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Verified by MO Board of Healthcare

Nursing Home Administrator Licensing in Missouri

Review current requirements, exam details, renewal cycle, and salary outlook for nursing home administrator in Missouri, including See agency and board contact links.

Last verified: Feb 17, 2026

Current

Application Fee

See agency

Exam Requirement

Third-party exam required

Renewal Cycle

See board renewal rules

Licensing Blueprint for Nursing Home Administrator in Missouri

Estimated timeline: Varies by board

Core Requirements

  1. 1

    Education: Degree required.

  2. 2

    Experience: No experience required.

  3. 3

    Background/Criminal Review: No criminal record prohibitions.

  4. 4

    Certification: Certification required.

  5. 5

    License Type: Stand-alone license.

  6. 6

    Certification as a Nurse Midwife requires an education beyond the basic nursing education and certification by the American College of Nurse Midwives or other nationally recognized professional organization approved by the board.

Exam and processing details

  • Third-party exam required

Continuing education and program notes

  • Certification as a Nurse Midwife requires an education beyond the basic nursing education and certification by the American College of Nurse Midwives or other nationally recognized p

Application Snapshot

  1. Licensing Authority

    Missouri Department of Commerce and Insurance • Division Of Professional Registration • Missouri State Board of Nursing

  2. Current Filing Fee

    See agency

  3. Renewal Cycle

    See board renewal rules

  4. Salary Position

    $102,540 median (13% below national)

  5. State Salary Rank

    #41 of 50 states

Step-by-Step Process (7)

  1. 1. Meet Missouri eligibility requirements for Nursing Home Administrator licensure.
  2. 2. Complete required education or training: Degree required.
  3. 3. Document required supervised experience: No experience required.
  4. 4. Pass required examination steps: Third-party exam required.
  5. 5. Prepare supporting documentation (background check: No criminal record prohibitions; Background/Criminal Review: No criminal record prohibitions.).
  6. 6. Submit the application to Missouri Department of Commerce and Insurance~Division Of Professional Registration~Missouri State Board of Nursing and monitor board communications.
  7. 7. Maintain post-licensure compliance (continuing education: No continuing education requirement to maintain license).

Salary Insights in Missouri

With a median salary of $102,540, Nursing Home Administrators in Missouri earn 13% below the national median of $117,960. Missouri ranks #41 among 50 states. The typical licensing timeline is Varies by board.

State Hiring Climate (QCEW)

Rising

QoQ Employment Change

+2%

Average Weekly Wage

$1,232

Median annual salary

$102,540

Hourly estimate

$49.30
13% below national median

Difference: -$15,420

Percentile Distribution

Annual compensation
  • P1010th percentile$61,690
  • P2525th percentile$81,910
  • P50Median$102,540
  • P7575th percentile$132,090
  • P9090th percentile$179,570

State vs National Median

State: $102,540
National: $117,960

Total employment: 9,100 | Annual openings: N/A

Nursing Home Administrator Salary Ranking

#41 of 50 statesfor Nursing Home Administrator median salary
RankStateMedian Salary
#1New York$149,820
#2Washington$143,300
#3Hawaii$140,750
#4California$136,500
#5Georgia$136,030

Nearby States Comparison

Nursing Home Administrator licensing across the region
StateMedian SalaryEducationExamTimeline
Missouri$102,540Degree requiredThird-party exam requiredVaries by board
Iowa$100,750Specific course requiredThird-party exam requiredVaries by board
Illinois$113,610Degree requiredThird-party exam requiredVaries by board
Kentucky$100,260Specific course requiredState exam requiredVaries by board
Tennessee$104,370Degree requiredThird-party exam required18 years
Arkansas$88,340Specific course requiredBoth state and third-party exams required1-21 years
Oklahoma$100,570Degree requiredBoth state and third-party exams requiredVaries by board
Kansas$104,990Degree requiredBoth state and third-party exams requiredVaries by board
Nebraska$103,610Varies by state boardState-approved exam1-19 years

License by Endorsement

Transfer requirements are state-specific. Use this quick matrix as a planning signal, then verify final endorsement rules with each board.

StateReciprocity ScoreTierNotes
Missouri54LowState-specific exam conditions may apply. Documented experience may be required.
Iowa50LowState-specific exam conditions may apply. Documented experience may be required.
Illinois50LowState-specific exam conditions may apply. Documented experience may be required.
Kentucky50LowState-specific exam conditions may apply. Documented experience may be required.
Tennessee64MediumState-specific exam conditions may apply. Continuing education compliance is required.
Arkansas50LowState-specific exam conditions may apply. Documented experience may be required.
  • License status indicator: Active.
  • Continuing education indicator: No continuing education requirement to maintain license.
  • Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Official Licensing Agency

Official website verified

Missouri Department of Commerce and Insurance • Division Of Professional Registration • Missouri State Board of Nursing

3605 Missouri Boulevard, P.O. Box 656, Jefferson City, MO, 65102-0656

Phone: 5737510681ext8007352966

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FAQ

How long does it take to become a Nursing Home Administrator in Missouri?

Most applicants finish the licensing path in about Varies by board, but timing can change based on education track, exam scheduling, and board processing.

What exams are required for Nursing Home Administrators in Missouri?

Missouri lists Third-party exam required as part of the licensure process for Nursing Home Administrators.

What education do you need to become a Nursing Home Administrator in Missouri?

The board typically expects Degree required for Nursing Home Administrator licensure in Missouri.

What is the typical Nursing Home Administrator salary in Missouri?

The median annual salary for Nursing Home Administrators in Missouri is $102,540. Salaries range from $61,690 (10th percentile) to $179,570 (90th percentile).

How does the Nursing Home Administrator salary in Missouri compare to the national average?

Nursing Home Administrators in Missouri earn 13% below the national median of $117,960, with a state median of $102,540.

How many Nursing Home Administrators work in Missouri?

Missouri employs approximately 9,100 Nursing Home Administrators according to BLS data.

Can I transfer my Nursing Home Administrator license to Missouri from another state?

Transfer requirements vary by board. License status indicator: Active. Continuing education indicator: No continuing education requirement to maintain license. Reciprocity and transfer rules vary by state board. Verify directly with the agency.

Who is the licensing agency for Nursing Home Administrators in Missouri?

The licensing agency is Missouri Department of Commerce and Insurance / Division Of Professional Registration / Missouri State Board of Nursing. Review agency details at http://pr.mo.gov/nursing.asp.

How often do you renew a Nursing Home Administrator license in Missouri?

Current guidance indicates a renewal cycle of See board renewal rules.