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Nursing Home Administrator

Minnesota Statutes require that the administrators of the approximately 400 skilled nursing facilities in Minnesota maintain licensure with the Board of Executives for Long-Term Services and Supports (BELTSS).
BELTSS is a Minnesota Health Related Licensing Board whose 12 members are appointed by the governor. Board membership is set in statute and includes licensed administrators, a nurse, a doctor, and public members. BELTSS currently has approximately 850 licensees.

  • To become licensed as an administrator a person must meet board requirements and pass examinations to test their knowledge of subjects related to nursing home administration. 
  • To remain licensed, an administrator must meet continuing education requirements set by the board and practice in accord with federal and state laws and regulations and board standards.

Minnesota Law and Board Rules govern licensure requirements and process. If there is an unforeseen conflict between Minnesota Statute and Rules and this Handbook, the law and rules supersede. As statutes, rules, and board interpretations change, the information in this section may become outdated. Applicants are responsible for ensuring that they have knowledge of and comply with all current laws and rules. Contact the Board office with any questions or to ensure the currency of information.

  • Make yourself familiar with the Minnesota State Rules 6400 governing the practice of Nursing Home Administration - as an applicant and licensee in Minnesota, you are responsible for following these rules
  • All candidates must complete the Application with one of the following licensure tracks:
    • Option A : New Graduate from Minnesota or NAB LNHA program with examinations
    • Option B : Applicant with experience/course waivers, with examinations
    • Option C : Endorsement: LNHA/Administrator of Record in two of the previous five years
    • Option D : ACHCA Certification
  • Request Official Transcript (s) from your college registrar's office after your grades and degree has been posted, showing a minimum of BA/BS in addition to any LTC coursework
  • Submit a Current Resume with your paper application or following your online application by email to
  • If currently or previously licensed in another state(s), contact each jurisdiction to have a License Verification sent to the Minnesota Board (Options B, C, D)


Bachelor's Degree

Minnesota requires a bachelor's degree for licensure whether you apply for an initial license in Minnesota or already have a license in another state and may have practiced for many years. The only exception is for persons who hold current certification as a nursing home administrator from the American College.

See the listing of Minnesota preapproved programs

Experience As An Administrator In Another State for 2 of Last 5 Years

Minnesota will waive its requirement for completion of academic courses in 9 specified areas for persons who hold licenses in other states who can show that they have actively and effectively practiced as an administrator in one or more nursing facilities within a single jurisdiction (state) for two continuous years within the immediate past five years. To show that their experience has been effective, applicants for experience credit must submit copies of the two most recent regulatory surveys of nursing facilities they have administered.

ACHCA Certification as a Nursing Home Administrator

A person who holds a current NHA license in another state and holds current certification as an NHA from the American College of Health Care Administrators may also have the course requirements waived. Information about eligibility requirements to obtain certification can be found on the ACHCA web site.
Persons licensed in other states who do not meet the above requirements should review the Requirements for Initial Licensure.

NAB Exam

Minnesota will accept passing NAB scores from any other state and from an administration of the exam at any time, provided that the applicant has remained continuously licensed as an administrator since completing the exam. Minnesota will also accept PES exam scores under the same conditions. If an applicant has had a lapse of licensure (in any/all states combined) for 2 years or more since being initially licensed, the applicant will be required to retake the NAB exam.

Minnesota State Exam

Minnesota requires all applicants to pass the state rules exam. This is a 34-item, multiple-choice, open-book exam testing the candidate's ability to read and interpret Minnesota Statutes and Rules pertaining to the operation of a nursing home in Minnesota. The exam is offered at the Board Office in Minneapolis. The Statutes and Rules books may be obtained by download MDH Rules  |  BELTSS Statutes & Rules
An application for the state exam will be sent after your licensure application has been received in our office.

Good Standing

Applicants who meet these requirements are encouraged to complete and submit an application for licensure. 

Minnesota must receive information from every state in which the applicant is or has ever been licensed as an administrator showing when and how long the applicant was licensed in that state and whether any disciplinary action was ever taken against the applicant's license.

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