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Continuing Education
Coming Soon
CE Nursing Home Administrator
The course equips licensed nursing home administrators with mastery of 42 CFR Part 483, survey processes, deficiency categories, QAPI, and resident rights, ensuring compliance and quality care.
Who Should Take This
It is designed for current nursing home administrators, senior managers, and aspiring directors who have at least one year of facility leadership experience and need to maintain licensure and improve operational performance. Participants seek to deepen regulatory expertise, enhance survey readiness, and implement effective quality improvement and resident‑rights programs.
What's Included in AccelaStudy® AI
Adaptive Knowledge Graph
Practice Questions
Lesson Modules
Console Simulator Labs
Exam Tips & Strategy
20 Activity Formats
Course Outline
66 learning goals
1
Federal Requirements (42 CFR Part 483)
1 topic
Participation requirements
- Recognize the scope and purpose of 42 CFR Part 483 as the federal requirements for participation of long-term care facilities in Medicare and Medicaid programs.
- Describe the conditions of participation including resident rights, quality of life, quality of care, nursing services, and administration requirements.
- Explain the requirements for facility assessment including evaluation of resident population, staff competencies, physical environment, and resources needed.
- Describe the Phase 2 and Phase 3 updates to the Requirements of Participation and their impact on facility operations and compliance obligations.
- Analyze a facility's compliance status against 42 CFR Part 483 requirements and identify regulatory gaps requiring corrective action.
2
Survey Process
1 topic
State survey and enforcement
- Recognize the structure of the state survey process including standard surveys, complaint investigations, and revisit surveys.
- Describe the survey methodology including the Resident-Centered Quality Investigation Protocol and the use of the Survey Pathways.
- Explain the informal dispute resolution process and the formal appeal procedures available to facilities receiving deficiency citations.
- Describe the enforcement actions CMS may impose including civil money penalties, denial of payment, directed plan of correction, and termination from Medicare/Medicaid.
- Analyze survey findings to develop a comprehensive plan of correction that addresses root causes and includes measurable compliance milestones.
3
Deficiency Categories and F-Tags
1 topic
F-tag system and scope/severity
- Recognize the F-tag numbering system and the major regulatory groupings including resident rights, quality of care, pharmacy, infection control, and administration.
- Describe the scope and severity grid used to classify deficiencies from isolated with no actual harm through widespread with immediate jeopardy.
- Explain the regulatory criteria for immediate jeopardy determination and the facility's obligations upon notification of an IJ citation.
- Describe the most frequently cited F-tags including those related to quality of care, infection control, accident prevention, and resident assessment.
- Analyze deficiency citation trends at a facility to identify systemic compliance issues and develop targeted quality improvement interventions.
4
QAPI Programs
1 topic
Quality assurance and performance improvement
- Recognize the five elements of a QAPI program: design and scope, governance and leadership, feedback and data systems, performance improvement projects, and systematic analysis.
- Describe how to establish a QAPI committee including membership, meeting frequency, data review processes, and reporting structures.
- Explain the process of conducting a performance improvement project including problem identification, root cause analysis, intervention design, and outcome measurement.
- Describe the use of quality indicators and quality measures from CMS including Five-Star ratings, Nursing Home Compare, and CASPER reports.
- Analyze facility quality data from multiple sources to identify priority areas for performance improvement and justify resource allocation decisions.
- Synthesize a comprehensive annual QAPI plan that integrates quality indicators, performance improvement projects, and staff engagement strategies.
5
Resident Rights
1 topic
Rights protection and advocacy
- Identify the resident rights protected under 42 CFR Part 483 including dignity, self-determination, privacy, communication, and freedom from abuse and restraint.
- Describe the requirements for advance directives, informed consent for treatment, and the right to refuse treatment in long-term care settings.
- Explain the admission, transfer, and discharge rights of residents including notice requirements, appeal processes, and bed-hold policies.
- Describe the role of the resident council and family council in facility governance and the administrator's obligations to support these councils.
- Describe the requirements for grievance procedures including the right to file complaints, investigation timelines, and resolution documentation.
- Analyze scenarios involving potential resident rights violations and determine the appropriate administrative response and corrective action.
6
MDS Assessment
1 topic
Minimum Data Set and care planning
- Recognize the purpose and structure of the Minimum Data Set 3.0 as a comprehensive assessment instrument for nursing home residents.
- Describe the MDS assessment schedule including admission, quarterly, annual, significant change, and significant correction assessments.
- Explain how MDS data drives the Resource Utilization Groups payment system and its relationship to Medicare reimbursement under PDPM.
- Describe the care area assessment process including CAA triggers, care area summaries, and the link between MDS findings and individualized care planning.
- Explain the MDS quality measures used in Five-Star ratings and Nursing Home Compare and how they drive public reporting of facility performance.
- Analyze MDS assessment accuracy and completeness to identify coding errors that affect care planning, quality measures, and reimbursement.
7
Staffing Requirements
1 topic
Staffing levels and competency
- Recognize the federal staffing requirements for nursing homes including registered nurse, licensed nurse, and nurse aide minimum staffing standards.
- Describe the requirements for nurse aide training and competency evaluation programs including state-approved curricula and testing procedures.
- Explain the CMS staffing data reporting requirements under the Payroll-Based Journal system and its use in Five-Star staffing ratings.
- Describe the requirements for staff competency assessment, in-service training, and continuing education including dementia care and abuse prevention training.
- Analyze staffing patterns and resident acuity data to determine whether current staffing levels meet regulatory requirements and quality care standards.
- Synthesize a staffing plan that aligns nurse staffing levels with resident acuity, regulatory requirements, and quality performance targets.
8
Emergency Preparedness
1 topic
Emergency planning and response
- Recognize the CMS Emergency Preparedness Rule requirements for long-term care facilities including the four core elements.
- Describe the required components of an emergency plan including risk assessment, communication plan, policies and procedures, and training/testing program.
- Explain the requirements for emergency preparedness training and testing including annual full-scale exercises and tabletop exercises.
- Describe the planning requirements for sheltering in place versus evacuation including transportation arrangements, mutual aid agreements, and resident tracking.
- Analyze an emergency preparedness plan to identify gaps in hazard vulnerability assessment, communication protocols, and resource availability.
- Synthesize a comprehensive emergency preparedness program addressing all-hazards planning, staff training, annual exercises, and after-action review processes.
9
Financial Management and Compliance
1 topic
Regulatory financial requirements
- Identify the financial management requirements for nursing home administrators including cost reporting, trust fund management, and Medicaid billing compliance.
- Describe the Patient-Driven Payment Model including its component categories, case-mix classification, and impact on clinical documentation requirements.
- Explain the requirements for resident trust fund management including accounting procedures, interest obligations, and return of funds upon death or discharge.
- Analyze facility financial performance data in relation to quality metrics to evaluate whether resource allocation supports regulatory compliance and care outcomes.
- Describe the administrator's obligations for Medicare and Medicaid fraud prevention including the False Claims Act, Anti-Kickback Statute, and compliance program requirements.
- Synthesize a facility compliance program addressing billing accuracy, documentation integrity, fraud prevention training, and internal monitoring procedures.
10
Infection Prevention and Control
1 topic
IPCP requirements
- Recognize the regulatory requirements for an infection prevention and control program including the designated infection preventionist and antibiotic stewardship.
- Describe the components of a facility-wide infection surveillance program including tracking infections, analyzing trends, and reporting to public health agencies.
- Explain the antibiotic stewardship program requirements for nursing homes including monitoring prescribing patterns, provider education, and outcome tracking.
- Analyze facility infection data to identify outbreak patterns and evaluate the effectiveness of infection prevention interventions.
11
Abuse Prevention and Reporting
1 topic
Abuse prevention program
- Identify the types of abuse covered by federal nursing home regulations including physical, verbal, sexual, mental abuse, and involuntary seclusion.
- Describe the facility's obligations for abuse prevention including screening, training, investigation, and protection of residents during investigations.
- Explain the mandatory reporting requirements for suspected abuse, neglect, and exploitation including timelines and reporting to state agencies and law enforcement.
- Analyze an abuse allegation scenario to determine the appropriate investigation process, interim protective measures, and regulatory reporting obligations.
- Synthesize a comprehensive abuse prevention program including staff screening, training, monitoring, investigation protocols, and resident protection measures.
12
Physical Environment and Life Safety
1 topic
Environment standards
- Recognize the Life Safety Code requirements applicable to nursing homes including fire safety, egress, construction standards, and annual inspection obligations.
- Describe the regulatory requirements for resident environment including temperature, lighting, housekeeping, pest control, and maintenance of comfortable living conditions.
- Analyze physical environment survey findings to prioritize capital improvements and maintenance interventions that address both regulatory compliance and quality of life.
13
Leadership and Professional Ethics
1 topic
Administrator ethical obligations
- Identify the professional ethical obligations of nursing home administrators including fiduciary duty, conflict of interest management, and ethical decision-making frameworks.
- Describe the administrator's role in fostering an ethical organizational culture that prioritizes resident welfare, staff engagement, and transparent communication.
- Analyze ethical dilemmas common in nursing home administration including resource allocation, end-of-life decision support, and competing stakeholder interests.
Scope
Included Topics
- 42 CFR Part 483 federal requirements for nursing facility participation in Medicare and Medicaid programs.
- State survey process including standard surveys, complaint investigations, enforcement actions, and dispute resolution.
- F-tag deficiency system, scope and severity grid, immediate jeopardy criteria, and frequently cited deficiencies.
- QAPI programs including five elements, committee structure, performance improvement projects, and quality indicators.
- Resident rights including dignity, self-determination, advance directives, transfer/discharge rights, and grievance procedures.
- MDS 3.0 assessment including schedule, PDPM payment system, care area assessments, and quality measures.
- Staffing requirements including minimum standards, nurse aide training, Payroll-Based Journal, and competency assessment.
- Emergency preparedness including CMS rule requirements, all-hazards planning, exercises, and after-action review.
- Financial management including PDPM, cost reporting, resident trust funds, and Medicaid billing compliance.
- Infection prevention and control program requirements including surveillance, antibiotic stewardship, and outbreak response.
- Abuse prevention including types, mandatory reporting, investigation obligations, and comprehensive prevention programs.
Not Covered
- Clinical nursing procedures or medical treatment protocols beyond administrator-level understanding.
- Advanced accounting, tax preparation, or financial auditing beyond regulatory compliance requirements.
- Construction management, architectural design, or detailed facility renovation planning.
- State-specific licensing requirements for individual nursing home administrator examinations.
- Advanced epidemiology or clinical research methodology beyond quality improvement applications.
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