This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and
universities.
| Rule |
Rule 4751-1-01 | Notice of adoption, amendment, or rescission of rules.
(A) Any time that the Ohio board of
executives of long-term services and supports (BELTSS) proposes to adopt,
amend, or rescind a rule under section 119.03 of the Revised Code, BELTSS shall
give a reasonable public notice in the register of Ohio at least thirty days
before the date BELTSS sets for the public hearing, as prescribed by division
(A) of section 119.03 of the Revised Code. In the notice, BELTSS shall include
the following: (1) A statement of
BELTSS' intention to consider adopting, amending, or rescinding a
rule. (2) A synopsis of the
proposed rule, amendment, or rule that BELTSS proposes to rescind or a general
statement of the subject matter to which the proposed rule, amendment, or
rescission relates. (3) A statement of the
reason or purpose for adopting, amending, or rescinding the rule. (4) The date, time, and
place of a hearing on the proposed action, which BELTSS shall set no earlier
than the thirty-first nor later than the fortieth day after BELTSS files the
proposed rule, amendment, or rescission under division (B) of section 119.03 of
the Revised Code. (B) BELTSS shall promptly furnish an
electronic copy of the public notice to any person who requests it without
charge. BELTSS shall promptly furnish a hard copy of the public notice to any
person who requests it and pays a reasonable fee that does not exceed the
actual cost of copying and mailing. If the person making the request for a hard
copy is affected by the rule, BELTSS shall provide the hard copy without
charge. Although BELTSS shall respond to all requests for a hard copy promptly,
BELTSS cannot guarantee the provision of a hard copy thirty days before the
public hearing unless the request is postmarked at least forty days before the
hearing's date.
Last updated November 4, 2024 at 1:42 PM
|
Rule 4751-1-02 | Definitions for this chapter.
Effective:
October 1, 2023
"Accredited educational institution"
means an academic institution of higher learning that includes general
education courses as requisite to the institution's principal educational
programs and that has received institutional accreditation from a nationally or
regionally recognized accrediting agency by the United States department of
education. Please visit the "Database of Accredited Postsecondary
Institutions and Programs" (https://ope.ed.gov/dapip/#/home) for a
comprehensive list (national and regional accredited agencies only).
Accreditation must have been active at the time of the applicant's
graduation date. "Active duty service member" means any
member of the armed forces of the United States performing active duty under
Title X of the U.S.C. "Administrator-in-training"
("AIT") means an individual registered as such with the board
pursuant to rule 4751-1-09 of the Administrative Code. "Administrator-in-training program"
("AIT program") means a program that the board established to assure
that an applicant for licensure as a nursing home administrator meets the
minimum requirements in professional education and experience. "Adverse action" means revocation or
suspension of a license, reprimand, censure, or probation; any other loss of or
restriction placed upon the license, including, but not limited to, the right
to apply for, or renew, a license; voluntary surrender in lieu of discipline;
non-renewal (excluding non-renewal due to non-payment of fees or retirement);
administrative fines; and any other negative action or finding by the
board. "Applicant" means an individual who
applies to the board for a license, administrator-in-training program, renewal,
or relicensure to practice as a licensed nursing home administrator. "Approved program in nursing home
administration" means a baccalaureate or higher degree program that is
offered by an accredited educational institution that has been accredited by
the national association of boards, and that has been accepted by the board as
satisfying the general education, special academic preparation, and experience
requirements for admission to examination. "Armed forces" means the armed forces of
the United States, including the army, navy, air force, marine corps, coast
guard, or any reserve components of those forces; the national guard of any
state; the commissioned corps of the United States public health service; the
merchant marine service during wartime such other service as may be designated
by congress; or the Ohio organized militia when engaged in full-time national
guard duty for a period of more than thirty days. "Board" means the board of executives of
long-term services and supports that section 4751.03 of the Revised Code
established. "Candidate" means a person who the board
determines meets the conditions for admission to examination. "Certificate of registration"
("registration") means a printed or electronic document that the
board issues to each administrator to certify the original registration, or
renewal of registration, of an administrator's license as required in
section 4751.07 of the Revised Code. "Continuing education" means
post-licensure education that is consistent with the practice of nursing home
administration, assisted living administration, or home and community-based
serviced administration, as defined in this rule, that an administrator takes
to maintain professional competency to practice administration, improve
administrative skills, and effect standards of excellence for the practice of
the profession in the interest of the safety, health, and well-being of the
persons served. "Core of knowledge in nursing home
administration" means the subject areas outlined in rule 4751-1-06 of the
Administrative Code. "Course of study or program of
instruction" means any educational activity in the subject areas of the
core of knowledge in nursing home administration, assisted living
administration, or home and community-based services administration approved by
the board to fulfill the requirements for pre-licensure education or for
continuing education. "Degree equivalency evaluation" means an
equivalency evaluation of a degree that was earned from a college or university
not domiciled in the United States against a degree earned from an accredited
college or university that is performed by world education services
(WES). "Direct college candidate" means an
individual who has successfully completed a NAB-accredited bachelor's or
master's degree program from a NAB-accredited college or
university. "Full time" means at least thirty-five
hours per week as an administrator practicing nursing home administration in a
nursing home or as an intern in an internship with an administrator in a
nursing home. "General education" means an academic
course of study that results in the awarding of a baccalaureate degree from an
accredited educational institution. "Health care administration" means that
specialty of health administration requiring knowledge and skills specific to
the administration of a health care facility, with emphasis on administration
of skilled nursing or extended care facilities. "Health care facility" means a facility
operating within the framework of the appropriate regulatory agencies that
provides residence accommodations and personal care, supervision, or assistance
to persons who are dependent, in whole or part, upon such services. "Health services executive" means an
individual who has voluntarily and successfully completed board-approved core
studies and examinations covering common competencies across service lines,
including skilled nursing, assisted living, and home and community-based
services, and who meets the requirements established by the national
association of long-term care administrator boards. "Internship site" means a nursing home
that is licensed under Chapter 3721 of the Revised Code or a nursing home that
is operated by a governmental agency and certified under Title XVIII or XIX of
the Social Security Act that is approved by the board for the practical
training and experience of an administrator-in-training. "License" means the board-issued document
that indicates that the licensee has met the requirements for licensure under
Chapter 4751 of the Revised Code and this chapter. "Merchant marine" includes the United
States army transport service and the United States naval transport
service. "NAB" means "the national
association of long term care administrator boards." "NAB domains of practice" are the tasks
performed and the knowledge and skills identified as necessary to perform those
tasks by NAB in its professional practice analysis. The NAB domains of practice
can be found on the website of the national association of long term care
administrator boards. The domains are validated through a national survey of
administrators representing multiple lines of service and updated every five to
seven years. "NAB verify" is the national application
and review process for HSE qualification. "National practitioner data bank" (NPDB)
is an electronic information repository created by Congress. It contains
information on medical malpractice payments and certain adverse actions related
to health care practitioners, entities, providers, and suppliers. "Nursing home" means a nursing home as
defined by or under the authority of divisions (A), (C) and (D) of section
3721.01 of the Revised Code, or a nursing home operated by a governmental
agency. "Nursing home administrator"
("administrator") has the same meaning as in section 4751.01 of the
Revised Code. "Operator" has the same meaning as in
rule 3701-17-01 of the Administrative Code. "Person served" means an individual who
receives the care and services of a skilled nursing facility, assisted living
community, or home and community-based services. "Practice of a health services executive"
is a qualification that is developed to recognize and promote a quality entry
level education, continued competency, and accountability of leadership that
ultimately provides quality services and support in a home-like setting with a
commitment to choice, dignity, independence, individuality, and privacy based
on client/resident needs and preference in skilled nursing facilities, assisted
living communities and home and community based services. The health services
executive has broad knowledge competencies across the continuum. "Practice of nursing home administration"
means exercising management responsibility of a nursing home including the
following practices: planning, organizing, and directing the overall operation
of a nursing home; making operating decisions, providing leadership and general
supervision, employing and discharging staff; instituting and maintaining
methods of administrative management that demonstrate attempts in good faith to
assure that the nursing home is in conformity with federal, state, and local
laws, codes, and regulations pertaining to the operation of said facility and
to the rights, health, safety, and well-being of the persons served; and the
administrator practices these duties in a manner that complies with this
rule's definition for "supervision of a nursing home." "Preceptor" means an individual qualified
by training and experience, who is currently licensed as a nursing home
administrator in the state of Ohio and is charged with coordinating the
training of an administrator-in-training who is enrolled in a board-approved
administrator-in-training internship program. "Revocation" or "revoked
license" is a sanction imposed upon a license/registration by the board
that results in a complete loss of license/registration and all privileges
attendant thereto and requires holder to surrender the license and registration
and all other license or certificate-related documents to the board. "Qualifying administrative experience" is
a residency or internship that is required for an academic degree in nursing
home administration in all the subject areas of the core of knowledge or all
the subject areas of rule 4751-1-06 of the Administrative Code or actual work
experience in the subject areas of rule 4751-1-06 of the Administrative
Code. "Service member" means any person who is
serving in the armed forces. "Service provider" means the entity
providing a service to the person served whether a skilled nursing facility,
home health care agency, hospice agency, etc. "Supervision of an
administrator-in-training" means that supervision of the AIT must occur
full time and in-person at the training site(s) or other board-approved
location. The preceptor must be present in the training site(s) on average for
a minimum of thirty-five hours per week for the board's requirement of
supervision of the AIT to be met. Virtual supervision such as internet meetings
and phone calls are not counted as full time supervision of the AIT without
prior board approval in writing. "Supervision of a nursing home," as
required by division (A) of section 4751.02 of the Revised Code, means the
effective management of a nursing home and assurance that residents' needs
are met; that the administrator spends most of the time between six a.m. and
six p.m. during normal workweeks of Monday through Friday managing the nursing
home; and that the administrator's management complies with this
rule's definitions of "nursing home administrator" and
"practice of nursing home administration." "Support network" means anyone identified
by the person served as a social, financial, and/or emotional support.
"Support network" may include friends, family, neighbors, church
members, or home health care providers. "Suspension" or "suspended
license" is a sanction imposed upon a license/registration by the board.
The licensee retains the license and registration and therefore must renew the
license, yet cannot function in the capacity of a licensed nursing home
administrator or health services executive until the board determines that
conditions responsible for the suspension no longer exist, any or all other
restoration requirements imposed by the board have been met, and the board has
restored the licensee's status. "Training agency for continuing
education" means an accredited college or university; a statewide or
national agency, association or professional society related to the field of
nursing home administration or a corporation or other legal entity that is
approved by the board to provide courses of study or programs of instruction
required for the renewal of the certificate of registration. "Valid license" means a license that is
current, as effected by the renewal of the certificate of registration, and
that is in good standing. "Veteran" means any person who has
completed service in the armed forces, including the national guard of any
state, or a reserve component of the armed forces, who has been discharged
under honorable conditions from the armed forces or who has been transferred to
the reserve with evidence of satisfactory service.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-03 | Board officers, board secretary, and board members.
Effective:
October 1, 2023
(A) Board officers: (1) Annually, the board
shall elect from its membership a chairperson and a
vice-chairperson. (2) The chairperson shall
preside over board meetings. In the chairperson's absence, the
vice-chairperson shall preside over board meetings and perform the
chairperson's usual duties. (B) Board secretary: (1) The board shall
appoint a secretary whose job title may also be executive
director. (2) The secretary's
responsibilities: (a) The secretary shall notify board members of meeting times and
places. (b) The secretary shall attend board meetings. (c) The secretary shall retain a complete record of board meeting
minutes. (d) The secretary shall retain records pertaining to licensees
and registrants. (e) The secretary shall countersign all licenses and
certificates. (f) The secretary shall retain records pertaining to this
chapter. (g) The secretary shall conduct the board's routine
correspondence. (h) The secretary shall retain custody of the board's books,
records, and property. (i) The secretary shall retain the board's financial
records. (j) The secretary shall perform any other duties that the board
prescribes or assigns to the secretary. (k) The secretary shall perform any other duties that state or
federal laws require. (C) Board members: Board members shall
perform their duties according to Chapter 4751. of the Revised Code and this
chapter, unless otherwise prohibited by a state or federal law.
Last updated October 2, 2023 at 8:37 AM
|
Rule 4751-1-04 | Board meetings.
Effective:
October 1, 2023
(A) Quorum: A majority of the voting
board members constitutes a quorum. (B) Simple majority: The affirmative vote
of a majority of the voting board members is necessary for the board to
act. (C) Parliamentary procedure: When not
otherwise provided for, "Roberts Rules of Order" (2011 edition) shall
govern at all meetings of the board. (D) Quarterly meetings: (1) The board shall hold
quarterly meetings. (2) The board shall set
the date for the quarterly meetings with the consent of the majority of the
voting board members. (3) The board may cancel
a quarterly meeting with the consent of the majority of the voting board
members. (E) Special meetings: (1) The board chairperson
or a majority of voting board members may call a special meeting. (2) The proponent of the
special meeting shall state the purpose of the special meeting in the call
therefore, and the board shall not consider other business at the special
meeting, except by unanimous consent of the voting board members present. The
proponent of the special meeting shall specify the date and place of a special
meeting in the request. (3) The board may cancel a special
meeting with the consent of the majority of the voting board
members. (F) Meeting notices: (1) The board secretary
shall post a notice of each regular and special meeting on the board's
website. (2) The board secretary
shall include the place and time in each notice for a regular
meeting. (3) The board secretary
shall include the place, time, and purpose in each notice for a special
meeting. (4) The board secretary
shall notify each board member at least five days in advance before a special
meeting, except in case of an emergency. (5) The board secretary
shall maintain a list of news media outlets that have requested notices. The
board secretary shall notify news media outlets that have requested notices for
special meetings at least twenty-four hours before a special meeting, except in
the event of an emergency that requires immediate, official action. In the
event of an emergency, the secretary, on behalf of the chairperson or board
members who called the meeting, shall notify the news media that have requested
notification immediately of the time, place, and purpose of the
meeting. (6) Any person may learn the time and place of any public
meeting held by the board by viewing
https://beltss.ohio.gov/news-and-events/events or by calling or contacting the
board office. (G) Meeting minutes: (1) The board secretary
shall make available to each board member the minutes of the previous meeting
and reports of any matters to the board before each meeting to enable the
member to become familiar with the matter. (2) Within ten days after
the board approves the minutes of a quarterly or special meeting, the board
secretary shall open the minutes for public inspection in the board office. Any
person may obtain a copy of the approved minutes upon request to the board
secretary via letter, telephone call, or email.
Last updated October 2, 2023 at 8:39 AM
|
Rule 4751-1-05 | Pre-examination requirements; conditions precedent to application for admission to examination.
Effective:
October 1, 2023
(A) The board shall admit to examination
for licensure as a nursing home administrator any applicant who has paid the
required fees as provided in rule 4751-1-16 of the Administrative Code and who
shall have first submitted credentials satisfactory to the board that establish
that all of the following conditions have been met; namely, that the
applicant; (1) Is at least
twenty-one years of age; (2) Is suitable and fit to be licensed as
a nursing home administrator as evidenced by: (a) Complying with paragraph (B) of rule 3701-17-07 of the
Administrative Code; (b) Absence of any physical or mental impairment that would be
likely to interfere with the performance of the duties of a nursing home
administrator; (c) Ability to understand and communicate general and technical
information necessary to the administration and operation of a nursing
home; (d) Ability to assume responsibility for the administration of a
nursing home as evidenced by prior activities and prior qualifying
administrative experience; (e) Ability to relate the physical, psychological, spiritual,
emotional, and social needs of the persons served to the administration of a
nursing home, and to create a climate necessary to meet the needs and rights of
the persons served. (3) Has met the requirements of general
education, as defined in rule 4751-1-02 of the Administrative Code, and the
requirements that are applicable on the date the completed application is
received by the board: On and after January 1, 1980 has successfully
completed a course of study and has been awarded a baccalaureate degree from an
accredited educational institution, as defined in rule 4751-1-02 of the
Administrative Code; (4) Has successfully completed the
special academic requirements in the subject areas specific to nursing home
administration, that consist of: (a) The core of knowledge course as described in rule 4751-1-05.1
of the Administrative Code; or, (b) An approved baccalaureate degree program in nursing home
administration, as defined in rule 4751-1-02 of the Administrative Code;
or (c) An approved master's degree program in nursing home
administration, as defined in rule 4751-1-02 of the Administrative
Code. (5) The applicant has met the qualifying
administrative experience requirements, as defined in rule 4751-1-02 of the
Administrative Code, that are appropriate to the applicant's educational
level, namely: (a) With a baccalaureate degree, the requirement is nine months
(fifteen hundred hours) of full-time internship in an approved internship
site; (b) With a baccalaureate degree containing an approved program in
nursing home administration as defined in rule 4751-1-02 of the Administrative
Code, no further qualifying administrative experience is required; (c) With a master's or higher degree, the requirement is six
months (one thousand hours) full-time internship experience in an approved
internship site; (d) With a master's or higher degree containing an approved
program in nursing home administration as defined in rule 4751-1-02 of the
Administrative Code, no further qualifying administrative experience is
required; (e) For qualifying administrative experience, the board may
reduce the required hours of internship for both baccalaureate and
master's degrees. (6) Except as provided in rule 3701-13-06
of the Administrative Code, the board shall not license, register, or certify
an applicant if the applicant has been convicted of a violation of rule
3701-13-05 of the Administrative Code. The board shall comply with section 9.79
of the Revised Code. (7) The board may license any person
meeting qualifications equal to those in rule 4751-1-05 of the Administrative
Code, including the following: (a) A person validated as a health services executive by the
national association of long-term care administrator boards. (b) Before determining if it shall license a person according to
rule 4751-1-05 of the Administrative Code, the board may require the person to
pass the state examination according to rule 4751-1-07 of the Administrative
Code. (B) Applying for admission to
examination: (1) An applicant for
examination for licensure as a nursing home administrator shall submit an
application in writing on forms provided by the board and shall furnish
evidence satisfactory to the board that the applicant has met the requirements
of section 4751.05 of the Revised Code and of paragraph (A) of this rule, such
evidence to include, but not be limited to: (a) The application form having complete and accurate entries of
information, signed under penalty of perjury, filed in the office of the
board; (b) Certified transcript(s) of college credits and proof of
degree(s), unless previously filed with the board, in accordance with paragraph
(A)(4) of this rule, said transcripts to be sent by the institution directly to
the office of the board; (c) Certificate or other specific and adequate documentation of
completion of approved course of study or program of instruction meeting the
special academic requirements in the subject areas specific to health care
administration in accordance with paragraph (A)(5) of this rule; (d) Any additional or supplemental documentation required to
support data entries on the application form, and to establish qualifying
administrative experience in accordance with paragraph (A)(6) of this
rule; (e) Statement from the supervisor of the internship attesting
said completion of the required period of the internship and documentation of
time. Direct college applicants shall submit a letter from the college or
university attesting completion. (2) The application and
its supporting documentation shall be filed with the board at least thirty days
before the regular quarterly board meeting. (3) The application form
shall be signed under penalty of perjury, and the attestation shall be
completed. (C) When an applicant has been denied admission to examination or
when an applicant has abandoned the application for examination, the applicant
may submit a new application for admission to examination, provided, however,
that the applicant shall be required to meet the qualifications and conditions
for admission and for licensing which are in force at the time of such new
application. (D) Abandonment of application: An application submitted
subsequent to the abandonment of a former application or after failure of the
examination four times shall be treated as a new application and the law in
force at the time of such new application shall govern. (E) All applicants, including direct
college applicants, shall complete the licensure process no later than three
years after the date the applicant met all of the requirements to take the
licensure examination. Applicants may submit a written request for an extension
to the board prior to the expiration of the three-year period for
consideration. The board's decision is final. (F) Completing the licensure process
means obtaining a license as a nursing home administrator. Candidate files,
including all content, proof of eligibility, etc. will be destroyed three years
after the date that the applicant meets all requirements to take the
examination if the applicant fails to complete the licensure process. All
applicants that desire to complete the licensure process after their candidate
file has been destroyed will be required to start the process over, this
includes completing a new administrator-in-training program and completion of
the core of knowledge course. (G) Applicants who fail the examination three times shall
complete an additional administrator-in-training internship, as prescribed by
the board, before retesting a fourth and final time. If an applicant fails the
examination(s) a fourth time, the applicant shall be required to reapply as a
new applicant. (H) The board may designate a reasonable time and place at which
an applicant may be required to present himself or herself for an inquiry into
the applicant's qualifications and suitability for licensure. The board
shall notify an applicant of such a meeting in writing no fewer than ten days
before the meeting.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-05.1 | Core of knowledge in nursing home administration.
(A) The core of knowledge in nursing home
administration consists of one hundred hours of clock hours of academic
directed study in core of knowledge of subject material described in rule
4751-1-06 of the Administrative Code, of which no more than twenty hours may be
distance learning or home study of any kind. During the COVID pandemic, the
core of knowledge in nursing home administration may be held virtually/distance
learning upon a board action declaring distance learning is
necessary. (B) Training agencies wishing to provide the core of
knowledge class must apply and be approved through the training agency approval
process as defined in rules 4751-1-08 and 4751-1-08.1 of the Administrative
Code. All core of knowledge classes must be reviewed by the continuing
education committee and have approval granted by the board. (C) Administrator-in-training applicants for licensure
shall complete the core of knowledge course prior to being allowed to take the
examinations. (1) The core of knowledge
requirement may be met before, during, or after the internship. (2) Hours spent at the
core of knowledge do not count toward the internship hours required for
licensure. (3) The core of knowledge is not a preparatory course for
the national or state exams. (4) The core of knowledge contains vital information which
will help prospective licensees become successful nursing home
administrators. (5) The core of knowledge course also provides valuable
networking opportunities, which may have a positive impact on licensees'
careers. (D) The board or its designee shall approve providers of
the core of knowledge course based on: (1) Adherence to the
subject material according to the exam content outline, created, as enacted,
amended, or hereinafter named by the national association of long-term care
administrator boards. (2) Successful completion of the continuing education
training agency approval process as defined in rules 4751-1-08 and 4751-1-08.1
of the Administrative Code. (3) The review of speaker qualifications. (E) The fee for training agencies providing the core of
knowledge will be based on the training agency's education provider
category as set forth in rule 4751-1-08 of the Administrative
Code.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-06 | Subjects for examination.
Effective:
February 1, 2022
Every applicant for a license as a nursing home
administrator, after meeting the requirements for qualification for examination
as set forth in this chapter, shall successfully pass a written or oral
examination or a combination thereof which shall include, but not be limited
to, the national association of long-term care administrator boards' exam
content outline, as enacted or hereinafter amended, and approved by the board
of executives of long-term services and supports. The most current exam content
outline may be found on the national association of long-term care
administrator boards' website, www.nabweb.org. The Ohio state examination,
based on Ohio's laws and rules, is also required.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-07 | Examination and passing grade.
Effective:
December 1, 2022
(A) Every applicant for a nursing home
administrator's license shall be required to pass the national and state
examinations. (B) The board shall accept the passing
grade which is set by NAB for each section of the examination separately, and
shall apply such grade uniformly to all applicants taking that
examination. (C) If an oral examination is used,
totally or as part of the examination process, the board shall use the current
examinations used by the national association of long-term care administrator
boards. Prior authorization for use of an oral examination must be granted by
the board. (D) Failure to make a passing grade on
any section of a required examination constitutes failure to pass that
examination. The applicant shall be required to repeat the section or sections
previously failed. The applicant must submit a new application to test which
shall be approved by the board office prior to retesting. (E) If an applicant fails three times to
attain a passing grade on any of the examinations, the applicant is no longer
eligible to sit for the examinations until the applicant meets the requirements
of rule 4751-1-05 of the Administrative Code and such additional education and
experience requirements as may be prescribed by the board.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-08 | Registration of educational institutions and continuing education training agencies; approval of courses of study and programs of instruction.
Effective:
December 1, 2022
(A) The board may authorize any
educational institution or affiliate or other training agency for continuing
education to provide the educational requirements of Chapter 4751. of the
Revised Code and this chapter. Any educational institution affiliate, or other
training agency, if authorized, shall be registered with the board for the
purpose of offering any course of study or program of instruction deemed
sufficient to meet the education and training requirements for the purpose of
qualifying applicants for licensure as nursing home administrators or for the
renewal of registration of licenses as nursing home administrators. All training agencies shall individually apply to
the board and, if approved, be registered by the board. (B) There are two categories of
continuing education training agencies: (1) Preferred: A
continuing education training agency that has been certified for at least three
years and offers at least fifty courses per year. (2) Certified: A
continuing education training agency that is an accredited college or
university; a statewide or national government agency relating to nursing home
administration; a statewide, national association, or professional society
relating to nursing home administration; or, a society, organization, or
individual having a specific and primary educational focus on long-term
services and supports administration education. (C) The fee structure for providers is as
follows: (1) Preferred: (a) An annual fee of seven hundred fifty dollars. (b) Biennial renewal fee of one hundred fifty dollars upon
submission of renewal paperwork. This is in addition to the annual
fee. (2) Certified: (a) Initial application fee of two hundred fifty
dollars. (b) Biennial renewal fee of one hundred fifty dollars upon
submission of renewal paperwork. (c) A fee of fifteen dollars per continuing education hour or
partial hour reviewed. (3) Preferred and
certified: (a) For certified providers, courses submitted fewer than sixty
days of the course date, including multiple site or date courses, will be
charged a one hundred fifty dollar late fee and must submit a waiver request.
Requests will be reviewed and may not be granted. Preferred providers are
exempt from this requirement. (b) For certified providers, the same course multiple site or
date approval fee within current year: ten dollars per site/date. Preferred
providers are exempt from this requirement. (c) Fees must be paid prior to agencies receiving a course
approval number. Fees are non-refundable, even if courses are not approved.
Incomplete applications will be returned. Adjustments to continuing education
training agency categories will not be made in order to change or avoid fees.
Fees may be adjusted at the board's discretion via the rule revision
process. Fees are waived for state government agencies. (D) The board's continuing education
committee shall evaluate all provider applications. The board shall notify
applicants of their provider approval status. (E) The board's continuing education
committee shall evaluate all continuing education programs. The board shall
notify applicants of their provider approval status. (F) Pre-licensure education: Courses of study or programs of
instruction offered for the purposes of general educational requirements, as
set forth in paragraph (A)(4) of rule 4751-1-05 of the Administrative Code, and
for the special academic requirements in health care administration, as set
forth in paragraph (A)(5) of rule 4751-1-05 of the Administrative Code, shall
be deemed acceptable for such purposes, provided that: (1) The courses of study
and programs of instruction in general education are offered for academic
credit by an accredited educational institution, as defined in rule 4751-1-02
of the Administrative Code. (2) The special courses
of study or programs of instruction in health care administration shall at
least cover the subject areas set forth in the core of knowledge in nursing
home administration, as outlined in rule 4751-1-06 of the Administrative Code;
course content need not be limited to these subject areas; these courses and
programs shall be approved by the board. (3) If academic credit is
not offered, such course of study or program of instruction is within the
jurisdiction of an academic department of an accredited educational
institution. (G) Continuing education: Courses of study or programs of
instruction offered to meet the educational requirements for annual renewal of
the certificate of registration of the nursing home administrator license shall
be in the subject areas of the core of knowledge in nursing home
administration, as outlined in rule 4751-1-06 of the Administrative Code, and
shall be one of the following: (1) An accredited
educational institution's for-credit courses, non-credit courses, and
non-degree programs. (2) Courses or programs
of which the board approves that are offered by educational institutions other
than accredited educational institutions; (3) Courses or programs
provided by approved training agencies for continuing education, as defined in
rule 4751-1-02 of the Administrative Code. (H) Training agency courses of study or programs of instruction
offered for continuing education purposes on a non-academic credit basis shall
be submitted to the board for approval at least sixty calendar days before the
anticipated date of registration for the course or program. The board may grant
a variance to the time frame for submittal upon a showing that a recent change
in state or federal regulatory requirements affecting the nursing home industry
necessitates prompt approval of the course of study or program of instruction
so that nursing home administrators may receive timely information concerning
compliance with the requirements.
Last updated December 7, 2022 at 12:41 PM
|
Rule 4751-1-08.1 | Training agency approval.
Effective:
December 1, 2022
(A) A training agency for continuing
education shall apply for either preferred or certified provider status as
defined by the board in rule 4751-1-08 of the Administrative Code. (B) Provider status shall initially be granted for a one-year
probationary period. Approval thereafter shall be granted for a two-year
period. (1) An applicant for
provider status shall, at least sixty days prior to the date of the first
scheduled program offering, submit a completed application on BELTSS form E-1
(rev., July, 2015). To be approved as a provider, the applicant shall establish
all of the following: (a) The proposed programs and program goals for the approval
period meet or exceed the requirements of rules in this chapter; (b) The educational facilities and instructional aids are
adequate and appropriate; (c) The program presenters have the professionally recognized
skills to conduct the programs being offered; (d) The programs are in the subject areas of the core of
knowledge in nursing home administration as outlined in rule 4751-1-06 of the
Administrative Code; (e) There are adequate procedures to maintain records for each
program presented, including, but not limited to, the program content,
presenter qualifications, continuing education units earned, and attendee
names. (f) The programs are conducted solely by the organization named
in the application and may not be used as approval for programs conducted in
whole or in part by any other organization. (2) A provider shall
comply with all of the following: (a) Operate in compliance with the requirements of paragraph
(B)(1) of this rule. (b) Seek the evaluation of each program attendee. (c) Ensure that one quarter of one clock hour of continuing
education is earned by fifteen minutes of classroom instruction. (d) Ensure that no more than twelve continuing education
credits are earned by a licensed nursing home administrator in one day in
alignment with NAB standards. (e) Provide each program attendee who completes the program
with a certificate of completion that includes the following
information. (i) Name of the provider
and provider number. (ii) Name and date of the
program. (iii) Name of the
attendee. (iv) Core of knowledge
subject area into which the program falls. (v) Number of clock hours
earned. (vi) Nursing home
administrator license number of the attendee, if applicable. (f) Self-study courses are required to provide an exam of
ten questions for the first credit hour offered, with five questions required
for each credit hour thereafter. No more than fifty per cent of the exam
questions shall be true/false. Students shall obtain a score of eighty per cent
or higher in order to pass. Live webinars where attendance and participation
can be monitored are exempt from this requirement, provided that the provider
randomly audits the courses for attendance and participation and provides these
audits to the board as requested. If a provider uses software that allows the
provider to track the amount of time an attendee spends in the course, or
randomly monitors that the attendee is engaged with the course, no post-test is
required. (g) BELTSS does not accept self-study courses that only
consist of reading study materials or a book and taking an exam, unless they
are NAB-accredited. Acceptable self-study courses may be webinars or distance
learning that feature applied learning, real-life scenarios, and problem
solving. (h) Prominently display the license renewal requirement to
which the program will apply on all promotional literature. (i) Display language on the evaluation form stating the
attendee may contact the board with problems or concerns about the program and
provide the board's contact information. (j) At the board's request, furnish records of program
content, presenter qualifications, evaluations, continuing education units
earned, and attendee names for each program presented during the approval
period. (k) Assume responsibility for the quality of any program
presented under its provider number. (l) Ensure that all continuing education programs are open
and offered to the public. (m) Cooperate with the board on requests to randomly audit
compliance with this rule including providing any additional information needed
for the board's review. (n) Be significantly involved in planning the program,
approving the program's content, speaker qualification, and relevance to
the domains of practice. (o) Prove a staff member or designee who is not the
presenter or the sponsor to be present at the program to monitor the course,
the sign-in and sign-out sheets, collect the surveys, control the continuing
education certificates at all times, and distribute the continuing education
certificates. (3) Continuing education
courses that fulfill the requirements for annual renewal of the certificate of
registration shall be submitted to the board by the continuing education
training agency conducting the educational activity, in accordance with rule
4751-1-08 of the Administrative Code. Board approval is granted to the
continuing education training agency conducting the educational
activity. (4) An applicant for renewal of provider
status shall submit to the board no later than three months prior to the
expiration of its approval, a completed application demonstrating continued
compliance with the requirements of the rules in this chapter. An applicant
seeking its first two-year approval shall also submit a synopsis of all
programs conducted during the probationary period. (5) Preferred and
certified providers shall not submit courses for other organizations or persons
that are not providers of the board. Any agency or person wishing to provide a
continuing education program shall seek provider approval status directly from
the board. Preferred providers shall not submit courses for any other provides
to give the course preferred provider status. (6) To conduct or provide
a course or program means to make it available to the public, following the
criteria outlined in paragraph (B) of this rule. (7) The board, in compliance with Chapter
119. of the Revised Code, may refuse to issue or renew or may suspend or revoke
the provider status of a training agency that fails to comply with the
requirements of rules in this chapter.
Last updated April 26, 2023 at 4:36 PM
|
Rule 4751-1-09 | Administrator-in-training program.
Effective:
October 1, 2023
(A) Introduction: The board has
established the administrator-in-training ("AIT") program as the way
for a person who seeks initial licensure as a nursing home administrator to
obtain a period of practical training and experience ("internship")
in nursing home administration under direct supervision of a licensed nursing
home administrator ("preceptor") who is in full-time practice in a
nursing home that the board approved as the AIT's training agency
("internship site"). (B) Dates: All internships in the AIT
program shall begin on the first day of the first month of the calendar
quarter, namely: January 1, April 1, July 1, or October 1. (C) Registration: (1) How to register: To
register for internship in the AIT program, an applicant shall submit all of
the following items to the board: (a) The fee invoice, preliminary data for AIT program form, the
AIT application, the employment status form, and the facility survey form
having complete and accurate entries of information. (b) Certified transcript(s) of college credits and proof of
degree(s), in accordance with paragraph (A)(4) of rule 4751-1-05 of the
Administrative Code; said transcripts to be sent by the institution directly to
the office of the board. (c) Certificate or other specific and adequate documentation of
completion of approved course of study or program of instruction meeting the
special academic requirements in the subject areas specific to health care
administration in accordance with paragraph (A)(5) of rule 4751-1-05 of the
Administrative Code. (d) Any additional or supplemental documentation to support data
entries on the application form and to establish any qualifying administrative
experience. (e) The professional development plan, with its supporting
documentation. (2) Deadline: The
applicant shall submit all parts of the application to the board so that the
application is on file with the board at least twenty-one days before the
regular board meeting that precedes the requested beginning date of an
internship with the AIT program. (3) Board approval: The
board shall only approve an applicant's registration for internship in the
AIT program if the board is satisfied that the applicant meets, or has arranged
to meet, each of the following requirements: (a) The applicant is at least twenty-one years of
age. (b) The applicant has good health and is otherwise suitable to
the practice of nursing home administration according to paragraph (A)(3) of
rule 4751-1-05 of the Administrative Code. (c) The applicant meets general education requirements of
paragraph (A)(4) of rule 4751-1-05 of the Administrative Code. (d) The applicant has submitted records to the board to verify
that he or she meets, or has arranged to meet, the special academic
requirements of paragraph (A)(5) of rule 4751-1-05 of the Administrative
Code. (e) The applicant has arranged for an internship at an internship
site(s) of which the board approves, pursuant to paragraph (A)(6) of rule
4751-1-05 of the Administrative Code. (f) The internship site(s) will not employ the applicant in any
capacity other than that of an AIT during the internship hours. (g) The applicant does not have a substantial financial interest
in any nursing home that will be the internship site at which he or she would
serve a major portion of his or her internship. (h) The applicant successfully completed a background check (BCI
and FBI) with the results sent directly to the board office. (i) The applicant completed the report of conviction form, as
applicable. (j) The board, in accordance with section 9.79 of the Revised
Code, has determined that the results of the background check do not make the
individual ineligible for the license. (D) Training site: (1) The training site
shall comply with all the following: (a) The training site shall be under the full-time supervision of
a licensed nursing home administrator who qualifies as a preceptor. Full-time
is defined as a minimum of thirty-five hours per week in the nursing facility.
If the licensed nursing home administration splits time between multiple
buildings, the AIT shall follow the preceptor to those sites, and those
additional sites shall also be approved. (b) The training site shall provide professional nursing care
under the full-time supervision of a director of nursing who is a registered
nurse. The director of nursing shall have at least two years' full-time
experience as an RN in a nursing home or hospital. (c) The training site shall be staffed and operated in accordance
with all applicable local, state, and federal laws and rules and be deemed by
the board to provide quality care in a safe environment. The administrator
shall be required to submit copies of all current survey reports. (d) Out-of-state training sites in contiguous states may be
approved at the discretion of the board. The preceptor and AIT remain under the
board's jurisdiction. All Ohio requirements must be met in order to
successfully complete the program. (2) The internship shall
only be served at the training site(s) approved by the board prior to the
beginning of the program. An alternate training site is allowed on a temporary
basis only for specific purposes (e.g., when such training cannot be provided
at the approved site). (E) Professional development plan: The professional development
plan for internship in the AIT program shall provide documentation that the
following requirements have been, or will be, met: (1) A pre-training
assessment of the applicant's background in terms of educational level,
pertinent experience, maturity, motivation, and initiative has been made
jointly by the applicant and the preceptor. (2) Based on the
pre-training assessment, the applicant and the preceptor have jointly developed
a detailed goal-oriented professional development plan with adequate supporting
documentation that relates educational objectives, subject areas of the core of
knowledge in nursing home administration, training sites and/or agencies
involved, estimated number of hours needed for mastering each objective, and
total number of hours in the professional development plan. The NAB
professional development plan form shall be used. This form is located within
the "National Administrator-in-Training Program Manual, Module 3 -
NHA" (2021) at https://www.nabweb.org. (3) Supporting
documentation for the professional development plan shall include
preceptor's qualifications, the qualifications of the nursing director at
the internship site(s), and a description of each internship site and the staff
that is necessary to determine the site's adequacy to meet specific goals
in the professional development plan. (4) Use of the AIT
self-assessment is mandatory. This is necessary to give the AIT and preceptor
an accurate assessment for the AIT's strengths and weaknesses, and a guide
to the hours needed to be spent instructing each domain of
practice. (F) Waiver requests: (1) It is the
responsibility of the AIT and/or preceptor to document any waiver request which
is submitted. Reduction in hour requests must be applied for prior to the AIT
program approval. (2) Requests for
reduction in internship hours are granted for two reasons: education and
experience. Significant experience in a nursing facility is required in order
to qualify for a three-month/five-hundred-hour reduction based upon experience.
The AIT shall be able to demonstrate mastery of at least
five-hundred-hours' worth of training plan knowledge specific to a nursing
facility setting. (3) The board-supplied
required training plan must be used. (4) The plan must list in
the margin the number of hours needed for mastering each subject area and
objective, and must indicate the total number of hours in the
plan. (5) An AIT requesting a
reduction of the internship hours must still submit a training plan for the
maximum number of hours required at his/her education level (in the margin) in
addition to the second column of hours showing the requested
reduction. (6) The board's
decision on waiver requests is final. (G) Training hours: (1) An internship is
approved for a set number of months and hours. Both the months and the hours
apply, i.e., a nine-month, one-thousand-five-hundred-hour internship shall be
completed over nine months and a total of one thousand five hundred hours. This
applies to internships of all lengths. (2) Time spent at the
core of knowledge course does not count towards the hours required for the
internship. (3) The AIT is expected
to serve the internship primarily between the hours of six a.m and six p.m,
Monday to Friday, and serve a minimum of thirty-five hours per week. This does
not preclude the AIT from training on weekends and second and third shifts. The
preceptor is expected to be available to the AIT by phone but is not expected
to work the varying shifts with the AIT. (4) An AIT may be granted
internship credit for up to ten days of jury duty, but if the days of jury duty
exceed that number, the AIT shall request a leave of absence for the additional
days and be required to make up the time. The board shall not unreasonably deny
such request. (5) Normally a monthly
schedule of internship should not exceed one hundred eighty hours. Some
allowance is made for extra hours which are served to make up time spent at the
core of knowledge course during the internship. (6) Vacations/leaves of
absence: request for vacations or leaves of absence in excess of two weeks must
be made to the board office, countersigned by the preceptor and the time must
be made up. (7) Continuing education
programs attended during the internship will be reported to the board on the
monthly report form. (8) Continuing education
courses taken prior to licensing will not count for licensure
renewal. (9) The AIT shall attend
the board's virtual AIT training course. (10) The AIT must be at
the facility at the specified times. In case of illness or other problems, the
AIT must contact the administrator and explain the absence or tardiness as soon
as possible. (11) The AIT must comply
with facility policy relative to the treatment of the persons served and
communications, dress code, grooming, etc. (12) If the AIT
experiences problems at the facility which cannot be resolved in cooperation
with the assigned supervisor, it is the AIT's responsibility to contact
first the preceptor, and if necessary, the board office. (H) Evaluation: (1) Monitoring: During an
internship, the board may monitor the internship and may call for the AIT and
preceptor into a conference with the board. (2) AIT
reporting: (a) Each AIT shall file such periodic and summary reports as
required by and in the format prescribed by the board. (b) The AIT and the preceptor shall both sign, then file, each
report required in paragraph (E)(1) of this rule with the board no more than
ten days after the end of each reporting period. If the AIT fails to file
reports promptly, such trainee may be deemed to have abandoned the
administrator-in-training program. (c) If an AIT fails to report to the board before the deadline in
paragraph (E)(2) of this rule, the board may determine that the AIT abandoned
the AIT program. (d) The AIT is required to keep an accurate daily log of
all training hours and subject areas covered during the internship. This is
necessary not only to provide an accurate tally of hours on the monthly reports
to the board, but also as documentation of day by day activity. This daily log
is to be kept throughout the internship. It must be available for review by the
board representative at the training site at all times. (3) Board determination:
After the AIT completes an internship, the board shall determine if the AIT
received training that complies with this rule before the board admits the AIT
to licensure examination. (I) Reciprocity: The board may grant credit towards the AIT
program for an AIT's internship in another state's internship program
if the AIT registers with the board no later than ninety days after he or she
leaves the other state's training program. (J) Preceptors: (1) No preceptor shall be
related by blood or marriage to the AIT. (2) No preceptor shall
have a personal financial interest in the licensure of an AIT. (3) A preceptor shall not
train his or her employer or supervisor. (4) The AIT program is not responsible
for any financial arrangements between an AIT and the
preceptor/facility. (5) The AIT cannot serve
as the director of nursing while in the administrator-in-training
program. (6) At the discretion of the board, a
licensed nursing home administrator may be approved by the board to supervise
the practical training and experience of future nursing home administrators in
the board-approved AIT program. (7) Approval is temporary and shall be
re-applied for prior to the start of each training program. If the board should
determine that a nursing home administrator is unsatisfactory to serve as a
preceptor, the board may withdraw its approval and deny future
approval. (8) Preceptors shall
attend the board's virtual preceptor training course for each AIT unless
they have attended one in the past year. (9) The board shall base its approval on
the following: (a) Whether the administrator is in good standing with the board:
has an active license, and any recent disciplinary action on
record. (b) Whether the administrator has successfully completed
NAB's online preceptor training course. (c) Whether the administrator has successfully mentored other
AITs. (d) The manner in which the administrator has administered the
facility as documented by state inspections and certifications and any recent
substandard care citations. (e) A preceptor shall be a full-time nursing home administrator
who has been licensed in and has practiced full-time in Ohio for a minimum of
two years and shall have a current certificate of registration. (10) The preceptor shall request
permission from the board to train more than one AIT concurrently. There is a
limit of two AITs per preceptor at any one time. Out-of-state preceptors must
have been licensed and practiced full-time for a minimum of two years and have
a current certificate of registration. (11) The preceptor should
provide adequate orientation to the trainee before assigning responsibilities.
Orientation should include knowledge of physical layout, personnel policies,
goals, objectives, programs, etc. (12) The preceptor should
spell out the AIT's responsibilities, authority and limitations in the
student role. (13) The preceptor should
provide physical facilities and equipment needed by the AIT to perform the
required tasks. (14) The preceptor shall contact the board
if problems arise that preclude the successful completion of the program by the
AIT. (15) The preceptor shall notify the board
of any employment status changes potentially affecting the AIT's
internship program. (16) If a preceptor fails to provide the
AIT an opportunity to follow and complete the board-approved professional
development plan while the AIT is under the preceptor's supervision, the
board may disqualify the preceptor from further service in the preceptor
program. (K) Adverse actions: (1) If the AIT
experiences problems at the facility which cannot be resolved in cooperation
with the assigned supervisor, it is the AIT's responsibility to contact
first the preceptor, and if necessary, the board office. (2) If an AIT discontinues his or her
internship in the approved internship site(s), the AIT and the preceptor shall
report the AIT's discontinuance to the board before the tenth day after
the discontinuance. (3) The board may disqualify or disallow
all (or part) of an internship period if the board determines that an AIT fails
to serve an internship that complies with this rule. (4) The board may terminate or rearrange
all or part of the internship if, during an AIT's internship, the board
determines that the internship is unsatisfactory. (5) An AIT shall not serve in the
capacity of a licensed nursing home administrator or assistant administrator.
The board may disqualify the entire internship period of an AIT who serves in
the capacity of a licensed nursing home administrator. (6) If a preceptor fails to provide the
AIT an opportunity for an adequate internship while the AIT is under his or her
supervision, the board may disqualify the preceptor from further service in the
AIT program. (7) The board may deny an AIT admission
for examination to become a licensed nursing home administrator if the AIT
falsified or misrepresented facts on an application, documents that support an
application, or in any periodic or summary reports on an
internship. (8) According to rule 4751-1-12 of the
Administrative Code, the board may suspend or revoke a license if the
administrator falsified or misrepresented facts on an application, documents
that support an application, or in any periodic or summary reports on an
internship. (L) Non-party: Any financial arrangements between
preceptor/facility and administrator-in-training are the joint responsibility
of the parties involved and are not the responsibility of the
board. (M) Core of knowledge: (1) The core of knowledge
course is designed specifically for the administrator-in-training (AIT)
participant. This course meets the special academic requirement set by BELTSS
for qualifying to take the state licensure board examination. (2) The content of the
course is designed to provide information and promote understanding that will
lead to more effective performance in the administration of long-term care. The
subject areas covered have been recommended by the national association of
long-term care administrator boards and endorsed by BELTSS. (3) BELTSS expects you to
attend every day of the core of knowledge course. You may be required to make
up time, which may incur an additional fee. (4) All those
satisfactorily completing the course will receive a certificate which satisfies
the requirement of the board of executives of long-term services and supports
(BELTSS). (5) The BELTSS core code
of conduct, available from the course provider, shall be followed. (N) Definitions for this rule: "AIT application" means
"'Form AIT' (Rev., January 2023)." "Employment status form" means
"'Employment Status Form' (Rev., January 2023)." "Facility survey form" means
"'Facility Survey Form' (Rev., December 2016)." "Preliminary data for AIT program"
means "'Preliminary Data for AIT Program' (Rev., January
2023)." "Report of conviction form" means
"'Report of Conviction Form' (Rev., March 2020)."
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-10 | Licenses and registrations.
Effective:
October 1, 2023
(A) An applicant for a license as a
nursing home administrator who has complied with the requirements of Chapter
4751. of the Revised Code and Chapter 4751-1 of the Administrative Code,
including passing the examinations and paying the original license fee of two
hundred fifty dollars, shall be issued a license certifying that such
individual is entitled to practice as a licensed nursing home administrator
under Chapter 4751. of the Revised Code, unless the board is prohibited from
doing so pursuant to section 4751.35 of the Revised Code. (B) Every licensee shall biennially
register with the board. The application for renewal shall contain such
information as may be specified by the board, including, but not limited to,
name, address, practice status, employer(s), place(s) of employment, hours of
employment, job assignment and continuing education training taken during the
biennial period immediately preceding such application. The licensee shall
complete the biennial registration prior to the expiration date of the last
issued certificate of registration in order to maintain continuing compliance
with Chapter 4751. of the Revised Code. (C) Beginning January 1, 2025, the operator of a nursing
home may request that the board issue a nursing home administrator license to
an individual who meets the requirements specified in division (A) of section
4751.20 of the Revised Code but has not passed the licensing examination
administered under section 4751.15 of the Revised Code, in order to fill a
vacancy in the position of nursing home administrator at the nursing home
resulting from a death, illness, or other unexpected cause. An individual
issued a license under this rule shall submit to the board, not later than one
hundred eighty days after a license is issued, satisfactory evidence that the
individual has passed the licensing examination administered under section
4751.15 of the Revised Code. (D) Biennially beginning January 1, 2026, a minimum of
forty clock hours of approved continuing education, as set forth in rules
4751-1-10.1 and 4751-1-13 of the Administrative Code, shall be required for
renewal of registration of the nursing home administrator license. Failure to
renew the certificate of registration prior to the expiration date invokes the
penalty of fifty dollars per calendar quarter up to a maximum of four quarters
or two hundred dollars. (E) Any nursing home administrator who has not renewed his
or her certificate of registration after one year of the expiration date is
deemed to have abandoned practice of nursing home administration pursuant to
division (C) of section 4751.24 of the Revised Code and shall re-apply for
licensure as a nursing home administrator under the current
requirements. (F) The board shall issue a certificate of registration to
each nursing home administrator who meets the requirements of Chapter 4751. of
the Revised Code and Chapter 4751-1 of the Administrative Code unless the board
is prohibited from doing so pursuant to section 4751.35 of the Revised Code.
The certificate of registration may be issued by electronic means. (G) The license of a nursing home administrator who fails
to qualify for renewal prior to the expiration date of the certificate of
registration shall automatically lapse and become invalid; practice of nursing
home administration by the licensee subsequent thereto is in violation of
sections 4751.01 and 4751.32 of the Revised Code, and subjects the licensee to
proceedings against the licensee under the cited sections of the statute and/or
under section 4751.32 of the Revised Code. (H) Every individual holding a valid license entitling the
individual to practice nursing home administration in this state shall display
said license in the nursing home which is the individual's principal place
of employment, and while engaged in the practice of nursing home administration
shall have at hand the current certificate of registration. (I) A nursing home administrator shall show the
administrator's current certificate of registration to any of the
following parties upon their request to see the certificate: (1) An officer or
employee of the board, or of the state, county or city health department, or
other governmental agency that enforces laws or regulations on nursing homes or
nursing home administrators; (2) An employer in whose
employ the licensee practices or intends to practice nursing home
administration.
Last updated October 2, 2023 at 8:40 AM
|
Rule 4751-1-10.1 | Timely renewal of certificate of registration.
(A) Beginning January 1, 2024, licensed
nursing home administrators with a last name beginning with the letters A-L
will renew by submitting twenty continuing education credits and a renewal fee
of six hundred dollars. This renewal shall be for a two year period, and they
will not renew again until 2026. Licensed nursing home administrators with a
last name beginning with the letters M-Z will renew by submitting twenty
continuing education credits and a renewal fee of three hundred dollars.
Licensed nursing home administrators with a last name beginning with the
letters M-Z will renew again in the year 2025. This is necessary to convert all
licensed nursing home administrators to an every-other-year
renewal. (B) Beginning January 1, 2025, licensed
nursing home administrators with a last name beginning with the letters M-Z
will renew by submitting twenty continuing education credits and the required
renewal fee of six hundred dollars. This renewal shall be for a two year
period. This is necessary to convert all licensed nursing home administrators
to an every-other-year renewal. (C) Beginning January 1, 2026, licensed
nursing home administrators with a last name beginning with the letters A-L
will renew by submitting forty continuing education credits and the required
renewal fee of six hundred dollars. This renewal shall be for a two year
period. This cycle shall repeat every even-numbered year. (D) Beginning January 1, 2027, licensed
nursing home administrators with a last name beginning with the letters M-Z
will renew by submitting forty continuing education credits and the required
renewal fee of six hundred dollars. This renewal shall be for a two year
period. This cycle shall repeat every odd-numbered year. (E) A licensee's renewal application is timely if the
licensee submits the properly-completed application to the board via the
board's renewal system (the link may be found at
http://mybeltss.age.ohio.gov) or via mail before the expiration date of the
licensee's certificate of registration. (F) The board shall only consider a renewal application to be
properly completed if the licensee meets all of the following
conditions: (1) The licensee answered
all required questions on the application. (2) The licensee
completed at least forty continuing education (CE) hours that are approved by
the board or the national association of long-term care administrator boards
for the biennial renewal period. (3) The licensee
completed at least eight additional continuing education hours for the health
services executive license renewal for the biennial renewal
period. (4) The licensee
completed one continuing education course dealing with ethics/professional
standards of practice each renewal period. (5) The licensee listed the complete
continuing education course titles and accurate approval numbers in the renewal
application. (6) The licensee attached or uploaded the
continuing education certificates. (7) All continuing education hours may be
self-study/distance learning/online provided they are NAB or BELTSS
approved. (8) The licensee completed the electronic
attestation agreement or signed the form and completed the attestation
statement. (9) If renewing and/or paying by mail,
the licensee's renewal application and/or payment was postmarked before
the expiration date on the licensee's certificate of
registration. (G) The board publishes BELTSS form RA2022 (rev., 2022) as the
paper renewal application. The form may be obtained by calling or emailing the
board office. It is the licensee's responsibility to obtain the renewal
form and invoice and file a timely renewal if the licensee does not wish to
renew online. (H) Untimely renewals are subject to a penalty of fifty dollars
per calendar quarter up to a maximum of two hundred dollars. This is in
addition to the required renewal fee. (I) Health services executive license renewals are subject to a
late penalty fee per calendar quarter, as defined in section 4751.25 of the
Revised Code. This is in addition to the required renewal fee. (J) A licensee who renews both the nursing home administrator and
health services executive licenses late will only be charged the late renewal
penalty for the nursing home administrator license, provided both licenses are
brought back into good standing at the same time. If the nursing home
administrator license is renewed an the health services executive license
remains in a late renewal status, the health services executive late renewal
penalty will apply going forward until it is brought back into compliance or
abandoned. (K) If the licensee does not meet the conditions in paragraphs
(A) to (E) of this rule, the licensee's application is untimely and not
valid. The licensee may not practice nursing home administration or health
services executive administration until all renewal conditions are
met. (L) The licensee shall renew the certificate of registration with
the appropriate number of CE hours and payment of all renewal and penalty fees
within one year of the expiration date listed on the certificate of
registration, or the license shall be considered abandoned and the licensee
shall reapply for licensure and the law in force at the time of such new
application shall govern.
Last updated April 2, 2024 at 9:03 AM
|
Rule 4751-1-10.2 | Health services executive license.
Effective:
October 1, 2023
(A) The board hereby adopts the following
health services executive criteria as enacted or hereinafter
amended. (B) Applicants for the voluntary health
services executive license (HSE) must meet the current criteria established by
the national association of long-term care administrator boards (NAB), and
approved by the board of executives of long-term services and
supports. (C) An applicant for a license as a
health services executive who has complied with the requirements of Chapter
4751. of the Revised Code and the rules adopted thereunder, passed the required
national and state examinations, passed the criminal background check, met the
criteria established by the board, made application to the board, and has paid
a one-hundred-dollar license fee shall be issued a health services executive
license certifying that such individual is entitled to use the designation
health services executive and/or the initials "HSE." (D) Applicants for the HSE license must
meet all the following requirements of the Administrative Code: (1) Rule 4751-1-05 of the
Administrative Code. (2) Rule 4751-1-10 of the
Administrative Code. (3) Rule 4751-1-10.1 of
the Administrative Code. (E) Only an individual who has qualified
as a health services executive under Chapter 4751. of the Revised Code and the
rules adopted thereunder and who holds a current license may use the title
"health services executive" or the abbreviation "HSE" after
the individual's name. No other person shall use such title or such
abbreviation or any other words, letters, sign, card, or device tending to
indicate or to imply that the individual is licensed as a health services
executive. (F) Biennially a minimum of eight clock
hours of approved continuing education (NAB or BELTSS approved) shall be
required for renewal of the health services executive license. These hours of
continuing education are suggested to be in the domain of assisted living
services and/or home and community-based services. These hours shall be in
addition to any hours required for renewal of a nursing home administrator
license. The nursing home administrator license must be kept current to
maintain the voluntary health services executive license. (G) The renewal fee is defined in section
4751.25 of the Revised Code. (H) The health services executive whose
license has not been renewed by the expiration date shall be assessed a late
renewal fee as defined in section 4751.25 of the Revised Code. (I) The license of a health services
executive who fails to renew prior to the expiration date shall automatically
lapse and become invalid on said date by operation of law. (J) The license of a health services executive who fails to
renew within one year of the license's expiration date shall be
considered abandoned and the licensee must reapply for licensure. (K) Every individual holding a valid license as a health
services executive shall display said license in the practice setting which is
the individual's principal place of employment. (L) The board, in its discretion, and otherwise subject to
the provisions of Chapter 4751. of the Revised Code and the rules adopted
thereunder, may recognize an out-of-state health services executive license or
credential. (M) An individual licensed as a health services executive
is subject to the supervision of the board and subject to disciplinary action
in accordance with Chapter 4751. of the Revised Code and Chapter 4751-1 of
Administrative Code.
Last updated October 2, 2023 at 8:43 AM
|
Rule 4751-1-10.3 | Licensing service members, veterans, or spouses of service members or veterans.
Effective:
October 1, 2023
(A) Veterans: (1) Veterans may request
consideration of their military training and experience toward licensure
requirements. Requests shall be made in writing (electronic requests are
acceptable) and contain supporting documentation that the veteran wishes to
have considered by the board. The veteran must demonstrate to the satisfaction
of the board that the veteran's training is substantially equivalent to
the training required for initial licensure. (2) Veterans whose
request for consideration of their military training and experience is denied
by the board may request a personal appearance before the board. This request
shall be made in writing. Electronic requests are acceptable. (3) Veterans applying for
initial licensure may qualify for a one-time only waiver of the initial license
fee provided they served at least one year under honorable circumstances and
were honorably discharged. Appropriate documentation must be submitted for
consideration. (4) The board's
determination is final. (B) Active-duty military personnel,
veterans, and licensees accompanying active-duty spouses: (1) A licensee who
submits a late renewal application due to the license's service in the
armed forces shall be eligible for renewal without payment of the late renewal
fee required by paragraph (C) of rule 4751-1-10 of the Administrative Code if
the following are met: (a) The licensee presents the board with satisfactory evidence
that, not more than six months prior to the date the evidence is submitted to
the board, the license was honorably discharged or separated under honorable
conditions; (b) The licensee is not suffering a mental or physical impairment
that may affect the individual's ability to safely practice;
and, (c) The licensee meets the requirements for license renewal
required by section 4751.24 of the Revised Code. (2) A licensee who
submits a late renewal application due to the license's spouse's
service in the armed forces shall be eligible for renewal without payment of
the late renewal fee require by paragraph (C) of rule 4751-1-10 of the
Administrative Code if the following are met: (a) The licensee presents the board with satisfactory evidence
that the licensee did not renew the license because the spouse's military
service caused them to be absent from the state of Ohio; (b) The licensee presents the board with satisfactory evidence
that, not more than six months prior to the date the evidence is presented to
the board, the licensee's spouse was honorable discharged or separated
under honor able conditions; and, (c) The licensee meets the requirements for license renewal
required by section 4751.24 of the Revised Code. (3) Upon receipt of an
application from a licensed nursing home administrator that is accompanied by
proper documentation certifying that the individual has been called to active
duty during a current or prior reporting period, and certifying the length of
that active duty, the individual shall receive an extension of the current
continuing education reporting period equal to the total number of months sent
in active duty during the current reporting period. For purposes of this rule,
any portion of a month serviced on the active duty shall be considered one full
month. (4) The board may waive all or part of
the normal CE requirements for license renewal for active-duty military and
spouses if it determines that obtaining the CEs would cause undue hardship. The
licensee shall make a written request to the board for consideration.
Electronic requests are acceptable. (5) The board may waive all or part of
the biennial license renewal fee at its sole discretion if it determines that
enforcing the fee would cause undue hardship. The licensee shall request any
such waiver in writing. Electronic requests are acceptable. (6) A license issued under section
4743.041 of the Revised Code shall be considered a license under the laws
regulating the practice of nursing home administration in this state.
Provisions of law applicable to a license issued to an applicant who does not
obtain a license under section 4743.041 of the Revised Code apply in the same
manner to licenses issued under section 4743.041 of the Revised
Code. (C) Delegation of authority: The board
may delegate its authority to act on request received in accordance with this
program to the chairperson and executive secretary so that determinations can
be made in a timely manner.
Last updated October 2, 2023 at 8:43 AM
|
Rule 4751-1-10.4 | Processing applications from service members, veterans, or spouses of service members or veterans.
Effective:
December 1, 2022
(A) The board shall include questions on
all applications for licensure, certification, or renewal of licensure or
certification that inquire as to whether the applicant is: (1) A service
member; (2) A veteran;
or, (3) The spouse or
surviving spouse of a service member or veteran. (B) If the applicant responds
affirmatively to any of the questions discussed in paragraph (A) of this rule,
the board shall: (1) Route the application
to a board staff member who is responsible for monitoring the application and
communicating with the applicant regarding the status of the application,
including informing the applicant of any documentation needed for the board to
process the application; (2) Expedite the
processing of the application, even if the application was received later in
time than other applications that are pending processing; (3) Provide information
to applicants if the applicant or his/her spouse will be imminently deployed,
regarding available fee and continuing education waivers, as discussed in rule
4751-1-10.3 of the Administrative Code; (4) Request that the
applicant submit documentation to the board demonstrating that the applicant is
a service member, veteran, or spouse or surviving spouse of a service member or
veteran; and, (5) Track, on an annual
basis, the total umber of applications submitted by service members, veterans,
or spouses or surviving spouses of service members or veterans, and the average
number of business days expended by the board to process those
applications. (C) For purposes of paragraph (B)(4) of
this rule, acceptable forms of documentation include: (1) A copy of a document
issued by the armed forces showing the applicant is a service member or
veteran, or that the applicant's spouse was a service member or veteran;
and, (2) If the applicant is a
spouse or surviving spouse of a service member or veteran, a copy of the
document showing that the applicant and the service member or veteran are
spouses according to the law of any state or county.
Last updated September 18, 2023 at 8:24 AM
|
Rule 4751-1-11 | Temporary license.
Effective:
February 1, 2022
(A) Upon request, a temporary license may
be issued by the board for a period not to exceed one hundred eighty days to an
individual temporarily filling the position of a nursing home administrator
vacated by reason of death, illness, or such other cause as the board may deem
sufficient to justify the issuance of such temporary license. (B) An individual applying to the board
for temporary licensure shall be required to furnish satisfactory evidence;
namely, that the individual: (1) Has a bachelor's
degree from an accredited educational institution as defined in rule 4751-1-02
of the Administrative Code; (2) Is at least
twenty-one years of age; (3) Is suitable and fit to be licensed as
a temporary nursing home administrator as evidenced by: (a) Complying with paragraph (B) of rule 3701-17-07 of the
Administrative Code; (b) Absence of any physical or mental impairment that would be
likely to interfere with the performance of the duties of a temporary nursing
home administrator; (c) Ability to understand and communicate general and technical
information that is necessary to the temporary administration and operation of
a nursing home; (d) Ability to assume responsibilities for the temporary
administration of a nursing home as evidenced by prior activities and prior
service that are satisfactory to the board; and, (e) Ability to relate the physical, psychological, spiritual,
emotional and social needs of the persons being served in a nursing home to the
temporary administration of the nursing home, and to create a climate that is
necessary to meet the needs of the persons being served in the nursing
home. (f) Completion of a background check (BCI and FBI) with the
results sent directly to the board's office. (g) Completion of the "Report of Conviction Form"
(March 2020), if applicable, available from the board office or at
www.beltss.ohio.gov. (4) Except as provided in rule 3701-13-06
of the Administrative Code, the board shall not license, register, or certify
an applicant if the applicant has been convicted of a violation of rule
3701-13-05 of the Administrative Code. (5) The board, in accordance with section 9.79 of the
Revised Code, has determined that the results of the background check do not
make the applicant ineligible for the license. (C) An applicant for temporary licensure
shall submit with the application a check or money order for the fee or pay the
fee electronically as provided for in rule 4751-1-16 of the Administrative
Code. (D) No portion of the
one-hundred-eighty-day period that is allowed for a temporary license shall
fulfill any part of any internship requirement that is a condition precedent to
admission to examination for licensure as a nursing home
administrator. (E) A temporary license may be revoked
for any violation that is contained in section 4751.32 of the Revised Code or
this chapter. (F) The board may delegate its authority
to review the applications for temporary licensure to its executive secretary
in order that temporary licenses may be issued in emergency and hardship
cases.
Last updated February 1, 2022 at 9:08 AM
|
Rule 4751-1-12 | Suspension, revocation, and disciplinary action.
Effective:
October 1, 2023
For the purposes of this rule, an individual
licensee who holds a license to practice nursing home administration in this
state, or who is licensed as a health services executive (HSE), is subject to
the supervision of the board. (A) The license or certificate of
registration, or both, of any individual who practices or offers to practice
nursing home administration or who is an HSE may be revoked or suspended by the
board and/or the board may impose a civil penalty, fine, or other sanction
imposed as authorized by the board under any one or more of the following
situations: (1) The individual is
unfit or incompetent by reason of negligence, habits, or other
causes. (2) The individual
violated any of the provisions of Chapter 4751. of the Revised Code or this
chapter; or acted in a manner that was inconsistent with the health and safety
of the persons being served in the nursing home or in the practice setting in
which the individual is the administrator. (3) The individual has
demonstrated by his or her actions, incompetence, untrustworthiness, dishonest
practices or irresponsibility in the practice of nursing home or health
services executive administration. (4) The individual is
guilty of fraud or deceit in the practice of nursing home administration or
health services executive administration or in the individual's admission
to such practice. (5) The individual was
convicted in a court of competent jurisdiction, either within or without this
state, of a felony or failed to inform the board, in writing, within ten days
of a conviction in a court of competent jurisdiction, either within or without
this state, of a felony. (6) The individual was
convicted of a misdemeanor in a court of competent jurisdiction, either within
or without this state, within the course and scope of the practice of nursing
home administration or health services executive administration or has failed
to inform the board, in writing, within ten days of a conviction of a
misdemeanor in a court of competent jurisdiction, either within or without this
state, within the course of and scope of the practice of nursing home
administration or health services executive administration. (7) The individual had
any license or certification of registration denied, revoked, or suspended, or
voluntarily surrendered any license or certificate of registration for any
reason other than a failure to renew, in Ohio or another state or
jurisdiction. (8) The individual failed
to appear before the board or its designee after being notified in writing by
the board, unless a reasonable extension has been requested in writing and
granted by the board or its designee. (9) The individual failed
to inform the board, in writing, within ten days after a change in business or
personal address. (10) The individual
failed to renew the biennial certificate of registration in a timely manner as
defined in rules 4751-1-10.1 and 4751-1-10.2 of the Administrative
Code. (11) The individual
failed to keep NAB or Ohio examination material confidential or was found to
have been dishonest in the taking of any of the examinations. (B) Any one or more of the following is
prima facie evidence that an individual is unfit or incompetent by reason of
negligence, habits, or other causes to serve as a nursing home administrator or
health services executive: (1) The individual fails
to make good faith attempts, via methods of administrative management, to
assure that the nursing home or practice setting in which the individual is the
administrator conforms with the provisions of pertinent statutes, codes, rules
and regulations of the licensing or supervising authority or agency, federal,
state or local, having jurisdiction over the operation and licensing of nursing
homes or such practice setting; (2) The individual
habitually or excessively uses controlled substances, or other habit-forming
drugs, alcohol, or other chemical substances to an extent that impairs the
individual's ability to comply with Chapter 4751. of the Revised Code or
this chapter. (3) The individual fails
to conform with the requirement imposed by paragraph (A) of rule 3701-17-08 of
the Administrative Code. (4) The individual fails
to be responsible for planning, organizing, directing, and managing the
operation of a nursing home or practice setting in such manner to insure the
safety, health and well-being of the persons being served in any facility under
the administrator's supervision. (5) The individual has a
physical inability to serve as a nursing home administrator or health services
executive as evidenced by the statement of two licensed
physicians. (6) The individual has a
mental incompetency as declared by a decree of any court. (7) The individual
willfully permitted the unauthorized disclosure of information relating to a
person being served in a nursing home or practice setting under the
individual's administration. (8) The individual was
issued a lawful revocation or suspension by the duly constituted authorities of
another state of any nursing home administrator's license or health
services executive license which may have been issued said individual by
another state. (9) The individual fails
to cooperate in any investigation concerning allegations to the
administrator's or another licensee's or registrant's license or
registration. (10) The individual fails
to adhere to any conditions set forth in a board-approved adjudication order or
consent agreement. (C) Licensed nursing home administrators
and health services executives governed by Chapter 4751. of the Revised Code,
and by this chapter, shall be disciplined in accordance with Chapters 4751. and
119. of the Revised Code.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-12.1 | Electronic testimony.
Effective:
December 1, 2022
(A) Upon written motion of any party, and upon service of that
motion to the other party's representative of record, the hearing examiner
may order that the testimony of a prospective witness be taken by telephonic or
real-time video testimony. The hearing examiner may grant the motion if it
appears probable that: (1) The prospective witness will be unavailable
to attend or will be prevented from attending a hearing; and, (2) The testimony of the prospective witness is
material. (B) The testimony shall be taken under such conditions and terms
as the hearing examiner shall set forth. Moreover, the hearing examiner may
order the production of any designated books, papers, documents or tangible
objects, so long as not privileged, at the same time and place. (C) The hearing examiner shall set the time and fix the place of
telephonic or real-time video testimony.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-12.2 | Prehearing processes.
Effective:
October 1, 2023
(A) Any representative of record may
serve upon the opposing representative of record a written request for a list
of witnesses and copies of proposed exhibits intended to be introduced at
hearing. The opposing representative of record shall supply a list and copies
to the requesting representative within a reasonable time, but not less than
fourteen days before the hearing date. (B) If a representative of record fails
to comply with a request for, or scheduling order requiring the timely exchange
of, a list of witnesses, expert witness reports, if any, or copies of proposed
exhibits, the opposing representative of record may request, and the hearing
examiner may grant, a motion to exclude from the hearing the testimony and
proposed exhibits that were the subject of request. (C) Upon written motion of any
representative of record or upon the initiative of the board or the hearing
examiner, the board or hearing examiner shall issue a scheduling order that
shall include but need not be limited to: (1) A schedule for
exchange of proposed hearing exhibits; (2) A schedule for
identifying lay and expert witnesses; and (3) A schedule for the
exchange of written reports, if any, from expert witnesses. (D) If expert witness testimony is
proposed, the expert shall submit a written report. A written report by an
expert shall set forth the opinions that the expert will testify about and the
basis for the opinions. In order to be admitted as evidence at hearing, the
written report must be provided to the opposing representative of record not
less than thirty days before the hearing date. The expert may also testify as a
fact witness. (E) At any time before a hearing, with or
without motion from a representative of record, the board or hearing examiner
may schedule a prehearing conference. The conference may be in person or by
telecommunication. No witness testimony shall be taken during a prehearing
conference. A prehearing conference may be held for reasons including but not
limited to: (1) Settlement
negotiation; (2) Identification of
issues; (3) Obtaining
stipulations and admissions; (4) Agreements limiting
the number of witnesses; (5) Discussion of
proposed exhibits and witness lists; (6) Estimating the time
necessary for the hearing; and (7) Discussion of any
other matter tending to expedite the proceedings. (F) The board or hearing examiner may
issue orders related to preparation for the hearing and the conduct of the
hearing that facilitate the just and efficient disposition of the subject of
the hearing. Orders may include, but are not limited to, requirements that by a
date specified, a party or both parties submit: (1) Legal briefs
regarding the relevancy of proposed testimony or evidence; (2) Legal briefs
regarding a point of law; or (3) Written opening
statements and closing arguments. (G) Any document that is a patient record
or that contains information that is required to be kept confidential according
to any state or federal law may, for purposes of the administrative hearing
only, be provided to a representative of record or to a witness in the
proceeding, but shall not be disseminated to any other person unless the
confidential information is redacted.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-13 | Continuing education.
Effective:
October 1, 2023
(A) As required in rule 4751-1-10 of the Administrative Code,
nursing home administrators shall complete a minimum of forty clock hours of
approved continuing education biennially in the twenty-seven-month period
preceding renewal of the registration of the nursing home administrator
license. (1) An unlimited number
of hours of continuing education may be completed from in-person courses which
are NAB and BELTSS approved. (2) The board, in its sole discretion,
shall determine the number of hours of self-study instruction which shall
qualify to fulfill an administrator's biennial requirement for continuing
education. As used in this paragraph, "self-study instruction" means
any course of instruction provided through online, self-study, live or recorded
webinars, or other learning that is not provided in a classroom setting.
Self-study courses are identified by a BELTSS approval number with an
"SS" in the middle. There is no limit on the amount of
self-study/distance learning/webinar hours that may be submitted each renewal
period. (3) The board will only
accept twelve continuing education credits earned by a licensed nursing home
administrator in one calendar day in alignment with NAB standards. (4) Administrators shall
be required to take one continuing education course dealing with
ethics/professional standards of practice each renewal period. (5) In the case of the COVID pandemic and
board action declaring it necessary, the continuing education requirement may
be waived entirely, by board action. (6) NAB-approved courses are identified
with an "in" or a "dl." An "in" means the
continuing education occurred in an "in-person" or classroom setting.
A "dl" means the continuing education is a self-study, webinar, or
"distance learning." (7) In the case of both NAB and BELTSS
approval for a course, the BELTSS approval is primary for purposes of
determining status (self-study, etc.) and the number of continuing education
credits accepted by the board. (8) Teaching any course for approved
continuing education, the core of knowledge, or a college course may also be
used to meet the continuing education requirement. A college course must be
taught at an accredited college or university and must apply to the practice of
nursing home administration, as defined in rule 4751-1-02 of the Administrative
Code. A letter or brochure from the course provider, or a letter from a
university official, is required as poof of teaching the course. (9) Continuing education hours may be
granted for successfully serving as a preceptor to an
administrator-in-training. The licensed nursing home administrator may earn six
continuing education hours for precepting upon the AIT's successful
completion of the program and must serve as the preceptor for the entire
internship period to qualify. (10) A preceptor who
precepts an administrator-in-training for half or more of the required number
of program hours shall be eligible to receive three hours of continuing
education credit. (11) The preceptor may
use the continuing education credits for the current renewal period only,
following the completion date of the administrator-in-training's program.
Only twelve precepting credits may be earned and used on each biennial renewal.
Precepting credit hours are considered in-person hours. (12) Credits shall be
reported in the renewal system with the administrator-in-training agreement and
a statement from the administrator serving as proof of successfully completing
the precepting period or a confirming letter from the university for direct
college students. (B) Continuing education credit prior to the last quarter of the
previous registration anniversary year may not be accumulated from renewal to
renewal. (C) Continuing education courses may not be "split"
between renewal periods. All the hours granted for a course must be used on the
same renewal. (D) Certificates of attendance at continuing education
courses must be submitted by the nursing home administrator and be attached to
the application for biennial renewal of registration. An exact copy of the
certificate is acceptable. No documents will be returned. Online renewals
require documents to be uploaded with the courses being declared. (E) The board shall not accept continuing education credits
toward the completion of a course or program that is not NAB-approved or
BELTSS-approved, except that if an Ohio licensee lives in and/or practices in
another state, the licensee may use that state's board-approved or
state-healthcare-association-approved continuing education for license
renewal. (F) The board requires that participants receive only full
credit for attending a program. Partial credit may not be given to those
attending only part of a program. If the provider grants credit for individual
sessions as part of a larger conference or convention, the board shall accept
these credits. (G) College courses may be used to meet the continuing
education requirement provided that all the following conditions are
met: (1) The course was taken
at an accredited college or university, as defined in rule 4751-1-02 of the
Administrative Code. (2) The course must be
approved by the executive director for relevance to the practice of nursing
home administration. (3) The course relates to the practice of
nursing home administration. (4) A grade of "C" or better
was earned for the course. (5) An official transcript is sent to the
board directly from the college or university. (6) A syllabus is provided along with the
renewal application. (7) The CE conversion rate is ten
continuing education hours for every one hour of quarter credit and fifteen
continuing education hours for every one hour of semester credit. (H) The board, in its own discretion, may waive or extend
the continuing education requirement upon application for good cause. The
board's determination to waive or extend the continuing education
requirement is final.
Last updated October 2, 2023 at 8:44 AM
|
Rule 4751-1-13.1 | Continuing education waiver.
Effective:
December 1, 2022
(A) Licensees may request a waiver of
annual continuing education required or an extension of the renewal period for
continuing education compliance by using the "CE Waiver Form"
(07/2015) available from the board office or at
www.beltss.ohio.gov. (B) All requests are considered and acted
on by the board, in its sole discretion, on a case by case basis. (C) All requests must be accompanied by a
statement of inability to attend continuing education courses, certified by a
physician or physician extender such as a nurse practitioner (NP) or physician
assistant (PA), as permitted by their respective practice acts in a timely
manner. (D) The board may issue partial waivers.
The board will take the following into consideration, but this may not be an
all-inclusive list: (1) The extent to which
the illness or disability prevents attendance at or participation in continuing
education courses or functions. (2) The licensee's
attempt to gain continuing education. It is the board's expectation that
all licensees attempt to complete continuing education requirements throughout
the time period leading up to their renewal date. (3) The length of the
illness or disability. (E) Waivers shall not be granted in
excess of three consecutive renewal periods. (F) Penalty fines does not accrue while a
licensee is on a waiver, but will begin accruing on the first day of the first
renewal period after the waiver expires as provided in paragraph (D) of rule
4751-1-10 of the Administrative Code. If the waiver request is denied, the
licensee will be assessed penalty fines back to the original date of
renewal. (G) The board may waive all or part of
the annual renewal fee or fines at its sole discretion if it determines that
enforcing the fees would cause undue hardship. (H) Licensees may not practice while on
waiver status. (I) Licensees will be notified of the
board's decision in writing. The board's decision is
final.
Last updated September 18, 2023 at 8:24 AM
|
Rule 4751-1-14 | Recognition of out-of state license.
Effective:
October 1, 2023
(A) Notwithstanding the requirements for
a license under Chapter 4751. of the Revised Code, the board shall issue a
nursing home administrator license or a health services executive license to an
applicant if all the following applies: (1) The applicant has
either of the following: (a) A license in another state. (b) Satisfactory work experience of nine to twelve months
as a licensed nursing home administrator and/or an administrator-in-training, a
government certification, or a private certification as described in Chapter
4796. of the Revised Code as a nursing home administrator or a health services
executive in a state that does not issue that license. (2) The applicant is familiar with
Ohio's laws and rules relative to the licensure of the facility and to the
licensure of the administrator and has successfully passed the board's
examination on Ohio laws and rules each time that re-licensure is
required; (3) The applicant completed a background
check (BCI and FBI) with the results sent directly to the board
office. (4) The applicant completed a
"Report of Conviction Form" (March 2020), if applicable, available
from the board office or at www.beltss.ohio.gov. (5) Except as provided in rule 3701-13-06
of the Administrative Code, the results of the applicant's background
check do not include any disqualifying offense listed in rule 3701-13-05 of the
Administrative Code. (6) The board, in accordance with section
9.79 of the Revised Code, has determined that the results of the
applicant's background check do not make the individual ineligible for the
license. (B) If the applicant meets all of the requirements in
paragraphs (A)(1) to (A)(6) of this rule and is also a certified administrator
in good standing with the American college of health care administrators, or a
health services executive, the executive secretary of the board may authorize
the applicant to sit for the state examination and issue the license,
registration, or certification, provided a passing score is obtained, without
prior board approval. The issuance shall be presented for the board's
ratification at the next meeting of the board. (C) If the applicant's administrative experience is
less than the board's requirement, the board may require the applicant to
complete an internship and the core of knowledge class to reach the equivalent
experience required.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-15 | Relicensure.
Effective:
February 1, 2022
(A) The board, in its discretion, and
otherwise subject to the provisions of Chapter 4751. of the Revised Code and
this chapter, may relicense a nursing home administrator whose Ohio license has
been abandoned upon payment of the required fee as provided in rule 4751-1-16
of the Administrative Code, provided: (1) The applicant meets Ohio's
current minimum qualifications; (2) The applicant makes
application to the board; (3) The applicant
successfully completes both the Ohio and national NAB exams; (4) The applicant pays
the fee as outlined in rule 4751-1-16 of the Administrative Code. (B) The applicant must complete a background check (BCI and FBI)
with the results sent directly to the board office. (C) The applicant must complete a "Report of Conviction
Form" (March 2020), if necessary, available from the board office or at
www.beltsss.ohio.gov. (D) Except as provided in rule 3701-13-06
of the Administrative Code, the board shall not license, register, or certify
an applicant if the applicant has been convicted of a violation of rule
3701-13-05 of the Administrative Code. (E) The board, in accordance with section 9.79 of the
Revised Code, has determined that the results of the background check do not
make the individual ineligible for the license.
Last updated October 31, 2024 at 11:33 AM
|
Rule 4751-1-16 | Fees.
Effective:
October 1, 2023
Fees provided for throughout Chapter 4751-1 of the
Administrative Code shall be published by the board on a fee schedule in the
amounts allowable under Chapter 4751. of the Revised Code. Said fees are to be
paid electronically or by check or money order made payable to "Treasurer,
State of Ohio." All fees are to be transmitted to the location designated
by the board. (A) Administrator-in-training application
fee: fifty dollars. (B) Endorsement of out-of-state license fee: one hundred fifty
dollars. (C) biennial registration fee: six hundred
dollars. (D) Duplication/replacement fee: twenty-five
dollars. (E) Original license fee: two hundred fifty
dollars. (F) Continuing education provider fee: schedule provided in
rule 4751-1-08 of the Administrative Code. (G) Nursing home administrator license late renewal penalty
fee: fifty dollars per calendar quarter up to a maximum of two hundred
dollars. (H) Health services executive license fee: one hundred
dollars. (I) Health services executive annual license renewal fee:
schedule provided in section 4751.25 of the Revised Code. (J) Health service executive license late renewal penalty
fee: schedule provided in section 4751.25 of the Revised Code. (K) All penalty fees are in addition to the required
renewal fees. (L) Criminal conviction determination fee as provided in
section 9.78 of the Revised Code.
Last updated October 2, 2023 at 8:44 AM
|
Rule 4751-1-17 | Personal information systems.
Effective:
January 1, 2020
(A) The board secretary shall be
responsible for each personal information system maintained by the board. Said
employee shall: (1) Inform other
employees who have any responsibility for the operation, maintenance, or use of
personal information maintained in the system, of the applicable provisions of
Chapter 1347. of the Revised Code and this chapter; and, (2) Inform an individual
who is asked to supply personal information for a system whether the individual
is legally required to, or may refuse to, supply the information;
and, (3) Assure that only that
personal information which is necessary and relevant to the functions of the
board as required or authorized by statute or rule is collected and maintained;
and, (4) Upon the request and
the proper identification of the individual, allow the individual who is the
subject of a record in a personal information system to inspect the record
pursuant to section 1347.08 of the Revised Code. The employee
shall: (a) Inform the individual of any personal information in the
system of which the individual is the subject; (b) Except for investigative files or trial preparation files, as
provided for in division (E)(2) of section 1347.08 of the Revised Code, permit
the individual, the individual's legal guardian, or an attorney who
presents a signed, written authorization made by the individual to inspect all
personal information in the system of which the individual is the
subject; (c) Inform the individual about the types of uses made of the
personal information, including the identity of any user who is usually granted
access to the system; (d) Allow a individual who wishes to exercise a right provided by
paragraph (A)(4) of this rule to be accompanied by another individual of his or
her choice; (e) Provide, upon request, copies of any personal information
that the individual is authorized to inspect. Reasonable charges are made for
providing requested copies, that shall not exceed the cost of copying and
mailing. There is no charge for documents emailed. (5) Investigate disputes
to the accuracy, relevance, timeliness or completeness of personal information
pursuant to section 1347.09 of the Revised Code. (B) The board shall reprimand in writing
any employee who initiates or contributes to any disciplinary or punitive
action against any individual who brings to the attention of appropriate
authorities, the press, or any member of the public, evidence of unauthorized
use of information contained in the system. A copy of such reprimand shall be
entered in the employee's personnel file. (C) The board shall monitor the accuracy,
relevance, timeliness, and completeness and in accordance with procedures,
maintain information that is necessary to assure fairness in any determination
made with respect to an individual on the basis of the information, eliminating
information that is no longer necessary; and, If an individual who is the subject of a personal
information query disputes the accuracy, relevance, timeliness or completeness
of the information and requests the board to investigate the current status of
the information, the board shall: (1) Within ninety days
after receiving the request, make a reasonable investigation to determine
whether the disputed information is accurate, relevant, timely, and complete;
and, (2) Notify the disputant
of the results of the investigation and of the action the board plans to take
with respect to the disputed information; and, (3) Delete any
information that it cannot verify or that it finds to be inaccurate;
and, (4) Permit the disputant,
if unsatisfied with the board's determination, to include within the
system: (a) A brief statement of the disputant's position on the
disputed information, such statement being limited to one hundred words with
the board assisting the disputant to write a clear summary of the dispute;
or, (b) A notation that the disputant protests that the information
is inaccurate, irrelevant, outdated, or incomplete, with the board maintaining
a copy of the disputant's statement of the dispute. (D) The board shall not place personal
information into an interconnected and combined system, unless such system will
contribute to the efficiency of the involved agencies in implementing programs
that are authorized by law.
Last updated November 4, 2024 at 1:43 PM
|
