Nursing Home Administrator

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Now Live: Easier Online License Applications and ​Renewals!

​LicensE is your online, self-guided occupational license application platform. 

Please review the helpful links below:

  • Find step-by-step instruction for license renewal here.
  • Find a list of license renewals available via LicensE in the chart on the LicensE Customer Information page.
  • Find all licenses available via LicensE, plus user guides and other resources, on the LicensE Customer Information page.
  • Anyone applying for an initial license for any of the credentials listed can apply at license.wi.gov.

Our LicensE Application Status Lookup tool makes it easier for employees, and helps academic advisors support students during the license application process. To access the Application Status Lookup tool, you will need the applicant's 10-digit PAR number. An applicant may provide the number to anyone who could support their application. Find more information in our news release about this tool. ​​

​License Information​

Pre-Credential Education and Experience Information

Education and experience requirement information is available on the Pre-Credential Education Information​ web page. ​

Course or ​​Program Providers 

Education providers seeking Nursing Home Administrators Board review and approval of a course or program can find information on the Pre-Credential Education Information​​ web page. Once you arrive at the web page,  information and materials about the process can be found in the form located under the "FOR EDUCATORS" heading.​​​

​Per Wis. Stat. § 440.08 (2), the required renewal date for the Nursing Home Administrator credential is 06/30/ each even-number year​.  Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.


Application for Licensure

FormDescription
1573Information for Examination
418Information for Nursing Home Administrator License
​3217​Application for Fee Reduction (If applying for a fee reduction, this form must accompany the application for the credential.)
71Verification of Experience in the Field of Institutional Administration (if applicable)
2470Reciprocity Experience Record (Reciprocal Applicants Only)
419Verification of Licensure (Reciprocal Applicants Only)
​3085​Application for Predetermination (Optional-Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal or state law in this state or any other and you desire a review of your conviction record before applying for a credential.)​
2252​Convictions and Pending Charges (if applicable)

Renewal Information

Requirements

  • FEE (See Renewal Dates and Fees)
  • SIG  (Signature regarding the completion of Continuing Education, see Continuing Education Information, included in on-line renewal and paper form)
  • If your legal status as a qualified alien or nonimmigrant lawfully present in the United States has changed since the issuance of your credential or your last renewal, please contact the Wisconsin Department of Safety and Professional Services at (608) 266-2112 or dsps@wisconsin.gov.

Renewal Method

FormDescription
RDAFRenewal Dates and Fees
R210Active Duty/Discharge Renewal Extension
2254
​Convictions and Pending Charges (if applicable for renewal)

Wisconsin Act 210 (effective June 1, 2012)

This Act extends the license of a service member if the license expires while they are on active duty from 90 days to 180 days from the date of discharge. The same applies to a spouse of a service member if the spouse does not practice under their license while the service member is on active duty and does not practice because the service member is on active duty.

This Act repeals a provision of prior law that required a service member to meet all of the requirements for license extension or renewal, except for continuing education requirements, in order to have the license extended.

Service members and spouses may request extensions of licenses beyond 180 days from discharge and may request a waiver or extension of time to complete continuing education requirements due to hardship. Please view Active Duty/Discharge Renewal Extension Form #R210.