| Updated: |
8/4/2009 |
| Description: |
Issued when a vacancy has occurred at a nursing Home and an Oregon licensed Nursing Home Administrator (NHA) is not readily available. A provisional license is a temporary license that remains in effect for 100 days and may be renewed for an additional 100 days. Provisional licenses are specific to a nursing home, thus a new license is required if the employee secures employment at another facility. A provisional license may be issued to a qualifying employee who is knowledgeable about nursing home operations or to a person seeking endorsement/reciprocity from another state.
A provisional license is specific to the facility and is not portable.
Similar Keywords: homes, long-term care, skilled, intermediate care, assisted living
More information. |
| Statutes, Rules, Ordinances: |
ORS 678.760
OAR 853-010-0035
|
| Duration: |
100 days |
| Fees - application, exam, etc.: |
$300 |
| Responsible Agency: |
Health Licensing Agency |
| Fee Exemptions: |
None |
| Examination Information: |
None |
| Bonding Requirements: |
None |
| Insurance Requirements: |
None |
| Prerequisites: |
- Baccalaureate degree or higher from an accredited school of higher education (waived if applicant holds an NHA license issued prior to January 1, 1983).
- Experience with and knowledge of facility operations or current licensure in another state.
- Is of good moral character and in good physical and mental health.
- Criminal history free of felony convictions.
- Apply to the Board and remit required fee.
|
| Application Form: |
Provisional License Application |
| Renewals: |
Provisional licenses are valid for 100 days and may be renewed for an additional 100 days. |
| Service Links: |
 Licensee Search
 Provisional License Application
Agency Contact Information
|
| Required Documentation: |
- Application and fee
- Resume demonstrating work history
- Official college transcript
- Two letters of reference
- License verification for those states where an applicant is or was a licensed nursing home administrator(if applicable)
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Agency Information
|
|
Please refer to the Agency Website for further details and additional information.
|
| Agency Name: |
Health Licensing Agency |
| E-mail Address: |
ohla.info@state.or.us
|
| Phone: |
503-378-8667
|
| Mail Address: |
Oregon Health Licensing Agency
700 Summer Street NE, Suite 320
Salem, OR 97301
- 1287
|
| Website Information: |
http://egov.oregon.gov/HLO/ |
