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HEALTH LICENSING OFFICE,
NURSING HOME ADMINISTRATORS BOARD

 

DIVISION 30

LICENSURE OF NURSING HOME ADMINISTRATORS

853-030-0000

Nursing Home Administrator Application Requirements

An individual applying for a nursing home administrator license must:

(1) Meet the requirements of OAR 331 division 30.

(2) Submit a completed application form prescribed by the agency, which must contain the information listed in OAR 331-030-0000 and be accompanied by payment of the required application fees.

(3) In addition to requirements listed in subsections (1) and (2) of this rule, an applicant must provide documentation of one of the following pathways:

(a) Licensure Pathway 1 — Qualification through the AIT Program. Applicant must submit:

(A) Official transcript as defined in OAR 853-020-0000(8) demonstrating attainment of qualifying Bachelor’s degree pursuant to ORS 678.730(3);

(B) Certificate of Training Completion on forms prescribed by the agency;

(C) Examination fees;

(D) Official documentation of a passing score on the NAB examination, successfully completed within one year following the date of application, sent directly by the NAB to the agency. Copies of examination results or other documentation provided by the applicant are not acceptable. The applicant is responsible for payment of fees assessed by NAB in obtaining required official documentation. See ORS 678.740 and OAR 853-030-0030

NOTE: Upon completion and approval of all application requirements listed in (1), (2), and (3)(a)(A) through (B) of this rule the agency may notify NAB an applicant is qualified to take the NAB examination;

(E) Proof of having completed and passed the board approved state examination within one year preceding or one year following the date of application. See ORS 678.740 and OAR 853-030-0030; and

(F) Upon passage of all required examinations and before issuance of license, applicant must pay all license fees.

(b) Licensure Pathway 2 — Qualification through dual facility experience. Applicant must submit:

(A) Proof, from the organization, of one year experience as an administrator serving a dual facility as per ORS 678.710(1);

(B) Examination fees;

(C) Official documentation of a passing score on the NAB examination, successfully completed within one year following the date of application, sent directly by the NAB to the agency. Copies of examination results or other documentation provided by the applicant are not acceptable. The applicant is responsible for payment of fees assessed by NAB in obtaining required official documentation. See ORS 678.740 and OAR 853-030-0050

NOTE: Upon completion and approval of all application requirements listed in (1), (2), and (3)(b)(A) of this rule the agency may notify NAB an applicant is qualified to take the NAB examination;

(D) Proof of having completed and passed the board approved state examination within one year preceding or one year following the date of application. See ORS 678.740 and OAR 853-030-0050; and

(E) Upon passage of all required examinations and before issuance of license, applicant must pay all licenseing fees.

(c) Licensure Pathway 3 — Qualification through advanced education and experience. Applicant must submit:

(A) Official transcript as defined in OAR 853-020-0000(8) demonstrating attainment of a postgraduate degree in management pursuant to ORS 678.730(4);

(B) Proof of ten years of experience in health care management as defined in OAR 853-020-0000(5).

(C) All licensing fees.

(d) Licensure Pathway 4 — Reciprocity. Applicant must submit:

(A) An affidavit of licensure pursuant to OAR 331-030-0040 demonstrating proof of current licensure, which is active with no current or pending disciplinary action, as a nursing home administrator. The license must have been issued by another state or territory of the United States and the licensing requirements must be at least equivalent to those in ORS 678.730

(B) All licensing fees.

(e) Licensure Pathway 5 — Reciprocity for licensees registered prior to January 1, 1983. Applicant must submit:

(A) An affidavit of licensure pursuant to OAR 331-030-0040 demonstrating proof of current licensure, which is active with no current or pending disciplinary action, as a nursing home administrator. The license must have been issued by another state or territory of the United States and the licensing requirements must be at least equivalent to those in ORS 678.730. The affidavit must indicate that the license was originally issued prior to January 1, 1983;

(B) All licensing fees.

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stats. Implemented: ORS 678.730, 678.760, 678.770, 678.775, 678.820
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

853-030-0010

Provisional Licenses — Application and Issuance

(1) Whenever a bona fide emergency exists such as, but not limited to, the death, incapacitation, or unexpected resignation of a licensed nursing home administrator and the nursing home which such person was administering is unable to employ a regularly licensed nursing home administrator, the long-term care facility may be administered by a provisionally licensed nursing home administrator. The provisional license is valid for only the nursing home in which the emergency that allowed the provisional license exists, and is valid until a licensed nursing home administrator can be employed, but not to exceed six months.

(2) An individual applying for a nursing home administrator provisional license must:

(a) Meet the requirements of OAR 331 division 30.

(b) Submit a completed application form prescribed by the agency, which must contain the information listed in OAR 331-030-0000 and be accompanied by payment of the required application fees.

(c) Submit a formal request from the owner or manager of the nursing home explaining the emergency situation and the need for a provisional administrator.

(d) In addition to requirements listed in subsection (2) (a), (b) and (c) of this rule, an applicant must provide documentation of one of the following:

(A) Proof of qualification under licensure pathway 2, 3, 4 or 5;

(B) Current employment as the nursing home’s Assistant Administrator; or

(C) Current employment as the nursing home’s Director of Nursing.

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stats. Implemented: ORS 678.710, 678.760(5), 678.775
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

853-030-0020

Application for Registration as an AIT

An individual applying for an AIT registration must:

(1) Meet the requirements of OAR 331 division 30;

(2) Submit a completed application form prescribed by the agency, which must contain the information listed in OAR 331-030-0000 and be accompanied by payment of the required application fees.

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stat. Implemented: ORS 678.730
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

853-030-0030

Application for Registration as a Preceptor

An individual applying for a Preceptor registration must:

(1) Meet the requirements of OAR 331 division 30;

(2) Submit a completed application form prescribed by the agency, which must contain the information listed in OAR 331-030-0000 and be accompanied by payment of the required application fees.

(3) In addition to requirements listed in subsection (1) and (2) of this rule, a preceptor must:

(a) Hold a current Oregon nursing home administrator license with no current or pending disciplinary action, and with no fines, fees, or civil penalties owing to the Agency;

(b) Have been a licensed nursing home administrator for the least three years; and

(c) Have attended a Board-approved workshop for preceptors in Oregon within three years preceding the date of application for registration.

(4) In order to maintain current registration as a Preceptor with the agency;

(a) For a preceptor registered before January 1, 2012 the preceptor must attend a Board-approved workshop for preceptors in Oregon by December 31, 2012.

(b) A preceptor must attend a Board-approved workshop for preceptors in Oregon every three years.

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stats. Implemented: 678.730, 678.760, 678.775, 678.820
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

853-030-0040

AIT Program

The AIT program consists of 960 hours of training under the supervision of a preceptor. The training program documentation can be reviewed at www.oregon.gov/OHLA/NHAB.

(1) An AIT program applicant must apply for and be granted registration pursuant to OAR 853-030-0020 prior to beginning the AIT program.

(2) An AIT registered after January 1, 2012:

(a) Must complete the AIT program in no less than six months and no more than two years after beginning the program. An AIT failing to complete the program within two years after beginning the program must reapply and, if accepted, must begin the program again;

(b) May apply for a waiver of up to 80 hours of the AIT program pertaining to resident care and quality of life if the AIT submits:

(A) Proof of current CNA certification with no current or pending disciplinary actions and with no fines, fees, or civil penalties currently owing. Applicants must submit an affidavit of licensure pursuant to OAR 331-030-0040; or

(B) A certificate of completion from a CNA program within the last two years preceding the date of registration application.

(c) May apply for a waiver of up to 160 hours of the AIT program pertaining to resident care and quality of life if the AIT:

(A) Submits proof of current licensure as a LPN or RN in a long-term care facility, with no current or pending disciplinary actions and with no fines, fees, or civil penalties currently owing; and

(B) Has three years of experience within the last five years as a LPN or RN in a long-term care facility. Applicants must submit an affidavit of licensure pursuant to OAR 331-030-0040; and

(d) May apply for a waiver under subsection (3) or (4) of this rule, but not both.

(3) A registered preceptor must provide the AIT a minimum of four (4) hours per month of in-person consultation regarding the strengths, progress, and competency development needs of the AIT, and to suggest methods of improvement. In-person consultation must be documented on a form prescribed by the agency.

(4) A registered preceptor must:

(a) Train only one AIT at any one time;

(b) Sign the Certificate of Training completion forms;

(5) Both the AIT and preceptor registrants must notify the agency of any discontinuation of, change or interruptions in the AIT program.

(6) An AIT registered prior to January 1, 2012, may complete training under that AIT’s currently approved program. The AIT must complete the AIT program in no less than six months and no more than two years after beginning the program. An AIT failing to complete the program within two years after beginning the program must reapply and, if accepted, must begin the program pursuant to OAR 853-030-0040(2);

(7) Neither AIT registration nor acceptance into an AIT program authorizes an AIT registrant to practice or offer to practice as a nursing home administrator or to use the title of or abbreviations for Nursing Home Administrator. An AIT registrant engaging in such conduct may be disqualified from all or part of the training program. See ORS 678.720(1).

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stats. Implemented: ORS 678.730, 678.760, 678.820
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

853-030-0050

General Examination Information

(1) The board approved examinations for a nursing home administrator license are the NAB examination with a NAB passing score and the state prepared examination administered by the agency with a board approved passing score.

(2) To take the examinations, an applicant must meet identification requirements listed under OAR 331-030-0000.

(3) The examination is administered in English only, unless an agency approved testing contractor or vendor provides the examination in languages other than English.

(4) Examination candidates may be electronically monitored during the course of testing.

(5) The Board will establish a maximum time allowance for each section of the examination.

(6) Notes, textbooks, notebooks, electronic equipment or communication devices, such as personal computers, pagers and cellular telephones or any other devices deemed inappropriate by the agency, are prohibited in the examination area.

(7) A candidate may be immediately disqualified before, during, or after the examination for conduct that interferes with the examination or otherwise violates this rule. At the time of disqualification, the examination may be invalidated and examination fees may be forfeited. Disqualifying conduct includes but is not limited to:

(a) Directly or indirectly giving, receiving, soliciting, and attempting to give, receive or solicit aid during the examination process;

(b) Violations of subsection (6) of this rule;

(c) Removing or attempting to remove any examination-related information, notes or materials from the examination site;

(d) Failing to follow directions relative to the conduct of the examination; and

(e) Exhibiting behavior that impedes the normal progress of the examination.

(8) The applicant may be required to reapply, submit additional examination fees, and request in writing to schedule another examination if applicant is disqualified from taking the examination.

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stats. Implemented: ORS 678.730, 678.740, 678.760, 678.775
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

853-030-0060

Examination Retake

All examinations retakes are subject to examination fees and an approved examination schedule set by the agency

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stats. Implemented: ORS 678.40, 678.775
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

853-030-0070

Nursing Home Administrator Issuance and Renewal

(1) AUTHORIZATION AND RENEWAL: A licensee is subject to the provisions of OAR chapter 331, division 30 regarding the issuance and renewal of a license, provisions regarding authorization to practice, identification requirements, and requirements for issuance of a duplicate license.

(2) AUTHORIZATION RENEWAL: To avoid delinquency penalties, license renewal must be made prior to the license entering inactive status. The licensee must submit the following:

(a) Renewal application form;

(b) Payment of required renewal fee pursuant to 853-040-0000; and

(c) Documentation of having obtained required annual continuing education under OAR 853-050-0000, on a form prescribed by the agency.

(3) INACTIVE AUTHORIZATION: A license may be inactive for up to three years. When renewing after entering inactive status, the licensee must submit the following:

(a) Renewal application form;

(b) Payment of delinquency and license fees pursuant to OAR 853-040-0000;

(c) Documentation of having obtained required annual continuing education under OAR 853-050-0000, on a form prescribed by the agency, whether license has been current or inactive;

(4) EXPIRED AUTHORIZATION: A license that has been inactive for more than three years is expired and the licensee must reapply and meet the requirements listed in OAR 853-030-0000.

(5) A licensee failing to meet continuing education requirements listed under OAR 853-050-0000 is expired and must reapply and meet requirements pursuant to OAR 853-030-0000.

(6) A licensee may not practice with an inactive or expired license.

Stat. Auth.: ORS 676.615, 678.820(2)(g)
Stats. Implemented: ORS 678.730, 678.740, 678.760, 678.775, 678.820
Hist.: NHAB 1-2011, f. 12-15-11, cert. ef. 1-1-12

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