Notification of Substantive Change Actions
August 2018

The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning actions taken on August 2, 2018, by the ACEN Board of Commissioners related to substantive changes. Commission staff will not speculate on what decision might be made by the ACEN Board of Commissioners the next time a program is reviewed. For additional information regarding ACEN accreditation process, access the Accreditation Manual at http://www.acenursing.org/accreditation-manual

Access the ACEN 2017 Standards and Criteria by program type:

Substantive Change Actions


The Board of Commissioners approved the substantive change report for the following programs:

  • Alcorn State University (Baccalaureate) Natchez, MS related to the implementation of curriculum revisions; requirement for a focused visit removed.
  • Bismarck State College (Associate) Bismarck, ND related to an increase in enrollment of greater than 25%.
  • College of Coastal Georgia (Baccalaureate) Brunswick, GA related to the implementation of curriculum revisions of greater than 25%.
  • Dabney S. Lancaster Community College (Associate) Clifton Forge, VA related to the implementation of a state-wide curriculum.
  • Grays Harbor College (Associate) Aberdeen, WA related to the implementation of curriculum revisions of greater than 25%.
  • Hillsborough Community College (Associate) Tampa, FL related to the implementation of a new curriculum; requirement for a focused visit removed.
  • Lord Fairfax Community College (Associate) Middletown, VA related to the implementation of a new state-wide curriculum; requirement for a focused visit removed.
  • Mansfield University (Master’s/Post-Master’s Certificate) Mansfield, PA related to the closure of the program; accreditation extended until December 2020.
  • McLennan Community College (Associate) Waco, TX related to the decline in licensure examination pass rates.
  • Patrick Henry Community College (Associate) Martinsville, VA related to the implementation of a state-wide curriculum.
  • Thomas Nelson Community College (Associate) Hampton, VA related to the implementation of a state-wide curriculum.
  • Trinity Health System (Diploma) Steubenville, OH related to the relocation of the nursing education unit.
  • Triton College (Associate) River Grove, IL related to the implementation of curriculum revisions of greater than 50%.
  • University of New Mexico – Gallup (Associate) Gallup, NM related to the implementation of a new curriculum; requirement for a focused visit removed.
  • University of New Mexico – Valencia (Associate) Los Lunas, NM related to the implementation of a state-wide curriculum.
  • Walters State Community College (Associate) Morristown, TN related to the implementation of a state-wide curriculum.
  • Western Oklahoma State College (Associate) Altus, OK related to the implementation of a new distance education program option and an increase in enrollment of greater than 25%.

The Board of Commissioners approved the substantive change report and authorized a focused visit for the following programs:

  • Kentucky State University (Baccalaureate) Frankfort, KY related to the implementation of a pre-licensure program option.
  • Lake Region State College (Associate) Devils Lake, ND related to the implementation of the LRSC Education Center off-campus instructional site.
  • Lipscomb University (Baccalaureate) Nashville, TN related to the implementation of a post-licensure program option and the implementation of distance education of greater than 50%.
  • Murray State College (Associate) Tishomingo, OK related to the implementation of the Mercy Ardmore Hospital off-campus instructional site.
  • Rowan-Cabarrus Community College (Associate) Kannapolis, NC related to the implementation of a PN-to-ADN Transition program option and the implementation of distance education of greater than 50%.
  • Southeast Technical Institute (Associate) Sioux Falls, SD related to the implementation of the Huron Community Campus off-campus instructional site and an increase in enrollment of greater than 25%.

The Commission denied the substantive change report for the following programs:

  • None

 


Definitions


Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with all Accreditation Standards.

Continuing Accreditation with Conditions: A measure imposed by the ACEN Board of Commissioners following the determination of non-compliance with one (1) or two (2) Accreditation Standards. Next review and follow-up action(s) are determined by the Board of Commissioners.

Continuing Accreditation with Warning: A measure imposed by the ACEN Board of Commissioners following the determination of non-compliance with three (3) or more Accreditation Standards. Next review and follow-up action(s) are determined by the Board of Commissioners.

Continuing Accreditation for Good Cause: A measure imposed by the ACEN Board of Commissioners following the determination that a nursing program has not remedied deficiencies at the conclusion of its maximum monitoring period and the program has (a) has demonstrated significant recent accomplishments in addressing ; (b) has documented that it has the potential to remedy all deficiencies within the extended period as defined by the Commission; that is, that the program provides evidence which makes it reasonable for the Commission to determine it will remedy all deficiencies within the extended time defined by the Commission; and (c) provides assurance to the Commission that it is not aware of any other reasons, other than those identified by the Commission, why the nursing program could not be continued for good cause.

Denied Initial Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in non-compliance with one or more Accreditation Standard.

Denied Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program on conditions, warning, or for good cause is found to be in continued non-compliance with any Accreditation Standard. Thereafter the nursing program is removed from the listings of accredited programs.

Focused Visit: A site visit authorized by the ACEN Board of Commissioners to review significant accreditation-related information disclosed about a program as a result of:

A substantive change;

Information revealed about a program between periods of scheduled review;

Information received from the governing organization’s accrediting body related to an adverse action;

Information received from the program’s state regulatory agency for nursing related to a change in its status;

Information revealed by a program during the Evaluation Review Panel process;

Information received from the U.S. Department of Education regarding a program’s compliance responsibilities under Title IV of the Higher Education Act such as information related to a program’s most recent student loan default rates, the results of financial or compliance audits, program reviews, and any other information that may be provided by the U.S. Department of Education.

Follow-up Report: A report prepared by a program addressing the Standard(s) for which the nursing program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Initial Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with all Accreditation Standards.

Remove the Conditions Status and Grant Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with the Accreditation Standard(s) that the program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Remove the for Good Cause Status and Grant Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with the Accreditation Standards that the program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Remove the Warning Status and Grant Continuing Accreditation: A determination by the ACEN Board of Commissioners that a nursing program is in compliance with the Accreditation Standard(s) that the program was found to be in non-compliance during the program’s previous review by the ACEN Board of Commissioners.

Standard:
See ACEN 2017 Standards and Criteria
Clinical Doctorate
Master’s/Post-Master’s Certificate/DNP Specialist Certificate
Baccalaureate
Associate
Diploma
Practical

Substantive Change Report: A report submitted by an accredited program informing the ACEN of a significant modification or expansion of the nature and scope of a nursing program and/or nursing education unit.