State Representative

Domains of Practice

Domains of Practice – 2022

Every five years the National Association of Long Term Care Administrator Boards (NAB) conducts a Professional Practice Analysis (PPA) to ensure that the NAB licensure exams accurately represent the current scope of practice of the profession of Senior Living and Health Services. The new PPA serves as the foundation for the exams, as well as content for continuing education, academic programs, exam prep study material, and standards of practice for state licensing boards.

While most of the knowledge and tasks have not changed significantly, they have been realigned under four content domains, where there were previously five.

New Domains, effective with July 1, 2022 Exams

  1. Care, Services, and Supports
  2. Operations
  3. Environment and Quality
  4. Leadership and Strategy

Former Domains, effective July 5, 2017 to June 30, 2022

  1. Customer Care, Supports, and Services
  2. Human Resource
  3. Finance
  4. Environment
  5. Management and Leadership

Please download the new domains of practice:

 Click here to access NAB's previous Domains of Practice, effective July 2017 to July 1, 2022.

Exam Score History

Prior to July 1, 2017, the national NHA and RCAL exams included a single score encompassing both NHA and CORE or RCAL and CORE content. Beginning July 1, 2017, the exams were separated and results for the NHA, RCAL, and CORE content were all reported separately. Therefore before July 1, 2017 there will only be one score available for the NHA or RCAL and two scores (NHA & CORE or RCAL & CORE) starting July 1, 2017.