DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
NURSING HOME ADMINISTRATORS  
GENERAL RULES  
(By authority conferred on the director of the department of licensing and regulatory  
affairs by sections 16145, 16148, 16178, 16287, and 17309 of the public health code,  
1978 PA 368, MCL 333.16145, 333.16148, 333.16178, 333.16287, and 333.17309 and  
Executive Reorganization Order Nos. 1991-9, 1996-2, 2003-1, and 2011-4, MCL  
338.3501, 445.2001, 445.2011, and 445.2030)  
PART 1. GENERAL PROVISIONS  
R 339.14001 Definitions.  
Rule 1. (1) As used in these rules:  
(a) "Accredited institution" means a college or university that meets the standards  
set forth in R 339.14011.  
(b) "Board" means the Michigan board of nursing home administrators.  
(c) “CHEA” means the Council of Higher Education Accreditation.  
(d) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to  
333.25211.  
(e) “Department” means the department of licensing and regulatory affairs.  
(f) “Life Safety Code” means the National Fire Protection Association 101 Life  
Safety Code, 2018 edition.  
(g) “NAB” means the National Association of Long Term Care Administrator  
Boards.  
(h) “NAB CORE” means the NAB core of knowledge examination for long term  
care administrators.  
(i) “NAB NHA LOS” means the NAB nursing home administrators line of service  
examination.  
(2) The terms defined in the code have the same meanings when used in these rules.  
History: 1992 AACS; 2014 AACS; 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14002 Rescinded.  
History: 2016 AACS; 2019 AACS.  
R 339.14003 Telehealth.  
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Rule 3. (1) Consent must be obtained before providing a telehealth service pursuant  
to section 16284 of the code, MCL 333.16284.  
(2) Evidence of the consent obtained pursuant to subrule (1) of this rule must be  
maintained in a patient’s medical record and retained in compliance with section 16213  
of the code, MCL 333.16213.  
(3) A nursing home administrator providing a telehealth service shall do both of the  
following:  
(a) Act within the scope of his or her practice.  
(b) Exercise the same standard of care applicable to a traditional, in-person health  
care service.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2021 AACS.  
R 339.14005 Rescinded.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS; 2021 AACS; 2025 MR 11, Eff.  
May 7, 2025.  
R 339.14006 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 6. (1) Under section 16148 of the code, MCL 333.16148, an individual seeking  
licensure or who is licensed or registered shall have completed training in identifying  
victims of human trafficking that satisfies the following standards:  
(a) Training content must cover all of the following:  
(i) Understanding the types and venues of human trafficking in the United States.  
(ii) Identifying victims of human trafficking in healthcare settings.  
(iii) Identifying the warning signs of human trafficking in healthcare settings for  
adults and minors.  
(iv) Identifying resources for reporting the suspected victims of human trafficking.  
(b) Acceptable providers or methods of training include any of the following:  
(i) Training offered by a nationally recognized or state-recognized health-related  
organization.  
(ii) Training offered by, or in conjunction with, a state or federal agency.  
(iii) Training obtained in an educational program that has been approved by the  
board for initial licensure or registration, or by a college or university.  
(iv) Reading an article related to the identification of victims of human trafficking  
that meets the requirements of subdivision (a) of this subrule and is published in a peer-  
reviewed journal, healthcare journal, or professional or scientific journal.  
(c) Acceptable modalities of training include any of the following:  
(i) Teleconference or webinar.  
(ii) Online presentation.  
(iii) Live presentation.  
(iv) Printed or electronic media.  
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(2) The department may select and audit an individual and request documentation of  
proof of completion of training. If audited by the department, the individual shall provide  
an acceptable proof of completion of training, including either of the following:  
(a) Proof of completion certificate issued by the training provider that includes the  
date, provider name, name of training, and individual’s name.  
(b) A self-certification statement by the individual. The self-certification statement  
must include the individual’s name and either of the following:  
(i) For training completed pursuant to subrule (1)(b)(i) to (iii) of this rule, the date,  
training provider name, and name of training.  
(ii) For training completed pursuant to subrule (1)(b)(iv) of this rule, the title of the  
article, author, publication name of peer reviewed journal, healthcare journal, or  
professional or scientific journal, and the date, volume, and issue of publication, as  
applicable.  
History: 2025 MR 11, Eff. May 7, 2025.  
R 339.14007 Rescinded.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14008 Rescinded.  
History: 2014 AACS; 2019 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14009 Rescinded.  
History: 1992 AACS; 2014 AACS; 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
PART 2. EDUCATION, EXAMINATIONS, AND LICENSURE  
R 339.14011 Accreditation standards; adoption by reference.  
Rule 11. (1) The department, in consultation with the board, adopts by reference the  
standards and procedures for recognition of accrediting organizations of CHEA, effective  
January 1, 2022, and the procedures and criteria for recognizing accrediting agencies of  
the United States Department of Education, effective July 1, 2020, as contained in 34  
CFR part 602. The CHEA recognition standards may be obtained from the council’s  
website at http://www.chea.org, at no cost. The federal recognition criteria may be  
obtained at no cost from the United States Department of Education’s website at:  
http://www.ed.gov.  
(2) Copies of the standards and criteria recognizing accrediting agencies used by  
CHEA and the department of education are available for inspection and distribution at a  
cost of 10 cents per page from the Board of Nursing Home Administrators, Bureau of  
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Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West  
Ottawa Street, P.O. Box 30670, Lansing, Michigan 48909.  
History: 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14012 Educational requirements; approved course of instruction and  
training.  
Rule 12. (1) Beginning 1 year after promulgation of this rule, an applicant for  
licensure shall have earned either of the following from an accredited college or  
university that satisfies the requirements of R 339.14011:  
If the applicant holds a valid, active license as a registered nurse, an associate  
degree or higher in nursing.  
(b) A bachelor’s degree.  
(2) An applicant for licensure shall have earned not less than 9 semester hours or  
144 clock hours of instruction in courses approved under subrule (3) of this rule. The  
instructional hours required by this subrule may be earned as a part of the applicant’s  
degree program that satisfied the educational requirement of subrule (1) of this rule.  
(3) The department, in consultation with the board, approves a course of instruction  
and training offered by an institution that meets the accreditation standards in R  
339.14011 and includes all of the following subjects:  
(a) Administrative management of a nursing home.  
(b) Financial management of a nursing home.  
(c) Gerontology or the aging process.  
(d) Human resources management in a nursing home.  
(e) Identification of elder abuse and neglect.  
(f) State and federal laws and regulations regarding the nursing home industry,  
operation of a nursing home, emergency preparedness, including Medicare and Medicaid  
provider compliance with the requirements of the Life Safety Code, and the protection of  
patients’ health, safety, and welfare in a nursing home.  
History: 1992 AACS; 1995 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS; 2021 AACS; 2025  
MR 11, Eff. May 7, 2025.  
R 339.14013 Rescinded.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS; 2021 AACS.  
R 339.14014 Examination approval and adoption; passing score; limitations.  
Rule 14. (1) The board approves and adopts the NAB CORE and the NAB NHA  
LOS examinations developed, administered, and scored by the NAB or its successor  
organization.  
(2) The accepted passing score for the NAB CORE and the NAB NHA LOS  
examinations is the passing score established by the NAB or its successor organization.  
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(3) An applicant may retake the NAB CORE and the NAB NHA LOS in compliance  
with the limitations established by the NAB or its successor organization.  
History: 2025 MR 11, Eff. May 7, 2025.  
R 339.14015 Rescinded.  
History: 1992 AACS; 2019 AACS.  
R 339.14017 Application for initial nursing home administrator license;  
requirements.  
Rule 17. The department shall issue a license to an applicant who, in addition to  
satisfying the requirements of the code and these rules, satisfies all of the following:  
(a) Submits a completed application on a form provided by the department.  
(b) Pays the required fee to the department.  
(c) Holds a current, valid health services executive designation granted by the NAB  
or meets the requirements of subrules (d) and (e) of this rule.  
(d) Complies with either of the following:  
(i) Has completed the educational requirement and the course of instruction and  
training that meets the requirements of R 339.14012.  
(ii) Has been employed as a chief executive or administrative officer at a state-  
licensed hospital for not less than 5 of the 7 years immediately preceding the date of  
applying for a nursing home administrator license, as provided in section 17309(3) of the  
code, MCL 333.17309.  
(e) Passes both of the following examinations:  
(i) The NAB CORE administered by the professional examination service of the  
NAB or its successor organization.  
(ii) The NAB NHA LOS administered by the professional examination service of  
the NAB or its successor organization.  
History: 2025 MR 11, Eff. May 7, 2025.  
R 339.14019 Rescission.  
Rule 19. R 338.2801 to R 338.2849 of the Michigan Administrative Code  
appearing on pages 2585 to 2593 of the 1979 Michigan Administrative Code, are  
rescinded.  
History: 1992 AACS.  
R 339.14020 Relicensure.  
Rule 20. (1) An applicant for relicensure whose Michigan license has lapsed, under  
16201(3) or (4) of the code, MCL 333.16201, as applicable, may be relicensed by  
complying with the following requirements as noted by (√):  
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(a) An applicant whose license has lapsed and does  
not hold a current and valid nursing home  
administrator license in another state or province of  
Canada:  
Lapsed  
0-3 years.  
Lapsed  
more than 3  
years.  
(i) Submits a completed application on a form  
provided by the department, together with the  
requisite fee.  
√
√
(ii) Establishes that the applicant is of good moral  
character as that term is defined in, and determined  
under, 1974 PA 381, MCL 338.41 to 338.47.  
(iii) Submits fingerprints as set forth in section  
16174(3) of the code, MCL 333.16174.  
√
√
√
√
(iv) Passed the NAB CORE and the NAB NHA  
LOS examinations within 2 years of application for  
relicensure.  
(v) Completed 36 hours of approved continuing  
education credits as required by R 339.14021  
during the 2 years immediately preceding the  
application for relicensure.  
(vi) An applicant who is or has ever been  
licensed, registered, or certified in a health profession  
or specialty by another state, the United States  
military, the federal government, or another country,  
shall do both of the following:  
√
√
√
(A) Disclose each license, registration, or  
certification on the application form.  
(B) Satisfy the requirements of section 16174(2)  
of the code, MCL 333.16174, including verification  
from the issuing entity showing that disciplinary  
proceedings are not pending against the applicant and  
sanctions are not in force at the time of application.  
(b) An applicant whose license has lapsed and is  
currently licensed or registered in another state or  
province of Canada may be relicensed under section  
16201(4) of the code, MCL 333.16201, if the applicant  
satisfies all of the following:  
Lapsed  
0-3 years.  
Lapsed  
more than 3  
years.  
(i) Submits a completed application on a form  
provided by the department, together with the  
requisite fee.  
√
√
√
(ii) Establishes that the applicant is of good  
moral character as that term is defined in, and  
determined under, 1974 PA 381, MCL 338.41 to  
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338.47.  
(iii) Submits fingerprints as set forth in section  
16174(3) of the code, MCL 333.16174.  
√
√
(iv) Completed 36 hours of approved continuing  
education credits as required by R 339.14021  
during the 2 years immediately preceding the  
application for relicensure.  
(v) An applicant who is or has ever been licensed,  
registered, or certified in a health profession or  
specialty by another state, the United States military,  
the federal government, or another country, shall do  
both of the following:  
√
√
√
(A) Disclose each license, registration, or  
certification on the application form.  
(B) Satisfy the requirements of section 16174(2)  
of the code, MCL 333.16174, including verification  
from the issuing entity showing that disciplinary  
proceedings are not pending against the applicant and  
sanctions are not in force at the time of application.  
(2) If relicensure is granted and it is determined that a sanction has been imposed by  
another state, the United States military, the federal government, or another country, the  
disciplinary subcommittee may impose appropriate sanctions under section 16174(5) of  
the code, MCL 333.16174.  
History: 2014 AACS; 2019 AACS 2019; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14020a Licensure by endorsement.  
Rule 20a. (1) An applicant for licensure by endorsement, in addition to meeting the  
requirements of the code and these rules, shall submit the required fee and a completed  
application on a form provided by the department.  
(2) If an applicant holds a current, valid health services executive designation  
granted by the NAB, the applicant is presumed to meet the requirements of section  
16186(1)(b) of the code, MCL 333.16186.  
(3) If an applicant does not satisfy subrule (2) of this rule but has been registered or  
licensed as a nursing home administrator in 1 or more states for 5 years or more  
immediately preceding the date of filing an application for a Michigan nursing home  
administrator license, the applicant is presumed to meet the requirements of section  
16186(1)(b) of the code, MCL 333.16186.  
(4) If an applicant does not satisfy subrule (2) or (3) of this rule the applicant shall  
meet the requirements for initial licensure as specified in R 339.14017.  
(5) Additionally, the applicant shall comply with both of the following:  
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(a) Disclose each license, registration, or certification in a health profession or  
specialty issued by another state, the United States military, the federal government, or  
another country on the application form.  
(b) Satisfy the requirements of section 16174(2) of the code, MCL 333.16174,  
including verification from the issuing entity showing that disciplinary proceedings are  
not pending against the applicant and sanctions are not in force at the time of application.  
History: 2014 AACS; 2019 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.  
PART 3. CONTINUING EDUCATION AND LICENSE RENEWAL  
R 339.14021 License renewal; continuing education requirements; limitations.  
documentation; waiver.  
Rule 21. (1) An applicant for license renewal shall accumulate not less than 36 hours  
of continuing education credits approved by the board during each license cycle.  
(2) Not less than 2 continuing education credit hours must be earned in pain and  
symptom management during each renewal cycle, as required under section 16204 of the  
code, MCL 333.16204.  
(3) A licensee’s renewal submission is the certification that the licensee has  
accumulated the required continuing education during the preceding 2-year licensing  
cycle. The department may select and audit a licensee and request that the licensee  
produce documentation proving that the licensee complied with the continuing education  
requirements.  
(4) A licensee shall retain documentation of the approved continuing education  
credit hours earned for a period of 4 years after renewal of the license.  
(5) The continuing education credit hours earned during 1 renewal cycle must not be  
carried forward to the next renewal cycle.  
(6) Except for the implicit bias training required under R 338.7004 that may be used  
to comply with R 338.7004 and a continuing education requirement, an applicant may not  
earn continuing education for a continuing education program that is identical to a  
program the applicant has already earned credit for during that renewal period.  
(7) A request for a waiver under section 16205 of the code, MCL 333.16205, must  
be received by the department not less than 30 days before the last regularly scheduled  
board meeting before the expiration date of the license.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2025 MR 11, Eff. May 7, 2025.  
PART 4. CONTINUING EDUCATION  
R 339.14022 Rescinded.  
History: 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
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R 339.14023 Rescinded.  
History: 1992 AACS; 2019 AACS.  
R 339.14024 Rescinded.  
History: 2019 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14024a Rescinded.  
History: 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14025 Rescinded.  
History: 1992 AACS; 1995 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS.  
R 339.14026 Approved continuing education courses.  
Rule 26. If a continuing education course covers a qualifying subject specified in R  
339. 14032, the following continuing education courses are approved by the board:  
(a) A continuing education course approved by the NAB.  
(b) An academic or continuing education course offered by a college or university  
that meets the accreditation standards adopted in R 339.14011.  
History: 2019 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14026a Rescinded.  
History: 2019 AACS; 2021 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14027 Rescinded.  
History: 1992 AACS; 1995 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS.  
R 339.14029 Rescinded.  
History: 1992 AACS; 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14030 Rescinded.  
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History 2014 AACS; 2019 AACS.  
R 339.14031 Rescinded.  
History: 1992 AACS; 2014 AACS; 2019 AACS.  
R 339.14032 Qualifying continuing education subjects.  
Rule 32. One or more qualifying subjects must be covered in a course for the  
participant to receive continuing education credit. Qualifying subjects are those that  
contribute to the professional competency of a licensee, including 1 or more of the  
following:  
(a) Behavioral science.  
(b) Communications or information technology.  
(c) Economics, finance, marketing, or management.  
(d) Geriatrics, gerontology, or aging.  
(e) Healthcare, patient care, or elder abuse and neglect identification.  
(f) Human resources.  
(g) Implicit bias training.  
(h) Pain and symptom management.  
(i) Pharmacology and toxicology.  
(j) State and federal laws and regulations regarding the nursing home industry.  
History: 2019 AACS; 2025 MR 11, Eff. May 7, 2025.  
R 339.14033 Rescinded.  
History: 1992 AACS; 2014 AACS; 2019 AACS.  
R 339.14035 Rescinded.  
History: 1992 AACS; 1995 AACS; 2014 AACS; 2019 AACS.  
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;