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This website publishes administrative rules on their effective dates, as designated by the adopting state agencies, colleges, and universities.

Rule 4751-1-14 | Recognition of out-of state license.


(A) The board, in its discretion, and otherwise subject to the provisions of Chapter 4751. of the Revised Code and this chapter, may license a nursing home administrator if the administrator has a valid license issued by the proper authorities of any other state or political subdivision of the United States, upon payment of the required fee as provided in rule 4751-1-16 of the Administrative Code, provided:

(1) Such other state or subdivision of the United States maintained a system and standard of qualifications and examinations for a nursing home administrator license, which were substantially equivalent to those required in the state of Ohio;

(2) Applicant has at least nine to twelve months' experience as a nursing facility administrator, through an internship or actual experience;

(3) Applicant is familiar with Ohio's laws and rules relative to the licensure of the facility and to the licensure of the administrator and has successfully passed the board's examination on Ohio laws and rules each time that re-licensure is required;

(4) Applicant holds a valid license which has not been revoked in any state within three years of the time of application for licensure;

(5) Applicant's license has not been suspended in any state within one year of the time of application for licensure.

(B) The applicant must complete a background check (BCI and FBI) with the results sent directly to the board office.

(C) The applicant must compete a "Report of Conviction Form" (March 2020), if applicable, available from the board office or at

(D) Except as provided in rule 3701-13-06 of the Administrative Code, the board shall not license, register, or certify a applicant if the applicant has been convicted of a violation of rule 3701-13-05 of the Administrative Code.

(E) The board, in accordance with section 9.79 of the Revised Code, has determined that the results of the background check do not make the individual ineligible for the license.

(F) If the applicant meets all of the requirements in paragraphs (A) to (E) of this rule and is also a certified administrator in good standing with the American college of health care administrators, or a health services executive, the executive secretary of the board may authorize the applicant to sit for the state examination and issue the license, registration, or certification, provided a passing score is obtained, without prior board approval. The issuance shall be presented for the board's ratification at the next meeting of the board.

(G) If the applicant's administrative experience is less than the board's requirement, the board may require the applicant to complete an internship and the core of knowledge class to reach the equivalent experience required.

Last updated February 1, 2022 at 9:08 AM

Supplemental Information

Authorized By: 4751.04; Section 1908(c)(1) of the Social Security Act, 42 U.S.C. 1396g; 42 C.F.R. 431.707, 431.708
Amplifies: 4751.01(D), 4751.08; Section 1908(c)(1) of the Social Security Act, 42 U.S.C. 1396g; 42 C.F.R. 431.707, 431.708, 431.712
Five Year Review Date: 2/1/2027
Prior Effective Dates: 10/1/1974, 10/16/1983, 1/1/1999, 6/1/2014, 10/1/2015, 8/1/2017, 2/17/2019