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Nevada Assisted Living Administrator — Requirements & Free Practice

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Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

Provisional Residential Facility Administrator License

Pending final Board approval of the RFA application; expires after 90 days and may be renewed at Board discretion.

Licensing authority: Nevada Board of Examiners for Long-Term Care Administrators · Application information

Provisional issuance pending approval — associate degree
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Complete the Board application, educational documentation, photographs, identification, signed affidavit, child-support statement and required fees; an incomplete application becomes void after one year.
Board instructions conflict
The Board’s 2025 RFA instructions still state: 4. Applicant with a High School Diploma or the equivalent must have two years of experience in long-term care, including management and supervision; or An Associate’s Degree and at least one year of experience in long-term care, including 6 months of management and supervision; or a Bachelor’s Degree, Master’s Degree or Doctoral Degree and at least 6 months of experience in long-term care, including management and supervision within the 6 year period immediately preceding the date on which he or she submit his or her application. Approved R106-24 section 13 deletes the management/supervision qualifiers and the home/community-based experience alternative; the amended regulation governs.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Education and experience
Associate degree and at least one year of health-care experience within the six years immediately preceding application.
English
Communicate adequately in English, verbally and in writing.
Experience definition
Amended NAC 654.1505(3) counts full-time or equivalent hourly work in a licensed residential, skilled-nursing or intermediate-care facility; deleted home/community-based services are not part of that amended definition.
Fingerprints
Submit fingerprints, authorization for the State/FBI background report, and the required background-check fees; obtain background clearance.
Fitness and character
Good moral character and physically and emotionally capable of administering a residential facility for groups; disclose physical or mental limitations and supply the requested medical documentation.
Grandfather
R106-24 section 22 preserves the pre-amendment qualifications under sections 13 and 15 for persons licensed on the regulation’s effective date; those persons must establish the applicable preserved qualifications.
Introductory course
Complete 100 approved hours: the Board instructions specify 60 hours on domains of practice and 40 hours of Nevada Best Practices.
Limitations
The application states: A “YES” ANSWER TO ANY OF THE ABOVE QUESTIONS WILL AFFECT THE PROCESSING OF YOUR APPLICATION AND MAY RESULT IN ISSUING AN UNRESTRICTED, LIMITED OR RESTRICTED LICENSE. FAILURE TO ANSWER TRUTHFULLY IS GROUNDS FOR A FRAUDULENT APPLICATION AND MAY RESULT IN DISCIPLINARY ACTION. Any license limitation or restriction is determined by the Board for the individual applicant.
Mentorship
Complete 40 hours under a Board-approved mentor or the Board-assigned AIT program.
Minimum age
At least 21 years old under NRS 654.155(1).
Professional history
Disclose investigations, license actions and disciplinary history in any jurisdiction, and charges or convictions since age 18; provide the requested explanatory and court records.
Provisional term
After meeting examination, training and background requirements, provisional issuance is pending final approval; expires 90 days after issuance and renewal is discretionary.
Regulation training
Complete eight hours of approved training on Nevada statutes, regulations and applicable standards of residential care. This is a training condition.
Retake
Amended NAC 654.1518(3) requires a six-month wait after three examination failures; the Board instructions require a written retake request and retake fee.
Waiver
Under amended NAC 654.1505(2), the Board may waive subsection 1 requirements for good cause, except requirements imposed by NRS Chapter 654. Any waiver applies to the applicant; registered examination leaves remain identified.
Provisional issuance pending approval — bachelor or higher
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Complete the Board application, educational documentation, photographs, identification, signed affidavit, child-support statement and required fees; an incomplete application becomes void after one year.
Board instructions conflict
The Board’s 2025 RFA instructions still state: 4. Applicant with a High School Diploma or the equivalent must have two years of experience in long-term care, including management and supervision; or An Associate’s Degree and at least one year of experience in long-term care, including 6 months of management and supervision; or a Bachelor’s Degree, Master’s Degree or Doctoral Degree and at least 6 months of experience in long-term care, including management and supervision within the 6 year period immediately preceding the date on which he or she submit his or her application. Approved R106-24 section 13 deletes the management/supervision qualifiers and the home/community-based experience alternative; the amended regulation governs.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Education and experience
Bachelor, master or doctoral degree and at least six months of health-care experience within the six years immediately preceding application.
English
Communicate adequately in English, verbally and in writing.
Experience definition
Amended NAC 654.1505(3) counts full-time or equivalent hourly work in a licensed residential, skilled-nursing or intermediate-care facility; deleted home/community-based services are not part of that amended definition.
Fingerprints
Submit fingerprints, authorization for the State/FBI background report, and the required background-check fees; obtain background clearance.
Fitness and character
Good moral character and physically and emotionally capable of administering a residential facility for groups; disclose physical or mental limitations and supply the requested medical documentation.
Grandfather
R106-24 section 22 preserves the pre-amendment qualifications under sections 13 and 15 for persons licensed on the regulation’s effective date; those persons must establish the applicable preserved qualifications.
Introductory course
Complete 100 approved hours: the Board instructions specify 60 hours on domains of practice and 40 hours of Nevada Best Practices.
Limitations
The application states: A “YES” ANSWER TO ANY OF THE ABOVE QUESTIONS WILL AFFECT THE PROCESSING OF YOUR APPLICATION AND MAY RESULT IN ISSUING AN UNRESTRICTED, LIMITED OR RESTRICTED LICENSE. FAILURE TO ANSWER TRUTHFULLY IS GROUNDS FOR A FRAUDULENT APPLICATION AND MAY RESULT IN DISCIPLINARY ACTION. Any license limitation or restriction is determined by the Board for the individual applicant.
Mentorship
Complete 40 hours under a Board-approved mentor or the Board-assigned AIT program.
Minimum age
At least 21 years old under NRS 654.155(1).
Professional history
Disclose investigations, license actions and disciplinary history in any jurisdiction, and charges or convictions since age 18; provide the requested explanatory and court records.
Provisional term
After meeting examination, training and background requirements, provisional issuance is pending final approval; expires 90 days after issuance and renewal is discretionary.
Regulation training
Complete eight hours of approved training on Nevada statutes, regulations and applicable standards of residential care. This is a training condition.
Retake
Amended NAC 654.1518(3) requires a six-month wait after three examination failures; the Board instructions require a written retake request and retake fee.
Waiver
Under amended NAC 654.1505(2), the Board may waive subsection 1 requirements for good cause, except requirements imposed by NRS Chapter 654. Any waiver applies to the applicant; registered examination leaves remain identified.
Provisional issuance pending approval — high school
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Complete the Board application, educational documentation, photographs, identification, signed affidavit, child-support statement and required fees; an incomplete application becomes void after one year.
Board instructions conflict
The Board’s 2025 RFA instructions still state: 4. Applicant with a High School Diploma or the equivalent must have two years of experience in long-term care, including management and supervision; or An Associate’s Degree and at least one year of experience in long-term care, including 6 months of management and supervision; or a Bachelor’s Degree, Master’s Degree or Doctoral Degree and at least 6 months of experience in long-term care, including management and supervision within the 6 year period immediately preceding the date on which he or she submit his or her application. Approved R106-24 section 13 deletes the management/supervision qualifiers and the home/community-based experience alternative; the amended regulation governs.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Education and experience
High-school diploma or equivalent and at least two years of health-care experience within the six years immediately preceding application.
English
Communicate adequately in English, verbally and in writing.
Experience definition
Amended NAC 654.1505(3) counts full-time or equivalent hourly work in a licensed residential, skilled-nursing or intermediate-care facility; deleted home/community-based services are not part of that amended definition.
Fingerprints
Submit fingerprints, authorization for the State/FBI background report, and the required background-check fees; obtain background clearance.
Fitness and character
Good moral character and physically and emotionally capable of administering a residential facility for groups; disclose physical or mental limitations and supply the requested medical documentation.
Grandfather
R106-24 section 22 preserves the pre-amendment qualifications under sections 13 and 15 for persons licensed on the regulation’s effective date; those persons must establish the applicable preserved qualifications.
Introductory course
Complete 100 approved hours: the Board instructions specify 60 hours on domains of practice and 40 hours of Nevada Best Practices.
Limitations
The application states: A “YES” ANSWER TO ANY OF THE ABOVE QUESTIONS WILL AFFECT THE PROCESSING OF YOUR APPLICATION AND MAY RESULT IN ISSUING AN UNRESTRICTED, LIMITED OR RESTRICTED LICENSE. FAILURE TO ANSWER TRUTHFULLY IS GROUNDS FOR A FRAUDULENT APPLICATION AND MAY RESULT IN DISCIPLINARY ACTION. Any license limitation or restriction is determined by the Board for the individual applicant.
Mentorship
Complete 40 hours under a Board-approved mentor or the Board-assigned AIT program.
Minimum age
At least 21 years old under NRS 654.155(1).
Professional history
Disclose investigations, license actions and disciplinary history in any jurisdiction, and charges or convictions since age 18; provide the requested explanatory and court records.
Provisional term
After meeting examination, training and background requirements, provisional issuance is pending final approval; expires 90 days after issuance and renewal is discretionary.
Regulation training
Complete eight hours of approved training on Nevada statutes, regulations and applicable standards of residential care. This is a training condition.
Retake
Amended NAC 654.1518(3) requires a six-month wait after three examination failures; the Board instructions require a written retake request and retake fee.
Waiver
Under amended NAC 654.1505(2), the Board may waive subsection 1 requirements for good cause, except requirements imposed by NRS Chapter 654. Any waiver applies to the applicant; registered examination leaves remain identified.
Provisional reciprocal issuance — current
No examination is required for this applicant pathway.
Applicant category
Currently licensed in the qualifying jurisdiction and outside R106-24 section 22’s preserved pre-amendment category; the amended rule no longer requires two years of prior licensure.
Application
Submit the prescribed application, required fees, fingerprint/background-clearance material, identification, educational records, disclosures and child-support statement.
Board discretion
Reciprocal issuance is subject to the Board finding substantial equivalence and applicant qualification; any limitation or restriction on the license is applicant-specific.
Exam in other jurisdiction
The qualifying license must come from a jurisdiction that requires the NAB national examination. This is a condition on the license held elsewhere; NRS 654.180 and NAC 654.1515 expressly provide this Nevada pathway without examination.
Existing license
Hold the same RFA license from another jurisdiction; the Board must find substantially equivalent licensing standards and that the applicant is otherwise qualified.
Good standing
The existing license must be in good standing; comply with all other applicable licensing requirements and disclose any adverse disciplinary, civil or criminal record.
Provisional term
Pending final Board approval, a provisional license expires after 90 days and is renewable at Board discretion.
Training
Complete otherwise applicable Board-approved residential-care training, including Nevada regulation training, unless the Board grants an authorized waiver.

Official no-examination sources

Effective from 2026-09-22.

Provisional reciprocal issuance — grandfathered
No examination is required for this applicant pathway.
Applicant category
Licensed on the effective date of R106-24; section 22 preserves the earlier section 15 qualifications, including two years of uninterrupted qualifying licensure immediately before application.
Application
Submit the prescribed application, required fees, fingerprint/background-clearance material, identification, educational records, disclosures and child-support statement.
Board discretion
Reciprocal issuance is subject to the Board finding substantial equivalence and applicant qualification; any limitation or restriction on the license is applicant-specific.
Exam in other jurisdiction
The qualifying license must come from a jurisdiction that requires the NAB national examination. This is a condition on the license held elsewhere; NRS 654.180 and NAC 654.1515 expressly provide this Nevada pathway without examination.
Existing license
Hold the same RFA license from another jurisdiction; the Board must find substantially equivalent licensing standards and that the applicant is otherwise qualified.
Good standing
The existing license must be in good standing; comply with all other applicable licensing requirements and disclose any adverse disciplinary, civil or criminal record.
Provisional term
Pending final Board approval, a provisional license expires after 90 days and is renewable at Board discretion.
Training
Complete otherwise applicable Board-approved residential-care training, including Nevada regulation training, unless the Board grants an authorized waiver.

Official no-examination sources

Effective from 2026-09-22.

Renewal of provisional license
No examination is required for this applicant pathway.
Board discretion
Renewal is at the discretion of the Board while final approval of the application remains pending.
Previous license
Hold a provisional license that expires 90 days after issuance.

Official no-examination sources

Effective from 2026-09-22.

Administrator of a Residential Facility for Groups

Residential Facility Administrator (RFA), including administration of assisted living facilities. The same license may be issued with limitations or restrictions following personal-history review; those restrictions are applicant conditions, not a different statutory license identity.

Licensing authority: Nevada Board of Examiners for Long-Term Care Administrators · Application information

Reinstatement after child support or subpoena/warrant suspension
No examination is required for this applicant pathway.
Compliance letter
The Board must receive the district attorney’s or other public agency’s letter under NRS 425.550 confirming compliance with the subpoena or warrant or satisfaction of the arrearage under NRS 425.560.
Previous license
License suspended by court order under NRS 425.540.

Official no-examination sources

Effective from 2026-09-22.

New license after expiration
No examination is required for this applicant pathway.
Application
Submit the prescribed RFA application and fees, new fingerprints and State/FBI authorization or submission verification.
Previous license
The RFA license expired through failure to renew. Approved R106-24 section 17 replaces reinstatement with an application for a new license and deletes the written-examination retake requirement.
Prior status
This pathway applies to expiration; it does not excuse examination requirements for an initial applicant or for revocation reinstatement.
Regulation training
Complete eight hours of approved training on statutes, regulations and applicable residential-care standards.

Official no-examination sources

Effective from 2026-09-22.

Initial licensure by examination — associate degree
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Complete the Board application, educational documentation, photographs, identification, signed affidavit, child-support statement and required fees; an incomplete application becomes void after one year.
Board instructions conflict
The Board’s 2025 RFA instructions still state: 4. Applicant with a High School Diploma or the equivalent must have two years of experience in long-term care, including management and supervision; or An Associate’s Degree and at least one year of experience in long-term care, including 6 months of management and supervision; or a Bachelor’s Degree, Master’s Degree or Doctoral Degree and at least 6 months of experience in long-term care, including management and supervision within the 6 year period immediately preceding the date on which he or she submit his or her application. Approved R106-24 section 13 deletes the management/supervision qualifiers and the home/community-based experience alternative; the amended regulation governs.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Education and experience
Associate degree and at least one year of health-care experience within the six years immediately preceding application.
English
Communicate adequately in English, verbally and in writing.
Experience definition
Amended NAC 654.1505(3) counts full-time or equivalent hourly work in a licensed residential, skilled-nursing or intermediate-care facility; deleted home/community-based services are not part of that amended definition.
Fingerprints
Submit fingerprints, authorization for the State/FBI background report, and the required background-check fees; obtain background clearance.
Fitness and character
Good moral character and physically and emotionally capable of administering a residential facility for groups; disclose physical or mental limitations and supply the requested medical documentation.
Grandfather
R106-24 section 22 preserves the pre-amendment qualifications under sections 13 and 15 for persons licensed on the regulation’s effective date; those persons must establish the applicable preserved qualifications.
Introductory course
Complete 100 approved hours: the Board instructions specify 60 hours on domains of practice and 40 hours of Nevada Best Practices.
Limitations
The application states: A “YES” ANSWER TO ANY OF THE ABOVE QUESTIONS WILL AFFECT THE PROCESSING OF YOUR APPLICATION AND MAY RESULT IN ISSUING AN UNRESTRICTED, LIMITED OR RESTRICTED LICENSE. FAILURE TO ANSWER TRUTHFULLY IS GROUNDS FOR A FRAUDULENT APPLICATION AND MAY RESULT IN DISCIPLINARY ACTION. Any license limitation or restriction is determined by the Board for the individual applicant.
Mentorship
Complete 40 hours under a Board-approved mentor or the Board-assigned AIT program.
Minimum age
At least 21 years old under NRS 654.155(1).
Professional history
Disclose investigations, license actions and disciplinary history in any jurisdiction, and charges or convictions since age 18; provide the requested explanatory and court records.
Regulation training
Complete eight hours of approved training on Nevada statutes, regulations and applicable standards of residential care. This is a training condition.
Retake
Amended NAC 654.1518(3) requires a six-month wait after three examination failures; the Board instructions require a written retake request and retake fee.
Waiver
Under amended NAC 654.1505(2), the Board may waive subsection 1 requirements for good cause, except requirements imposed by NRS Chapter 654. Any waiver applies to the applicant; registered examination leaves remain identified.
Initial licensure by examination — bachelor or higher
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Complete the Board application, educational documentation, photographs, identification, signed affidavit, child-support statement and required fees; an incomplete application becomes void after one year.
Board instructions conflict
The Board’s 2025 RFA instructions still state: 4. Applicant with a High School Diploma or the equivalent must have two years of experience in long-term care, including management and supervision; or An Associate’s Degree and at least one year of experience in long-term care, including 6 months of management and supervision; or a Bachelor’s Degree, Master’s Degree or Doctoral Degree and at least 6 months of experience in long-term care, including management and supervision within the 6 year period immediately preceding the date on which he or she submit his or her application. Approved R106-24 section 13 deletes the management/supervision qualifiers and the home/community-based experience alternative; the amended regulation governs.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Education and experience
Bachelor, master or doctoral degree and at least six months of health-care experience within the six years immediately preceding application.
English
Communicate adequately in English, verbally and in writing.
Experience definition
Amended NAC 654.1505(3) counts full-time or equivalent hourly work in a licensed residential, skilled-nursing or intermediate-care facility; deleted home/community-based services are not part of that amended definition.
Fingerprints
Submit fingerprints, authorization for the State/FBI background report, and the required background-check fees; obtain background clearance.
Fitness and character
Good moral character and physically and emotionally capable of administering a residential facility for groups; disclose physical or mental limitations and supply the requested medical documentation.
Grandfather
R106-24 section 22 preserves the pre-amendment qualifications under sections 13 and 15 for persons licensed on the regulation’s effective date; those persons must establish the applicable preserved qualifications.
Introductory course
Complete 100 approved hours: the Board instructions specify 60 hours on domains of practice and 40 hours of Nevada Best Practices.
Limitations
The application states: A “YES” ANSWER TO ANY OF THE ABOVE QUESTIONS WILL AFFECT THE PROCESSING OF YOUR APPLICATION AND MAY RESULT IN ISSUING AN UNRESTRICTED, LIMITED OR RESTRICTED LICENSE. FAILURE TO ANSWER TRUTHFULLY IS GROUNDS FOR A FRAUDULENT APPLICATION AND MAY RESULT IN DISCIPLINARY ACTION. Any license limitation or restriction is determined by the Board for the individual applicant.
Mentorship
Complete 40 hours under a Board-approved mentor or the Board-assigned AIT program.
Minimum age
At least 21 years old under NRS 654.155(1).
Professional history
Disclose investigations, license actions and disciplinary history in any jurisdiction, and charges or convictions since age 18; provide the requested explanatory and court records.
Regulation training
Complete eight hours of approved training on Nevada statutes, regulations and applicable standards of residential care. This is a training condition.
Retake
Amended NAC 654.1518(3) requires a six-month wait after three examination failures; the Board instructions require a written retake request and retake fee.
Waiver
Under amended NAC 654.1505(2), the Board may waive subsection 1 requirements for good cause, except requirements imposed by NRS Chapter 654. Any waiver applies to the applicant; registered examination leaves remain identified.
Initial licensure by examination — high school
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Application
Complete the Board application, educational documentation, photographs, identification, signed affidavit, child-support statement and required fees; an incomplete application becomes void after one year.
Board instructions conflict
The Board’s 2025 RFA instructions still state: 4. Applicant with a High School Diploma or the equivalent must have two years of experience in long-term care, including management and supervision; or An Associate’s Degree and at least one year of experience in long-term care, including 6 months of management and supervision; or a Bachelor’s Degree, Master’s Degree or Doctoral Degree and at least 6 months of experience in long-term care, including management and supervision within the 6 year period immediately preceding the date on which he or she submit his or her application. Approved R106-24 section 13 deletes the management/supervision qualifiers and the home/community-based experience alternative; the amended regulation governs.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Education and experience
High-school diploma or equivalent and at least two years of health-care experience within the six years immediately preceding application.
English
Communicate adequately in English, verbally and in writing.
Experience definition
Amended NAC 654.1505(3) counts full-time or equivalent hourly work in a licensed residential, skilled-nursing or intermediate-care facility; deleted home/community-based services are not part of that amended definition.
Fingerprints
Submit fingerprints, authorization for the State/FBI background report, and the required background-check fees; obtain background clearance.
Fitness and character
Good moral character and physically and emotionally capable of administering a residential facility for groups; disclose physical or mental limitations and supply the requested medical documentation.
Grandfather
R106-24 section 22 preserves the pre-amendment qualifications under sections 13 and 15 for persons licensed on the regulation’s effective date; those persons must establish the applicable preserved qualifications.
Introductory course
Complete 100 approved hours: the Board instructions specify 60 hours on domains of practice and 40 hours of Nevada Best Practices.
Limitations
The application states: A “YES” ANSWER TO ANY OF THE ABOVE QUESTIONS WILL AFFECT THE PROCESSING OF YOUR APPLICATION AND MAY RESULT IN ISSUING AN UNRESTRICTED, LIMITED OR RESTRICTED LICENSE. FAILURE TO ANSWER TRUTHFULLY IS GROUNDS FOR A FRAUDULENT APPLICATION AND MAY RESULT IN DISCIPLINARY ACTION. Any license limitation or restriction is determined by the Board for the individual applicant.
Mentorship
Complete 40 hours under a Board-approved mentor or the Board-assigned AIT program.
Minimum age
At least 21 years old under NRS 654.155(1).
Professional history
Disclose investigations, license actions and disciplinary history in any jurisdiction, and charges or convictions since age 18; provide the requested explanatory and court records.
Regulation training
Complete eight hours of approved training on Nevada statutes, regulations and applicable standards of residential care. This is a training condition.
Retake
Amended NAC 654.1518(3) requires a six-month wait after three examination failures; the Board instructions require a written retake request and retake fee.
Waiver
Under amended NAC 654.1505(2), the Board may waive subsection 1 requirements for good cause, except requirements imposed by NRS Chapter 654. Any waiver applies to the applicant; registered examination leaves remain identified.
Initial issuance with limitations or restrictions following personal history review
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Applicant category
Personal-history or medical disclosures lead the Board to issue a limited or restricted license rather than an unrestricted license.
Application
Complete the Board application, educational documentation, photographs, identification, signed affidavit, child-support statement and required fees; an incomplete application becomes void after one year.
Board instructions conflict
The Board’s 2025 RFA instructions still state: 4. Applicant with a High School Diploma or the equivalent must have two years of experience in long-term care, including management and supervision; or An Associate’s Degree and at least one year of experience in long-term care, including 6 months of management and supervision; or a Bachelor’s Degree, Master’s Degree or Doctoral Degree and at least 6 months of experience in long-term care, including management and supervision within the 6 year period immediately preceding the date on which he or she submit his or her application. Approved R106-24 section 13 deletes the management/supervision qualifiers and the home/community-based experience alternative; the amended regulation governs.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Education and experience
Meet one of the three education/experience combinations in amended NAC 654.1505(1)(i)(1), or an authorized Board waiver.
English
Communicate adequately in English, verbally and in writing.
Experience definition
Amended NAC 654.1505(3) counts full-time or equivalent hourly work in a licensed residential, skilled-nursing or intermediate-care facility; deleted home/community-based services are not part of that amended definition.
Fingerprints
Submit fingerprints, authorization for the State/FBI background report, and the required background-check fees; obtain background clearance.
Fitness and character
Good moral character and physically and emotionally capable of administering a residential facility for groups; disclose physical or mental limitations and supply the requested medical documentation.
Grandfather
R106-24 section 22 preserves the pre-amendment qualifications under sections 13 and 15 for persons licensed on the regulation’s effective date; those persons must establish the applicable preserved qualifications.
Individual restrictions
Comply with every limitation or restriction imposed on the license by the Board.
Introductory course
Complete 100 approved hours: the Board instructions specify 60 hours on domains of practice and 40 hours of Nevada Best Practices.
Limitations
The application states: A “YES” ANSWER TO ANY OF THE ABOVE QUESTIONS WILL AFFECT THE PROCESSING OF YOUR APPLICATION AND MAY RESULT IN ISSUING AN UNRESTRICTED, LIMITED OR RESTRICTED LICENSE. FAILURE TO ANSWER TRUTHFULLY IS GROUNDS FOR A FRAUDULENT APPLICATION AND MAY RESULT IN DISCIPLINARY ACTION. Any license limitation or restriction is determined by the Board for the individual applicant.
Mentorship
Complete 40 hours under a Board-approved mentor or the Board-assigned AIT program.
Minimum age
At least 21 years old under NRS 654.155(1).
Professional history
Disclose investigations, license actions and disciplinary history in any jurisdiction, and charges or convictions since age 18; provide the requested explanatory and court records.
Regulation training
Complete eight hours of approved training on Nevada statutes, regulations and applicable standards of residential care. This is a training condition.
Retake
Amended NAC 654.1518(3) requires a six-month wait after three examination failures; the Board instructions require a written retake request and retake fee.
Waiver
Under amended NAC 654.1505(2), the Board may waive subsection 1 requirements for good cause, except requirements imposed by NRS Chapter 654. Any waiver applies to the applicant; registered examination leaves remain identified.
Reactivation from inactive status
No examination is required for this applicant pathway.
Approval
Submit a written request and obtain Board approval.
Continuing education
Meet continuing-education requirements for active status.
Fees
Pay the fees for an active license; inactive-status fees are $50 per year.
Previous license
License was transferred to inactive status on written request while in good standing; inactive status is limited to two consecutive years.

Official no-examination sources

Effective from 2026-09-22.

Licensure without examination by reciprocity — current
No examination is required for this applicant pathway.
Applicant category
Currently licensed in the qualifying jurisdiction and outside R106-24 section 22’s preserved pre-amendment category; the amended rule no longer requires two years of prior licensure.
Application
Submit the prescribed application, required fees, fingerprint/background-clearance material, identification, educational records, disclosures and child-support statement.
Board discretion
Reciprocal issuance is subject to the Board finding substantial equivalence and applicant qualification; any limitation or restriction on the license is applicant-specific.
Exam in other jurisdiction
The qualifying license must come from a jurisdiction that requires the NAB national examination. This is a condition on the license held elsewhere; NRS 654.180 and NAC 654.1515 expressly provide this Nevada pathway without examination.
Existing license
Hold the same RFA license from another jurisdiction; the Board must find substantially equivalent licensing standards and that the applicant is otherwise qualified.
Good standing
The existing license must be in good standing; comply with all other applicable licensing requirements and disclose any adverse disciplinary, civil or criminal record.
Training
Complete otherwise applicable Board-approved residential-care training, including Nevada regulation training, unless the Board grants an authorized waiver.

Official no-examination sources

Effective from 2026-09-22.

Licensure without examination by reciprocity — grandfathered
No examination is required for this applicant pathway.
Applicant category
Licensed on the effective date of R106-24; section 22 preserves the earlier section 15 qualifications, including two years of uninterrupted qualifying licensure immediately before application.
Application
Submit the prescribed application, required fees, fingerprint/background-clearance material, identification, educational records, disclosures and child-support statement.
Board discretion
Reciprocal issuance is subject to the Board finding substantial equivalence and applicant qualification; any limitation or restriction on the license is applicant-specific.
Exam in other jurisdiction
The qualifying license must come from a jurisdiction that requires the NAB national examination. This is a condition on the license held elsewhere; NRS 654.180 and NAC 654.1515 expressly provide this Nevada pathway without examination.
Existing license
Hold the same RFA license from another jurisdiction; the Board must find substantially equivalent licensing standards and that the applicant is otherwise qualified.
Good standing
The existing license must be in good standing; comply with all other applicable licensing requirements and disclose any adverse disciplinary, civil or criminal record.
Training
Complete otherwise applicable Board-approved residential-care training, including Nevada regulation training, unless the Board grants an authorized waiver.

Official no-examination sources

Effective from 2026-09-22.

Biennial renewal
No examination is required for this applicant pathway.
Continuing education
Complete 16 approved CE units in the preceding two years, including two professional-ethics units and two residential-care law/regulation units; no more than eight units in any 24-hour period.
Fingerprints
Every four years submit fingerprints and required State/FBI authorizations or verification of electronic submission.
License conditions
Meet applicable license restrictions, orders and duties, including ensuring dementia-care continuing education compliance when the facility serves residents with dementia.
Renewal materials
Submit the signed renewal application, completion certificates, child-support statement, disclosures and renewal fee.
Renewal timing
Apply no more than 60 days before expiration; licenses expire two years after the last day of their issuance month.

Official no-examination sources

Effective from 2026-09-22.

Restoration after acquittal or discharge on reversal of conviction
No examination is required for this applicant pathway.
Effective restoration
Under NAC 654.230(3), the license becomes effective from the acquittal or discharge date.
Previous license
The license was revoked for a conviction later reversed on appeal; the licensee is acquitted or discharged.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after revocation
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Board vote
NRS 654.195(3) requires all Board members to vote for reinstatement.
Contested case
For revocation in a contested case, obey the one-to-ten-year waiting period prescribed in the final order, make the attestations required by NRS 622A.410(2), satisfy current initial-license requirements and any additional Board conditions.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Examination
NAC 654.230 requires successful passage of the licensure examination; the RFA examination is identified by the current RFA instructions as RC/AL and CORE.
Previous license
RFA license revoked; remove the deficiency that led to revocation and submit a new license application.
Training
Complete eight approved hours of applicable regulation training and meet all other applicable licensure requirements.
Reinstatement of a Board suspended license by majority vote
No examination is required for this applicant pathway.
Board conditions
Satisfy the Board’s applicable order and reinstatement conditions.
Exception
A child-support court-order suspension instead requires the compliance-letter procedure of NRS 654.193.
Previous license
RFA license suspended by the Board; a majority of the Board must vote for reinstatement under NRS 654.195(1)(a).

Official no-examination sources

Effective from 2026-09-22.

Reinstatement of a Board suspended license through reapplication
NAB National Residential Care/Assisted Living Administrators Line of Service Exam (RC/AL)
Board determination
The Board must determine that current RFA licensure requirements are met; submit training, background, disclosures and application materials required for that determination.
Core exam
The Board requires the currently offered National CORE NAB Exam: 7. Pass the National Residential Facility Administrator NAB Exam. 8. Pass the National CORE NAB Exam. No CORE version is supplied in the frozen nationwide context. CORE is retained here as a condition pending nationwide registration.
Previous license
RFA license suspended by the Board; reapply under NRS 654.140 and meet NRS 654.155 rather than using the majority-vote pathway.

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