Missouri Code of State Regulations
Title 19 - DEPARTMENT OF HEALTH AND SENIOR SERVICES
Division 73 - Missouri Board of Nursing Home Administrators
Chapter 2 - General Rules
Section 19 CSR 73-2.070 - Examination

(1) The board shall approve the content and form of all examinations administered to applicants for licensure.

(2) The examination(s) must be taken within twelve (12) months of the written notice of board evaluation and qualification. Failure to do so will cause full reapplication to be necessary.

(3) Qualified applicants will be eligible to take the appropriate licensure-level (nursing home administrator license or residential care and assisted living administrator license) national examination through the National Association of Boards of Examiners of Long Term Care Administrators (NAB).

(4) Qualified applicants will be eligible to take the appropriate licensure-level (nursing home administrator license or residential care and assisted living administrator license) state examination prescribed by the board.

(5) Individuals making initial application for licensure, within twenty-one (21) days of a board meeting date, may be required to wait until a subsequent date to be evaluated.

(6) Applicants shall obtain a passing score on the examination(s) prescribed by the board. The passing score shall be based upon the scale score passing point of one hundred thirteen (113) on the national examination and seventy-five percent (75%) on the state examination.

(7) If an applicant fails to make a passing grade on one or both of the required examinations, the applicant may make application for reexamination and pay the required fees. If an applicant fails only one of the required examinations and then fails to retake and pass the examination within a twelve (12)-month period, the applicant shall be required to take and pass both examinations before the board will issue the applicant a license.

(8) If an applicant fails either of the examination(s) a third time, the applicant must complete a course of instruction prescribed and approved by the board. After completion of the board-prescribed course of instruction, the applicant may reapply for board-approved examination(s). No applicant shall be licensed by the board after a third licensure examination failure unless the applicant successfully completes the board-prescribed course of instruction and passes the board-approved examination(s). With regard to any nationally certified examination required for licensure, no examination scores from other states shall be recognized by the board after the applicant has failed for a third time to pass the examination.