and has at least three years of social work or mental health practice experience and specialized training or one or more years of experience working with persons who have experienced traumatic head injury or are severely physically disabled.

3.  Age/Citizenship/Resident Information:   Be at least 19 years old and be a citizen of the
     United States, an alien lawfully admitted into the United States for permanent residence under
     the Immigration and Nationality Act (INA) and who is eligible for a credential under the
     Uniform Credentialing Act.

Administrator Responsible/Overseeing More Than 1 Facility or the Dual Role of Administrator and Department Head:  (See 172 NAC 106)

An administrator may be responsible for and oversee the operations of up to three licensed facilities or may act in the dual role of administrator and department head (but not in the dual role of administrator and director of nursing) if the Board approves.

To obtain approval, an applicant must meet the following requirements:

  1. Facility Requirements:

    1. The travel time between the two facilities the farthest apart must not exceed two hours.  Travel time must be by motor vehicle.   Air time is not considered travel time for this purpose;

    2. The distance between the two facilities the farthest apart must not exceed 150 miles; and

    3. The combined total number of beds in the facilities must not exceed 200. 

  2. Age/Citizenship/Resident Information:  Be at least 19 years old and be a citizen of the United States, an alien lawfully admitted into the United States for permanent residence under the Immigration and Nationality Act (INA) and who is eligible for a credential under the Uniform Credentialing Act.

Administrator-In-Training Program and Mentoring Program:   (See 172 NAC 106)

Individuals applying for an initial license as a Nursing Home Administrator who must complete an administrator-in-training program or mentoring program, must complete such under the supervision of a certified preceptor. 

To register, an applicant must meet the following requirements: 

1.          Education:  Have completed at least 50% of the required core areas specified in 172 NAC 106-002, section 17. 

2.          Age/Citizenship/Resident Information:  Be at least 19 years old and be a citizen of the United States, an alien lawfully admitted into the United States for permanent residence under the Immigration and Nationality Act (INA) and who is eligible for a credential under the Uniform Credentialing Act.

 Preceptor:   (See 72 NAC 106)

A nursing home administrator who wishes to supervise an administrator-in-training or a mentoring program trainee  in Nebraska, must obtain a certification as a preceptor. 

To obtain a license, an applicant must meet the following requirements: 

1.        License:  Have a current and active Nebraska Nursing Home Administrators license; 

2.        Age/Citizenship/Resident Information:  Be at least 19 years old and be a citizen
of the United States, an alien lawfully admitted into the United States for permanent
residence under the Immigration and Nationality Act (INA) and who is eligible
for a credential under the Uniform Credentialing Act. 

3.        Experience:  Have obtained three years of experience as a Nursing Home Administrator
  in the five years immediately preceding application for certification; 

4.        Training:  Have completed at least an 8 hour preceptor training course approved by the
   Board, as described in 172 NAC 106-011, and said training must have been completed
   within the 12 months immediately prior to the application for a preceptor certification; and 

5.        Disciplinary Action:  Has not had his/her license disciplined, limited, suspended, or placed on
   probation during the 1 year immediately preceding the application for a preceptor
   certification.  At least 1 year must have elapsed following completion of any disciplinary
   terms and conditions.  If any of these actions are taken by the Department during the
   AIT/Mentoring training supervisory period, the preceptor must terminate the supervision
   immediately and notify the Department. 

Provisional Licensure As A Nursing Home Administrator: (See 172 NAC 106)

If there is a vacancy in the position of licensed administrator of a home for the aged or infirm or nursing home, the owner, governing body, or other appropriate authority of the home for the aged or infirm or nursing home may select a person, not otherwise qualified for licensure as a nursing home administrator, to apply for a provisional license in nursing home administration to serve as the administrator of such facility.  

Such license, if issued, will be issued to an individual in order to maintain the daily operations of the facility and may not be renewed.

  1. Employment: The provisional licensee can not concurrently complete the administrator-in-training program or provide services which require full dedication to the position, except that a person in a mentoring program may obtain a provisional license at the same time s/he is completing the mentoring program.

  2. Unprofessional Conduct, Denial, or Disciplinary Action:  Have NO history of unprofessional conduct, denial, or disciplinary action against a nursing home administrator license or a license to practice any other profession by any lawful licensing authority for reasons outlined in 172 NAC 106-015 and Neb. Rev. Stat. §§38-178 through 38-180.

  3. Age/Citizenship/Resident Information:   Be at least 19 years old and be a citizen of the United States, an alien lawfully admitted into the United States for permanent residence under the Immigration and Nationality Act (INA) and who is eligible for a credential under the Uniform Credentialing Act. 

          Duration of License and Extension 

  1. Expiration Date:   The provisional license will be issued for no more than 180 calendar days.

  2. Non-Renewal:  The provisional license may not be renewed.

  3. Extension:  The Board may grant an extension not to exceed 90 days if the person seeking the provisional license is in a mentoring program.  

Notification of Hiring Licensed Administrator:  Upon the hiring of a licensed administrator or expiration of the provisional license in 180 days, which ever occurs first, the owner, governing body or other appropriate authority of the home for the aged or infirm must present written verification to the Board of a licensed Nursing Home Administrator assuming the operation of the home for the aged or infirm or nursing home.

 

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Fees

pdf icon Fee Schedule

License Type License
Fee
Renewal
Fee
Other
Nursing Home Administration $166 $166 $25 for continuing education programs
Administrator-in-Training/Mentoring $  50    NA
Preceptor, Certified, (four-year renewal) $  25 $  25
Provisional Nursing Home Administrator $110   NA

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Expiration Dates and Continuing Education Requirements

License Type: Expiration Date: Continuing Education
Nursing Home Administrator 12/31 each even numbered year 50 hours
Certified Preceptor 12/31 every 4 years from date of issuance 8 hours

Nursing Home Administrator: On or before December 31st of each even numbered year, each nursing home administrator holding an active license must complete at least 50 hours of approved continuing education during the preceding 24-month period.  A licensee may carry-over up to 25 hours earned beyond the 50 hours for the next renewal period.  Hours are defined as:

  1. Academic Credit:   A maximum of 25 hours of continuing education credit per a biennial renewal period may be obtained through academic credit; continuing education obtained through academic credit is calculated as follows:

    1. 1 semester hour of academic credit equals 5 continuing education credit hours; and

    2. 1-quarter hour of academic credit equals 3 continuing education credit hours;

  2. Home Study: A maximum of 25 hours of continuing education credit per a biennial renewal period  may be obtained through home study programs.

  3. Continuing Education Programs: 60 minutes of participation equals 1 continuing education hour/credit.

  4. Presenter:  If the licensee is a presenter, s/he must maintain documentation of his/her presentation of an approved continuing education program.  A presenter may receive credit for only the initial presentation during a renewal period. Credit will not be given for subsequent presentations of the same program. 

NOTE:  The Board NO LONGER approves continuing competency programs/activities for renewal of a nursing home administrator license.  In order for a continuing competency activity/program to be accepted for renewal or reinstatement of a license, the activity must include one or a combination of the following topic areas:

  1. Courses, clinics, forums, lectures, college/university courses, workshops or educational seminars relating to health care administration as defined by the following:

    1. Applicable standards of environmental health and safety;

    2. Applicable health and safety regulations;

    3. General administration;

    4. Psychology of patient care;

    5. Principles of patient care;

    6. Personal and social care of residents;

    7. Therapeutic and supportive care and services in long-term care;

    8. Facility departmental organization and management; and

    9. Community health/service organizations. 

  2. Programs approved by the following are considered acceptable for renewal or reinstatement of a license. Only the number of hours indicated as approved by these organizations will be acceptable for renewal.

    1. American Association of Homes and Services for the Aging (AAHSA);

    2. American College of Health Care Administrators (ACHCA);

    3. American Health Care Association (AHCA);

    4. American Medical Directors Association (AMDA);

    5. Nebraska Association of Homes and Services for the Aging (NAHSA);

    6. Nebraska Health Care Association (NHCA); or

    7. National Continuing Education Review Service (NCERS) through NAB.

Certified Preceptor:  On or before December 31st of every fourth year beginning December 31, 2000, each active preceptor must complete at least 8 hours of approved preceptor training during the preceding 48-month period.  NOTE:  The Board NO LONGER approves continuing competency programs.

Supervising and AIT/Mentor:  If a preceptor supervises an AIT/Mentor during the renewal period, s/he will be granted 8 hours of preceptor continuing competency for supervising one AIT/Mentor and a total of 16 hours for supervising 2 AIT’s/Mentors during the four-year renewal period.  These hours may also be included in the required continuing competency hours to renew the NHA license.

If a preceptor does not supervise an AIT/Mentor during the four-year renewal period, in order to maintain an active preceptor certification s/he must complete an approved preceptor training program as described below:

Preceptor Training Course (Initial and/or Renewal):  The preceptor training course must be at least 8 hours in duration and include the following 4 topic areas, with a minimum of 1 hour per topic area: 

  1. Culture Change and/or Quality of Life;

  2. State Statutes and Federal Regulations relating to Nursing Home Administrators;

  3. Leadership and/or Team Building and/or Communication and/or Generation Styles; and

  4. Adult Education and/or Train the Trainer and/or Learning Styles.

The remaining 4 hours may include any of the following topics:

  1. Learning Styles (personality, how do I learn);

  2. State Regulations relating to nursing home facilities (Chapter 12);

  3. Personnel Issues (wages, confidentiality, etc);

  4. Culture Change (medical vs personal);

  5. State and Federal Regulations affecting Nursing Homes (examples: ADA, FMLA, ANSI, NFPI-FSES);

  6. Leadership;

  7. Public Relations;

  8. Team Building;

  9. Communication Skills;

  10. Train the Trainer;

  11. Business and Finances;

  12. Adult Education; or

  13. Generation Changes.

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Applications

pdf icon Administorator-In-Training/Mentoring Training Program Application
pdf icon Administrator-In-Training/Mentoring-Change of status Program
pdf icon Monthly Training Report Form 
pdf icon Nursing Home Administrator Application 
pdf icon Overseeing up to 3 Homes
pdf icon Head Injuries and Associated Disorders
pdf icon Preceptor License
pdf icon Provisional License
pdf icon Duplicates/Reissue
pdf icon Name Change Request
pdf icon Nursing Home Administrator Reinstatement Application

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Grounds for Denial of a License and Disciplining a License

Neb. Rev. Stat. § 38-178, of the pdf iconUniform Credentialing Act, provide several grounds by which the Department may deny, refuse renewal of, limit, suspend, or revoke licenses; one of which is:

Conviction of a misdemeanor or felony under state law, federal law, or the law of another jurisdiction and which, if committed within this state, would have constituted a misdemeanor or felony under state law and which has a rational connection with the applicant's, or licensee's fitness or capacity to practice the profession.

Probationary or Limited License: The Department of Health and Human Services, Licensure Unit, may issue an initial license on probation (with terms and conditions) or limitation based on these same grounds for discipline.

A complete listing of grounds for denial or discipline can be found in Neb. Rev. Stat. 38-178 and 38-179 of the pdf iconUniform Credentialing Act and pdf icon172 NAC 106-014 of the Regulations Governing Nursing Home Administrators.

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Unprofessional Conduct

A list of unprofessional conduct can be found in Neb. Rev. Stat. § 38-179, of the pdf iconUniform Credentialing Act and pdf icon172 NAC 106-015 of the Regulations Governing Nursing Home Administrators.

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Name and Address Change

To request an address change, you can go on-line and make changes at www.nebraska.gov/LISSearch/search.cgi, or contact Rita Watson at (402) 471-2117 or E-Mail rita.watson@nebraska.gov. If you wish to change your name on your Licensing & Regulatory Affairs record, you must mail a pdf iconwritten request with your signature notarized along with a copy of the legal document verifying name change to:

Licensure Unit
Nursing Home Administration
PO Box 94986
Lincoln NE 68509-4986

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Duplicates/Reissue

Duplicates: Licensure Unit will issue a duplicate wall license or small license card when more than one original is requested at the time of initial licensure. If you are requesting a duplicate license, you must include an additional $10.00 per request, with your original license application.

Reissue: Licensure Unit will reissue a large license and/or small license card when the licensee requests: additional documents; replacement of original document(s) due to loss, mutilation or destruction; or replacement of document(s) due to a name change.

If you wish to request a reissued license, you must submit a pdf iconrequest for reissuance, and include a fee in the amount of $10.00. Submit said request to:

Licensure Unit
Nursing Home Administration
PO Box 94986
Lincoln NE 68509-4986

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Rules and Regulations/Statutes

pdf icon Regulations Governing the Practice of Nursing Home Administrators – 172 NAC 106
pdf iconStatutes Relating to Nursing Home Administrators
pdf iconStatutes related to the Uniform Credentialing Act
pdf iconRegulations relating to Mandatory Reporting
pdf iconMandatory Reporting Forms

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Board Information

The Board of Nursing Home Administration advises the Department of Health and Human Services,  on all issues related to the regulation of nursing home administration. Board member composition and length of terms can be found at www.dhhs.ne.gov/crl/brdmbr.pdf.

The Board of Examiners in Nursing Home Administration meets 4 times per year - see Board meeting Schedule for meeting dates and times. Meetings are open to the public, with the exception of investigational matters. Minutes of the meeting are available here or by contacting Rita Watson (402) 471-4918 or by e-mail at rita.watson@nebraska.gov

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Contact Us

Office Address:

Mailing Address Physical Address
Nebraska Department of Health and Human Services - Licensure Unit
PO Box 94986
Lincoln, NE 68509-4986
Nebraska State Office Building
301 Centennial Mall South
14th and M Streets
3rd Floor
Lincoln, Nebraska

Phone: (402) 471-2117
Fax: (402) 471-3577

Office Hours:

8:00 a.m. to 5:00 p.m. (central time)
Monday through Friday

Nebraska Licensure Information

Rita Watson
Phone: (402) 471-4918
Fax: (402) 471-3577
E-Mail: rita.watson@nebraska.gov

Kris Chiles, Program Manager
Phone: (402) 471-2117
Fax: (402) 471-3577
E-Mail: kris.chiles@nebraska.gov

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Other Related Contacts

National Association of Boards of
Examiners of Long Term Care Administrators
1444 I Street, NW #700
Washington, DC 20005-6542
Phone: (202) 712-9040
Fax: (202) 216-9646

Licensee Assistance Program
Center Pointe Professional Plz
9239 West Center Road
Omaha, NE 68124
Phone: (402) 354-8055
Toll Free: (800) 851-2336
www.lapne.org

Nebraska Health Care Association
Brendon A. Polt, Atty, MBA
3900 NW 12th Street, Suite 100
Lincoln, NE 68521-3015
Phone: (402) 435-3551
Fax: (402) 475-6289
www.nehca.org

LeadingAge Nebraska
Julie Kaminski
900 North 90th Street, #940
Omaha, NE 68114
Telephone: (402) 990-2346
www.leadingagene.org

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Brochures

pdf icon Chemical Dependency in Healthcare Professionals Resource Guide

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Certifications/Verifications

Certification and Verification information can be obtained by checking the website at: www.dhhs.ne.gov/lis/lisindex.htm

OR

To request either a certification or verification or your license to be sent to another licensing agency, send your request in writing along with the proper fee to the our office. Checks should be made payable to Licensure Unit, State of Nebraska.

Certification

  1. Fee - $25.00
  2. Certification includes:
    1. Name
    2. Profession
    3. License number
    4. Issuance date
    5. Expiration date
    6. Whether the license was granted by examination, waiver, or reciprocity
    7. Examination information, if available
    8. Whether disciplinary action has been taken against the license. If so, the type(s) and date(s) of the action will be included.
    9. SEAL of the Nebraska Department of Health & Human Services

Verification

  1. Fee - $5.00
  2. Verification includes:
    1. Name
    2. Profession
    3. License Number
    4. Expiration Date
    5. Department Staff Signature

A verification does not include the SEAL of the Nebraska Department of Health & Human Services nor information relating to discipline, school, or examination.

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Licensee Assistance Program

The Licensee Assistance Program (LAP) is an assessment, education, referral, case management, and monitoring service designed to help licensees, certificate holders, and registrants of the State of Nebraska work through substance abuse/addiction problems.

The LAP services are free. However, in some cases treatment from a community resource agency may be needed. If further assistance is needed, the LAP Coordinator will help refer the Licensee to the most appropriate agency. When a treatment referral is made, those expenses become the responsibility of the Licensee.

This program was authorized by pdf iconNeb. Rev. Stat. §38-175 and is funded by license fees.

LAP telephone number: (800) 851-2336 or (402) 354-8055, Web address: www.lapne.org

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Complaints

How do I file a complaint? To file a complaint, see the Investigations Division web site: www.dhhs.ne.gov/reg/investi.htm

What activities must be reported by a licensee, certificate holder, or registrant? Every credentialed person who has first-hand knowledge of unlicensed, illegal or unethical activities is required to report (includes self-reporting) within 30 days of the occurrence. Failure to report may result in discipline. To view additional information relating to mandatory reporting, click on the options below:

Mandatory Reporting shall not apply:

  • to the spouse of the person,
  • to a practitioner who is providing treatment to such person in a practitioner-patient relationship concerning information obtained or discovered in the course of treatment unless the treating practitioner determines that the condition of the person may be of a nature which constitutes a danger to the public health and safety by the person's continued practice, or
  • when a credentialed person who is chemically impaired enters the Licensee Assistance Program authorized by pdf iconNeb. Rev. Stat. § 38-175 except as provided in such section.

How is a complaint reviewed, and what is the disciplinary process? The following provides information relating to the complaint, investigative, and disciplinary process.

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