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New Hampshire Nursing Home Administrator License Requirements

What it takes to become a licensed nursing home administrator in New Hampshire: 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.

nhaexamprep.com · updated July 2026

New Hampshire at a glance

AIT requirementVaries
National examsNAB Core of Knowledge + NHA Line of Service (both required)
State examRequired, in addition to the NAB exams
Continuing education40 hours biennial
Official sourcesoplc.nh.gov · nabweb.org (state exam)

Verified against the sources above, July 2026. Requirements change; the board's current published rule is always the final word.

The AIT requirement in New Hampshire

New Hampshire does not publish a single AIT hour figure. The requirement depends on your education and experience, so confirm your individual pathway with the state board.

WHAT THE VERIFIED RECORD SAYS
No published AIT hour figure. RSA 151-A requires a bachelor's plus institutional-administration training or experience set by Board rule (Nuh 300), with waivers possible. Confirm with the NH Board at OPLC.

States like this set the training requirement by pathway rather than as one number: your degree, your prior long-term care experience, and sometimes a completed health care administration program each map to a different AIT obligation. That makes the board conversation the real first step, and it is worth having before you commit to a preceptor or a timeline.

Compare this against every other jurisdiction on AIT Hours by State.

Plan your New Hampshire AIT hours, free

The interactive AIT Planner turns the New Hampshire 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 Planner

The exams you must pass

Licensure 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.

New Hampshire 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.

Where to find an AIT program or preceptor in New Hampshire

State associations: New Hampshire Health Care Association · LeadingAge Maine & New Hampshire. 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.

The rules behind the New Hampshire license

These are the legal sources that govern nursing home administrator licensure in New Hampshire. 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.

Common questions

How many AIT hours does New Hampshire require for a nursing home administrator license?

New Hampshire does not publish a single AIT hour figure. The requirement depends on your education and experience, so confirm your individual pathway with the state board. No published AIT hour figure. RSA 151-A requires a bachelor's plus institutional-administration training or experience set by Board rule (Nuh 300), with waivers possible. Confirm with the NH Board at OPLC.

What exams are required for an NHA license in New Hampshire?

Candidates in New Hampshire take the NAB Core of Knowledge exam and the NHA Line of Service exam, and New Hampshire also requires a state exam. Confirm the current exam list with the state board before you apply.

What are the continuing education requirements for nursing home administrators in New Hampshire?

Licensed administrators in New Hampshire must complete 40 hours biennial of continuing education. CE rules change between renewal cycles, so verify the current requirement with the state board.

Where can I find an approved AIT program or preceptor in New Hampshire?

The state trade associations, New Hampshire Health Care Association and LeadingAge Maine & New Hampshire, 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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