Texas Nursing Facility Administrator License Exam Requirements
What the Texas state exam covers, who gives it, what it costs and what happens if you fail.
| Exam | Who takes it | Given by | Questions | Time | Pass | Fee | Sources checked |
|---|---|---|---|---|---|---|---|
| Texas NFA state exam | Texas nursing facility administrator license candidates | NAB, at Pearson VUE test centers | Not published | 120 minutes | Not published | $210 |
What does the Texas state exam cover?
HHSC says it covers the Nursing Facility Requirements for Licensure and Medicaid Certification, 26 TAC Chapter 554, and is computer-based.
Who gives the exam, and what does it cost?
NAB, at Pearson VUE test centers. You register and pay through NAB (26 TAC § 555.18). The Texas exam costs $210 and has a two-hour time limit (NAB Exam Candidate Handbook, September 2026).
What score passes?
HHSC doesn't publish the state exam's pass mark or number of questions. NAB says each state board or agency sets its own passing score.
What if I fail?
After three consecutive failures of the state or NAB exam, you must complete another 1,000-hour administrator-in-training internship before you test again (26 TAC § 555.18).
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).