"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; nonrenewal (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, temporary license, and
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 annual
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.
"Temporary license" means a license
for a period of time not to exceed one hundred eighty days that the board may
issue pursuant to division (B) of section 4751.06 of the Revised
Code.
"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
annual renewal of the certificate of
registration.
"Valid license" means a license that is current, as effected by
the annual 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.
