Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 172 - PROFESSIONAL AND OCCUPATIONAL LICENSURE
Chapter 106 - NURSING HOME ADMINISTRATORS
Section 172-106-009 - PROVISIONAL LICENSE AS A NURSING HOME ADMINISTRATOR

Universal Citation: 172 NE Admin Rules and Regs ch 106 ยง 009

Current through March 20, 2024

To obtain a provisional license, an individual must submit a complete application provided by the Department and provide documentation demonstrating that the applicant meets the credentialing requirements of Neb. Rev. Stat. § 38-2423, 172 NAC 10, and this chapter.

009.01 APPLICATION. The applicant must provide the following:

(A) Name of facility to be employed;

(B) Address of facility;

(C) Name of previous administrator of facility; and

(D) Signed affidavit of designation of a provisional license, completed by the owner, governing body, or other appropriate authority of the nursing home or home for the aged or infirm which includes:
(i) Name of chairperson, governing body, or similar authority of the nursing home;

(ii) Name of applicant requesting a provisional license;

(iii) Name of previous administrator;

(iv) Proposed starting date; and

(v) Reason for request, such as death of previous administrator, medical emergency, unexpected resignation of the licensed administrator.

009.02 PROVISIONAL LICENSE RE-ISSUED. A provisional license issued to an individual may be re-issued one time for an additional 6-month period for the same facility, upon approval and submission of a new application under this section.

009.03 MENTORING TRAINEE AND PROVISIONAL LICENSEE. A person in a mentoring program may serve as the provisional licensee while completing the mentoring training program.

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