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 339.14005.  
(b) "Board" means the Michigan board of nursing home administrators.  
(c) “Code” means the public health code, 1978 PA 368, MCL 333.1101 to  
333.25211.  
(d) “Department” means the department of licensing and regulatory affairs.  
(e) “Life Safety Code” means the National Fire Protection Association 101 Life  
Safety Code.  
(f) "Sponsor" means a person or an organization offering continuing education  
courses relating to the practice of nursing home administration.  
(2) The terms defined in the code have the same meanings when used in these rules.  
History: 1992 AACS; 2014 AACS; 2019 AACS.  
R 339.14002 Rescinded.  
History: 2016 AACS; 2019 AACS.  
R 339.14003 Telehealth.  
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.  
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(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 MR 8, Eff. Ap. 15, 2021.  
PART 2. EDUCATION  
R 339.14005 Accreditation standards; adoption by reference.  
Rule 5. (1) The department, in consultation with the board, adopts by reference the  
procedures and criteria for recognizing accrediting organizations of the council of higher  
education accreditation (CHEA), effective September 24, 2018, and the procedures and  
criteria for recognizing accrediting agencies of the United States Department of  
Education, effective July 1, 2010, as contained in 34 CFR part 602 (2010). 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  
cost of 10 cents per page from the Board of Nursing Home Administrators, Bureau of  
Professional Licensing, Department of Licensing and Regulatory Affairs, 611 West  
Ottawa, P.O. Box 30670, Lansing, Michigan 48909.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14007 Approved course of instruction and training.  
Rule 7. The department, in consultation with the board, approves a course of  
instruction and training that meets all of the following:  
(a) Complies with section 17309(2) of the code, MCL 333.17309(2).  
(b) Includes, at a minimum, a total of 9 semester credits or 144 clock hours of  
instruction. The instruction provided shall include all of the following subjects:  
(i) Administrative management of a nursing home.  
(ii) Human resources management in a nursing home.  
(iii) Financial management of a nursing home.  
(iv) 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.  
(v) Gerontology or the aging process.  
(vi) Identification of elder abuse and neglect.  
(c) Is offered by an accredited institution that meets the standards in R 339.14005.  
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History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS.  
Editor's Note: An obvious error in R 339.14007 was corrected at the request of the promulgating  
agency, pursuant to Section 56 of 1969 PA 306, as amended by 2000 PA 262, MCL 24.256. The rule  
containing the error was published in Michigan Register, 2019 MR 9. The memorandum requesting the  
correction was published in Michigan Register, 2019 MR 12.  
PART 3. LICENSURE  
R 339.14008 Application for nursing home administrator license; requirements.  
Rule 8. (1) The department shall issue a nursing home administrator license to an  
applicant who, in addition to satisfying the requirements of the code, 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) Complies with either of the following:  
(i) Completed a course of instruction and training that meets the requirements of  
R 339.14007.  
(ii) Had 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.  
(2) In addition to meeting the requirements of subrule (1) of this rule, an applicant  
shall, within 2 years after the date of the application, pass both of the following  
examinations:  
(a) The National Association of Long-term Care Administrator Board’s (NAB)  
Core of Knowledge Examination for Long Term Care Administrators (CORE)  
administered by the professional examination service of the NAB or its successor  
organization, pursuant to R 339.14011.  
(b) The NAB National Nursing Home Administrators Line of Service Examination  
(NHA LOS) administered by the professional examination service of the NAB or its  
successor organization, pursuant to R 339.14011.  
(3) An applicant may sit for the CORE and the NHA LOS examinations a  
maximum of 4 times each.  
History: 2014 AACS; 2019 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14009 Eligibility for examinations.  
Rule 9. (1) An applicant may take the CORE and the NHA LOS examinations  
required under R 339.14008(2) after the applicant has received authorization from the  
department to take the examinations.  
(2) The department shall authorize the applicant to take the examinations when it  
has received the required fee and a completed application on a form provided by the  
department and either of the following:  
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(a) Documentation sent directly to the department from an accredited institution  
verifying that the applicant has met the educational requirements specified in R  
339.14008(1)(c)(i).  
(b) Documentation sent directly to the department that the applicant has met the  
employment requirements specified in R 339.14008(1)(c)(ii).  
History: 1992 AACS; 2014 AACS; 2019 AACS.  
R 339.14011 Passing examination scores.  
Rule 11. The passing score for the CORE and for the NHA LOS examinations is  
the passing score recommended by the NAB.  
History: 2019 AACS.  
R 339.14012 Training standards for identifying victims of human trafficking;  
requirements.  
Rule 12. (1) Pursuant to section 16148 of the code, MCL 333.16148, an individual  
licensed or seeking licensure shall complete training in identifying victims of human  
trafficking that meets the following standards:  
(a) Training content must cover all of the following:  
(i) Understanding the types and venues of human trafficking in Michigan or the  
United States.  
(ii) Identifying victims of human trafficking in health care settings.  
(iii) Identifying the warning signs of human trafficking in health care settings for  
adults and minors.  
(iv) 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 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  
review journal, health care 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.  
(2) The department may select and audit a sample of individuals and request  
documentation of proof of completion of training. If audited by the department, an  
individual shall provide an acceptable proof of completion of training, including either of  
the following:  
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(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 an individual. The 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  
article, author, publication name of peer review journal, health care journal, or  
professional or scientific journal, and date, volume, and issue of publication, as  
applicable.  
(3) Pursuant to section 16148 of the code, MCL 333.16148, the requirements  
specified in subrule (1) of this rule apply to all license renewals and for initial licenses  
issued on or after March 17, 2021.  
History: 1992 AACS; 1995 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS; 2021 MR 8, Eff.  
Ap. 15, 2021.  
R 339.14013 Rescinded.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14015 Rescinded.  
History: 1992 AACS; 2019 AACS.  
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. An applicant for relicensure whose Michigan license has lapsed, under  
the provisions of 16201(3) or (4) of the code, MCL 333.16201, as applicable, may be  
relicensed by complying with the following requirements as noted by (√):  
(1) An applicant who has let his or her Michigan  
Lapsed  
Lapsed  
license lapse and who does not hold a current and0-3 Years.  
valid nursing home administrator license in another  
state of the United States or province of Canada:  
More than 3  
Years.  
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(a) Submits a completed application on a form  
provided by the department, together with the  
requisite fee.  
√
√
(b) Establishes that the applicant is of good moral  
character.  
√
√
√
√
(c) Submits fingerprints as set forth in section  
16174(3) of the code, MCL 333.16174.  
(d) Passed the CORE and NHA LOS  
examinations.  
(e) Completed 36 hours of approved continuing  
education credits as required by R 339.14022 and  
R 339.14024 during the 2 years immediately  
preceding the application for relicensure.  
(f) If applicable, provide proof of any nursing  
home administrator license previously held:  
√
√
√
An applicant’s nursing home administrator  
license in good standing must be verified by the  
licensing agency of any state of the United  
States or province of Canada in which the  
applicant has ever held a nursing home  
administrator license.  
Verification must include the record of any  
disciplinary action taken or pending against  
the applicant.  
(2) An applicant who has let his or her Michigan  
license lapse and who is currently licensed or  
registered in another state of the United  
States 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.  
(a) Submits a completed application on a form  
provided by the department, together with the  
requisite fee.  
(b) Establishes that the applicant is of good  
moral character.  
√
√
√
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(c) Submits fingerprints as set forth in section  
16174(3) of the code, MCL 333.16174.  
√
√
(d) Completed 36 hours of approved continuing  
education credits as required by R 339.14022 and  
R 339.14024 during the 2 years immediately  
preceding the application for relicensure.  
(e) Provides proof of a current and valid  
nursing home administrator license:  
√
√
√
An applicant’s nursing home administrator  
license in good standing must be verified by  
the licensing agency of any state of the United  
States or province of Canada in which the  
applicant holds or has ever held a nursing home  
administrator’s license.  
Verification must include the record of any  
disciplinary action taken or pending against the  
applicant.  
History: 2014 AACS; 2019 AACS 2019; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14020a Licensure by endorsement.  
Rule 20a. (1) An applicant for a nursing home administrator license 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 has been registered or licensed as a nursing home administrator  
in 1 or more state for 5 years or more immediately preceding the date of filing an  
application for a Michigan nursing home administrator license, then the applicant is  
presumed to meet the requirements of section 16186(1)(b) of the code, MCL 333.16186.  
(3) If an applicant has been registered or licensed as a nursing home administrator  
in 1 or more state for less than 5 years immediately preceding the date of filing an  
application for a Michigan nursing home administrator license, then the applicant shall  
meet the requirements for initial licensure as specified in R 339.14008.  
(4) An applicant shall have his or her license or registration in good standing  
verified by the licensing agency of any state of the United States in which the applicant  
holds or ever held a license or registration as a nursing home administrator. Verification  
must include the record of any disciplinary action taken or pending against the applicant.  
History: 2014 AACS; 2019 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14021 Rescinded.  
History: 1992 AACS; 1998-2000 AACS; 2014 AACS.  
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PART 4. CONTINUING EDUCATION  
R 339.14022 Required continuing education; certification; documentation.  
R 339.14022 Required continuing education; certification; documentation.  
Rule 22. (1) A licensee shall accumulate not less than 36 hours of continuing  
education credits during each license cycle from courses approved pursuant to R  
339.14026 or R 339.14026a.  
(2) A licensee’s renewal submission is the certification that he or she has  
accumulated 36 hours of continuing education during the preceding, 2-year licensing  
cycle.  
(3) The board may require an applicant or licensee to submit evidence to  
demonstrate compliance with this rule.  
(4) The 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 department may select and audit a sample of renewal applications and  
request a licensee to produce documentation proving that the licensee complied with  
continuing education requirement in subrule (1) of this rule.  
(6) The department shall receive a request for a waiver under section 16205 of the  
code, MCL 333.16205, before the expiration date of the license.  
History: 2019 AACS.  
R 339.14023 Rescinded.  
History: 1992 AACS; 2019 AACS.  
R 339.14024 Credits earned; limit on distance learning credits; required credits.  
Rule 24. (1) As used in this rule, “participation” means education time, exclusive of  
any break.  
(2) One continuing education credit hour is earned for each 50 to 60 minutes of  
participation in an approved continuing education course. After completion of the initial  
60 minutes, continuing education credit may be earned in tenth of an hour increments for  
each additional 6-minutes of participation in an approved continuing education course.  
(3) Fifteen continuing education credit hours are earned for each semester credit  
hour earned from an accredited college or university.  
(4) Ten continuing education credit hours are earned for each academic quarter  
credit hour earned from an accredited college or university.  
(5) A maximum of 20 continuing education credit hours may be earned through  
online or electronic media, such as videos, internet web-based seminars, video  
conference, online continuing education programs, or through any other media that do not  
permit live interaction between the presenter and the licensee.  
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(6) A minimum of 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.  
(7) A minimum of 1 continuing education credit hour must be earned in state  
specific laws and regulations pertaining to licensed nursing home and nursing care  
facilities during each renewal cycle.  
History: 2019 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14024a  
limitation.  
Carry over credit; duplicate continuing education credit;  
Rule 24a. (1) The continuing education credit hours earned during 1 renewal cycle  
shall not be carried forward to the next renewal cycle.  
(2) A licensee shall not earn continuing education credit for completing the same  
course twice within the same renewal cycle.  
History: 2019 AACS.  
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 course approved by the NAB.  
(b) A course offered by a college or university that meets the accreditation standards  
adopted in R 339.14005.  
History: 2019 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14026a Application for board approval of continuing education course.  
Rule 26a. (1) If a continuing education course is not approved pursuant to R  
339.14026, the sponsor of the course may seek board approval by complying with both of  
the following:  
(a) Completing and submitting an application on the form provided by the  
department not less than 120 days before the first date of instruction.  
(b) Submitting with the application all of the following materials:  
(i) A detailed course outline that must include the length of time designated for each  
topic.  
(ii) A list of instructional materials.  
(iii) A copy of each instructor’s résumé.  
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(iv) A description of the methodology to be used to monitor and verify attendance  
and the sponsor’s policy for retention of documents verifying course completion.  
(v) A written policy describing the sponsor’s refund policy.  
(2) If the sponsor of the course is seeking approval for credits that may be used to  
satisfy the pain and symptom management continuing education required by R  
339.14024(6), the board may approve credit or credits that could be applied toward that  
requirement based on the length of time the topic will be covered in the course.  
(3) At the conclusion of each board-approved course, the sponsor of the course shall  
award to each participant a certificate or written evidence of attendance that indicates all  
of the following:  
(a) The participant’s name.  
(b) The date the course was offered.  
(c) The location of where the course offered.  
(d) The sponsor approval number.  
(e) The number of hours of continuing education earned.  
(f) If applicable, the hours of continuing education earned that may satisfy the pain  
and symptom management continuing education required by R 339.14024(6).  
(4) The sponsor of the course shall maintain attendance records for 4 years from the  
date of the course.  
(5) The board shall not approve any application that was filed after the first date of  
instruction.  
History: 2019 AACS; 2021 MR 8, Eff. Ap. 15, 2021.  
R 339.14027 Rescinded.  
History: 1992 AACS; 1995 AACS; 1998-2000 AACS; 2014 AACS; 2019 AACS.  
R 339.14029 Withdrawal of board approval of continuing education course.  
Rule 29. Approval of a continuing education course may be withdrawn by the  
board for failure to comply with the requirements of R 339.14026a.  
History: 1992 AACS; 2019 AACS.  
R 339.14030 Rescinded.  
History 2014 AACS; 2019 AACS.  
R 339.14031 Rescinded.  
History: 1992 AACS; 2014 AACS; 2019 AACS.  
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R 339.14032 Qualifying continuing education subjects.  
Rule 32. One or more qualifying subjects shall 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) Economics, finance, marketing, or management.  
(c) Geriatrics, gerontology, or aging.  
(d) Health care, patient care, or elder abuse and neglect identification.  
(e) Pharmacology and toxicology.  
(f) Human resources.  
(g) State and federal laws and regulations regarding the nursing home industry.  
(h) Communications or information technology.  
(i) Pain and symptom management.  
History: 2019 AACS.  
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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;