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Maine Assisted Living Administrator — Requirements & Free Practice

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Multi-Level Long Term Care Facility Administrator

License authorizing administration of residential care facilities, multi-level long term care facilities and nursing homes under Chapter 23. It is included because its authorized practice expressly includes residential care/assisted living.

Licensing authority: Maine Nursing Home Administrators Licensing Board · Application information

Licensure by endorsement
No examination is required for this applicant pathway.
Denial And Fees
No cause for denial may exist; pay the required fee.
Existing License
Provide proof of a license in the same profession from a United States jurisdiction maintaining substantially equivalent requirements.
Good Standing
Be in good standing everywhere a license is or was held: no pending complaint, allegation or investigation; no suspension or practice restriction; no surrender or revocation.
Posted Application Demand
The Board still links a Revised 8/2022 checklist stating: Official score report indicating a passing score on the NHA examination administered by the National Association of Long Term Care Administrator Boards (NAB) issued to the Board directly from NAB; It also requests the sending jurisdiction laws/rules. Section 8003-H controls this endorsement process; its only examination reservation is an otherwise-required jurisprudence examination, and Chapters 20-30 establish no jurisprudence examination for these licenses.

Official no-examination sources

Effective from 2026-09-22.

Conversion from a valid Maine nursing home administrator license
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Apply to the Board for the multi-level license.
Exam Passage
Have passed NAB RC/AL; Chapter 25 §3 identifies RC/AL alone for this conversion, rather than the Chapter 23 initial-examination route.
Existing License
Hold a valid Maine nursing home administrator license.
Reapplication after expiration — 91 days to two years
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, fee and all education, training and examination documentation; supply additional requested information.
Background Check
The posted application requires a criminal history check, proof of age, academic transcript and verification of all licenses held.
Education
Meet the applicable Chapter 23 new-applicant qualifications; its education/experience alternatives remain applicable.
Minimum Age
At least 21 at application.
Posted Application
The linked Revised 8/2022 application gives RC/AL education and certification alternatives: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited college, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of cer- tificate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. Current Chapter 23 instead requires all three named NAB exams and Chapter 22 specifies 1000 training hours; the old form states 1040 hours.
Reapplication
Application more than 90 days after expiration but within two years: Board may waive examination after considering public protection.
Registration
Obtain Board approval, register with NAB and designate the Maine Board to receive scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes passing scores for two years after the examination date.
Training
Complete the Chapter 22 AIT program (1000 hours in six months to one year, required site rotations, Board-approved preceptor and monthly reports), or obtain a full or partial waiver based on a substantially equivalent academic internship/practicum.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE) and Nursing Home Administrators (NHA) Line of Service Exam (LOS). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Reapplication after expiration — over two years
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, fee and all education, training and examination documentation; supply additional requested information.
Background Check
The posted application requires a criminal history check, proof of age, academic transcript and verification of all licenses held.
Education
Meet the applicable Chapter 23 new-applicant qualifications; its education/experience alternatives remain applicable.
Minimum Age
At least 21 at application.
Posted Application
The linked Revised 8/2022 application gives RC/AL education and certification alternatives: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited college, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of cer- tificate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. Current Chapter 23 instead requires all three named NAB exams and Chapter 22 specifies 1000 training hours; the old form states 1040 hours.
Reapplication
Application more than two years after expiration: satisfy all new-applicant requirements; the statutory two-year examination-waiver window has ended.
Registration
Obtain Board approval, register with NAB and designate the Maine Board to receive scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes passing scores for two years after the examination date.
Training
Complete the Chapter 22 AIT program (1000 hours in six months to one year, required site rotations, Board-approved preceptor and monthly reports), or obtain a full or partial waiver based on a substantially equivalent academic internship/practicum.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE) and Nursing Home Administrators (NHA) Line of Service Exam (LOS). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Initial licensure by examination — degree certificate
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, fee and all education, training and examination documentation; supply additional requested information.
Background Check
The posted application requires a criminal history check, proof of age, academic transcript and verification of all licenses held.
Education
A bachelor degree or higher in any field plus a certificate in long term care administration from an accredited institution.
Minimum Age
At least 21 at application.
Posted Application
The linked Revised 8/2022 application gives RC/AL education and certification alternatives: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited college, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of cer- tificate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. Current Chapter 23 instead requires all three named NAB exams and Chapter 22 specifies 1000 training hours; the old form states 1040 hours.
Registration
Obtain Board approval, register with NAB and designate the Maine Board to receive scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes passing scores for two years after the examination date.
Training
Complete the Chapter 22 AIT program (1000 hours in six months to one year, required site rotations, Board-approved preceptor and monthly reports), or obtain a full or partial waiver based on a substantially equivalent academic internship/practicum.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE) and Nursing Home Administrators (NHA) Line of Service Exam (LOS). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Initial licensure by examination — degree coursework
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, fee and all education, training and examination documentation; supply additional requested information.
Background Check
The posted application requires a criminal history check, proof of age, academic transcript and verification of all licenses held.
Education
A bachelor degree or higher in any field plus twelve semester credits from an accredited institution, with at least six in management and the balance in health care.
Minimum Age
At least 21 at application.
Posted Application
The linked Revised 8/2022 application gives RC/AL education and certification alternatives: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited college, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of cer- tificate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. Current Chapter 23 instead requires all three named NAB exams and Chapter 22 specifies 1000 training hours; the old form states 1040 hours.
Registration
Obtain Board approval, register with NAB and designate the Maine Board to receive scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes passing scores for two years after the examination date.
Training
Complete the Chapter 22 AIT program (1000 hours in six months to one year, required site rotations, Board-approved preceptor and monthly reports), or obtain a full or partial waiver based on a substantially equivalent academic internship/practicum.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE) and Nursing Home Administrators (NHA) Line of Service Exam (LOS). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Initial licensure by examination — related degree
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, fee and all education, training and examination documentation; supply additional requested information.
Background Check
The posted application requires a criminal history check, proof of age, academic transcript and verification of all licenses held.
Education
A bachelor degree or higher from an accredited educational institution in health care administration, long term care administration, business administration or a field directly related to health care or social services.
Minimum Age
At least 21 at application.
Posted Application
The linked Revised 8/2022 application gives RC/AL education and certification alternatives: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited college, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of cer- tificate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. Current Chapter 23 instead requires all three named NAB exams and Chapter 22 specifies 1000 training hours; the old form states 1040 hours.
Registration
Obtain Board approval, register with NAB and designate the Maine Board to receive scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes passing scores for two years after the examination date.
Training
Complete the Chapter 22 AIT program (1000 hours in six months to one year, required site rotations, Board-approved preceptor and monthly reports), or obtain a full or partial waiver based on a substantially equivalent academic internship/practicum.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE) and Nursing Home Administrators (NHA) Line of Service Exam (LOS). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Late renewal within 90 days
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and any additional requested information; annual expiration is June 30.
Continuing Education
24 hours of Board-compliant CE during the preceding July 1–June 30 term, except the first renewal; written hardship waiver/deferment is discretionary. Maintain documentation for audit.
Late Renewal
If renewing within 90 days after expiration, pay the additional $50 late fee; issuance is prospective, not retroactive.

Official no-examination sources

Effective from 2024-08-27.

Military connected licensure by endorsement
No examination is required for this applicant pathway.
Board Discretion
Board may permit endorsement for the remainder of the other license term or until a Maine license is obtained.
Existing License
Comparable license in good standing from another state.
Qualified Person
Recently separated veteran (within three years after honorable discharge/release), spouse/domestic partner of such a veteran, or active duty service member or their spouse/domestic partner.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement from inactive to active status
No examination is required for this applicant pathway.
Application
Apply to the Board, pay the fee and certify completion of 24 hours of compliant CE during the one-year period preceding reinstatement.
Existing License
Hold the corresponding inactive status license.

Official no-examination sources

Effective from 2024-08-27.

Annual renewal
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and any additional requested information; annual expiration is June 30.
Continuing Education
24 hours of Board-compliant CE during the preceding July 1–June 30 term, except the first renewal; written hardship waiver/deferment is discretionary. Maintain documentation for audit.
Late Renewal
If renewing within 90 days after expiration, pay the additional $50 late fee; issuance is prospective, not retroactive.

Official no-examination sources

Effective from 2024-08-27.

Residential Care Facility Administrator

License authorizing administration of a licensed residential care facility of seven beds or more under Chapter 26. The August 27, 2024 rule supersedes the qualification alternatives in the linked 2022 application.

Licensing authority: Maine Nursing Home Administrators Licensing Board · Application information

Licensure by endorsement
No examination is required for this applicant pathway.
Denial And Fees
No cause for denial may exist; pay the required fee.
Existing License
Provide proof of a license in the same profession from a United States jurisdiction maintaining substantially equivalent requirements.
Good Standing
Be in good standing everywhere a license is or was held: no pending complaint, allegation or investigation; no suspension or practice restriction; no surrender or revocation.
Posted Application Demand
The Board still links a Revised 8/2022 checklist stating: Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. It also requests the sending jurisdiction laws/rules. Section 8003-H controls this endorsement process; its only examination reservation is an otherwise-required jurisprudence examination, and Chapters 20-30 establish no jurisprudence examination for these licenses.

Official no-examination sources

Effective from 2026-09-22.

Reapplication after expiration — 91 days to two years
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, required fee and documentation of education or experience and examination passage; supply additional information requested by the Board.
Background Check
The posted application requires a criminal history records check, proof of age and verification of every professional license held.
Education
Meet the applicable Chapter 26 new-applicant qualifications; its education/experience alternatives remain applicable.
Minimum Age
At least 21 at application.
Posted Application
The still-posted Revised 8/2022 checklist gives education/certification alternatives to NAB examinations: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited col- lege, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of certifi- cate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. These alternatives are superseded by the August 27, 2024 Chapter 26 examination requirement.
Reapplication
Application more than 90 days after expiration but within two years: Board may waive examination after considering public protection.
Registration
Obtain Board examination approval, register with NAB, and designate the Maine Board to receive examination scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes a passing examination score for two years after the examination date.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Reapplication after expiration — over two years
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, required fee and documentation of education or experience and examination passage; supply additional information requested by the Board.
Background Check
The posted application requires a criminal history records check, proof of age and verification of every professional license held.
Education
Meet the applicable Chapter 26 new-applicant qualifications; its education/experience alternatives remain applicable.
Minimum Age
At least 21 at application.
Posted Application
The still-posted Revised 8/2022 checklist gives education/certification alternatives to NAB examinations: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited col- lege, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of certifi- cate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. These alternatives are superseded by the August 27, 2024 Chapter 26 examination requirement.
Reapplication
Application more than two years after expiration: satisfy all new-applicant requirements; the statutory two-year examination-waiver window has ended.
Registration
Obtain Board examination approval, register with NAB, and designate the Maine Board to receive examination scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes a passing examination score for two years after the examination date.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Initial licensure by examination — associate degree
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, required fee and documentation of education or experience and examination passage; supply additional information requested by the Board.
Background Check
The posted application requires a criminal history records check, proof of age and verification of every professional license held.
Education Or Experience
An associate degree in healthcare administration or a health care related field.
Minimum Age
At least 21 at application.
Posted Application
The still-posted Revised 8/2022 checklist gives education/certification alternatives to NAB examinations: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited col- lege, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of certifi- cate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. These alternatives are superseded by the August 27, 2024 Chapter 26 examination requirement.
Registration
Obtain Board examination approval, register with NAB, and designate the Maine Board to receive examination scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes a passing examination score for two years after the examination date.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Initial licensure by examination — experience
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Submit a complete Board application, required fee and documentation of education or experience and examination passage; supply additional information requested by the Board.
Background Check
The posted application requires a criminal history records check, proof of age and verification of every professional license held.
Education Or Experience
Five years of experience working in a healthcare facility.
Minimum Age
At least 21 at application.
Posted Application
The still-posted Revised 8/2022 checklist gives education/certification alternatives to NAB examinations: Documentation demonstrating knowledge of residential care/assisted living by one (1) of the following means:  Possess a high school diploma and have completed one of the following options:  A Board-approved program in residential care/assisted living (Please note: no programs approved since June 2010); or  A Certificate of Advanced Study in LTC Administration from an accredited col- lege, including at least three (3) semester hours in AL or Res Care; or  Twelve (12) semester hours from an accredited college with not fewer than six (6) in management and the balance in health care or human services (must complete Educational Worksheet); or  Be certified by the ACHCA as a Certified Assisted Living Administrator (copy of certifi- cate mailed to the Board accepted); or  Official score report demonstrating passage of the NAB Residential Care/Assisted Living Examination and Core Examination issued directly to this Office by NAB or a Request for Examination Form. These alternatives are superseded by the August 27, 2024 Chapter 26 examination requirement.
Registration
Obtain Board examination approval, register with NAB, and designate the Maine Board to receive examination scores directly; NAB sets examination fees and approval terms.
Score Currency
The Board recognizes a passing examination score for two years after the examination date.
Unregistered Nationwide Examinations
The route also requires CORE of Knowledge Exam for Long Term Care Administrators (CORE). These currently offered NAB examinations are named in the cited Maine rule but have no version in the supplied nationwide context; their requirements remain recorded here pending nationwide registration.
Late renewal within 90 days
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and any additional requested information; annual expiration is June 30.
Continuing Education
16 hours of Board-compliant CE during the preceding July 1–June 30 term, except the first renewal; written hardship waiver/deferment is discretionary. Maintain documentation for audit.
Late Renewal
If renewing within 90 days after expiration, pay the additional $50 late fee; issuance is prospective, not retroactive.

Official no-examination sources

Effective from 2024-08-27.

Military connected licensure by endorsement
No examination is required for this applicant pathway.
Board Discretion
Board may permit endorsement for the remainder of the other license term or until a Maine license is obtained.
Existing License
Comparable license in good standing from another state.
Qualified Person
Recently separated veteran (within three years after honorable discharge/release), spouse/domestic partner of such a veteran, or active duty service member or their spouse/domestic partner.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement from inactive to active status
No examination is required for this applicant pathway.
Application
Apply to the Board, pay the fee and certify completion of 16 hours of compliant CE during the one-year period preceding reinstatement.
Existing License
Hold the corresponding inactive status license.

Official no-examination sources

Effective from 2024-08-27.

Annual renewal
No examination is required for this applicant pathway.
Application
Submit renewal application, fee and any additional requested information; annual expiration is June 30.
Continuing Education
16 hours of Board-compliant CE during the preceding July 1–June 30 term, except the first renewal; written hardship waiver/deferment is discretionary. Maintain documentation for audit.
Late Renewal
If renewing within 90 days after expiration, pay the additional $50 late fee; issuance is prospective, not retroactive.

Official no-examination sources

Effective from 2024-08-27.

NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)

Provider
National Association of Long Term Care Administrator Boards (NAB); delivered at Pearson VUE test centers
Format
Objective multiple-choice items with four answer choices, one correct; line of service exam taken after or together with the separately scored CORE exam
Exam questions
75 (60 scored, 15 non-scored pretest)
Time limit
1 hour 30 minutes seat time; 1 hour and 10 minutes to answer questions
Passing score
Scaled score of 113 on a 50-150 scale
Exam fee
RC/AL only $190; CORE and RC/AL combo $480 (effective 2/1/2026)
Examination outline
  • Domain 1: Care, Services, and Supports (75% of the RC/AL exam) (75%)
    • 1A1 Quality of Care: Medical and Nursing Care Practices
    • 1A2 Quality of Care: Medication Management and Administration
    • 1A4 Quality of Care: Nutrition and Hydration (e.g., specialized diets)
    • 1A6 Quality of Care: Rehabilitation and Restorative Programs
    • 1A7 Quality of Care: Care Recipient Assessment and Interdisciplinary Care Planning
    • 1A8 Quality of Care: Clinical and Medical Records and Documentation Requirements (e.g., storage, retention, destruction)
    • 1A11 Quality of Care: Transition of Care (e.g., admission, move-in, transfer, discharge, and move-out)
    • 1B1 Quality of Life: Psychosocial Needs (e.g., social, spiritual, community, cultural)
    • 1B2 Quality of Life: Person-Centered Care and Comprehensive Care Planning
    • 1B3 Quality of Life: Care Recipient Bill of Rights and Responsibilities
    • 1B4 Quality of Life: Care Recipient Safety (e.g., fall prevention, elopement prevention, adverse events)
    • 1B5 Quality of Life: Care Recipient (and Representative) Grievance, Conflict, and Dispute Resolution
    • 1B6 Quality of Life: Care Recipient Advocacy (e.g., Ombudsman, resident and family council)
    • 1B7 Quality of Life: Care Recipient Decision-Making (e.g., capacity, power of attorney, guardianship, conservatorship, code status, advance directives, ethical decision-making)
    • 1B8 Quality of Life: Care Recipient (and Representative) Satisfaction
    • 1B14 Quality of Life: Restraint Usage and Reduction
    • 1B15 Quality of Life: Foodservice (e.g., choice and menu planning, dietary management, food storage and handling, dining services)
    • 1B16 Quality of Life: Social Services Programs
    • 1B17 Quality of Life: Therapeutic Recreation and Activity Programs
    • 1C3 Ancillary Services: Transportation for Care Recipients
    • 1C8 Ancillary Services: Volunteer Programs
  • Domain 2: Operations (12% of the RC/AL exam) (12%)
    • 2A5 Financial Management: Revenue and Reimbursement (e.g., PDPM, PDGM, ACOs, HMOs, Medicaid, private payors)
    • 2B7 Risk Management: Scope of Practice and Legal Liability
  • Domain 3: Environment and Quality (13% of the RC/AL exam) (13%)
    • 3A2 Care Setting: Person-Centered Environment (e.g., home-like environment)
    • 3B3 Regulatory Compliance: Certification and Licensure Requirements for the Organization
    • 3B4 Regulatory Compliance: Regulatory Survey and Inspection Process
Examination sources