Administrative Code

Virginia Administrative Code
8/7/2022

Part III. Requirements for Licensure

18VAC95-20-220. Qualifications for initial licensure.

One of the following sets of qualifications is required for licensure as a nursing home administrator:

1. Degree and practical experience. The applicant shall (i) hold a baccalaureate or higher degree in a health care-related field that meets the requirements of 18VAC95-20-221 from an accredited institution; (ii) have completed not less than a 320-hour internship that addresses the Domains of Practice as specified in 18VAC95-20-390 in a licensed nursing home as part of the degree program under the supervision of a preceptor; and (iii) have received a passing grade on the national examination;

2. Certificate program. The applicant shall (i) hold a baccalaureate or higher degree from an accredited college or university, (ii) successfully complete a program with a minimum of 21 semester hours study in a health care-related field that meets the requirements of 18VAC95-20-221 from an accredited institution, (iii) successfully complete not less than a 400-hour internship that addresses the Domains of Practice as specified in 18VAC95-20-390 in a licensed nursing home as part of the certificate program under the supervision of a preceptor, and (iv) have received a passing grade on the national examination;

3. Administrator-in-training program. The applicant shall have (i) successfully completed an AIT program that meets the requirements of Part IV (18VAC95-20-300 et seq.) of this chapter, (ii) received a passing grade on the national examination, and (iii) completed the Domains of Practice form required by the board; or

4. Health Services Executive (HSE) credential. The applicant shall provide evidence that he has met the minimum education, experience, and examination standards established by NAB for qualification as a Health Services Executive.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 5.1, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 22, Issue 26, eff. October 4, 2006; Volume 24, Issue 20, eff. July 24, 2008; Volume 29, Issue 20, eff. July 18, 2013; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-221. Required content for coursework.

To meet the educational requirements for a degree in a health care-related field, an applicant must provide an official transcript from an accredited college or university that documents successful completion of a minimum of 21 semester hours of coursework concentrated on the administration and management of health care services to include a minimum of three semester hours in each of the content areas in subdivisions 1 through 4 of this section, six semester hours in the content area set out in subdivision 5 of this section, and three semester hours for an internship.

1. Customer care, supports, services: Course content shall address program and service planning, supervision, and evaluation to meet the needs of patients, such as (i) nursing, medical and pharmaceutical care; (ii) rehabilitative, social, psychosocial, and recreational services; (iii) nutritional services; (iv) safety and rights protections; (v) quality assurance; and (vi) infection control.

2. Human resources: Course content shall focus on personnel leadership in a health care management role and must address organizational behavior and personnel management skills such as (i) staff organization, supervision, communication, and evaluation; (ii) staff recruitment, retention, and training; (iii) personnel policy development and implementation; and (iv) employee health and safety.

3. Finance: Course content shall address financial management of health care programs and facilities such as (i) an overview of financial practices and problems in the delivery of health care services; (ii) financial planning, accounting, analysis, and auditing; (iii) budgeting; (iv) health care cost issues; and (v) reimbursement systems and structures.

4. Environment: Course content shall address facility and equipment management such as (i) maintenance, (ii) housekeeping, (iii) safety, (iv) inspections and compliance with laws and regulations, and (v) emergency preparedness.

5. Leadership and management: Course content shall address the leadership roles in health delivery systems such as (i) government oversight and interaction, (ii) organizational policies and procedures, (iii) principles of ethics and law, (iv) community coordination and cooperation, (v) risk management, and (vi) governance and decision making.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 22, Issue 26, eff. October 4, 2006; amended, Virginia Register Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-225. Qualifications for licensure by endorsement.

The board may issue a license to any person who:

1. Holds a current, unrestricted license from any state or the District of Columbia; and

2. Meets one of the following conditions:

a. Has been engaged in active practice as a licensed nursing home administrator; or

b. Has education and experience equivalent to qualifications required by this chapter and has provided written evidence of those qualifications at the time of application for licensure.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from Virginia Register Volume 15, Issue 4, eff. December 9, 1998; amended, Virginia Register Volume 25, Issue 6, eff. December 24, 2008; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-230. Application package.

A. An application for licensure shall be submitted after the applicant completes the qualifications for licensure.

B. An individual seeking licensure as a nursing home administrator or registration as a preceptor shall submit:

1. A completed application as provided by the board;

2. Additional documentation as may be required by the board to determine eligibility of the applicant;

3. The applicable fee;

4. An attestation that he has read and understands and will remain current with the applicable Virginia laws and regulations relating to the administration of nursing homes; and

5. A current report from the U.S. Department of Health and Human Services National Practitioner Data Bank (NPDB).

C. With the exception of school transcripts, examination scores, the NPDB report, employer verifications, and verifications from other state boards, all parts of the application package shall be submitted at the same time. An incomplete package shall be retained by the board for one year, after which time the application shall be destroyed and a new application and fee shall be required.

Statutory Authority

§ 54.1-2400 of the Code of Virginia.

Historical Notes

Derived from VR500-01-2:1 § 5.2, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; Volume 19, Issue 19, eff. July 2, 2003; Volume 24, Issue 20, eff. July 24, 2008; Volume 26, Issue 8, eff. January 20, 2010; Volume 31, Issue 20, eff. July 16, 2015; Volume 35, Issue 12, eff. March 6, 2019.

18VAC95-20-240. (Repealed.)

Historical Notes

Derived from VR500-01-2:1 §§ 5.3 to 5.7, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; repealed, Virginia Register Volume 15, Issue 4, eff. December 9, 1998.

18VAC95-20-290. (Repealed.)

Historical Notes

Derived from VR500-01-2:1 § 5.8, eff. August 15, 1990; amended, Virginia Register Volume 7, Issue 25, eff. October 9, 1991; Volume 8, Issue 24, eff. September 24, 1992; Volume 10, Issue 17, eff. June 15, 1994; Volume 15, Issue 4, eff. December 9, 1998; repealed, Virginia Register Volume 19, Issue 19, eff. July 2, 2003.

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