Nursing Home Administrator by Endorsement


Click on the appropriate tab below to see the Initial Licensing Requirements, Process, Fees, Statutes and Administrative Rules for a Nursing Home Administrator by Endorsement

The requirements for licensure by endorsement as a Nursing Home Administrator are as follows. Applicants must:

  • Hold a valid active license to practice nursing home administration in another U.S. state, provided that the current requirements for licensure in that state are substantially equivalent to, or more stringent than, current requirements in this state.
  • Have successfully passed a national examination which is substantially equivalent to, or more stringent than, the Florida Nursing Home Administrators Examination.
  • Have passed the Florida Nursing Home Administrator laws and rules examination.
  • Have worked as a fully licensed nursing home administrator for two years within the 5-year period immediately preceding the application by endorsement.

Please note: National examinations for licensure as a nursing home administrator shall be presumed to be substantially equivalent to, or more stringent than, the examination and requirements in this state, unless found otherwise by rule of the board.

Applicants with Health History

If you answer “yes” to any of the health history questions on the application, please submit supporting documentation including the relevant dates and circumstances of such treatment and/or addiction along with the names and addresses of the medical practitioners or hospitals who performed such treatment.

Applicants with Discipline History

Applicants with prior disciplinary actions are required to submit the following:

Board Actions – Certified copies of document(s) relative to any disciplinary action taken against any license. The documents must come from the agency that took the disciplinary action and must be certified by that agency.

Self-Explanation – A detailed description of the circumstances surrounding your disciplinary action and a thorough description of the rehabilitative changes in your lifestyle since the time of the disciplinary action which would enable you to avoid future occurrences. It would be helpful to include factors in your life, which you feel may have contributed to your disciplinary action, what you have learned about yourself since that time, and the changes you have made that support your rehabilitation.

Applicants with Criminal History

Applicants with prior criminal convictions are required to submit the following:

Final Dispositions/Arrest Records – Final disposition records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Completion of Probation/Parole/Sanctions – Probation and financial sanction records for offenses can be obtained at the clerk of the court in the arresting jurisdiction. Parole records for offenses can be obtained from the Department of Corrections or at the clerk of the court in the arresting jurisdiction. If the records are not available, you must have a letter on court letterhead sent from the clerk of the court attesting to their unavailability.

Self-Explanation – Applicants who have listed offenses on the application must submit a letter in their own words describing the circumstances of the offense. Include in your letter the date of the original offense, the charge, and the jurisdiction where it occurred.

Health Care Fraud; Disqualifications for License, Certificate, or Registration

Effective July 1, 2012, Section 456.0635, Florida Statutes (F.S.), provides that health care boards or the department shall refuse to issue a license, certificate or registration and shall refuse to admit a candidate for examination if the applicant:

  1. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under Chapter 409, F.S., (relating to social and economic assistance), Chapter 817, F.S., (relating to fraudulent practices), Chapter 893, F.S., (relating to drug abuse prevention and control) or a similar felony offense(s) in another state or jurisdiction unless the candidate or applicant has successfully completed a drug court program for that felony and provides proof that the plea has been withdrawn or the charges have been dismissed. Any such conviction or plea shall exclude the applicant or candidate from licensure, examination, certification, or registration, unless the sentence and any subsequent period of probation for such conviction or plea ended:
    1. For the felonies of the first or second degree, more than 15 years from the date of the plea, sentence and completion of any subsequent probation;
    2. For the felonies of the third degree, more than 10 years from the date of the plea, sentence and completion of any subsequent probation;
    3. For the felonies of the third degree under section 893.13(6)(a), F.S., more than five years from the date of the plea, sentence and completion of any subsequent probation;
  2. Has been convicted of, or entered a plea of guilty or nolo contendere to, regardless of adjudication, a felony under 21 U.S.C. ss. 801-970 (relating to controlled substances) or 42 U.S.C. ss. 1395-1396 (relating to public health, welfare, Medicare and Medicaid issues), unless the sentence and any subsequent period of probation for such conviction or pleas ended more than 15 years prior to the date of the application;
  3. Has been terminated for cause from the Florida Medicaid program pursuant to section 409.913, F.S., unless the candidate or applicant has been in good standing with the Florida Medicaid program for the most recent five years;
  4. Has been terminated for cause, pursuant to the appeals procedures established by the state or Federal Government, from any other state Medicaid program, unless the candidate or applicant has been in good standing with a state Medicaid program for the most recent five years and the termination occurred at least 20 years before the date of the application;
  5. Is currently listed on the United States Department of Health and Human Services Office of Inspector General’s List of Excluded Individuals and Entities.

Submit your completed application and fees to the board office. To apply online select the “Apply Online” button above.

If you prefer, you may apply using the paper applicationTo download the paper application, click the “Resources” tab above and select the application for the appropriate licensure type from the “PDF Applications” drop-down menu.

Please download, print, and complete the paper application. Submit your application along with the required fees to:

Board of Nursing Home Administrators
P.O. Box 6330
Tallahassee, FL 32314-6330

Within 7-14 days of receipt of your application, the board office will notify you of the status of your application and any remaining required documents that need to be submitted.

The following documentation is required to complete your application:

  1. Official Final Transcript- Have your official final transcripts mailed directly from your college or university to the board office at:

Board of Nursing Home Administrators
4052 Bald Cypress Way Bin C-07
Tallahassee, FL 32399-3257

  1. Official License Verification- If you are licensed or have ever held a Nursing Home Administrator license in another state, contact that state’s licensing office and request for license verification to be sent directly to the Board of Nursing Home Administrators.
  2. Exam Score- Contact the NAB to have your official national examination score submitted directly to the Board of Nursing Home Administrators.
  3. Experience Verification- Have your employer(s) send a letter confirming two years of experience as a Nursing Home Administrator within the 5-year period immediately preceding the application.
  4. Job Description- Have your employer send an original signed and dated copy of your job description.
  5. Facility Organizational Chart- Have your employer send a copy of the facility organizational chart.

Endorsement:

Initial Licensure Fee$500.00
Unlicensed Activity Fee$5.00
TOTAL FEE$505.00

Make certified check or money orders payable to the Florida Department of Health, or pay by credit card when applying online.

Click on Chapter or Section Number to View

Florida Statutes

Chapter 468, Part II: Nursing Home Administrators
Chapter 456: Health Professions and Occupations: General Provisions
Chapter 400, Part II: Nursing Homes and Related Health Care Facilities
Chapter 415, Parts: Adult Protective Services
Chapter 765, Parts I, II, III and IV: Health Care Advance Directives
Chapter 120: Administrative Procedure Act

Florida Administrative Code (F.A.C.)

Rules: Chapter 64B10: (Board of Nursing Home Administrators Rules)
Rules: Chapter 64E11: (Division of Environmental Health – Food Hygiene)
Rules: Chapter 64E16: (Division of Environmental Health – Biomedical Waste)
Rules: Chapter 59A4: (Agency for Health Care Administration – Minimum Standards for Nursing Homes)