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Virginia Board of Long-Term Care Administrators
Frequently Asked Questions - Nursing Home Administrators


What are the qualifications for licensure as a Nursing Home Administrator?

An Applicant may apply for licensure by (1) Degree and practical experience; or (2) Certificate program; or (3) Administrator-in-training program. Refer to Regulation 18 VAC 95-20-220.
In addition, all applicants must receive a passing grade on the national examination.
The Applicant must determine which pathway to apply for licensure.

Do you have licensure by endorsement?

Yes, the board may issue a license to any person who holds a current, unrestricted license from any state or the District of Columbia; and has practiced nursing home administration for one year; or has education and experience equivalent to qualifications for initial licensure.

How long does the licensure applications remain on file?

Application files shall be retained by the board for one year, after which time, the application file shall be destroyed and a new application, supporting documentation, and fee will be required.

What are the qualifications to apply for an AIT program?

To be approved as an administrator-in-training, a person shall: (1) have received a passing grade on a total of 60 semester hours of education from an accredited college or university, (2) obtain a preceptor to provide training; (3) application (4) and fee (5) submit additional documentation as may be necessary to determined eligibility of the applicant and the number of hours required for the AIT program.

National Practitioner Data Bank (NPDB):

How do I obtain a self-report from the National Practitioner Data Bank (NPDB)?

All initial applications for licensure require a current report from the U.S. Department of Health and Human Services National Practitioner Data Bank (NPDB).

This requirement applies to all applications received on or after July 16, 2015 for licensure as an Administrator or Preceptor for both Nursing Home and Assisted Living Facility Professions. This also includes anyone applying for Reinstatement of their license and licensure by Endorsement.

Anyone applying for an Administrator in Training Program Registration will not be required to submit the NPDB report.

This is not a requirement for renewal of your license.

Instructions on how to obtain a self-report from the National Practitioner Data Bank (NPDB):

Training Facilities:

AIT training shall be only conducted in facilities listed under 18 VAC 95-20-330 of the regulations.

How many hours are required for an AIT program?

The AIT program shall consist of 2,000 hours of continuous training in a facility as prescribed in 18 VAC 95-20-330 to be completed within 24 months.

The board may reduce the required hours for applicants with certain qualifications as prescribed in Regulation 18 VAC 95-20-310.B.C.

How do I obtain a preceptor?

You may go to License Lookup and search for the occupation of Nursing Home Preceptor. To find a preceptor in your area, a zip code can be entered. Due to privacy laws, this search will provide you with a full list of all licensed preceptors but it does not provide contact information.

For a list of licensed Preceptors who volunteered their contact information be posted in a public directory, please click on the following link:  Preceptor Directory

What are the qualifications of preceptors?

To be a preceptor, individual needs to hold a current, unrestricted license and be employed full-time as an administrator in a training facility for a minimum of two of the past three years immediately prior to registration.

What do I do if the AIT program is terminated?

If the AIT program is terminated prior to completion, the trainee and the preceptor shall each submit a written explanation of the causes of program termination to the board with five working days.  A Notice of Change or Discontinuation of program form can be found under “applications and forms” on the website.

The preceptor shall also submit all required monthly progress reports completed prior to termination.

What happens when an AIT program is interrupted because the preceptor is unable to serve?

If the preceptor cannot serve, the AIT shall notify the board within five working days and shall obtain a new preceptor who is registered with the board within 60 days.  A Notice of Change or Discontinuation of program form can be found under “applications and forms” on the website.

Credit for training shall resume when a new preceptor is obtained and approved by the board.

If an alternate training plan is developed, it shall be submitted to the board for approval before the AIT resumes training.


What is required to be scheduled for the national examination?

A completed nursing home administrator licensure application is required before an applicant can be approved to take NAB.

What is required to be scheduled for the state exam?

There is no state exam requirement.


When are licenses renewed?

A person who desires to renew their license needs to renew by March 31 of each year. Licensees may renew their license by going to Online Licensing and must have their user name and pass code in order to process the transaction.

I am an active duty serviceperson that missed my renewal because of deployment outside of the United States.  Is there an exemption?

An extension for your renewal will be granted for 60 days after your return to the United States.  No late fee will be charged.  No extensions granted shall exceed five years from the date of the expiration.

Requirements for Active Duty Extension of Renewal:

A Copy of Military Orders or form DD214 placing the licensee on active duty outside the United States.

Continuing Education:

How many hours of continuing education are required to renew?

20 hours of approved education is required for each renewal year. Up to 10 of the 20 hours may be obtained through internet or self-study courses and up to 10 continuing education hours in excess of the number required may be transferred or credited to the next renewal year.

What continuing education courses are acceptable?

In order for a continuing education course to be approved by the board, it shall be related to health care administration and shall be approved by the National Association of Boards of Examiners of Long Term Care Administrators (NAB) or by an accredited institution.

How long do licensees maintain their continuing education documentation?

Licensees shall retain in their personal files for a period of three renewal years complete documentation of continuing education including evidence of attendance or participation as provided by the approved sponsor for each course taken. For further information, refer to 18 VAC 95-20-175 of the regulations.

Are there any exemptions or extensions in obtaining continuing education?

The board may grant an extension of up to one year or an exemption for all or part of the continuing education requirements due to circumstances beyond the control of the administrator, such as certified illness, temporary disability, mandatory military service, or official disasters.


How do you reinstate a nursing home administrator’s license?

An applicant for nursing home administrator license reinstatement shall apply on a reinstatement form provided by the board, submit the reinstatement fee, and provide one of the following:
(1) Evidence of the equivalent of 20 hours of continuing education for each year since the last renewal, not to exceed a total of 60 hours; or

(2) Evidence of active practice in another or U.S. jurisdiction or in the U.S. armed services during the period licensure in Virginia was lapsed; or

(3) Evidence of re-qualifying for licensure by meeting the requirements prescribed in 18 VAC 95-20-220 or 18 VAC 95-20-225.

How do you reinstate a preceptor’s license?

An applicant for preceptor reinstatement shall apply on a reinstatement form provided by the board, submit the reinstatement fee, and meet the current requirements for a preceptor in effect at the time of application for reinstatement.

Name/Address Change:

How do you notify the board office of an address change and/or name change?

All address changes must in writing. You may use the Name and Address Change Form to submit your request. The request should include name, license number, and/or social security number, old and new address. The address change may be faxed, e-mailed, or mailed to the board office. Address changes can also be made on line by going to Online Licensing.

Name changes must be submitted in writing and include legal documentation such as a court order, marriage license, or divorce decree. Name changes may also be faxed, e-mailed, or mailed to the board office.

How do I obtain a duplicate copy of my license?

To obtain a duplicate license, submit a written request and a $25 check or money order made payable to the Treasurer of Virginia. Licensees may also obtain a duplicate license by going to Online Licensing.

Verification of License:

How can I have my license verified to another state?

To request a verification of licensure submit your request in writing (you may use the Verification Form); include your full name, license number or social security number, your current mailing address and the address of where you want the verification sent. Attach the required processing fee of $35.00 check or money order made payable to the Treasurer of Virginia.

Allow three to five business days for processing. The board verifies profession, license number, issue date, expiration date, how the licensee obtained Virginia licensure, and if there have been any disciplinary actions. Should a licensee need their national scores verified, they should contact the National Association of Long Term Care Administrator Boards (NAB)

Verifications received without the required fee will not be processed.

Mail your request and fee to:

Board of Long Term Care Administrators
Perimeter Center
9960 Mayland Drive, Suite 300
Henrico, Virginia 23233-1463

You may also verify licensure information online by using License Lookup