What it takes to become a licensed nursing home administrator in Missouri: the Administrator-in-Training (AIT) requirement, the exams, continuing education, and where to find an approved program or preceptor. Every figure below is cited to its official source.
| AIT requirement | 500–2,000 hrs |
|---|---|
| National exams | NAB Core of Knowledge + NHA Line of Service (both required) |
| State exam | Required, in addition to the NAB exams |
| Continuing education | 40 hours biennial |
| Official sources | nabweb.org |
Verified against the sources above, July 2026. Requirements change; the board's current published rule is always the final word.
Missouri requires between 500 and 2,000 Administrator-in-Training (AIT) hours, depending on your qualifications.
Compare this against every other jurisdiction on AIT Hours by State.
The interactive AIT Planner turns the Missouri requirement into a live hours-allocation plan across all eleven department rotations, with a self-assessment that shapes where your hours go. No account needed.
Open the free AIT PlannerLicensure in every state runs through two national exams from NAB (the National Association of Long Term Care Administrator Boards): the Core of Knowledge exam, 125 questions in 150 minutes, and the NHA Line of Service exam, 75 questions in 90 minutes. Both are computer-based, multiple choice, and delivered at Pearson VUE testing centers. We break down the structure in NAB Exam Format and the content in The Core Domains Explained.
Missouri adds a state exam on top of the two NAB exams. State exams usually cover the state's own licensure rules and facility regulations; the board's candidate materials describe the current format and how to register. What these exams cover and how to prepare is in State NHA Exams Explained.
Board-published preceptor and program lists: Missouri Board of NHA. When the board publishes a list, start there; every name on it is pre-approved.
State associations: Missouri Health Care Association · LeadingAge Missouri. Association staff know which member facilities host AITs and which administrators precept, and many run their own AIT or licensure-prep programming.
For the full step-by-step on approaching facilities and preceptors, see How to Find an AIT Preceptor and an Approved Program.
These are the legal sources that govern nursing home administrator licensure in Missouri. If your state requires a state exam, its questions are drawn from material like this, and the board's candidate information usually names the exact chapters to study.
Citations verified against official sources, July 2026. Provided for reference, not legal advice; the current official text governs. Mirrors are labeled where an official public link is not available.
Missouri requires between 500 and 2,000 Administrator-in-Training (AIT) hours, depending on your qualifications. High school minimum; biennial renewal. CE 40 hours biennial.
Candidates in Missouri take the NAB Core of Knowledge exam and the NHA Line of Service exam, and Missouri also requires a state exam. Confirm the current exam list with the state board before you apply.
Licensed administrators in Missouri must complete 40 hours biennial of continuing education. CE rules change between renewal cycles, so verify the current requirement with the state board.
The state board publishes a list of approved preceptors and AIT programs: Missouri Board of NHA. The state trade associations, Missouri Health Care Association and LeadingAge Missouri, are the other practical starting point: they run programs, know active preceptors, and can point you to member facilities that train AITs.
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