ARC 9469C

ARC 9469C

Rulemaking related to licensure of nursing home administrators

Notice of Intended Action for this rulemaking was published in the Iowa Administrative Bulletin on February 19, 2025, as ARC 8948C. A public hearing was held on the following date(s):

●March 11, 2025

An Amended Notice of Intended Action was published in the Iowa Administrative Bulletin on May 14, 2025, as ARC 9273C. Public comments from the Iowa Health Care Association were received following the Amended Notice stating concerns regarding preapproving preceptors. Since this did not cause a delay for licensure, the Board of Nursing Home Administrators approved the proposed amendments with no changes.

No changes from the Notice have been made.

ITEM 1.Amend paragraph 980.2(3)“c” as follows:

c.Completion of one of the following:

(1)Administrator training programsupervised by a preceptor who meets the requirements outlined in rule 481—980.4(155);

(2)Practicum in long-term health care completed through an accredited college or university; or

(3)2,080 hours of long-term health care administration or health-care-related experience in a nursing home may be approved by the boardstaff.

ITEM 2.Amend rule 481—980.4(155) as follows:

481—980.4(155) Preceptor qualifications. Preceptor qualifications are as follows:

980.4(1) Current licensure and at least two years of experience as a nursing home administrator.

980.4(2) Completion of aNAB’s preceptor training course or another board-approved training courseprior to the preceptorship.

980.4(3) Preceptor has not had the preceptor’s nursing home administrator license disciplined, limited, suspended, or placed on probation during the one year immediately prior to the approval to act as a preceptorthe preceptorship.

980.4(4) Is not related to the training administrator.

980.4(5) Is approved by board staff prior to preceptorship.

ITEM 3.Amend rule 481—980.5(155) as follows:

481—980.5(155) Provisional license. A provisional license may be issued to an administrator appointed on a temporary basis to perform the duties of a nursing home administrator. A provisional license is considered a temporary appointment, and the person appointed may serve as an administrator for a period of time not to exceed 1224 months in an entire career. The 1224 months in service are not required to be consecutive; however, a new application is required for each appointment period. It is the responsibility of the approved provisional administrator to maintain documentation of the actual dates the administrator serves in that capacity.

980.5(1) No change.

980.5(2) Application for a provisional license shall be in writing on forms prescribed by the board. Applicants will meet the following minimum qualifications:

a.Be at least 1820 years of age.

b.  to d. No change.

e.Provide evidence to establish that the provisional appointment will not exceed the lifetime maximum period of 1224 calendar months in duration. For any period in which the applicant previously served as a provisional administrator, written employment verification or a written attestation of the facility owner, chief operating officer, or board officer will satisfy this requirement.

f. No change.

980.5(3) and 980.5(4) No change.

ITEM 4.Amend subrule 980.6(1) as follows:

980.6(1) An applicant who has been a licensed nursing home administrator under the laws of another jurisdiction will file an application for licensure by endorsement with the board office. The board may receive by endorsement any applicant from the District of Columbia or another state, territory, province or foreign country who:

a.Meets the requirements of rule 481—980.2(155)., and

b.Provides evidence of an active license as a nursing home administrator for at least two years just prior to application, or meets the qualifications outlined in rule 481—980.4(155)481—980.2(155).

ITEM 5.Amend paragraph 980.7(3)“a” as follows:

a.Meet the continuing education requirements of rule 481—981.2(272C) and the mandatory reporting requirements of subrule 980.9(8)980.7(8). A licensee whose license was reactivated during the current renewal compliance period may use continuing education credit earned during the compliance period for the first renewal following reactivation; and

[Filed 7/17/25, effective 9/10/25]

[Published 8/6/25]

EDITOR’S NOTE: For replacement pages for IAC, see IAC Supplement 8/6/25.