Kentucky Nursing Home Administrator — Requirements & Free Practice
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Long-Term Care Administrator License
License to practice long-term care administration in Kentucky.
Licensing authority: Kentucky Board of Licensure for Long-Term Care Administrators · Application information
Licensure by endorsement
- Board Checklist
- 201 KAR 6:050 Section 1 requests Application for Licensure, Endorsement Form, verification, fee, and other-state licensure documentation; it does not separately list a fresh NAB score. KRS 216A.130 remains otherwise subject to Chapter 216A qualifications.
- Board Discretion
- KRS 216A.130(1)-(2): the Board may issue endorsement and may refuse it after discipline in another state during the preceding five years.
- Other State License
- KRS 216A.130 and 201 KAR 6:050 Section 1(5): an active, valid, good-standing long-term care administrator license from another state, without an unresolved complaint or discipline during the preceding five years.
- Prior Equivalent Examination
- KRS 216A.130(1)(a): the other state must have maintained substantially equivalent qualifications and examinations when it issued the license; any different or discontinued prior examination is applicant evidence, not a Kentucky exam leaf.
- Qualification Alternative
- 201 KAR 6:050 Section 1(3): meet KRS 216A.130, hold ACHCA long-term care administrator certification, or hold NAB Health Services Executive qualification.
- Two Year Holding Period
- KRS 216A.130(1)(b): other-state license issued at least two years before endorsement application.
New licensure after a license has expired for more than two years
- Application Deadline
- 201 KAR 6:020 Section 4: an application not completed within one year is deemed incomplete and withdrawn.
- Degree
- 201 KAR 6:020 Section 2(1): accredited baccalaureate degree.
- Hse Qualification
- 201 KAR 6:020 Section 3: a current NAB Health Services Executive qualification satisfies Section 2 requirements; the applicant submits proof of that qualification. KRS 216A.080(1)(d) still states the examination prerequisite.
- Prior Expiration
- 201 KAR 6:040 Section 4(2): a license expired for more than two years cannot be reinstated; the person may apply for a new license under 201 KAR 6:020.
- References And Forms
- 201 KAR 6:020 Section 2(4)-(5): two professional reference letters, Application for Licensure and Work Verification Form if required.
- Score Window
- 201 KAR 6:020 Section 2(2): passing NAB scores from no more than two years before or one year after the application.
- Statutory Eligibility
- KRS 216A.080(1): written application, U.S. citizenship or declaration of intent, and proof of good moral character and suitability under KRS Chapter 335B.
- Training Or Experience
- 201 KAR 6:020 Section 2(3): recent NAB-accredited bachelor or master degree, 1,000-hour internship in a related degree, or six months continuous long-term care management experience (at least 1,000 hours within 24 months if part-time).
Renewal of inactive license
- Timing And Fee
- 201 KAR 6:040 Section 2(2): submit Renewal Form and appropriate fee every two years to maintain inactive license.
Voluntary inactivation of license in good standing
- Expiry
- 201 KAR 6:040 Section 2(2): inactive status expires after two years unless renewed.
- Request And Fee
- 201 KAR 6:040 Section 2(1): written or e-services request and inactive license fee.
Initial licensure by examination
- Application Deadline
- 201 KAR 6:020 Section 4: an application not completed within one year is deemed incomplete and withdrawn.
- Degree
- 201 KAR 6:020 Section 2(1): accredited baccalaureate degree.
- Hse Qualification
- 201 KAR 6:020 Section 3: a current NAB Health Services Executive qualification satisfies Section 2 requirements; the applicant submits proof of that qualification. KRS 216A.080(1)(d) still states the examination prerequisite.
- References And Forms
- 201 KAR 6:020 Section 2(4)-(5): two professional reference letters, Application for Licensure and Work Verification Form if required.
- Score Window
- 201 KAR 6:020 Section 2(2): passing NAB scores from no more than two years before or one year after the application.
- Statutory Eligibility
- KRS 216A.080(1): written application, U.S. citizenship or declaration of intent, and proof of good moral character and suitability under KRS Chapter 335B.
- Training Or Experience
- 201 KAR 6:020 Section 2(3): recent NAB-accredited bachelor or master degree, 1,000-hour internship in a related degree, or six months continuous long-term care management experience (at least 1,000 hours within 24 months if part-time).
Late renewal within sixty day grace period
- Continuing Education
- 201 KAR 6:071 Section 2: 30 continuing education hours in the two-year renewal period.
- Timing
- 201 KAR 6:040 Section 1(2): submit Renewal Form and late fee within 60 days of renewal date; practice may continue during that grace period.
Military, veteran, or qualifying spouse reciprocity under KRS 12.245
- Exceptions
- KRS 12.245(1): the Board may deny if credential expired more than two years, is not in good standing, was suspended for discipline, or it shows significant statutory deficiency creating public health or safety risk.
- Other Jurisdiction Credential
- KRS 12.245(1)-(2): current or recently held equivalent credential from another U.S. jurisdiction, good standing, and military service or assignment evidence.
- Processing
- KRS 12.245(1): completed application is to be decided within 30 days.
Regular initial licensure for spouse of active duty service member
- Application Deadline
- 201 KAR 6:020 Section 4: an application not completed within one year is deemed incomplete and withdrawn.
- Degree
- 201 KAR 6:020 Section 2(1): accredited baccalaureate degree.
- Hse Qualification
- 201 KAR 6:020 Section 3: a current NAB Health Services Executive qualification satisfies Section 2 requirements; the applicant submits proof of that qualification. KRS 216A.080(1)(d) still states the examination prerequisite.
- Military Spouse
- KRS 12.357(1), (2), (4): prove current marriage, qualifying other-jurisdiction license, Kentucky duty-station assignment, and compliance with regular statutory eligibility; timely application receives the statutory fee treatment.
- References And Forms
- 201 KAR 6:020 Section 2(4)-(5): two professional reference letters, Application for Licensure and Work Verification Form if required.
- Score Window
- 201 KAR 6:020 Section 2(2): passing NAB scores from no more than two years before or one year after the application.
- Statutory Eligibility
- KRS 216A.080(1): written application, U.S. citizenship or declaration of intent, and proof of good moral character and suitability under KRS Chapter 335B.
- Training Or Experience
- 201 KAR 6:020 Section 2(3): recent NAB-accredited bachelor or master degree, 1,000-hour internship in a related degree, or six months continuous long-term care management experience (at least 1,000 hours within 24 months if part-time).
Initial licensure with qualifying military training or experience
- Application Deadline
- 201 KAR 6:020 Section 4: an application not completed within one year is deemed incomplete and withdrawn.
- Degree
- 201 KAR 6:020 Section 2(1): accredited baccalaureate degree.
- Hse Qualification
- 201 KAR 6:020 Section 3: a current NAB Health Services Executive qualification satisfies Section 2 requirements; the applicant submits proof of that qualification. KRS 216A.080(1)(d) still states the examination prerequisite.
- Military Training
- KRS 12.354(2): qualifying service member or veteran may submit military training or experience to satisfy applicable training or experience criteria, with service records; subsection (5) does not permit substitution for a degree or specified examination.
- References And Forms
- 201 KAR 6:020 Section 2(4)-(5): two professional reference letters, Application for Licensure and Work Verification Form if required.
- Score Window
- 201 KAR 6:020 Section 2(2): passing NAB scores from no more than two years before or one year after the application.
- Statutory Eligibility
- KRS 216A.080(1): written application, U.S. citizenship or declaration of intent, and proof of good moral character and suitability under KRS Chapter 335B.
- Training Or Experience
- 201 KAR 6:020 Section 2(3): recent NAB-accredited bachelor or master degree, 1,000-hour internship in a related degree, or six months continuous long-term care management experience (at least 1,000 hours within 24 months if part-time).
Reactivation of voluntarily inactive license
- Continuing Education
- 201 KAR 6:071 Section 10: submit 30 hours of continuing education within the 24 months before request, or complete them within six months if the Board grants the stated resume-practice option.
- Timing And Application
- 201 KAR 6:040 Section 5: apply within two years of inactive status or inactive renewal with Application for Licensure and reactivation fee.
Reinstatement of license expired in good standing within two years
- Application And Continuing Education
- 201 KAR 6:040 Section 4(1) lists Application for Licensure, reinstatement fee and continuing education proof; 201 KAR 6:071 Section 10 requires 30 hours in the 24 months before the request, subject to the stated six-month completion option.
- Bad Standing
- 201 KAR 6:040 Section 3(2): a license expired in bad standing cannot be reinstated without submitting to the complaints procedure and Board review.
- Eligibility
- 201 KAR 6:040 Section 4(1): prior license expired in good standing and application within two years after expiration.
- N ABScore Window
- 201 KAR 6:020 Section 2(2) expressly covers an application for reinstatement and allows a passing NAB score from two years before or one year after filing. 201 KAR 6:040 Section 4 lists only application, fee and continuing education; both are rules of the same rank, so the named exams remain mounted.
Biennial renewal
- Application
- KRS 216A.090 and 201 KAR 6:040 Section 1(1): renew every two years by Renewal Form and fee.
- Continuing Education
- 201 KAR 6:071 Section 2: 30 continuing education hours in the two-year renewal period, subject to Section 9 waiver or extension.
- Fees
- 201 KAR 6:061 Section 4(1): renewal fee; military fee provisions in Sections 8-9 may apply.
Official no-examination sources
Effective from 2022-07-20.
- krs 216a 090
KRS 216A.090
- kar 6 040
201 KAR 6:040 Section 1(1)
New licensure at least two years after revocation
- Application Deadline
- 201 KAR 6:020 Section 4: an application not completed within one year is deemed incomplete and withdrawn.
- Degree
- 201 KAR 6:020 Section 2(1): accredited baccalaureate degree.
- Hse Qualification
- 201 KAR 6:020 Section 3: a current NAB Health Services Executive qualification satisfies Section 2 requirements; the applicant submits proof of that qualification. KRS 216A.080(1)(d) still states the examination prerequisite.
- References And Forms
- 201 KAR 6:020 Section 2(4)-(5): two professional reference letters, Application for Licensure and Work Verification Form if required.
- Revocation
- 201 KAR 6:040 Section 7: a revoked license cannot be renewed or reinstated; after two years the person may apply as a new applicant under 201 KAR 6:020, subject to Board suitability review and appeal rights.
- Score Window
- 201 KAR 6:020 Section 2(2): passing NAB scores from no more than two years before or one year after the application.
- Statutory Eligibility
- KRS 216A.080(1): written application, U.S. citizenship or declaration of intent, and proof of good moral character and suitability under KRS Chapter 335B.
- Training Or Experience
- 201 KAR 6:020 Section 2(3): recent NAB-accredited bachelor or master degree, 1,000-hour internship in a related degree, or six months continuous long-term care management experience (at least 1,000 hours within 24 months if part-time).
Renewal while license is suspended
- Practice Restriction
- 201 KAR 6:040 Section 6(2): renewal does not permit practice until suspension ends or is lifted and the Board restores the right to practice.
- Renewal
- 201 KAR 6:040 Section 6(1): renew under ordinary Section 1 requirements even if suspension remains.
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