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North Dakota Nursing Home Administrator License Requirements

What it takes to become a licensed nursing home administrator in North Dakota: 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

North Dakota at a glance

AIT requirement480 hrs
National examsNAB Core of Knowledge + NHA Line of Service (both required)
State examRequired, in addition to the NAB exams
Continuing education20 hours annual
Official sourcesndlegis.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 North Dakota

North Dakota requires a minimum of 480 Administrator-in-Training (AIT) hours.

WHAT THE VERIFIED RECORD SAYS
Board-approved AIT of 480 hours, set by Board policy. Bachelor's required (or associate degree plus five of the last six years licensed practice); alternatives include two years licensed practice, ACHCA certification, or the NAB HSE credential.

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

Plan your North Dakota AIT hours, free

The interactive AIT Planner turns the North Dakota 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.

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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.

North Dakota 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 North Dakota

Board-published preceptor and program lists: ND Board of Examiners. When the board publishes a list, start there; every name on it is pre-approved.

State associations: North Dakota Long Term Care Association. 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 North Dakota license

These are the legal sources that govern nursing home administrator licensure in North Dakota. 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 North Dakota require for a nursing home administrator license?

North Dakota requires a minimum of 480 Administrator-in-Training (AIT) hours. Board-approved AIT of 480 hours, set by Board policy. Bachelor's required (or associate degree plus five of the last six years licensed practice); alternatives include two years licensed practice, ACHCA certification, or the NAB HSE credential.

What exams are required for an NHA license in North Dakota?

Candidates in North Dakota take the NAB Core of Knowledge exam and the NHA Line of Service exam, and North Dakota 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 North Dakota?

Licensed administrators in North Dakota must complete 20 hours annual 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 North Dakota?

The state board publishes a list of approved preceptors and AIT programs: ND Board of Examiners. The state trade associations, North Dakota Long Term Care Association, 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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