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Attachment C 5/2014 MONTHLY TRAINING REPORT FORM NURSING HOME ADMINISTRATOR-IN-TRAINING OR MENTORING PROGRAM Department of Health and Human Services Division of Public Health Licensure Unit P.O. Box.

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How to fill out the Monthly Training Report Form - Dhhs Ne online

Filling out the Monthly Training Report Form - Dhhs Ne is an important step in documenting training experiences for nursing home administrator-in-training or mentoring programs. This guide will provide you with step-by-step instructions to complete the form efficiently and accurately online.

Follow the steps to complete the Monthly Training Report Form online

  1. Press the ‘Get Form’ button to access the form and open it in your online editor.
  2. Select the type of program you are participating in by checking either 'Administrator-in-Training' or 'Mentoring Program'.
  3. Fill in the name of the trainee in the designated field provided.
  4. Enter the name and address of the nursing home where the training is being completed. Make sure to provide full details including street, city, state, and zip code.
  5. Document the training period by entering the start and end dates using the format Month/Day/Year.
  6. Indicate the number of hours worked per week during the reporting period.
  7. Calculate and write the total hours worked in the reporting period in the relevant field.
  8. Both the trainee and the certified preceptor must sign the form. Ensure that signatures and dates are correctly completed.
  9. Finally, review all sections for completeness and accuracy before submitting the form. Users can choose to save changes, download, print, or share the completed form as required.

Complete your Monthly Training Report Form online today to keep your documentation up to date.

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u Assisted living facilities are not regulated or licensed by the federal government. In Nebraska, they are licensed and regulated by the Nebraska Department of Health and Human Services Division of Public Health – Licensure Unit.

In Nebraska, applicants for an initial license are required to take the National Association of Boards of Examiners for Nursing Home Administration written examination (NAB). Nebraska does not require a state examination. You MUST apply for the examination on the NAB website at: nabweb.org .

Public Records Requests​​ All public records or Freedom of Information Act (FOIA) requests should be sent to the DHHS Public Records Office at DHHS.PublicRecords@nebraska.gov. Per state statute, any requests for data not on the Department's public domain are to be submitted via public records request. Social media. Newsroom - DHHS - Nebraska.gov ne.gov https://dhhs.ne.gov › pages › newsroom ne.gov https://dhhs.ne.gov › pages › newsroom

Training Requirements Initial training consists of at least 30 hours total covering the following topics: resident care and services; social services; financial management; administration; gerontology; and rules, regulations, and standards relating to the operation of an ALF.

Becoming Licensed in Texas Complete the pre-survey, computer-based training and submit a copy of the certificate of completion (ALFs only). Properly complete and submit the license application. Submit all required documents. Pay the required license fee. Submit appropriate ownership documents, if applicable.

Training for either the AIT or mentoring program must be at least 640 hours and gained in not less than 4 calendar months and must be at least 20 hours per week. List below (where indicated) the University or College Name, the date of graduation, degree, and major. Application Information Administrator-in-Training OR ... - DHHS Nebraska.gov https://dhhs.ne.gov › Documents › NHAAITApp Nebraska.gov https://dhhs.ne.gov › Documents › NHAAITApp PDF

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232