- Board of Registration of Nursing Home Administrators
| Title | Adoption of National Association of Long-Term Care Administrator Board (NAB) Licensure Examination Attempts. |
|---|---|
| Purpose | The Board of Registration of Nursing Home Administrators (“the Board”) adopts this policy to align 245 CMR 3.03 with National Association of Long-Term Care Administrator Boards (NAB) requirements for test taking, specifically the number of test taking attempts per examination cycle. This adoption will allow NHA applicants an additional number of licensure examination attempts should they fail the licensing eligibility requirements. |
| Date Adopted | February 20, 2026 |
| Background | The requirements for licensure as a Nursing Home Administrator in Massachusetts are set forth in 245 CMR 3.00: Licensure. With regard to examination requirements, 245 CMR 3.03(1) states that an “applicant must obtain a passing score on the Board-approved Licensure Examination.” NAB administers the Board-approved licensure exam. NAB announced that starting January 1, 2026, in an effort to ensure exam integrity, candidates are limited in the number of exam attempts in an exam cycle. CORE, NHA, & RCAL exams: up to 4 attempts per cycle. HCBS exams: up to 3 attempts per cycle. Examination cycles are from July 1 - June 30. Consequently, The Board of Registration of Nursing Home Administrators seeks to clarify the number of exam attempts permitted by candidates to align with NAB. |
| Policy | The Board of Registration of Nursing Home Administrators (“the Board”) adopts this policy to follow the National Association of Long-Term Care Administrator Boards (NAB) allowed four failures of the licensing examination per examination cycle, under 245 CMR 3.03. This adoption will specify the licensing eligibility requirements and application procedures set forth in 245 CMR 3.00 |