Nebraska Department of Health and Human Services
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Nursing Home Administration

Nursing Home Administrator is responsible for planning, organizing, directing, and controlling the operation of a home for the aged or infirm, a nursing home, or an integrated system or who in fact performs such functions, whether or not such functions are shared by one or more other persons. (description continued)

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(continued description)

Integrated system means a health and human services organization offering different levels of licensed care or treatment on the same premises.

The administrator of an intermediate care facility for the mentally retarded may be either a licensed nursing home administrator or a qualified mental retardation professional.

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License Requirements and Application Process

Initial Licensure: (See pdf icon 172 NAC 106-003.01)

To apply for an initial license, you must complete the pdf icon application and submit to:

Licensing & Regulatory Affairs
PO Box 94986
Lincoln, NE 68509-4986

Reciprocity: (See pdf icon 172 NAC 106-003.02)

To apply for a license by reciprocity, you must complete the pdf icon application and submit to:

Licensing & Regulatory Affairs
PO Box 94986
Lincoln, NE 68509-4986

Administrator of a Facility Caring Primarily for Persons with Head Injuries: (See pdf icon 172 NAC 106-003.03)

To apply for a license caring for head injuries, you must complete the pdf icon application and submit to:

Licensing & Regulatory Affairs
PO Box 94986
Lincoln, NE 68509-4986

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Fees

pdf icon Fee Schedule

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Expiration Dates and Continuing Education Requirements

License Type: Expiration Date: Continuing Education
Nursing Home Administrator 12/31 each even numbered year 50 hours
Certified Preceptor 12/31 every 4 years from date of issuance 12 hours

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Applications

These forms may be completed online, however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address listed.

Fees (if applicable) are payable to the "Licensing & Regulatory Affairs".

Licensure Unit
PO Box 94986
Lincoln, NE 68509-4986

pdf icon Approval of a Continuing Education Program
pdf icon Change of Status/Discontinuance in Administrator-In-Training/Mentoring Program
pdf icon Educational Eligibility Worksheet
pdf icon Nursing Home Administrator Application
pdf icon Nursing Home Administrator Preceptor License
pdf icon NHA-Overseeing up to 3 Homes
pdf icon NHA-Head Injuries and Associated Disorders
pdf icon Application to begin a Training Program
pdf icon NHA-In Training or Mentoring-Monthly Training Report Form
pdf icon Nursing Home Administrator Provisional License
pdf icon Duplicates/Reissue
pdf icon Name Change Request

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Grounds for Denial of a License and Disciplining a License

The statutes, pdf icon Neb. Rev. Stat. § 71-147, of the pdf icon Uniform Licensing Law, provide several grounds by which the Department may deny, refuse renewal of, limit, suspend, or revoke licenses; one of which is:

Conviction of a misdemeanor or felony under state law, federal law, or the law of another jurisdiction and which, if committed within this state, would have constituted a misdemeanor or felony under state law and which has a rational connection with the applicant's, or licensee's fitness or capacity to practice the profession.

Probationary or Limited License: The Department of Health and Human Services Regulation and Licensure, Licensing & Regulatory Affairs Division, may issue an initial license on probation (with terms and conditions) or limitation based on these same grounds for discipline.

A complete listing of grounds for denial or discipline can be found in pdf icon Neb. Rev. Stat. 71-147, 71-148 of the pdf icon Uniform Licensing Law and pdf icon 172 NAC 106-014 of the Regulations Governing Nursing Home Administrators.

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Unprofessional Conduct

A list of unprofessional conduct can be found in pdf icon Neb. Rev. Stat. § 71-148, of the pdf icon Uniform Licensing Law and pdf icon 172 NAC 106-015 of the Regulations Governing Nursing Home Administrators.

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Name and Address Change

To request an address change, you can contact Rita Watson at (402) 471-2117 or E-Mail rita.watson@dhhs.ne.gov. If you wish to change your name on your Licensing & Regulatory Affairs record, you must mail a pdf icon written request with your signature notarized along with a copy of the legal document verifying name change to:

Licensing & Regulatory Affairs
Nursing Home Administration
PO Box 94986
Lincoln NE 68509-4986

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Duplicates/Reissue

Duplicates: Licensing & Regulatory Affairs will issue a duplicate wall license or small license card when more than one original is requested at the time of initial licensure. If you are requesting a duplicate license, you must include an additional $10.00 per request, with your original license application.

Reissue: Licensing & Regulatory Affairs will reissue a large license and/or small license card when the licensee requests: additional documents; replacement of original document(s) due to loss, mutilation or destruction; or replacement of document(s) due to a name change.

If you wish to request a reissued license, you must submit a pdf icon request for reissuance, and include a fee in the amount of $10.00. Submit said request to:

Licensing & Regulatory Affairs
Nursing Home Administration
PO Box 94986
Lincoln NE 68509-4986

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Rules and Regulations/Statutes

pdf icon Regulations Governing the Practice of Nursing Home Administrators – 172 NAC 106
pdf icon Statutes Relating to Nursing Home Administrators
pdf icon Statutes related to the Uniform Licensing Law
pdf icon Regulations relating to Mandatory Reporting
pdf icon Mandatory Reporting Forms

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Board Information

The Board of Examiners in Nursing Home Administration advises the Department of Health and Human Services Regulation and Licensure on all issues related to the regulation of nursing home administration. Board member composition and length of terms follows:

Membership: 10
Length of Term: 3 years (Department member term does not expire)
Professional Requirements: 2 Proprietary Home Members; active licenses and currently employed in the management, operation, or ownership of proprietary homes for the aged or infirm or nursing homes that serve the aged or infirm in Nebraska

2 Non Profit Home Members; active licenses and currently employed in the management, operation, or ownership of non-profit homes for the aged or infirm or nursing homes that serve the aged or infirm in Nebraska

1 Licensed Physician Member; with a demonstrated interest in long-term care

1 Registered Nurse Member

1 College Faculty Member; located in the state who is actively engaged in a teaching program relating to business administration, social work, gerontology, or some other aspect of the administration of health care facilities

1 representative of the Cabinet (Health and Human Service System)

Public Member: 2 representatives

The Board of Examiners in Nursing Home Administration meets 4 times per year - see Board meeting Schedule for meeting dates and times. Meetings are open to the public, with the exception of investigational matters. Minutes of the meeting are available here or by contacting Rita Watson (402) 471-4918 or by e-mail at rita.watson@dhhs.ne.gov

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Contact Us

Office Address:

Mailing Address Physical Address
Nebraska Department of Health and Human Services - Regulation and Licensure
Licensing & Regulatory Affairs
PO Box 94986
Lincoln, NE 68509-4986
Nebraska State Office Building
301 Centennial Mall South
14th and M Streets
3rd Floor
Lincoln, Nebraska

Phone: (402) 471-2117
Fax: (402) 471-3577

Office Hours:

8:00 a.m. to 5:00 p.m. (central time)
Monday through Friday

Nebraska Licensure Information

Rita Watson
Phone: (402) 471-2117
Fax: (402) 471-3577
E-Mail: rita.watson@dhhs.ne.gov

Kris Chiles, Section Administrator
Phone: (402) 471-2117
Fax: (402) 471-3577
E-Mail: kris.chiles@dhhs.ne.gov

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Other Related Contacts

National Association of Boards of
  Examiners of Long Term Care Administrators
1444 I Street, NW #700
Washington, DC 20005-6542
Phone: (202) 712-9040
Fax: (202) 216-9646

Licensee Assistance Program
Center Pointe Professional Plz
9239 West Center Road
Omaha, NE 68124
Phone: (402) 354-8055
Toll Free: (800) 851-2336
www.lapne.org

Nebraska Health Care Association
Brendon A. Polt, Atty, MBA
3900 NW 12th Street, Suite 100
Lincoln, NE 68521-3015
Phone: (402) 435-3551
Fax: (402) 475-6289
www.nehca.org

Nebraska Association of Homes and Services for the Aging
Ronald L. Jensen
625 S. 14th Street, Suite A
Lincoln, NE 68508
Telephone: (402) 436-2165
Fax: (402) 436-2169
www.nebahsa.org/

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Brochures

pdf icon Chemical Dependency in Healthcare Professionals Resource Guide

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Certifications/Verifications

checkthisoutshake.gif (2516 bytes)  Certification and Verification information can be obtained by checking the website at: www.dhhs.ne.gov/lis/lisindex.htm

OR

To request either a certification or verification or your license to be sent to another Licensing & Regulatory Affairs/state licensing agency, send your request in writing along with the proper fee to the our office. Checks should be made payable to Licensing & Regulatory Affairs, State of Nebraska.

Certification

  1. Fee - $25.00
  2. Certification includes:
    1. Name
    2. Profession
    3. License number
    4. Issuance date
    5. Expiration date
    6. Whether the license was granted by examination, waiver, or reciprocity
    7. Examination information, if available
    8. Whether disciplinary action has been taken against the license. If so, the type(s) and date(s) of the action will be included.
    9. SEAL of the Nebraska Department of Health & Human Services

Verification

  1. Fee - $5.00
  2. Verification includes:
    1. Name
    2. Profession
    3. License Number
    4. Expiration Date
    5. Department Staff Signature

A verification does not include the SEAL of the Nebraska Department of Health & Human Services nor information relating to discipline, school, or examination.

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Licensee Assistance Program

The Licensee Assistance Program (LAP) is an assessment, education, referral, case management, and monitoring service designed to help licensees, certificate holders, and registrants of the State of Nebraska work through substance abuse/addiction problems.

The LAP services are free. However, in some cases treatment from a community resource agency may be needed. If further assistance is needed, the LAP Coordinator will help refer the Licensee to the most appropriate agency. When a treatment referral is made, those expenses become the responsibility of the Licensee.

This program was established by pdf icon Neb. Rev. Stat. § 71-172.02 and is funded by the addition of $1.00 per year to the current fee for each license issued, renewed, or reinstated.

LAP telephone number: (800) 851-2336 or (402) 354-8055, Web address: www.lapne.org

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Complaints

How do I file a complaint? To file a complaint, see the Investigations Division web site: www.dhhs.ne.gov/reg/investi.htm

What activities must be reported by a licensee, certificate holder, or registrant? Every credentialed person who has first-hand knowledge of unlicensed, illegal or unethical activities is required to report (includes self-reporting) within 30 days of the occurrence. Failure to report may result in discipline. To view additional information relating to mandatory reporting, click on the options below:

Mandatory Reporting shall not apply:

  • to the spouse of the person,
  • to a practitioner who is providing treatment to such person in a practitioner-patient relationship concerning information obtained or discovered in the course of treatment unless the treating practitioner determines that the condition of the person may be of a nature which constitutes a danger to the public health and safety by the person's continued practice, or
  • when a credentialed person who is chemically impaired enters the Licensee Assistance Program authorized by pdf icon Neb. Rev. Stat. § 71-172.01 except as provided in such section.

How is a complaint reviewed, and what is the disciplinary process? The following provides information relating to the complaint, investigative, and disciplinary process.

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