Registration Renewal

You must maintain a current New York State registration to practice as a licensed nursing home administrator in New York State. To ensure professional competence in nursing home administration, the Board of Examiners of Nursing Home Administrators (Board) requires that your registration is renewed biennially, in accordance with Public Health Law.

Application

Approximately 90 days prior to the expiration date of your current registration, you will be sent a renewal notice with an Application for Registration as a Nursing Home Administrator. You must submit the completed application to the Board, and the Board must approve your application prior to the expiration date of your current registration to avoid a lapse in your registered status. To ensure that you receive your renewal notice, your current address must be on file with the Board. Licensed and registered nursing home administrators are required to notify the Board of any change of address within 10 days of such change. If you changed your address and did not notify the Board, there is no guarantee that you will receive a renewal notice.

Upon receipt, your application will be reviewed to ensure that all requirements for renewal have been satisfied. Based on the findings of the review, your application will be determined to be either approved or incomplete. Applications are reviewed in the order they are received. The timeframe for review will vary based on the volume of applications received.

Applications Identified for Audit

You must self-certify that the continuing education information reported as part of your application is true and accurate. However, all information contained in the application is subject to audit/verification by the Board. If your application is identified for audit, you will be notified and requested to submit documentation to support all continuing education being claimed.

Approved Applications

When your application is approved, you will be sent a new Certificate of Registration, which will expire on the last day of the two-year registration period.

Incomplete Applications

If your application is determined to be incomplete, you will be sent an Application Review Summary identifying any deficiencies. Once you have satisfactorily addressed the identified deficiencies, your application will be approved.

If you are unable to address the identified deficiencies by the expiration date of your current registration, your application will not be approved and your registered status will lapse.

Late Renewal

If your registration has expired, you may still renew, but will be subject to a late fee.

Inactive Status

You may submit a written request to the Board to place your license in inactive status. Once your request is reviewed and processed, you will be sent a letter advising that your license has been placed in inactive status. At that time, you will be informed of the procedure and continuing education requirement for license reactivation.

Note: It is unlawful for you to practice or represent yourself as the Administrator-of-Record of a nursing home in New York State in the absence of a current New York State registration. Doing so may result in sanctions by the Board.

Please contact the Bureau of Professional Credentialing to inquire about the late renewal or license reactivation processes.

Continuing Education

You must complete continuing education consisting of a minimum of 48 clock hours, unless directed otherwise. The clock hour requirement for your first renewal or license reactivation will be prorated based on the month (within the two-year registration period) in which you became licensed or reactivate your license.

All continuing education must have been completed during your current registration period. Clock hours completed prior to the effective date of your initial license will not be considered. In the case of late renewal or license reactivation, continuing education must have been completed during the preceding 24 months. Continuing education must be non-repetitive (i.e., the same course cannot be claimed more than one time during each registration period). Continuing education claimed that exceeds the required number of clock hours will not be carried forward to the subsequent registration period.

The content of continuing education must be directly related to one or more of the five Domains of Practice established by the National Association of Long Term Care Administrators Boards and American College of Health Care Administrators (ACHCA).

Continuing education may consist of any training session, seminar, workshop, in-service training and/or distance learning course that is pre-approved by one of the following designated continuing education program reviewers:

Academic course work completed (or audited) at an accredited educational institution may be claimed toward satisfying the continuing education requirement. Academic course work does not require pre-approval by the Board. The Board will rely on the licensee's best judgement for determining the applicability of the course work to the Domains of Practice.

Professional Activities may be claimed toward satisfying the continuing education requirement. Professional Activities include teaching at accredited educational institutions and/or authoring articles published in professional journals. In both cases, the content must be directly related to one or more of the five Domains of Practice. Repeated delivery of the same subject matter will not be considered. Professional Activities being claimed may not exceed 50 percent of the total clock hours required. Professional Activities do not require pre-approval by the Board. The Board will rely on the licensee's best judgement for determining the applicability of the course work to the Domains of Practice.

The Board acknowledges those licensed nursing home administrators who contribute to the Nursing Home Administrator Licensure Program by serving as preceptors for the Administrator-In-Training Program (Internship). There is no limit on the number of clock hours that licensees who serve as preceptors can claim toward satisfying the continuing education requirement. Preceptor hours are verified through the Administrator-In-Training Program.

Calculation of Clock Hours

All continuing education must be claimed in clock hours, determined as follows:

  • Clock Hours equal the actual number of hours documented for the continuing education received. (Example: 10:00 a.m. - 11:30 a.m. = 1.5 clock hours)
  • Credit Hours are credits awarded after successful completion of an academic course. One academic credit (graduate or undergraduate) equals 12 clock hours. (Example: 3 credits = 36 clock hours) For course work that is audited, one academic credit (graduate or undergraduate) equals 6 clock hours. (Example: auditing a 3-credit course audited = 18 clock hours)
  • Continuing Education Units (CEUs) are credits awarded after successful completion of a continuing education course. One CEU equals 10 clock hours. (Example: .5 CEUs = 5 clock hours)
  • Professional Activities (teaching at an accredited educational institution) earns one clock hour for each hour spent presenting the subject matter. Professional Activities (publishing) earns 15 clock hours for authoring an article published in a professional journal, regardless of length.
  • Preceptors will earn one clock hour for each full-time equivalent week served as a preceptor.

Documentation

You must self-certify that the continuing education information reported as part of your application is true and accurate. However, all information contained in the application is subject to audit/verification by the Board. Licensees are responsible for obtaining documentation from the sponsor to support all continuing education completed. If your application is identified for audit, you will be notified and requested to submit documentation to support all continuing education being claimed. Do not submit this documentation unless specifically requested to do so.

To verify completion of any training session, seminar, workshop, in-service training and/or distance learning course, you must maintain a certificate or letter of completion provided by the sponsor, which includes your name, the name of the sponsor, title of the educational event, approval number, date of completion and number of clock hours associated with completion.

To verify completion of academic course work, you must maintain a course description and transcript (a copy is acceptable) from the accredited educational institution showing the number of credit hours and date the credit was awarded. To verify audited course work, you must have audited the entire course and maintain corroboration of participation by the accredited educational institution, which includes the course description, course level, total number of sessions in the course and number of sessions attended.

To verify teaching at an accredited educational institution as a Professional Activity, you must maintain corroboration of the activity from the participating accredited educational institution, including the clock hours spent presenting the subject matter. To verify publishing as a Professional Activity, you must maintain a copy of the professional journal containing the published article.

Preceptor hours will be verified through the Administrator-In-Training Program.

Note: You must maintain documentation to support completion of continuing education being claimed for at least two years following renewal or license reactivation.

Continuing Education That is Not Accepted

The following will not be accepted to satisfy the continuing education requirement, regardless of approval by a designated continuing education program reviewer: attendance at sessions of pre-licensure courses or programs; general personal wellness courses (stress management, etc.); attendance at trade shows or exhibits; membership on boards of directors, licensure boards, planning committees, health councils and other similar professional or community groups.