NURSING HOME ADMINISTRATOR EDUCATION REQUIREMENTS
NURSING HOME ADMINISTRATOR EDUCATION REQUIREMENTS
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OLR Research Report  


April 13, 2010

2010-R-0188

NURSING HOME ADMINISTRATOR EDUCATION REQUIREMENTS

By: Saul Spigel, Chief Analyst (emeritus)

You asked for a comparison of Connecticut's education requirements for nursing home administrator licensure with those of other states.

SUMMARY

The National Nursing Home Administrator Board identifies 34 states as requiring candidates for a nursing home administrator license to hold, at a minimum, either a bachelor's (28) or associate's (six) degree. (However, the board's list may not be accurate; Connecticut, which requires a bachelor's, is not on it.)

We compared Connecticut's requirements to 11 New England and Middle Atlantic states. The comparisons are displayed in table 1.

Nine of the 12 states, including Connecticut, require anyone who wants to take the nursing home administrator licensing test to hold at least a bachelor's degree. Some of these states specify that they must be in health-related fields; Connecticut does not. Three states—Delaware, Maryland, and Pennsylvania—permit people without a bachelor's degree to take the test, although some of their other licensing requirements are more stringent for people without a degree.

All of the states require licensure candidates to have also completed a supervised training program in a nursing facility. Most states call this an administrator-in-training (AIT) program. The duration of these programs in some states varies depending on candidates' educational levels.

Table 1: Nursing Home Administrator Education Requirements

State

Degree Requirements

Associated or Additional Coursework

Administrator-in-Training (AIT) or Supervised Experience Required

CT

● BA/BS

● MA/MS

● BA/BS: DPH-approved 3 semester hours course in long-term care (LTC)

● MA: facility administration, law, financial mgt., personnel mgt., patient care

● DPH-approved LTC course includes 1-year (minimum 900 hours) residency in skilled nursing facility that covers specific areas of experience

● MA must include at least 500 hours of supervised field experience

DE

● BA/BS or higher in health & human services, hospital admin., business admin.

● BA or higher in other area, or

● AA or RN

None specified

● AIT: 6 months if BA or higher is in health-related field

● AIT: 9 months if BA or higher is not health-related

● AIT: 12 months if AA or RN

ME

● BA/BS or higher in admin., health care admin., LTC admin.

● BA in health-related field (e.g., nursing, social work)

● BA or higher in non-health area

● BA/BS or higher in non-health area must also have:

● certificate of advance study in LTC or

● 12 semester hours in mgt. (6 hrs.) and health care or LTC

AIT: 1,040 hrs. over 6 months

MD

● BA/BS or MA/MS or

● 100 hrs. of study in health care admin. within past 5 years

None specified

AIT:12 months

MA

● BA/BS

● MA/MS or PhD

BA/BS: health services admin. or any other field

● MA/MS or PhD in: health care or health services admin., business admin., public health, or public admin.

● AIT or equivalent internship: 3 months if MA or PhD

● AIT or equivalent internship: 6 months if BA/BS:

NH

BA/BS

Must obtain at least 15 credits in specified fields such as health and safety standards, principles of medical care, organization & mgt., psychology of patient care either as part of degree or in addition to it

AIT: 12 months

NJ

BA/BS

100 seminar or course hrs. in areas relevant to LTC administration

AIT: At least 1,750 hrs.

Table 1: -Continued-

State

Degree Requirements

Associated or Additional Coursework

Administrator-in-Training (AIT) or Supervised Experience Required

NY

● BA/BS or higher + 15 credit hrs. in specified areas

● BA/BS or MA in specific health-related fields can be substituted for 15 hrs. of coursework

15 hrs. must be in nursing home admin., health care financial mgt., legal issues, gerontology, & personnel mgt.

AIT: 12 months

PA

● 60 semester hrs. of college +120 hrs. of coursework approved by licensing board

● RN license + 120 hrs. coursework

● BA/BS + 120 hrs. coursework

● BA/BS in nursing home admin.

● MA/MS

MA/MS: in nursing home, hospital, or public health admin. or related field

Varying periods of experience in supervised nursing home administration, depending on education

RI

BA/BS in health care administration or 15 credit hrs. in specified fields

15 credit hrs. must be in nursing home resident care mgt., personnel and financial mgt., environmental mgt. of nursing homes, and nursing home governance and mgt,

AIT: at least 350 hrs. field experience in a 12-month program

VT

BA/BS

None specified

AIT: 1,000 hrs.

VA

● BA/BS or higher in health-related field

● BA/BS or higher + 21 hrs. in health-related coursework

Health-related coursework must cover resident care & quality of life, human resources, financial mgt., physical environment, & leadership and mgt.

● At least 320-hr. internship in nursing home, if degree is in health-related field

● At least 400-hr. internship in nursing home, if degree is not in health-related field

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