Examination Resources



All candidates making application for licensure as a Nursing Home Administrator in Maryland are required to pass both the Maryland State's Standards Examination and the National Association of Long Term Care Administrator Boards (NAB) Examination.  The Maryland exam is a 100-question computer-based exam and the NAB exam is a 150-question computer-based exam.  To quality for the examinations, candidates must have completed a minimum of 8 months of the Administrator-In-Training program, or its equivalent, and the 100-hour course, if required.

Regulations Covered on State's Standards Examination

The Maryland State's Standards Examination covers sections of the Code of Maryland Regulations (COMAR) that apply to nursing facilities.  The breakdown of questions on the examination is as follows:

10.07.02 - 55 questions

10.07.09 - 20 questions

10.09.10 - 10 questions

10.09.24 - 5 questions

10.15.03 - 10 questions

When an applicant for the AIT program appears before the Credentials Committee for the initial interview, a binder of all regulations and a CD-ROM will be provided which contains all of the regulations covered on the examination.  Out-of-State licensees will be provided the binder and CD-ROM after the Board reviews and approves their application for endorsement.

State's Standards Examination

Effective April 1, 2013, the Maryland State's Standards examination is a computer-based test available online.  The examination is administered through the National Association of Long Term Care Administrator Boards (NAB).  Candidates for licensure can learn more about the Maryland exam and must register for the exam by going to the NAB website (www.nabweb.org) and clicking on the 'Examination' link.

NAB Examination

The National Association of Long Term Care Administrator Boards (NAB) administers the national examination.  Effective January 1, 2003, registration for the national examination must be completed online.  A candidate will require:

  • An internet-capable PC with attached printer

  • An internet connection (DSL or modem)

  • Internet Explorer (4.0 or better)

  • An e-mail account

  • A valid Visa or MasterCard

Candidates for licensure can learn more about the NAB exam and can register for the exam by going to the NAB website (www.nabweb.org) and clicking on the 'Examinations' link.


Pratt, John R., (2016-4th  Edition) Long Term Care: Managing Across the ContinuumSudberry, MA Jones and Bartlett Publishers

NAB Study Guide-How To Prepare for the Nursing Home Administrators Examination(5th Edition) Washington, DC National Association of Long Term Care Administrator Boards, Inc.

Singh, Douglas, A., (2010) Effective Management of Long-Term Care Facilities Sudbury, MA Jones and Bartlett Publishers

Davis, Winborn E., Townsend, Joseph E., (2013) The Principles of Health Care Administration Shreveport, LA BNB Systems.

Allen, James E., (2011-6th Edition) Nursing Home Administration New York, NY Springer Publishing Company, Inc.

The Long Term Care Survey (May 2013) Washington, DC American Health Care Association.

McSweeney-Feld, Mary Helen and Reid Oetjen, editors (2012) Dimensions of Long-Term Care Management: An Introduction Chicago, IL  Health Administration Press.

Pozgar, George. Legal Aspects of Health Care Administration, 11th edition (2012). Jones and Bartlett Learning, LLC.


Gilster, Susan D., (2006) A Way of Life: Developing an Exemplary Alzheimer’s Disease and Dementia Program  Baltimore, MD Health Professions Press


Examinees are encouraged to visit the following websites for additional information related to nursing home administration:

U.S. Occupational Safety and Health Administration:https://www.osha.gov  Centers for Medicare and Medicaid Services: http://www.cms.gov

U.S. Department of Labor: http://www.dol.gov

National Fire Protection Association: www.nfpa.org

100-Hour Courses


AIT Resources, LLC
Flexible course that meets the Board's 100-hour course requirement.
Taught by an LNHA.

St. Joseph’s College of Maine
On-line option
Required courses: LTC 210 and LTC 450
(800) 752-4723
Web:  www.sjcme.edu
Email:  info@sjcme.edu​