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 
172 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 172 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 172 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:
Facility Requirements:
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;
The distance between the two facilities the farthest apart must not exceed 150 miles; and
The combined total number of beds in the facilities must not exceed 200.
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.
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.
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.
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
Expiration Date: The provisional license will be issued for no more than 180 calendar days.
Non-Renewal: The provisional license may not be renewed.
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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