Missouri Nursing Home Administrator License Exam Requirements
What the Missouri state exam covers, what passes, what it costs and what happens if you fail.
| Exam | Who takes it | Given by | Questions | Time | Pass | Fee | Sources checked |
|---|---|---|---|---|---|---|---|
| Missouri NHA state exam | Missouri nursing home administrator license candidates | NAB, for the Board | Not published | 120 minutes | 75% | $210 |
What does the Missouri state exam cover?
The Board's study page says it is developed from Missouri's current long-term care facility regulations and laws: Chapter 198, RSMo, the Department of Health and Senior Services rules in 19 CSR 30, and the Board's own law.
What score passes?
75% on the state exam. The national exam passes at a scaled score of 113 (19 CSR 73-2.070).
Who gives the exam, and what does it cost?
NAB, at Pearson VUE test centers, for the Board. The Missouri exam costs $210 and has a two-hour time limit (NAB Exam Candidate Handbook, September 2026).
What if I fail?
After a third failure of either exam, you must complete a Board-approved course before you reapply (19 CSR 73-2.070).
Do these practice tests cover NAB's national exam?
No. They cover only the state exam. NAB's national exam, its Core of Knowledge exam plus the nursing home administrator line of service exam, is a separate test, and candidates must pass both parts (NAB Exam Candidate Handbook, September 2026).