Kansas Nursing Home Administrator — Requirements & Free Practice
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adult care home administrator's license
Kansas license required to practice adult care home administration.
Licensing authority: Board of Adult Care Home Administrators · Application information
Initial licensure by examination
- Age and character
- At least 18 and satisfies Board good-character, training, and experience standards.
- Application
- Submit application, official transcript, fee, and required disciplinary information.
- Education
- Accredited baccalaureate or higher degree.
- National exam timing
- Take the national examination within 12 months of the practicum unless extended for good cause; pass within 36 months.
- Practicum
- At least 480 hours of board-approved long-term care administration practicum in no more than three settings.
- References
- Two references, including one from a licensed administrator and one from a nonrelative.
Licensure by reciprocity: equivalent issuing jurisdiction requirements
- Application
- Submit reciprocal application and fee, licensure verifications, two reference letters, and disciplinary disclosures.
- Board option c
- KDADS Reciprocal Application lists Option C (baccalaureate degree and 480-hour practicum); K.S.A. 65-3505(e)(1) still requires substantially equivalent issuing-jurisdiction criteria or five years of licensure and experience for reciprocity.
- Board state exam request
- KDADS Reciprocal Application checklist states: "Request to take the State Exam"; K.S.A. 65-3505(e) and K.A.R. 26-38-7 set reciprocal issuance conditions without requiring the applicant to pass that examination.
- Equivalence
- Issuing jurisdiction licensing criteria substantially equivalent to current Kansas examination, education, training, and experience criteria.
- Out of state license
- Currently licensed as an adult care home administrator in another jurisdiction and in good standing.
Official no-examination sources
Effective from 2020-10-02.
- ks-65-3505-current.html
K.S.A. 65-3505(e) reciprocal eligibility
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-7(b)(2)(A) equivalence
- ks-reciprocal-application.pdf
Reciprocal application option A
Licensure by reciprocity: five years of licensure and experience
- Application
- Submit reciprocal application and fee, licensure verifications, two reference letters, and disciplinary disclosures.
- Board option c
- KDADS Reciprocal Application lists Option C (baccalaureate degree and 480-hour practicum); K.S.A. 65-3505(e)(1) still requires substantially equivalent issuing-jurisdiction criteria or five years of licensure and experience for reciprocity.
- Board state exam request
- KDADS Reciprocal Application checklist states: "Request to take the State Exam"; K.S.A. 65-3505(e) and K.A.R. 26-38-7 set reciprocal issuance conditions without requiring the applicant to pass that examination.
- Experience
- Continuously licensed for the preceding five years, with at least 2,080 hours each year as administrator of record of a licensed adult care home or hospital long-term care unit.
- Out of state license
- Currently licensed as an adult care home administrator in another jurisdiction and in good standing.
Official no-examination sources
Effective from 2020-10-02.
- ks-65-3505-current.html
K.S.A. 65-3505(e)(1) continuous licensure
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-7(b)(2)(B) experience
Licensure by reciprocity: health services executive certification
- Application
- Submit reciprocal application and fee, licensure verifications, two reference letters, and disciplinary disclosures.
- Board option c
- KDADS Reciprocal Application lists Option C (baccalaureate degree and 480-hour practicum); K.S.A. 65-3505(e)(1) still requires substantially equivalent issuing-jurisdiction criteria or five years of licensure and experience for reciprocity.
- Board state exam request
- KDADS Reciprocal Application checklist states: "Request to take the State Exam"; K.S.A. 65-3505(e) and K.A.R. 26-38-7 set reciprocal issuance conditions without requiring the applicant to pass that examination.
- Hse certification
- Current health services executive certification and no serious licensing-board or agency disciplinary action.
- Out of state license
- A current adult care home administrator license in another jurisdiction is required by K.S.A. 65-3505(e).
- Statutory reciprocity qualification
- K.S.A. 65-3505(e)(1) also requires substantially equivalent issuing-jurisdiction criteria or five years of licensure and experience.
Official no-examination sources
Effective from 2020-10-02.
- ks-65-3505-current.html
K.S.A. 65-3505(e) reciprocal statutory criteria
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-7(c) HSE certification
- ks-reciprocal-application.pdf
Reciprocal application option D
Reinstatement of lapsed Kansas license
- Continuing education
- Document 50 Board-approved clock hours during the preceding 24 months.
- Fees
- Submit renewal and reinstatement fees with the Board application.
- Prior license
- Previously held Kansas administrator license that lapsed or expired and was not revoked or suspended.
- Verification
- Provide verification for any out-of-state license acquired while the Kansas license was expired, as stated in KDADS form.
Official no-examination sources
Effective from 2020-10-02.
- ks-65-3505-current.html
K.S.A. 65-3505(d) reinstatement
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-8(h) reinstatement
- ks-reinstatement-application.pdf
KDADS reinstatement application CE and fee
Initial licensure with religious formal education exemption
- National exam timing
- The K.A.R. 26-38-4 timing and retake rules apply.
- Other initial requirements
- Satisfy the other admission-to-examination qualifications and Board standards; submit the exemption application.
- Practice restriction
- Practice only in an adult care home owned and operated by that church or denomination.
- Religious qualification
- Recognized church or religious denomination whose teachings prohibit the formal education otherwise required.
License renewal
- Continuing education
- Attest to 50 Board-approved clock hours in the preceding licensure period, or two hours per month for an initial period shorter than 24 months.
- Current license
- Holds a current Kansas administrator license.
- Timing and fee
- Apply by June 30 of the expiration year and pay the renewal fee; late applications within 30 days also pay the late fee.
Official no-examination sources
Effective from 2020-10-02.
- ks-65-3505-current.html
K.S.A. 65-3505(a)-(c) renewal
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-8(a)-(c) renewal
Temporary Adult Care Home Administrator License
Facility-specific emergency temporary license for up to 60 days, with at most two extensions.
Licensing authority: Kansas Board of Adult Care Home Administrators · Application information
Temporary license: degree and state law examination
- Application
- Submit the temporary-license application and fee.
- Duration
- 60 days, with no more than two 60-day extensions.
- Education
- Accredited baccalaureate or postbaccalaureate degree.
- Facility need
- The hiring facility documents that no current licensee is available and endorses the applicant as the most qualified person.
- National failure
- If an initial-license applicant fails the national examination, the temporary license cannot be extended or reissued.
Temporary license: degree program and practicum
- Application
- Submit the temporary-license application and fee.
- Board state exam request
- KDADS Temporary License Application checklist states: "Request to take the State Exam"; K.A.R. 26-38-6(a)(3) permits this alternative without an examination.
- Duration
- 60 days, with no more than two 60-day extensions.
- Facility need
- The hiring facility documents that no current licensee is available and endorses the applicant as the most qualified person.
- Practicum
- Completed a degree-conferring accredited program and is participating or will participate in a compliant long-term care administration practicum.
Official no-examination sources
Effective from 2020-10-02.
- ks-statute-65-3502.html
K.S.A. 65-3502 temporary-license authority
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-6(a)(3) ks-nha-temporary-practicum
- ks-temporary-application.pdf
Temporary application checklist, state exam request
Temporary license: out of state reciprocity eligibility
- Application
- Submit the temporary-license application and fee.
- Board state exam request
- KDADS Temporary License Application checklist states: "Request to take the State Exam"; K.A.R. 26-38-6(a)(3) permits this alternative without an examination.
- Duration
- 60 days, with no more than two 60-day extensions.
- Facility need
- The hiring facility documents that no current licensee is available and endorses the applicant as the most qualified person.
- Out of state license
- Holds an adult care home administrator license in another state and otherwise qualifies for reciprocity.
Official no-examination sources
Effective from 2020-10-02.
- ks-statute-65-3502.html
K.S.A. 65-3502 temporary-license authority
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-6(a)(3) ks-nha-temporary-reciprocity
- ks-temporary-application.pdf
Temporary application checklist, state exam request
Temporary license: Kansas reinstatement eligibility
- Application
- Submit the temporary-license application and fee.
- Board state exam request
- KDADS Temporary License Application checklist states: "Request to take the State Exam"; K.A.R. 26-38-6(a)(3) permits this alternative without an examination.
- Duration
- 60 days, with no more than two 60-day extensions.
- Facility need
- The hiring facility documents that no current licensee is available and endorses the applicant as the most qualified person.
- Prior kansas license
- Previously held a Kansas adult care home administrator license and otherwise eligible for reinstatement.
Official no-examination sources
Effective from 2020-10-02.
- ks-statute-65-3502.html
K.S.A. 65-3502 temporary-license authority
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-6(a)(3) ks-nha-temporary-reinstatement
- ks-temporary-application.pdf
Temporary application checklist, state exam request
State Law Examination for Adult Care Home Administration
- Passing score
- 75 percent raw score
Practice scope
Inferred from the examination name; the authority has not published an examination outline.
- Kansas Adult Care Home Administrator Licensure Act
- Adult Care Home Administrator Licensure Regulations
- Kansas Adult Care Home Licensing Act
- Kansas Reporting of Resident Abuse, Neglect, or Exploitation
- Kansas Adult Care Home General Regulations
- Nursing Facility Physical Environment Regulations
- Assisted Living and Residential Health Care Facility Regulations
- Kansas Adult Care Home Facility Regulations
- Kansas Nurse Aide and Medication Aide Regulations
Examination sources
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-4(a) exam name
- kdads-bacha-board.html
BACHA Statutes and Regulations
- kansas-acha-licensure-background.pdf
Initial Full Licensure Steps, state exam study material
- kansas-assisted-living-rhcf-regulations.pdf
KDADS assisted living compilation title
- kansas-nursing-facility-regulations.pdf
KDADS nursing facility compilation title
- kansas-nursing-facility-regulations.pdf
K.A.R. 26-50-20(d)(3) adult care home training prohibition
- kansas-nursing-facility-regulations.pdf
K.A.R. 26-50-20(d)(3) training prohibition continuation
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-4(c) state raw passing score
- kansas-acha-initial-application-current.pdf
Initial License checklist, exam delivery
- kansas-acha-initial-application-current.pdf
Initial License checklist, state exam
- kansas-adult-care-home-administrator-regulations.pdf
K.A.R. 26-38-4(j) retakes
NAB National Core Knowledge Exam for Long-Term Care Administrators (CORE)
- Provider
- Pearson VUE
- Format
- Objective multiple-choice items with four response options, one correct; delivered by Pearson VUE
- Exam questions
- 125 (100 scored, 25 non-scored pretest)
- Time limit
- 150 minutes seat time; 2 hours 10 minutes to answer questions
- Passing score
- Scaled score of 113 on a 50-150 scale
- Exam fee
- CORE only $320; CORE and NHA combo $480 (effective 2/1/2026)
Examination outline
Care, Services, and Supports (39%)
- Quality of Care: Medical and Nursing Care Practices
- Quality of Care: Medication Management and Administration
- Quality of Care: Disease Management (e.g., acute vs. chronic conditions)
- Quality of Care: Nutrition and Hydration (e.g., specialized diets)
- Quality of Care: Activities of Daily Living (ADLs) and Independent Activities of Daily Living (IADLs)
- Quality of Care: Rehabilitation and Restorative Programs
- Quality of Care: Care Recipient Assessment and Interdisciplinary Care Planning
- Quality of Care: Clinical and Medical Records and Documentation Requirements (e.g., storage, retention, destruction)
- Quality of Care: Medical Director
- Quality of Care: Emergency Medical Services (e.g., CPR, first aid, Heimlich maneuver, AED)
- Quality of Care: Transition of Care (e.g., admission, move-in, transfer, discharge, and move-out)
- Quality of Care: Basic Healthcare Terminology
- Quality of Life: Psychosocial Needs (e.g., social, spiritual, community, cultural)
- Quality of Life: Person-Centered Care and Comprehensive Care Planning
- Quality of Life: Care Recipient Bill of Rights and Responsibilities
- Quality of Life: Care Recipient Safety (e.g., fall prevention, elopement prevention, adverse events)
- Quality of Life: Care Recipient (and Representative) Grievance, Conflict, and Dispute Resolution
- Quality of Life: Care Recipient Advocacy (e.g., Ombudsman, resident and family council)
- Quality of Life: Care Recipient Decision-Making (e.g., capacity, power of attorney, guardianship, conservatorship, code status, advance directives, ethical decision-making)
- Quality of Life: Care Recipient (and Representative) Satisfaction
- Quality of Life: Recognition of Maltreatment (e.g., abuse, neglect, exploitation)
- Quality of Life: Mental and Behavioral Health (e.g., cognitive impairment, depression, social support systems)
- Quality of Life: Trauma-Informed Care (e.g., PTSD)
- Quality of Life: Pain Management
- Quality of Life: Death, Dying, and Grief
- Quality of Life: Restraint Usage and Reduction
- Quality of Life: Foodservice (e.g., choice and menu planning, dietary management, food storage and handling, dining services)
- Quality of Life: Social Services Programs
- Quality of Life: Therapeutic Recreation and Activity Programs
- Quality of Life: Community Resources, Programs, and Agencies (e.g., meals on wheels, housing vouchers, Area Agencies on Aging, Veterans Affairs)
- Ancillary Services: Hospice and Palliative Care
- Ancillary Services: Specialized Medical Equipment (e.g., oxygen, durable medical equipment)
- Ancillary Services: Transportation for Care Recipients
- Ancillary Services: Telemedicine (e.g., e-health)
- Ancillary Services: Diagnostic Services (e.g., radiology, lab services)
- Ancillary Services: Dental and Oral Care Services
- Ancillary Services: Healthcare Partners and Clinical Providers (e.g., MD/DO, Nurse Practitioner, Psychiatrist, Podiatrist, Dentist)
- Ancillary Services: Volunteer Programs
Operations (37%)
- Financial Management: Budgeting and Forecasting
- Financial Management: Financial Analysis (e.g., ratios, profitability, debt, revenue mix, depreciation, operating margin, cash flow)
- Financial Management: Revenue Cycle Management (e.g., billing, accounts receivable, accounts payable, collections)
- Financial Management: Financial Statements (e.g., income/revenue statement, balance sheet, statement of cash flows, cost reporting)
- Financial Management: Revenue and Reimbursement (e.g., PDPM, PDGM, ACOs, HMOs, Medicaid, private payors)
- Financial Management: Financial Reporting Requirements (e.g., requirements for not-for-profit, for-profit, and governmental providers)
- Financial Management: Integration of Clinical and Financial Systems (e.g., EMR/HER, MDS)
- Financial Management: Internal Financial Management Controls (e.g., segregation of duties, access)
- Financial Management: Supply-Chain Management (e.g., inventory control)
- Financial Management: Resident Trust Accounts for Personal Funds
- Risk Management: OSHA Rules and Regulations
- Risk Management: Workers’ Compensation
- Risk Management: Ethical Conduct and Standards of Practice
- Risk Management: Compliance Programs
- Risk Management: Risk Management Process and Programs
- Risk Management: Quality Improvement Processes (e.g., root cause analysis, PDCA/PDSA)
- Risk Management: Scope of Practice and Legal Liability
- Risk Management: Internal Investigation Protocols and Techniques (e.g., incidents, adverse events)
- Risk Management: Mandatory Reporting Requirements (e.g., incidents, adverse events, abuse, neglect, financial exploitation, fraud)
- Risk Management: Insurance Coverage (e.g., liability, property)
- Risk Management: Healthcare Record Requirements (e.g., confidentiality, disclosure, safeguarding, HIPAA, HITECH)
- Risk Management: Security (e.g., cameras, monitoring systems, locks, staff location reporting)
- Risk Management: Contracted Services (e.g., roles, responsibilities, oversight, background checks)
- Human Resources: Federal Human Resources Laws, Rules, and Regulations (e.g., ADA, FMLA, Wage and Hour, FLSA)
- Human Resources: Selection and Hiring Practices (e.g., EEOC, interviewing, adverse impact, protected classes, occupational qualifications)
- Human Resources: Compensation and Benefits Programs (e.g., time off, healthcare insurance, employee pay and payroll)
- Human Resources: Organizational Staffing Requirements and Reporting (e.g., PBJ)
- Human Resources: Staff Certification and Licensure Requirements
- Human Resources: Professional Development (e.g., maintenance of credentials, continuing education)
- Human Resources: Employee Training and Orientation
- Human Resources: Performance Evaluation
- Human Resources: Human Resource Policies (e.g., drug-free workplace, discipline, job classification, photography and video, social media usage, mobile phone usage)
- Human Resources: Employee Record-Keeping Requirements
- Human Resources: Employee Grievance, Conflict, and Dispute Resolution
- Human Resources: Employee Satisfaction, Engagement, and Retention
- Human Resources: Cultural Competence and Diversity Awareness
- Human Resources: Labor Relations (e.g., union, collective bargaining [CBA], contract/pool staff)
Environment and Quality (13%)
- Care Setting: Federal Codes and Regulations for Building, Equipment, Maintenance, and Grounds
- Care Setting: Person-Centered Environment (e.g., home-like environment)
- Care Setting: Safety and Accessibility (e.g., ADA, safety data sheets)
- Care Setting: Facility Management and Environmental Services
- Care Setting: Information Systems Infrastructure (e.g., configurations, data security, technical controls)
- Care Setting: Preventative and Routine Maintenance Programs (e.g., pest control, equipment, mechanical systems)
- Care Setting: Infection Control and Sanitation (e.g., linens, kitchen, hand washing, healthcare-acquired infections, hazardous materials)
- Care Setting: Disaster and Emergency Planning, Preparedness, Response, and Recovery (e.g., Appendix Z)
- Regulatory Compliance: Federal Healthcare Laws, Rules, and Regulations
- Regulatory Compliance: Government Programs and Entities (e.g., Medicare, Medicaid, waivers)
- Regulatory Compliance: Certification and Licensure Requirements for the Organization
Leadership and Strategy (11%)
- Leadership: Organizational Structures (e.g., departments, functions, systemic processes)
- Leadership: Organizational Change Management
- Leadership: Organizational Behavior (e.g., organizational culture, team building, group dynamics)
- Leadership: Leadership Principles (e.g., communication, styles, mentoring, coaching, personal professional development)
- Leadership: Governance (e.g., board of directors, governing bodies, corporate entities, advisory boards)
- Leadership: Professional Advocacy and Governmental Relations
- Organizational Strategy: Mission, Vision, and Value Statements
- Organizational Strategy: Strategic Business Planning (e.g., new lines of service, succession management, staffing pipeline)
- Organizational Strategy: Business Analytics (e.g., evidence-based practice, data analytics)
- Organizational Strategy: Business Development (e.g., sales, marketing, partnerships, ACOs, contracts and agreements, negotiations)
- Organizational Strategy: Public Relations and External Stakeholders (e.g., hospitals, referrals sources, local community, donors)
Examination sources
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 NAB examination specifications table, heading
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 1 row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 2 row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 3 row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 4 row
- NAB CORE Domains of Practice (2022)
p.1 title
- NAB CORE Domains of Practice (2022)
page footer
- NAB CORE Domains of Practice (2022)
p.1 item 1A1
- NAB CORE Domains of Practice (2022)
p.4 item 4B5
- NAB Domains of Practice page
Domains of Practice page, 2022 vs. 2026 table, 2022 column heading
- NAB Domains of Practice page
Domains of Practice page, current domains download paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Exam question types
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Answering exam questions
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.18 Score reporting, scaled score paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Answering exam questions, pretest paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.8 Exam structure, CORE paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.6 CORE description, timing
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.11 Exam fees, first paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.8 Exam structure, readmission sentence
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.8 Exam structure, consecutive scheduling paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Answering exam questions, combo exam note
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.11 National exam fees table, CORE only row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.11 National exam fees table, CORE and NHA row
- NAB Exam Information page
Exam Information, February 2026 fee notice
NAB National Nursing Home Administrators Line of Service Exam (NHA)
- Provider
- Pearson VUE
- Format
- Objective multiple-choice items with four response options, one correct; delivered by Pearson VUE
- Exam questions
- 75 (60 scored, 15 non-scored pretest)
- Time limit
- 90 minutes seat time; 1 hour and 10 minutes to answer questions
- Passing score
- Scaled score of 113 on a 50-150 scale
- Exam fee
- NHA only $190; CORE and NHA combo $480 (effective 2/1/2026)
Examination outline
Care, Services, and Supports (45%)
- Quality of Care: Medical and Nursing Care Practices
- Quality of Care: Medication Management and Administration
- Quality of Care: Nutrition and Hydration (e.g., specialized diets)
- Quality of Care: Rehabilitation and Restorative Programs
- Quality of Care: Care Recipient Assessment and Interdisciplinary Care Planning
- Quality of Care: Clinical and Medical Records and Documentation Requirements (e.g., storage, retention, destruction)
- Quality of Care: Medical Director
- Quality of Care: Emergency Medical Services (e.g., CPR, first aid, Heimlich maneuver, AED)
- Quality of Care: Transition of Care (e.g., admission, move-in, transfer, discharge, and move-out)
- Quality of Life: Psychosocial Needs (e.g., social, spiritual, community, cultural)
- Quality of Life: Person-Centered Care and Comprehensive Care Planning
- Quality of Life: Care Recipient Bill of Rights and Responsibilities
- Quality of Life: Care Recipient Safety (e.g., fall prevention, elopement prevention, adverse events)
- Quality of Life: Care Recipient (and Representative) Grievance, Conflict, and Dispute Resolution
- Quality of Life: Care Recipient Advocacy (e.g., Ombudsman, resident and family council)
- Quality of Life: Care Recipient Decision-Making (e.g., capacity, power of attorney, guardianship, conservatorship, code status, advance directives, ethical decision-making)
- Quality of Life: Recognition of Maltreatment (e.g., abuse, neglect, exploitation)
- Quality of Life: Mental and Behavioral Health (e.g., cognitive impairment, depression, social support systems)
- Quality of Life: Trauma-Informed Care (e.g., PTSD)
- Quality of Life: Pain Management
- Quality of Life: Death, Dying, and Grief
- Quality of Life: Restraint Usage and Reduction
- Quality of Life: Foodservice (e.g., choice and menu planning, dietary management, food storage and handling, dining services)
- Quality of Life: Social Services Programs
- Quality of Life: Therapeutic Recreation and Activity Programs
- Ancillary Services: Hospice and Palliative Care
- Ancillary Services: Transportation for Care Recipients
- Ancillary Services: Diagnostic Services (e.g., radiology, lab services)
- Ancillary Services: Dental and Oral Care Services
- Ancillary Services: Healthcare Partners and Clinical Providers (e.g., MD/DO, Nurse Practitioner, Psychiatrist, Podiatrist, Dentist)
- Ancillary Services: Volunteer Programs
Operations (28%)
- Financial Management: Revenue and Reimbursement (e.g., PDPM, PDGM, ACOs, HMOs, Medicaid, private payors)
- Financial Management: Financial Reporting Requirements (e.g., requirements for not-for-profit, for-profit, and governmental providers)
- Financial Management: Integration of Clinical and Financial Systems (e.g., EMR/EHR, MDS)
- Financial Management: Resident Trust Accounts for Personal Funds
- Risk Management: OSHA Rules and Regulations
- Risk Management: Compliance Programs
- Risk Management: Scope of Practice and Legal Liability
- Risk Management: Internal Investigation Protocols and Techniques (e.g., incidents, adverse events)
- Risk Management: Mandatory Reporting Requirements (e.g., incidents, adverse events, abuse, neglect, financial exploitation, fraud)
- Risk Management: Healthcare Record Requirements (e.g., confidentiality, disclosure, safeguarding, HIPAA, HITECH)
- Risk Management: Security (e.g., cameras, monitoring systems, locks, staff location reporting)
- Risk Management: Contracted Services (e.g., roles, responsibilities, oversight, background checks)
- Human Resources: Organizational Staffing Requirements and Reporting (e.g., PBJ)
- Human Resources: Staff Certification and Licensure Requirements
- Human Resources: Professional Development (e.g., maintenance of credentials, continuing education)
- Human Resources: Employee Training and Orientation
- Human Resources: Performance Evaluation
- Human Resources: Employee Record-Keeping Requirements
- Human Resources: Cultural Competence and Diversity Awareness
Environment and Quality (27%)
- Care Setting: Federal Codes and Regulations for Building, Equipment, Maintenance, and Grounds
- Care Setting: Person-Centered Environment (e.g., home-like environment)
- Care Setting: Safety and Accessibility (e.g., ADA, safety data sheets)
- Care Setting: Facility Management and Environmental Services
- Care Setting: Preventative and Routine Maintenance Programs (e.g., pest control, equipment, mechanical systems)
- Care Setting: Infection Control and Sanitation (e.g., linens, kitchen, hand washing, healthcare-acquired infections, hazardous materials)
- Care Setting: Disaster and Emergency Planning, Preparedness, Response, and Recovery (e.g., Appendix Z)
- Regulatory Compliance: Federal Healthcare Laws, Rules, and Regulations
- Regulatory Compliance: Government Programs and Entities (e.g., Medicare, Medicaid, waivers)
- Regulatory Compliance: Certification and Licensure Requirements for the Organization
- Regulatory Compliance: Regulatory Survey and Inspection Process
- Regulatory Compliance: Procedures for Informal Dispute Resolution (IDR)
- Regulatory Compliance: Centers for Medicare and Medicaid Services (CMS) Quality Measures
- Regulatory Compliance: Quality Assurance and Performance Improvement (QAPI)
- Regulatory Compliance: Bed-Hold Requirements
- Regulatory Compliance: Pre-Admission Screening Annual Review (PASRR)
- Regulatory Compliance: Facility Assessment
Examination sources
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 NAB examination specifications table, heading
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 1 row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 2 row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 3 row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, Domain 4 row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.16 specifications table, note
- NAB Nursing Home Administrator (NHA) Domains of Practice (2022)
p.1 title
- NAB Nursing Home Administrator (NHA) Domains of Practice (2022)
page footer
- NAB Nursing Home Administrator (NHA) Domains of Practice (2022)
p.1 item 1A1
- NAB Nursing Home Administrator (NHA) Domains of Practice (2022)
p.3 item 3B10
- NAB Domains of Practice page
Domains of Practice page, 2022 vs. 2026 table, 2022 column heading
- NAB Domains of Practice page
Domains of Practice page, current domains download paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Exam question types
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Answering exam questions
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.18 Score reporting, scaled score paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Answering exam questions, pretest paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.8 Exam structure, multiple-choice paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.6 NHA description, question count
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.6 NHA description, timing
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.11 Exam fees, first paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.8 Exam structure, readmission sentence
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.8 Exam structure, consecutive scheduling paragraph
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.17 Answering exam questions, combo exam note
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.11 National exam fees table, NHA only row
- NAB Candidate Handbook (Pearson VUE publication #619900)
p.11 National exam fees table, CORE and NHA row
- NAB Exam Information page
Exam Information, February 2026 fee notice