Notification of Commission Actions
Fall 2015 Cycle

The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning the accreditation status of the following programs reviewed by the ACEN Board of Commissioners during its meeting on March 3 – 4, 2015. 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:

Initial and Continuing Accreditation Actions

Initial Accreditation

The Commission granted initial accreditation to the following programs:

Aiken Technical College (Practical) Aiken, SC
Bismarck State College (Associate) Bismarck, ND
College of Central Florida (Baccalaureate) Ocala, FL
Denver Public Schools – Emily Griffith Technical College (Practical) Denver, CO
Fletcher Technical Community College (Associate) Schriever, LA
Galen College of Nursing – Louisville (Associate) Louisville, KY
Inter-American University of Puerto Rico – Aguadilla Campus (Associate) Aguadilla, PR
Kankakee Community College (Associate) Kankakee, IL
Lake Region State College (Associate) Devils Lake, ND
Lake Washington Institute of Technology (Associate) Kirkland, WA
Minnesota State College – Southeast Technical (Practical) Winona, MN
Pacific College of Oriental Medicine (Baccalaureate) New York, NY
Pensacola State College (Practical) Pensacola, FL
Prospect Education – Charter College (Associate) Anchorage, AK
Snow College (Associate) Richfield, UT
Southside Virginia Community College (Associate) Keysville, VA
St. Peter’s Health Partners – Samaritan Hospital (Associate) Troy, NY
St. Peter’s Health Partners – Samaritan Hospital (Practical) Troy, NY
Success Education Colleges – Nevada Career Institute (Practical) Las Vegas, NV
Sultan Qaboos University (Baccalaureate) Muscat, Sultanate of Oman
Trinidad State Junior College (Associate) Trinidad, CO

Continuing Accreditation

The Commission granted continuing accreditation to the following programs:

Alcorn State University (Baccalaureate) Natchez, MS
Ameritech College of Healthcare (Associate) Draper, UT
Arapahoe Community College (Associate) Littleton, CO
Baton Rouge Community College (Associate) Baton Rouge, LA
Becker College (Associate) Worcester, MA
Cecil College (Associate) North East, MD
Delta Montrose Technical College (Practical) Delta, CO
Dixie State University (Baccalaureate) St. George, UT
Elmira College (Baccalaureate) Elmira, NY
Franciscan St. Elizabeth Health – Lafayette (Diploma) Lafayette, IN
Gardner-Webb University (Master’s) Boiling Springs, NC
Harrison College – Indianapolis East (Associate) Indianapolis, IN
Inter-American University of Puerto Rico – Aguadilla Campus (Baccalaureate) Aguadilla, PR
J Sargeant Reynolds Community College (Associate) Richmond, VA
Jefferson Health – Abington Hospital (Diploma) Willow Grove, PA
John Tyler Community College (Associate) Midlothian, VA
Johnson County Community College (Associate) Overland Park, KS
Mitchell Community College (Associate) Statesville, NC
Mount Aloysius College (Baccalaureate) Cresson, PA
Mount Aloysius College (Associate) Cresson, PA
Nebraska Wesleyan University (Master’s) Lincoln, NE
Pennsylvania College of Technology (Baccalaureate) Williamsport, PA
Pennsylvania College of Technology (Associate) Williamsport, PA
Pennsylvania College of Technology (Practical) Williamsport, PA
Platt College (Baccalaureate) Aurora, CO
St. Catherine University (Clinical Doctorate) St. Paul, MN
Stark State College (Associate) North Canton, OH
Tulsa Community College (Associate) Tulsa, OK
University of Hawaii at Hilo (Baccalaureate) Hilo, HI
UPMC Presbyterian Shadyside (Diploma) Pittsburg, PA
Washington Health System – Washington Hospital (Diploma) Washington, PA

Continuing Accreditation – Remove Conditions Status

The Commission accepted the follow-up report, removed the conditions status, and granted continuing accreditation to the following programs:

Adirondack Community College (Associate) Queensbury, NY
Anne Arundel Community College (Associate) Arnold, MD
Ashland Community & Technical College (Associate) Ashland, KY
Blinn College (Associate) Bryan, TX
Bristol Community College (Associate) Fall River, MA
Central Wyoming College (Associate) Riverton, WY
Cerritos Community College (Associate) Norwalk, CA
Chemeketa Community College (Associate) Salem, OR
Chicago State University (Baccalaureate) Chicago, IL
College of Saint Mary (Master’s) Omaha, NE
Davidson County Community College (Associate) Lexington, NC
Davis Applied Technology College (Practical) Kaysville, UT
Florence-Darlington Technical College (Associate) Florence, SC
Laboure College (Associate) Milton, MA
Lake Michigan College (Associate) Benton Harbor, MI
Louisiana State University at Alexandria (Associate) Alexandria, LA
Louisiana Tech University (Associate) Ruston, LA
McLennan Community College (Associate) Waco, TX
Mississippi Delta Community College (Associate) Moorhead, MS
Northern Essex Community College (Associate) Lawrence, MA
Patrick Henry Community College (Associate) Martinsville, VA
Prairie State College (Associate) Chicago Heights, IL
Pueblo Community College (Associate) Pueblo, CO
Ramapo College of New Jersey (Master’s) Mahwah, NJ
Ramapo College of New Jersey (Baccalaureate) Mahwah, NJ
Riverland Community College (Associate) Austin, MN
Rochester Regional Health System (Practical) Rochester, NY
San Jose/Evergreen Community College District (Associate) San Jose, CA
Seward County Community College (Associate) Liberal, KS
Southern Maine Community College (Associate) South Portland, ME
Southern State Community College (Associate) Hillsboro, OH
Somerset Community College (Associate) Somerset, KY
University of Maine at Augusta (Associate) Augusta, ME
Western Iowa Tech Community College (Practical) Sioux City, IA

The Commission removed the conditions status and granted continuing accreditation after a follow-up visit to the following programs:

Lehigh Carbon Community College (Associate) Schnecksville, PA
New York City College of Technology (Baccalaureate) Brooklyn, NY
Pensacola State College (Associate) Pensacola, FL

Continuing Accreditation – Remove Warning Status

The Commission removed the warning status and granted continuing accreditation after a follow-up visit to the following programs:

Bethune-Cookman University (Baccalaureate) Daytona Beach, FL
Bryant & Stratton College – Eastlake/Parma (Associate) East Lake, OH
Clinton Community College (Associate) Plattsburgh, NY
Mid-America Technology Center (Practical) Wayne, OK
Montana State University – Northern (Baccalaureate) Havre, MT
Montana State University – Northern (Associate) Havre, MT
Pontificia Universidad Católica de Puerto Rico (Master’s) Ponce, PR
Pontificia Universidad Católica de Puerto Rico (Baccalaureate) Ponce, PR
The University of Charleston (Baccalaureate), Charleston WV

Continuing Accreditation – Remove Warning for Good Cause Status

The Commission removed the warning for good cause status and granted continuing accreditation after a follow-up visit to the following programs:

Lake Land College (Practical) Mattoon, IL

Affirm Continuing Accreditation

The Commission affirmed continuing accreditation after a focused visit to the following programs:

Great Basin College (Associate) Elko, NV following the implementation of the new off-campus instructional sites at the Pahrump Valley Center and the Winnemucca Center; affirm the next onsite accreditation visit in Fall 2019.
Hutchinson Community College (Practical) Hutchinson, KS following the implementation of the new off-campus instructional site at the Fort Riley Center; affirm the next onsite accreditation visit in Spring 2017.
Lincoln University (Baccalaureate) Jefferson City, MO following the implementation of a new RN-to-BSN option that is delivered online; affirm the next onsite accreditation visit in Fall 2017.
Millersville University (Baccalaureate) Millersville, PA following the implementation of distance education, increased enrollment, and a new off-campus instructional site at Dixon University Center; affirm the next onsite accreditation visit in Spring 2018.
Pacific Union College (Baccalaureate) Angwin, CA following the implementation of distance education; affirm the next onsite accreditation visit in Spring 2017.
Rivier University (Master’s) Nashua, NH following the implementation of a new Nursing Leadership in Health Systems Management option; affirm the next onsite accreditation visit in Fall 2018.
Southeast Arkansas College (Associate) Pine Bluff, AR following the implementation of a new online LPN/Paramedic-to-RN program; and affirm the next onsite accreditation visit in Spring 2022.
Trinity Health – St. Francis Medical Center (Diploma) Trenton, NJ following a change in the governing organization’s ownership; affirm the next onsite accreditation visit in Fall 2020.
Wingate University (Baccalaureate) Wingate, NC following a decline in licensure examination pass rates, and the implementation of a new curriculum; affirm the next onsite accreditation visit in Spring 2019.

Continuing Accreditation with Conditions

The Commission granted continuing accreditation with conditions to the following programs:

Baptist Health System School of Health Professions (Associate) San Antonio, TX related to non-compliance with:
- Standard 6 Outcomes, Criterion 6.1
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan.
CarePoint Health – Christ Hospital (Diploma) Jersey City, NJ related to non-compliance with:
- Standard 6, Criteria 6.1, 6.2, and 6.4.1
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
Carteret Community College (Associate), Morehead City, NC related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, and 6.4.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the program outcomes.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - There is a lack of evidence that program completion rates are assessed in a systematic and ongoing manner.
Clarkson College (Master’s) Omaha, NE related to non-compliance with
- Standard 2 Faculty and Staff, Criteria 2.2 and 2.5
  - A minimum of 50% of the part-time faculty are not credentialed with an earned doctorate or currently enrolled in doctoral study.
  - There is a lack of evidence that the number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved
- Standard 6 Outcomes, Criteria 6.1 and 6.4.1
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the role-specific professional competencies.
  - The expected levels of achievement for certification examination pass rates have not been consistently met.
Colorado State University – Pueblo (Baccalaureate) Pueblo, CO related to non-compliance with
- Standard 2 Faculty and Staff, Criteria 2.2 and 2.6
  - All part-time faculty do not hold a minimum of a graduate degree with a major in nursing.
  - There is a lack of evidence that the faculty maintain expertise in their areas of responsibility and that their performance reflects scholarship and evidence-based teaching and clinical practices.
- Standard 6 Outcomes, Criteria 6.1 and 6.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan consistently includes specific, measurable expected levels of achievement and appropriate assessment methods for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
Columbus State Community College (Associate) Columbus, OH related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.2, 6.3, 6.4.2, 6.4.3, and 6.4.4
  - There is a lack of evidence that all expected levels of achievement are stated in specific and measurable terms.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - There is a lack of evidence that evaluation findings are shared with the communities of interest and consistent documentation is maintained.
  - There is a lack of evidence that program completion has been assessed in a systematic and ongoing manner.
  - There is a lack of evidence that graduate satisfaction has been assessed in a systematic and ongoing manner.
  - There is a lack of evidence that employer satisfaction data are collected at six (6) to twelve (12) months post-graduation.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess employer satisfaction in a systematic and ongoing manner.
Cox College (Associate) Springfield, MO related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.3, 6.4.4, and 6.4.5
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - There is a lack of evidence that evaluation findings are shared with the communities of interest and consistent documentation is maintained.
  - There is a lack of evidence that graduate satisfaction is assessed in a systematic and ongoing manner at six (6) to twelve (12) months post-graduation and sufficient data have been collected and trended.
  - There is a lack of evidence that employer satisfaction is assessed in a systematic and ongoing manner at six (6) to twelve (12) months post-graduation and sufficient data have been collected and trended.
  - There is a lack of evidence that job placement rates are assessed in a systematic and ongoing manner at six (6) to twelve (12) months post-graduation.
Darton State College (Associate) Albany, GA related to non-compliance with:
- Standard 4 Curriculum, Criteria 4.1 and 4.2
  - There is a lack of evidence that the curriculum incorporates established professional standards, guidelines, and competencies and has clearly articulated student learning outcomes and program outcomes consistent with contemporary practice.
  - There is a lack of evidence that the student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress
- Standard 6 Outcomes, Criteria 6.1, 6.4.1, and 6.4.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the role-specific graduate competencies.
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
  - The expected level of achievement for program completion has not been consistently met.
Dickinson State University (Practical) Dickinson, ND related to non-compliance with:
- Standard 4 Curriculum, Criteria 4.2 and 4.8
  - There is a lack of evidence that the student learning outcomes are used to evaluate student progress.
  - There is a lack of evidence that the length of time and number of credit hours required for program completion are consistent with national guidelines and best practices.
Georgia Northwestern Technical College (Associate) Rock Spring, GA
- Standard 2 Faculty and Staff, Criteria 2.2, 2.3, and 2.5
  - A minimum of 50% of the part-time faculty are not credentialed with a graduate degree with a major in nursing.
  - There is a lack of evidence that the part-time faculty credentials meet the state requirements.
  - There is a lack of evidence that the number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.1, 6.4.2, 6.4.3, 6.4.4, and 6.4.5
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes three (3) years of data for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
  - There is a lack of evidence that program completion rates are assessed in a systematic and ongoing manner.
  - There is a lack of evidence that graduate satisfaction has been assessed in an ongoing manner and sufficient data have been collected.
  - There is a lack of evidence that employer satisfaction has been assessed in an ongoing manner and sufficient data have been collected.
  - There is a lack of evidence that job placement rates are assessed in a systematic and ongoing manner.
Herzing University – Akron Campus (Associate) Akron, OH related to non-compliance with:
- Standard 4 Curriculum, Criteria 4.2, 4.3, and 4.7
  - There is a lack of evidence that the student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress.
  - There is a lack of evidence that the curriculum is developed by faculty and regularly reviewed to ensure integrity, rigor, and currency and consistent documentation is maintained.
  - There is a lack of evidence that evaluation methodologies measure the achievement of the student learning outcomes
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.2, 6.4.3, and 6.4.4
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes and the program outcomes.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement, appropriate assessment methods, and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The expected level of achievement for program completion has not been consistently met.
  - There is a lack of evidence that program completion rates are assessed in a systematic and ongoing manner.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess graduate satisfaction in in a systematic and ongoing manner.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess employer satisfaction in a systematic and ongoing manner.
Howard College (Associate) Big Spring, TX related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1 and 6.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence of the collection and trending of data by program option, location, and date of completion prior to aggregation for the program as a whole.
Inter-American University of Puerto Rico – Metropolitan Campus (Associate) San Juan related to con-compliance with:
- Standard 6 Outcomes, Criteria 6.2, 6.4.2, 6.4.3, 6.4.4, and 6.4.5
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - There is a lack of evidence that program completion rates are assessed in a systematic and ongoing manner.
  - There is a lack of evidence that graduate satisfaction has been assessed in an ongoing manner and sufficient data have been collected.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess graduate satisfaction in a systematic and ongoing manner.
  - There is a lack of evidence that graduate satisfaction is assessed six (6) to twelve (12) months post-graduation.
  - There is a lack of evidence that employer satisfaction has been assessed in an ongoing manner and sufficient data have been collected.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess employer satisfaction in a systematic and ongoing manner.
  - There is a lack of evidence that employer satisfaction is assessed six (6) to twelve (12) months post-graduation.
  - There is a lack of evidence that job placement rates are assessed in a systematic and ongoing manner.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess job placement rates in a systematic and ongoing manner.
  - There is a lack of evidence that job placement rates are assessed six (6) to twelve (12) months post-graduation.
Jefferson County-DuBois AVTS (Practical) Reynoldsville, PA related to non-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.5
  - There is a lack of evidence that the number of full-time faculty is sufficient for the achievement of the student learning outcomes and program outcomes.
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.4, and 6.4.5
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes and role-specific graduate competencies.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - There is a lack of evidence that employer satisfaction has been assessed in an ongoing manner and sufficient data have been collected and trended for program decision-making.
  - There is a lack of evidence that job placement rates have been assessed in a systematic and ongoing manner.
Lawson State Community College (Associate/Practical) Birmingham, AL related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1 and 6.2 (A/P)
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes and role-specific graduate competencies. (A/P)
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement and a minimum of three (3) years of data for each component within the plan. (A/P)
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes. (A/P)
  - The expected level of achievement for program completion has not been consistently met. (A/P)
Lee College (Associate) Baytown, TX related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.1, 6.4.2, 6.4.3, 6.4.4, and 6.4.5
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the program outcomes.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The program’s three-year mean for the licensure exam pass rate has not been at or above the national mean for the same three-year period.
  - There is a lack of evidence that program completion rates are assessed in a systematic and ongoing manner.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess graduate satisfaction in a systematic and ongoing manner.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess employer satisfaction in a systematic and ongoing manner.
  - There is a lack of evidence that job placement rates have been assessed in a systematic and ongoing manner
Louisiana State University at Eunice (Associate) Eunice, LA related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1 and 6.4.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that the expected level of achievement for program completion has been consistently met.
Mid-Plains Community College (Associate) North Platte, NE related to non-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.2
  - A minimum of 50% of the part-time faculty are not credentialed with a graduate degree with a major in nursing.
National Park College (Associate) Hot Springs, AR related to non-compliance with:
- Standard 2 Faculty and Staff, Criteria 2.1
  - All full-time faculty members are not credentialed with a minimum of a graduate degree with a major in nursing
North Central Texas College (Associate) Gainesville, TX related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1 and 6.4.4
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, and the ACEN Standards.
  - There is a lack of evidence that employer satisfaction has been assessed in an ongoing manner and sufficient data have been collected.
Ozarks Technical Community College (Associate), Sprinfield MO related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.4
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes and the role-specific graduate competencies.
  - There is lack of evidence that program documentation reflects the analysis and use of data by the faculty in program decision-making.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess employer satisfaction in a systematic and ongoing manner.
Palomar College (Associate) San Marcos, CA related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.2, 6.4.4, and 6.4.5
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The expected level of achievement for program completion has not been consistently met.
  - There is a lack of evidence that program completion rates are assessed in a systematic and ongoing manner.
  - There is a lack of evidence that employer satisfaction is assessed in a systematic and ongoing manner.
  - The expected level of achievement for job placement rates has not been consistently met.
  - There is a lack of evidence that job placement rates are assessed in a systematic and ongoing manner.
Park University (Associate) Parkville, MO related to non-compliance with:
- Standard 6 Outcomes, Criterion 6.1
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, and the role-specific graduate competencies.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement and appropriate assessment methods for each component within the plan.
Prospect CharterCARE SJHSRI, LLC – Our Lady of Fatima Hospital (Diploma) North Providence RI related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, and 6.2
  - There is a lack of evidence that the systematic plan of evaluation emphasizes the ongoing assessment and evaluation of the student learning outcomes and the role-specific graduate competencies.
  - There is a lack of evidence that program documentation reflects the analysis and use of data by the faculty in program decision-making.
  - There is a lack of evidence that strategies/actions are identified when the expected levels of achievement are not met.
Quincy College (Associate) Quincy, MA related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, and 6.4.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes and the role-specific graduate competencies.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The expected level of achievement for program completion has not been consistently met.
Roxbury Community College (Associate) Boston, MA related to non-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.2
  - There is a lack of evidence that the full-time and part-time faculty credentials meet the governing organization and state requirements
- Standard 6 Outcomes, Criteria 6.1 and 6.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
Suffolk County Community College (Associate/Practical) Selden, NY related to non-compliance with:
- Standard 4 Curriculum, Criteria 4.1, 4.2, and 4.7 (A/P)
  - There is a lack of evidence that the curriculum has clearly articulated student learning outcomes consistent with contemporary practice. (A/P)
  - There is a lack of evidence that the student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress. (A/P)
  - There is a lack of evidence that evaluation methodologies are varied and measure the achievement of the student learning outcomes. (A/P
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.1, 6.4.3, 6.4.4, and 6.4.5 (A/P)
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards. (A/P)
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan. (A/P)
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes. (A/P)
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period. (A)
  - There is a lack of evidence that graduate satisfaction is assessed in a systematic and ongoing manner specific to the program. (A/P)
  - There is a lack of evidence that employer satisfaction is assessed in a systematic and ongoing manner specific to the program. (A/P)
  - There is a lack of evidence that job placement rates are assessed in a systematic and ongoing manner specific to the program. (A/P)
SUNY College of Technology at Canton (Associate) Canton, NY related to non-compliance with:
- Standard 2 Faculty and Staff, Criteria 2.1, 2.2, 2.3, and 2.7
  - All full-time faculty are not credentialed with a minimum of a graduate degree with a major in nursing.
  - A minimum of 50% of part-time faculty area not credentialed with a graduate degree with a major in nursing.
  - There is a lack of evidence that the full-time faculty credentials meet the governing organization and state requirements. .
  - There is a lack of evidence that the number of support staff within the nursing education unit is sufficient to achieve the program goals and outcomes.
- Standard 6 Outcomes, Criterion 6.4.1
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
Tennessee State University (Master’s/Baccalaureate) Nashville, TN related to non-compliance with:
- Standard 2 Faculty and Staff, Criteria 2.2 and 2.5 (M)
  - A minimum of 50% of the part-time faculty are not credentialed with an earned doctorate or currently enrolled in doctoral study.
  - There is a lack of evidence that the number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved
- Standard 6 Outcomes, Criterion 6.4.1 (B)
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
Valencia College (Associate) Orlando, FL related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.5
  - There is a lack of evidence that all expected levels of achievement are stated in specific and measurable terms.
  - There is a lack of evidence that the assessment methods are congruent with the expected levels of achievement and result in meaningful data.
  - There is a lack of evidence that job placement data are collected at six (6) to twelve (12) months post-graduation.
Webster University (Master’s/Baccalaureate) St. Louis MO related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1 and 6.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes appropriate assessment methods and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.

Continuing Accreditation with Warning

The Commission granted continuing accreditation with warning to the following programs:

Medgar Evers College-CUNY (Baccalaureate/Associate) Brooklyn, NY related to non-compliance with:
- Standard 2 Faculty and Staff, Criteria 2.2, 2.3, 2.4, 2.6, and 2.8 (B); Criteria 2.2, 2.3, 2.6, and 2.8 (A)
  - All part-time faculty do not hold a minimum of a graduate degree with a major in nursing. (B)
  - A minimum of 50% of the part-time faculty are not credentialed with a graduate degree with a major in nursing. (A)
  - There is a lack of evidence that the part-time faculty credentials meet the governing organization and state requirements. (B/A)
  - There is a lack of evidence that preceptors are academically and experientially qualified, oriented, mentored, and monitored and have clearly documented roles and responsibilities. (B)
  - There is a lack of evidence that the faculty maintain expertise in their areas of responsibility and that their performance reflects scholarship and evidence-based teaching and clinical practices. (B/A)
  - There is a lack of evidence that the full-time faculty are oriented and mentored in their areas of responsibility. (B/A)
- Standard 4 Curriculum, Criteria 4.1, 4.2, and 4.3 (B); Criteria 4.1, 4.2, 4.3, and 4.6 (A)
  - There is a lack of evidence that the curriculum incorporates established professional standards, guidelines, and competencies and has clearly articulated student learning outcomes and program outcomes consistent with contemporary practice. (B/A)
  - There is a lack of evidence that the student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress. (B/A)
  - There is a lack of evidence that the curriculum is regularly reviewed for integrity, rigor, and currency with consistent documentation maintained. (B/A)
  - There is a lack of evidence that the curriculum and instructional processes reflect educational theory, research, and current standards of practice. (A)
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.2, 6.4.3, 6.4.4, and 6.4.5 (B); Criteria 6.1, 6.2, 6.4.1, 6.4.3, 6.4.4, and 6.4.5 (A)
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards. (B/A)
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan. (B)
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes. (B/A)
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period. (A)
  - The expected level of achievement for program completion has not been consistently met. (B)
  - There is a lack of evidence that graduate satisfaction has been assessed in an ongoing manner at six (6) to twelve (12) months post-graduation and sufficient data have been collected. (B/A)
  - There is a lack of evidence that employer satisfaction has been assessed in an ongoing manner at six (6) to twelve (12) months post-graduation and sufficient data have been collected. (B/A)
  - There is a lack of evidence that job placement rates have been assessed in a systematic and ongoing manner. (B/A)
Piedmont College (Baccalaureate) Demorest, GA related to non-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.5
  - There is a lack of evidence that the number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved
- Standard 4 Curriculum, Criteria 4.2 and 4.7
  - There is a lack of evidence that the student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress.
  - There is a lack of evidence that evaluation methodologies reflect established professional and practice competencies and measure the achievement of the student learning outcomes
- Standard 6 Outcomes, Criteria 6.1, 6.4.3, and 6.4.5
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, and the role-specific graduate competencies.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that graduate satisfaction has been assessed in an ongoing manner and sufficient data have been collected.
  - There is a lack of evidence that job placement rates are assessed in a systematic and ongoing manner.

Continuing Accreditation with Warning for Good Cause

The Commission granted continuing accreditation with warning for good cause to the following programs:

Colby Community College (Associate) Colby, KS related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.1, and 6.4.3
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated and trended by program option and location and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
  - There is a lack of evidence that graduate satisfaction data have been assessed in an ongoing manner and sufficient data have been collected.
Cumberland University (Baccalaureate) Lebanon, TN related to non-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.2
  - All part-time faculty do not hold a minimum of a graduate degree with a major in nursing.
Harcum College (Associate) Bryn Mawr, PA related to non-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.1
  - All full-time faculty are not credentialed with a minimum of a graduate degree with a major in nursing
- Standard 6 Outcomes, Criteria 6.4.1, 6.4.3, and 6.4.4
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
  - The expected level of achievement for graduate satisfaction has not been consistently met.
  - There is a lack of evidence that graduate satisfaction has been assessed in an ongoing manner and sufficient data have been collected.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess employer satisfaction in a systematic and ongoing manner.
Mohawk Valley Community College (Associate) Utica, NY related to non-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.3
  - There is a lack of evidence that the full-time and part-time faculty credentials meet the state requirements
- Standard 6 Outcomes, Criterion 6.1
  - There is a lack of evidence that all expected levels of achievement are stated in specific and measurable terms.
  - There is a lack of evidence of a specific timeframe for the evaluation of each component of the evaluation plan.
  - There is a lack of evidence that the assessment methods are congruent with the expected levels of achievement and result in meaningful data.
  - There is a lack of evidence that the evaluation plan contains a minimum of three (3) years of data for each component within the plan.
Northeast Alabama Community College (Practical) Rainsville, AL related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1 and 6.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, the role-specific graduate competencies, and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan].
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
San Bernardino Valley College (Associate) San Bernardino, CA related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1, 6.2, and 6.4.1
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, and the ACEN Standards.
  - There is a lack of evidence that data are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
St. Catharine College (Associate) St. Catharine, KY related to non-compliance with:
- Standard 4 Curriculum, Criteria 4.1 and 4.8
  - There is a lack of evidence that the curriculum incorporates established professional standards, guidelines, and competencies.
  - There is a lack of evidence that the length of time and number of credit hours required for program completion are consistent with national guidelines and best practices
- Standard 6 Outcomes, Criteria 6.1, 6.2, 6.4.1, 6.4.3, 6.4.4, and 6.4.5
  - There is a lack of evidence that the systematic plan for evaluation of the nurse education unit emphasizes the ongoing assessment and evaluation of the role-specific graduate competencies and the ACEN Standards.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement; appropriate assessment methods; and a minimum of three (3) years of data for each component within the plan.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.
  - The program’s three-year mean for the licensure examination pass rate has not been at or above the national mean for the same three-year period.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess graduate satisfaction in a systematic and ongoing manner.
  - There is a lack of evidence that qualitative and quantitative measures are used to assess employer satisfaction in a systematic and ongoing manner.
  - There is a lack of evidence that job placement rates are assessed in a systematic and ongoing manner.
Yavapai College (Associate) Prescott, AZ related to non-compliance with:
- Standard 6 Outcomes, Criteria 6.1 and 6.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes and the role-specific graduate competencies.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.

Affirm Continuing Accreditation, Change Status to Continuing Accreditation with Conditions

The Commission affirmed the continuing accreditation and changed the accreditation status to continuing accreditation with conditions after a focused visit to the following programs:

Our Lady of Lourdes Medical Center (Diploma) Camden, NJ following the implementation of a change in ownership as the program is in non-compliance with Standard 3 Students; affirm the next onsite accreditation visit in Fall 2018.
- Standard 3 Students, Criterion 3.6
  - There is a lack of evidence of compliance with the Higher Education Reauthorization Act Title IV eligibility and certification requirements is maintained.

Affirm Continuing Accreditation, Change Status to Continuing Accreditation with Warning

The Commission affirmed the continuing accreditation and changed the accreditation status to continuing accreditation with warning after a focused visit to the following programs.

NONE

Affirm Continuing Accreditation, Change Status to Continuing Accreditation with Warning for Good Cause

The Commission changed the accreditation status to continuing accreditation with warning for good cause after a focused visit to the following programs:

NONE

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Adverse Actions

Any program denied initial or continuing accreditation has the right to forward comments regarding the Commission decision to the ACEN by May 5, 2016. The ACEN will forward to the Secretary of the U.S. Department of Education any comments submitted by the nursing program.

Deny Initial Accreditation

The Commission denied initial accreditation to the following program:

Piedmont College (Master’s) Demorest, GA related to con-compliance with:
- Standard 2 Faculty and Staff, Criterion 2.5
  - There is a lack of evidence that the number of full-time faculty is sufficient to ensure that the student learning outcomes and program outcomes are achieved
- Standard 4 Curriculum, Criteria 4.1, 4.2, 4.3, and 4.7
  - There is a lack of evidence that the curriculum incorporates established professional standards, guidelines, and competencies and program outcomes are consistent with contemporary practice.
  - There is a lack of evidence that the student learning outcomes are used to organize the curriculum, guide the delivery of instruction, direct learning activities, and evaluate student progress.
  - There is a lack of evidence that the curriculum is developed by the faculty and regularly reviewed for integrity, rigor, and currency.
  - There is a lack of evidence that evaluation methodologies reflect established professional and practice competencies and measure the achievement of the student learning outcomes
- Standard 6 Outcomes, Criteria 6.1 and 6.2
  - There is a lack of evidence that the systematic plan for evaluation of the nursing education unit emphasizes the ongoing assessment and evaluation of the student learning outcomes, the program outcomes, and the role-specific professional competencies.
  - There is a lack of evidence that the evaluation plan includes specific, measurable expected levels of achievement and appropriate assessment methods.
  - There is a lack of evidence that evaluation findings are aggregated, trended, and sufficient to inform program decision-making for the maintenance and improvement of the student learning outcomes.

Deny Continuing Accreditation

The Commission denied continuing accreditation to the following program

None

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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 with Warning 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 warning 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 Warning 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

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.

Notification of Commission Actions Fall 2015 Cycle