Code of Massachusetts Regulations
245 CMR - BOARD OF REGISTRATION OF NURSING HOME ADMINISTRATORS
Title 245 CMR 3.00 - Licensure
Section 3.02 - Pre-licensure Completion of an Administrator in Training Program

Universal Citation: 245 MA Code of Regs 245.3

Current through Register 1518, March 29, 2024

To qualify for licensure, an applicant must have either completed a Board approved training program that meets the requirements of 245 CMR 3.02(1) (AIT program) or have obtained credit for completion of an AIT program in accordance with 245 CMR 3.02(3).

(1) AIT Program Requirements.

(a) Facility. An AIT program shall take place at a skilled nursing facility which has the capacity of at least 50 nursing beds.

(b) Preceptor. An AIT program must be conducted under the direct supervision of a preceptor who:
1. holds a current license to practice as a nursing home administrator issued by the Board that is in good standing;

2. has practiced as a full-time nursing home administrator for at least five years immediately preceding the preceptorship; and

3. serves as the full-time administrator at the facility where the training will take place, except as may be otherwise approved by the Board.

(c) Study-plan. The AIT and the preceptor must prepare a clinical training experience study plan that:
1. integrates the AIT's education and clinical practice;

2. acquaints the AIT with the particular patient population, the clinical health professionals in the field of long-term health care and the range of service programs offered in the facility;

3. provides the AIT with tutorial education and training in the specific competencies to function as a nursing home administrator.

(d) Agreement. The AIT and the preceptor must enter into a written agreement that specifies, at a minimum:
1. Duration of the AIT program;

2. Responsibilities to be fulfilled by the preceptor and the AIT;

3. Frequency of preceptor and applicant meetings, which may be no less than weekly;

4. Manner in which the preceptor will monitor the AIT's progress;

5. Report by the preceptor to the Board at three month intervals evaluating the AIT's performance during the prior three months.

(2) Board-approval. Prior to commencing an AIT program, an AIT applicant must obtain Board approval by submitting:

(a) A completed, signed application form as specified by the Board for this purpose and must be accompanied by:
1. Documentation of successful completion of a course of study and award of a degree meeting the requirements of 245 CMR 3.03(1);

2. Documentation of a proposed AIT program meeting the requirements of 245 CMR 3.01(1) including, but not limited to, a copy of a Study Plan meeting the requirements of 245 CMR 3.02(1)(c) and a copy of a fully executed agreement meeting the requirements of 245 CMR 3.02(1)(d); and

3. Additional documentation as the Board may require demonstrating the individual is of good moral character, and suitable and fit to be licensed to practice as a nursing home administrator.

(b) Payment of the AIT application fee in the amount set by the Executive Office of Administration and Finance pursuant to M.G.L. c. 7, § 3B, unless waived in accordance with M.G.L. c. 112, § 1B.

(3) Credit Toward Completion of AIT Requirement.

(a) Credit may be given toward completion of the AIT program to any applicant who furnishes written proof satisfactory to the Board of either of the following:
1. Satisfactory completion of an on-site internship, which meets the requirements of 245 CMR 3.02(1) as part of his or her graduate or undergraduate degree program; or

2. Work experience in a skilled nursing facility which, in the opinion of the Board, is substantially equivalent to an AIT program meeting the requirements of 245 CMR 3.02(1).

(b) An applicant requesting credit toward completion of the AIT program requirement pursuant to this section may be required to appear personally before the Board. The Board shall notify the applicant in writing of its decision.

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