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| Licensing Pathways |
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Licensure Pathway 1: AIT Program
- Bachelor's degree
- Certificate of Training Completion in the Administrator in Training (AIT) program
- Passing score on the National Association of Long Term Care Administrator Boards (NAB) examination within one year following the date of application, sent directly by the NAB to the Oregon Health Licensing Agency (OHLA)
- Passing score on NHAB-approved state examination within one year preceding or one year following the date of application
Click here for more information on the AIT program.
Licensure Pathway 2: Dual Facility Experience
- At least one year of experience as an administrator serving a dual facility (a facility that operates both a hospital and a long term care facility on the same campus)
- Passing score on the National Association of Long Term Care Administrator Boards (NAB) examination within one year following the date of application, sent directly by the NAB to the Oregon Health Licensing Agency (OHLA)
- Passing score on NHAB-approved state examination within one year preceding or one year following the date of application
Licensure Pathway 3: Advanced Education & Experience
- Postgraduate degree in management
- At least 10 years of experience in health care management, defined as the administration, planning, organizing, directing, staffing and budgeting of a licensed health care facility
Licensure Pathway 4: Reciprocity
- Affidavit of licensure demonstrating proof of current and active licensure as a nursing home administrator issued by another state or territory of the United States with licensing requirements at least equivalent to Oregon requirements, with no current or pending disciplinary action
Licensure Pathway 5: Reciprocity Prior to 1983
- Affidavit of licensure demonstrating proof of current and active licensure as a nursing home administrator issued by another state or territory of the United States with licensing requirements at least equivalent to Oregon requirements originally issued prior to January 1, 1983, with no current or pending disciplinary action
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| Provisional License |
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- Whenever a bona fide emergency exists such as, but not limited to, the death, incapacitation, or unexpected resignation of a licensed nursing home administrator and the nursing home which such person was administering is unable to employ a regularly licensed nursing home administrator, the long-term care facility may be administered by a provisionally licensed nursing home administrator.
The provisional license is valid for only the nursing home in which the emergency that allowed the provisional license exists, and is valid until a licensed nursing home administrator can be employed, but not to exceed six months.
- Formal request from the owner or manager of the nursing home explaining the emergency situation and the need for a provisional administrator
- Proof of qualification under licensure pathways 2, 3, 4 or 5
- Current employment as the nursing home's Assistant Administrator, or
- Current employment as the nursing home's Director of Nursing
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| Examinations |
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State Examination
The State Examination Study Guide provided below is comprised of the Oregon Department of Human Services' Nursing Facility Regulations on which you will be tested. Examination answers are taken verbatim from these regulations.
You will schedule and complete your state examination at OHLA in Salem. The state examination consists of 50 multiple-choice questions and requires a minimum passing score of 84 percent. Each question is worth two points, thus you can answer no more than eight questions incorrectly.
National Examination
The national examination, administered by the National Association of Long Term Care Administrator Boards (NAB), ensures that administrators have mastered a specific body of
knowledge and can demonstrate the skills and abilities essential to competent practice within the profession.
You must apply online for your NAB examination. However, do not apply to take your national examination until you are notified of your approval by OHLA. NAB exams are offered in Oregon at Prometric Test Centers located in Eugene, Milwaukie, Portland, and Salem. The NAB examination consists of 150 multiple choice questions; the passing score is a scale score of 113.
NAB offers candidates for licensure many resources to assist in preparing for the national licensure examination. The national examination information handbook is free and available for download on the NAB Web site under the Examinations page.
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