Notification of Substantive Change Actions
July 2016

The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning actions taken on July 14 and 15, 2016, 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 2013 Standards and Criteria by program type:

Access the ACEN 2017 Standards and Criteria by program type:

Substantive Change Actions


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

  • Arnot Ogden Medical Center (Diploma) Elmira, NY related to curriculum revisions.
  • Bronx Community College – CUNY (Associate) Bronx, NY related to curriculum revisions.
  • Broome Community College (Associate) Binghamton, NY related to a decline in licensure examination pass rates.
  • Bryan College of Health Sciences (Master’s) Lincoln, NE related to the implementation of a nursing education and nursing leadership post-master’s certificate (PMC) program option.
  • Bucks County Community College (Associate) Newtown, PA related to a decline in licensure examination pass rates and a change in status with the Pennsylvania State Board of Nursing (PBON).
  • Castleton University (Associate) Castleton, VT related to a decline in licensure examination pass rates.
  • Cincinnati State Technical and Community College (Associate) Cincinnati, OH related to the implementation of a LPN-to-RN program option.
  • Community College of Beaver County (Associate) Monaca, PA related to a decline in licensure examination pass rates.
  • Community College of Rhode Island (Associate) Lincoln, RI related to curriculum revisions.
  • Copiah-Lincoln Community College (Associate) Wesson, MS related to a decline in licensure examination pass rates.
  • Cox College (Associate) Springfield, MO related to a change in legal status.
  • Crowder College (Associate) Neosho, MO related to a decline in licensure examination pass rates.
  • Dabney S. Lancaster Community College (Associate) Clifton Forge, VA related to a decline in program completion rates.
  • Davidson County Community College (Associate) Lexington, NC related to a dual enrollment agreement with North Carolina Agricultural and Technical State University (NCA&T).
  • Delaware County Intermediate Unit #25 (Practical) Broomall, PA related to a decline in licensure pass rate and change in status with the Pennsylvania State Board of Nursing (PBON).
  • Dyersburg State Community College (Associate) Dyersburg, TN related to curriculum revisions and the implementation of a paramedic-to-RN program option.
  • East Mississippi Community College (Associate) Mayhew, MS related to a decline in licensure examination pass rates.
  • Elgin Community College (Associate) Elgin, IL related to curriculum revisions.
  • Fayette County Career & Technical Institute (Practical) Uniontown, PA related to for a decline in licensure examination pass rates and a change in status with the Pennsylvania State Board of Nursing (PBON).
  • Florida State College at Jacksonville (Associate) Jacksonville, FL related to the implementation of an off-campus instructional site at the Nassau Center.
  • Franciscan St. Elizabeth School of Nursing (Diploma) Lafayette, IN related to curriculum revisions.
  • Gateway Technical College (Associate) Kenosha, WI related to curriculum revisions.
  • Goodwin College (Associate) East Hartford, CT related to a decline in licensure examination pass rates.
  • Gulf Coast State College (Associate) Panama City, FL related to curriculum revisions.
  • Howard Community College (Associate) Columbia, MD related to the implementation of a program option for military services members and veterans who served as medics and corpsmen.
  • Indiana University East (Baccalaureate) Richmond, IN related to a decline in licensure examination pass rates.
  • Jameson Health System (Diploma) New Castle, PA related to a change in ownership.
  • Jefferson County-DuBois AVTS (Practical) Reynoldsville, PA related to for a decline in licensure examination pass rates and a change in status with the Pennsylvania State Board of Nursing (PBON).
  • Keiser University – Tampa (Associate) Tampa, FL related to the implementation of an evening cohort and subsequent increase in student enrollment.
  • Lewis & Clark Community College (Associate) Godfrey, IL related to a dual enrollment agreement with Southern Illinois University at Edwardsville (SIUE).
  • Mid-Plains Community College (Associate) North Platte, NE related to a decline in licensure examination pass rates.
  • Monroe County Community College (Associate) Rochester, NY related to the implementation of a LPN-to-RN program option.
  • Montana State University – Northern (Associate) Havre, MT related to a decline in licensure examination pass rates and a change in status with the Montana Board of Nursing (MBON).
  • Monterey Peninsula College (Associate) Monterey, CA related to a decline in program completion rates.
  • Moraine Valley Community College (Associate) Palos Hills, IL related to the implementation of a LPN-to-RN bridge program option.
  • Morehead State University (Associate) Morehead, KY related to curriculum revisions.
  • New Jersey City University (Baccalaureate) Jersey City, NJ related to curricula revisions for the RN-to-BSN program option and the accelerated baccalaureate program option.
  • NHTI Concord’s Community College (Associate) Concord, NH related to curriculum revisions.
  • Northeastern Hospital School of Nursing (Diploma) Philadelphia, PA related to a decline in licensure examination pass rates and a change in status with the Pennsylvania State Board of Nursing (PBON).
  • Northeastern Oklahoma A&M College (Associate) Miami, OK related to curriculum revisions to the pre-licensure program option.
  • Northeastern Oklahoma A&M College (Associate) Miami, OK related to the relocation of the fast track LPN/paramedic-to-RN program option from the Grove site to the main campus in Miami.
  • Northern Virginia Community College (Associate) Springfield, VA related to a change in status with the Virginia Board of Nursing (VBON) for failure to comply with selected VBON requirements.
  • Ohio University (Associate) Athens, OH related to a change in status with the Ohio Board of Nursing (OBON) for failure to comply with selected OBON requirements.
  • Ohio Valley General Hospital (Diploma) McKees Rock, PA related to curriculum revisions.
  • Pittsburgh Technical Institute (Practical) Oakdale, PA related to for a change in ownership and legal status.
  • Riverside Health System (Diploma, Practical) Newport News, VA related to a change in the College of Health Career’s Higher Education Reauthorization Act (HEA) Title IV eligibility and certification.
  • Roxborough Memorial Hospital (Diploma) Philadelphia, PA related to curriculum revisions.
  • Saint Paul College – A Community & Technical College (Practical) St. Paul, MN related to the implementation of an off-campus instructional site at Minnesota Community & Technical College.
  • San Jacinto College – South Campus (Associate) Houston, TX related to curriculum revisions.
  • Schuylkill Medical Center – South Jackson Street (Diploma) Pottsville, PA related to curriculum revisions.
  • Sinclair Community College (Associate) Dayton, OH related to a decline in licensure examination pass rates.
  • Spokane Community College (Associate) Spokane, WA a change in status with the Washington State Nursing Care Quality Assurance Commission (NCQAC) for failure to comply with selected NCQAC requirements.
  • St. Vincent’s College (Baccalaureate) Bridgeport, CT related to curriculum revisions to the online program option.
  • State College of Florida, Manatee-Sarasota (Associate) Bradenton, FL related to curriculum revisions.
  • Texas Southmost College (Associate) Brownsville, TX related to a decline in licensure pass rate and a change in status with the Texas Board of Nursing (TBON).
  • Thomas Edison State University (formerly Thomas Edison State College) (Master’s, Baccalaureate) Trenton, NJ related to change in legal status as the institution was granted university status by the New Jersey Secretary of Higher Education.
  • Three Rivers Community College (Associate) Poplar Bluff, MO related to curriculum revisions for the pre-licensure and LPN-to-RN bridge program options.
  • Tidewater Community College (Associate) Portsmouth, VA related to a decline in licensure examination pass rates and a change in status with the Virginia Board of Nursing (VBON).
  • Treasure Valley Community College (Associate) Ontario, OR related to a decline in licensure examination pass rates.
  • Trinity Health System (Diploma) Steubenville, OH related to curriculum revisions.
  • University of Holy Cross (formerly Our Lady of Holy Cross College) (Baccalaureate) New Orleans, LA related to a change in legal status.
  • University of Pittsburgh at Bradford (Associate) Bradford, PA related to a decline in licensure examination pass rates and a change in status with the Pennsylvania State Board of Nursing (PBON).
  • University of West Alabama, The (Associate) Livingston, AL related to a decline in licensure examination pass rates.
  • UPMC Presbyterian Shadyside (Diploma) Pittsburgh, PA related to curriculum revisions.
  • UPMC Presbyterian Shadyside (Diploma) Pittsburgh, PA related to a decline in licensure examination pass rates.
  • Washtenaw Community College (Associate) Ann Arbor, MI related to a dual enrollment agreement and an increase in enrollment of greater than 25%.
  • Western Kentucky University (Associate) Bowling Green, KY related to a decline in licensure examination pass rates and a change in status with the Kentucky Board of Nursing (KBON).
  • Western Nebraska Community College (Practical) Scottsbluff, NE related to a decline in licensure examination pass rates.
  • Wilkes-Barre Area Career and Technical Center (Practical) Wilkes-Barre, PA related to a decline in licensure examination pass rates and a change in status with the Pennsylvania State Board of Nursing (PBON).

The Commission accepted the substantive change report and authorized a focused visit for the following programs

  • Andrews University (Baccalaureate) Berrien Springs, MI related to the implementation of a distance education RN-to-BSN program option.
  • Aria Health School of Nursing (Diploma) Trevose, PA related to a change in ownership.
  • Central Alabama Community College (Associate) Childersburg, AL related to the implementation of an off-campus instructional site at the Alexander City Campus site.
  • Charleston Southern University (Master’s) Charleston, SC related to implementation of a leadership and healthcare administration track and a RN-to-MSN program option.
  • College of Central Florida (Associate) Ocala, FL related to implementation of a new curriculum.
  • Columbus State Community College (Associate) Columbus, OH related to implementation of a new curriculum.
  • Elgin Community College (Associate) Elgin, IL related to curriculum revisions to a concept-based curriculum.
  • Florida State College at Jacksonville (Associate) Jacksonville, FL related to the implementation of an off-campus instructional site at the Nassau Center site.
  • Hagerstown Community College (Associate) Hagerstown, MD related to the implementation of the paramedic-to-RN program option.
  • Jameson Health System (Diploma) New Castle, PA related to a change in ownership.
  • LaGrange College (Baccalaureate) LaGrange, GA related to the implementation of distance education for the RN-to-BSN program option.
  • North Dakota State College of Science (Practical) Wahpeton, ND related to the implementation of an off-campus instructional site at the Southeast Regional Career and Technical Education site.
  • Saint Joseph’s College (Baccalaureate) Brooklyn, NY related to the implementation of a pre-licensure RN-to-BSN program option.
  • Santa Fe Community College (Associate) Santa Fe, NM related to non-compliance with Standard 6 Outcomes.
  • University of the Virgin Islands (Baccalaureate) Kingshill, St. Croix, VI related to an increase in enrollment and a decline in licensure examination pass rates.

 

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

  • South College (Baccalaureate) Knoxville, TN related to the failure to meet the ACEN requirements for a single nursing education program as the result of the merger of South College – Knoxville and South College – Asheville.

 


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 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 2013 Standards and Criteria
Clinical Doctorate/DNP Specialist Certificate
Master’s/Post-Master’s Certificate
Baccalaureate
Associate
Diploma
Practical
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.