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South Dakota · verified 2026-07-29

Nursing home administrator license requirements in South Dakota.

How do I become a licensed nursing home administrator in South Dakota?

To become a licensed nursing home administrator in South Dakota, you need 60+ college semester hours, an Administrator-in-Training program of 240 hours, and the national NAB CORE of Knowledge and Nursing Home Administrator exams, plus this jurisdiction's own exam. The initial fee is about $490, and licenses renew with 40 continuing-education hours on a biennial cycle.

The detail

Every requirement, sourced and dated

Board
South Dakota Board of Nursing Facility Administrators Board source · checked 2026-07-29
Education floor
60+ college semester hours At least an associate degree, verified by certified transcripts, is required as the education floor (ARSD 20:49:04:01). Board source · checked 2026-07-29
Administrator-in-Training hours
240 hours
  • 240 hours: Administrator-in-Training program: a minimum of 240 hours completed within 6 consecutive months, under a Board-approved preceptor, using the Board's internship manual and reporting forms (ARSD 20:49:01:01). South Dakota also accepts, in lieu of the AIT program within the preceding 4 years, a long-term healthcare administration practicum from an institution accredited by the Council for Higher Education Accreditation (CHEA), with no separate hour count published in the rule for that alternative (ARSD 20:49:04:01).
Board source · checked 2026-07-29
National NAB exams
Required (CORE of Knowledge + Nursing Home Administrator) The computer-based Nursing Home Administrators Licensing Examination, or the Core of Knowledge Examination plus the corresponding Line of Service Examination (both administered by NAB), scaled passing score 113 (ARSD 20:49:03:01). Board source · checked 2026-07-29
Separate state exam
Required South Dakota requires its own state examination on the South Dakota Department of Health's nursing facility rules, 75% passing score, in addition to the national NAB exam; a $100 nonrefundable state exam fee applies (ARSD 20:49:03:01). Board source · checked 2026-07-29
Initial license fee
$490 $390 nonrefundable application fee (ARSD 20:49:04:01) plus a $100 nonrefundable South Dakota state examination fee (ARSD 20:49:03:01) equal $490. The national NAB examination fee is paid separately to NAB. Board source · checked 2026-07-29
Renewal fee
$390 $390 nonrefundable biennial renewal fee. Licensees renew by December 31 of each even-numbered year; active practice is not required to maintain the license (ARSD 20:49:08:01, 20:49:08:01.01). Board source · checked 2026-07-29
Continuing education
40 hours per biennial cycle 40 hours minimum of continuing education directly related to nursing facility administration, health care, health care administration, or business administration, per 2-year renewal cycle (ARSD 20:49:08:03). Board source · checked 2026-07-29
Reciprocity / endorsement
by exam only Reciprocal licensure ($390 nonrefundable fee) requires a certified license verification from every other jurisdiction, an associate degree, an AIT program or CHEA-accredited practicum or 6 consecutive months as administrator of a licensed nursing facility, and passage of BOTH the national NAB exam and South Dakota's own state exam on Department of Health nursing facility rules; South Dakota does not waive its own exam for reciprocal applicants (ARSD 20:49:06:01). Board source · checked 2026-07-29

Statutes and rules: South Dakota Codified Laws Chapter 36-28 (Nursing Facility Administrators); Administrative Rules of South Dakota, Article 20:49. Figures change on the board's own schedule. Confirm against the board before you apply or pay.

Next step

Make it personal

  1. Get your checklist. The requirements wizard resolves South Dakota's requirements for your exact degree.
  2. Plan your hours. The AIT-hours tracker turns South Dakota's hour target into a finish date.
  3. Moving here from another state? The reciprocity checker reads South Dakota's endorsement rule.