A person who intends to qualify for admission to the licensure
examination by use of an A.I.T. program must first receive approval to begin
the program by complying with rules
1020-01-.08, and successfully
complete the program in a Board approved facility under the coordination,
supervision and teaching of a Preceptor who has obtained certification from the
Board pursuant to, and continues to meet the qualifications of this rule. The
Board will not approve an individual for an A.I.T. program unless the
individual is eligible to receive Board approval to take the NAB examination
upon completion of the A.I.T. program.
Preceptor - Qualifications for
The following licensees may
apply to receive certification as a Preceptor:
1. Any administrator; or
2. Any assistant administrator; or
3. A multifacility regional administrator.
However, the A.I.T. program may be conducted only in facilities over which he
or she is the regional administrator.
An applicant must obtain from, complete
and submit to the Board Administrative Office an application form along with
satisfactory documentation of all the following:
1. Current licensure as a nursing home
administrator in Tennessee.
of the following:
(i) Valid licensure and
full-time practice as a nursing home administrator for three (3) of the five
(5) years immediately preceding application, the final year of practice must
have been in Tennessee; or
Valid licensure as a nursing home administrator and employment as an assistant
administrator with at least six (6) years of full-time experience in licensed
nursing homes in the ten (10) years immediately preceding
Successful completion of seventy-two (72) semester hours or its equivalent of
college credit. Each one (1) year of full-time experience obtained beyond the
three (3) or six (6) year qualifying time period may be substituted for
twenty-four (24) semester hours of college credit.
4. Successful completion of a twelve (12)
hour Board approved Preceptor Training and Orientation Course. The course must
have been completed within the twelve (12) months immediately preceding
certification. These hours may be applied to the annual C.E.
5. Have no formal
disciplinary actions taken against the applicant's license within the ten (10)
years immediately preceding application which the Board deems to be of such a
nature as to prevent the applicant from providing services as a
applicant must attend an interview conducted by the Board or a Board member for
discussion of basic concepts of the Preceptor Program. A major purpose of the
interview will be to evaluate the training effectiveness of the preceptor. The
Board may require that the interviews be electronically recorded and
transcribed so that there will be no misunderstandings when the Board Member
makes a presentation to the entire Board.
(d) A preceptor may not supervise more than
two (2) A.I.T.'s at one (1) time except by written permission of the
certified as a preceptor a licensee must:
on or before December 31st of every year after initial certification,
successfully complete nine (9) clock hours of Board approved continuing
education within the calendar year in addition to the continuing education
hours required for licensure renewal pursuant to rule
. Credit for six (6)
hours of continuing education per year shall be given to a preceptor upon the
successful completion of an A.I.T. program; and
2. hold an active, current and unrestricted
license in Tennessee as a Nursing Home Administrator; or
3. hold an active, current and unrestricted
license in another state as a Nursing Home Administrator and submit proof of
successful completion of twenty-seven (27) clock hours of NAB-approved
continuing education for every year the licensee practiced in another state
while his/her Tennessee license was expired or retired. However, the continuing
education hours required shall not exceed fifty-four (54) hours.
Failure to provide an A.I.T.
an opportunity for adequate training under proper supervision in the
administrative and operating activities and functions of a facility shall be
grounds for discipline of a Preceptor's certification pursuant to T.C.A. §
and rule 1020-01-.15
(c) Preceptor certification is subject to
disciplinary action in the same manner and for the same causes as that for
(d) When an A.I.T. fails
the written licensure examination twice, the preceptor for the A.I.T. may, in
the Board's discretion, be required to furnish a written assessment of the
reasons for the failure or be required to appear before the Board to make an
oral assessment. Failure of a preceptor to provide the written or oral
assessment may be grounds for decertification.
Facilities - Primary training and
supervision of an A.I.T. must occur in one primary facility which is approved
by the Board. If the Preceptor and the A.I.T. feel it would be beneficial to
have certain areas of the training in a facility other than the primary one,
the Preceptor shall notify the Board of the areas to be covered, the time to be
spent in the secondary facility and the reasons. All facilities to be used must
be approved in advance and in writing. The facility must obtain from, complete
and submit to the Board Administrative Office an application form and
documentation sufficient to show the following:
An organizational structure with clearly
defined and staffed departments, each with a designated department head. Those
departments must include:
(iv) Social services and
(v) Medical records;
(vi) Housekeeping, maintenance
2. That the
administrator serves as the department head of only the administration
department of the facility.
absence of outstanding operational deficiencies.
4. The most recent facility licensure survey
and the plan of correction in response thereto.
A.I.T. Program - Structure and Content.
The A.I.T. programs must be conducted in Board approved facilities. The
Preceptor must be either the administrator, assistant administrator or regional
administrator of the primary facility. The program must comply with the
Prior to commencement of the
A.I.T. program, a form must be obtained from, completed and submitted to the
Board Administrative Office which contains all the following:
(i) Approval of the preceptor by the A.I.T.
as evidenced by signature of both the Preceptor and A.I.T.;
(ii) The beginning date of the
(iii) The dates on which
required reports are to be filed; and
(iv) The anticipated date of the A.I.T.'s
completion of the program.
2. The A.I.T. program shall cover a period of
at least six (6) months during which period the A.I.T. shall devote full time
and effort toward completion of the program. Should the A.I.T. spend less than
full time, thus requiring more than six (6) months to complete, there must be
prior written approval of the Board. The reasons for the delay shall be
explained in writing by the Preceptor. Under no circumstances shall the program
extend beyond one (1) year.
preceptor and the A.I.T. shall spend a minimum of four (4) hours per week in
orientation, direct instruction, planning and evaluation. The minimum four (4 )
hours per week of training must occur in person in the facility or facilities
approved by the Board for that individual's A.I.T. program.
4. It shall be the responsibility of the
preceptor to continually evaluate the development and experience of the A.I.T.
to determine specific areas needed for concentration.
5. A preceptor shall use the Board approved
workbook as the basic guide. There shall be a pre-training assessment. If
deemed advisable, additional material may be added to the basic guide to
individually meet the needs of the A.I.T. While the basic guide may be
expanded, no areas of the basic guide may be omitted.
The preceptor and the A.I.T. shall submit
reports on Board provided forms according to the following schedule:
(i) Every two (2) months after its
(ii) A final
report shall be submitted which contains a recommendation on licensure from the
General Rules for A.I.T. Programs.
Change of Preceptor.
(i) If the approved preceptor is unable, for
any reason, to fulfill the approved program of an A.I.T., a new preceptor shall
be obtained as soon as possible, but no more than sixty (60) days from the date
the A.I.T. first obtained knowledge that the training under the previous
preceptor would be discontinued. In special circumstances the Board, upon
application, may authorize additional time in which a new preceptor may be
(ii) In the event an
A.I.T. desires to secure a preceptor different from the one approved by the
Board, the new preceptor and the A.I.T. shall notify the Board stating the
reasons. New agreement forms shall be completed, signed by the new preceptor
and the A.I.T., and be submitted to the Board Administrative Office for
approval prior to continuing training.
2. It shall be the duty of both the preceptor
and the A.I.T. to notify the Board if the A.I.T. drops out of the
Tenn. Comp. R. & Regs.
certified June 7, 1974. Amendment filed November 12, 1982; effective December
13, 1982. Amendment filed February 3, 1983; effective March 7, 1983. Amendment
filed April 19, 1984; effective May 19, 1984. Amendment filed February 23,
1987; effective April 9, 1987. Amendment filed October 22, 1987; effective
December 6, 1987. Amendment filed January 4, 1989; effective February 18, 1989.
Amendment filed August 14, 1989; effective September 28, 1989. Amendment filed
September 8, 1989; effective October 23, 1989. Amendment filed February 21,
1991; effective April 7, 1991. Repeal and new rule filed December 17, 1991;
effective January 31, 1992. Repeal and new rule filed December 14, 1999;
effective February 27, 2000. Amendment filed January 19, 2001; effective April
5, 2001. Amendment filed September 4, 2003; effective November 18, 2003.
Amendment filed December 9, 2005; effective February 22, 2006. Amendment filed
July 27, 2006; effective October 10, 2006. Amendment filed December 13, 2012;
effective March 13, 2013. Amendments filed June 9, 2016; effective
Authority: T.C.A. §§
63-16-103, 63-16-104, 63-16-106,
63-16-107, and 63-16-109.