Code of Massachusetts Regulations 245 CMR - BOARD OF REGISTRATION OF NURSING HOME ADMINISTRATORS
Here’s a clear breakdown of 245 CMR—Massachusetts’ regulatory framework for Nursing Home Administrators, governed by the Board of Registration of Nursing Home Administrators:
📘 1. 245 CMR 2.00 – Purpose, Definitions & Severability
This section establishes the foundational context: definitions, scope, and the Board’s authority to license and regulate nursing home administrators (mass.gov).
2. 245 CMR 3.00 – Licensure Requirements
Covers eligibility, application, renewal, and retirement:
Applicants must be ≥ 18 years old, of good moral character, pass the licensure exam, and meet either:
A Board-approved AIT (Administrator in Training) program of ≥ 3 months plus a master’s or higher in specific fields (e.g., gerontology, public health)
A Board-approved AIT program of ≥ 6 months plus a bachelor’s degree (regulations.justia.com).
Additional requirements include submission of an application, educational documents, proofs of character, and payment of fees .
3. 245 CMR 4.00 – Continuing Education
Licensees must complete 40 contact hours of approved continuing education every two years (from July of even years to June 30 of the next even year). Records must be retained for four years; the Board conducts occasional audits (mass.gov).
Additionally, serving as an AIT preceptor can count toward CEUs (up to 20 credits over two years) (mass.gov).
4. 245 CMR 5.00 – Professional & Ethical Standards
Defines the expected conduct of nursing home administrators—covering duties, ethics, confidentiality, and professional behavior. You can download the complete PDF of this section from Mass.gov (mass.gov).
5. 245 CMR 6.00 – Investigations, Complaints & Board Actions
Outlines the processes for filing complaints, conducting investigations, disciplinary measures, hearings, and sanctions (mass.gov).
✅ Summary Table
Section
Focus Area
2.00
Definitions, scope, Board authority
3.00
Licensure eligibility & application
4.00
Continuing education & AIT preceptorship
5.00
Professional ethics & conduct standards
6.00
Investigations, complaints & discipline
📥 How to Access the Texts
Each section (2.00–6.00) is available individually as PDFs via Mass.gov through the Trial Court Law Libraries. These pages include download links for the official documents.
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