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Long Term Care Career in Texas - TX

How to Become a Long Term Care Administrator in Texas

In order to legally practice as a long term care administrator or a nursing facility administrator, individuals must complete the following steps:


  1. Enroll in and complete a 200 clock-hour or 15 hour academic nursing home administrator course. Program must be administered by an accredited college or university. A bachelor degree in long term care is preferred.
  2. Complete a 1,000 hour long internship in long term care administration as an Administrator-In-Training (AIT). This internship must be at least 6 months in length and be supervised by a qualified professional.
  3. Visit the Texas Dept. of Aging and Disability Services, Long Term Care Division website and obtain an “Application for Nursing Facility Administrator’s License” form. Be prepared to submit information pertaining personal identification, college transcript documentation, academic degrees, professional registration in other states (if any), past disciplinary actions, employment details, and formal education attained. A recent photograph with also be required. The application processing fee is $100.
  4. The final step to gaining licensure and beginning long term care careers in Texas is to register to take a state and national nursing home administration competency examination. To apply for both the state and national exam, sponsored by the National Association of Boards of Examiners of Long Term Care Administrators, contact Slyvan Prometric testing center and register. If both exams are successfully passed, and license application is approved, a license to practice will be granted. The license with be valid for two years, at which point license must be renewed. In addition, 40 hours of documented and approved continuing education credits must accompany renewal.

Long Term Care Schools