DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS  
DIRECTOR’S OFFICE  
NURSING HOME ADMINISTRATORS  
GENERAL RULES  
Filed with the secretary of state on April 15, 2021  
These rules take effect immediately upon filing with the secretary of state unless  
adopted under section 33, 44, or 45a(6) of the administrative procedures act of 1969,  
1969 PA 306, MCL 24.233, 24.244, or 24.245a. Rules adopted under these sections  
become effective 7 days after filing with the secretary of state.  
(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)  
R 339.14005, R 339.14008, R 339.14012, R 339.14020, R 339.14020a, R 339.14022, R  
339.14024, R 339.14026, and R 339.14026a of the Michigan Administrative Code are  
amended, R 339.14003 is added, and R 339.14013 is rescinded, as follows:  
PART 1. GENERAL PROVISIONS  
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.  
(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.  
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  
October 2, 2020  
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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  
(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.  
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.  
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.  
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(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:  
(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.  
R 339.14013 Rescinded.  
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  
license lapse and who does not hold a current and  
valid nursing home administrator license in another  
state of the United States or province of Canada:  
Lapsed 0-3  
Years.  
Lapsed  
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. More than 3  
Years.  
Lapsed  
(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.  
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.  
PART 4. CONTINUING EDUCATION  
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.  
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(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.  
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.  
(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.  
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.  
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:  
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(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.  
(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.  
;