--- title: "September 2018 Commission Actions - Spring 2018 Accreditation Cycle" canonical: "https://resources.acenursing.org/space/CA/3728408577/September%202018%20Commission%20Actions%20-%20Spring%202018%20Accreditation%20Cycle" format: markdown --- # Notification of Commission Actions Spring 2018 Accreditation 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 September 12, 2018. 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. **Standards: ACEN 2017 Standards and Criteria** # Initial and Continuing Accreditation Actions ## Initial Accreditation **The Commission ****granted initial accreditation**** ****to the following programs:** - **None** ## Continuing Accreditation **The Commission ****granted continuing accreditation**** ****to the following programs:** - **None** ## Continuing Accreditation – Remove Conditions Status ### The Commission accepted the follow-up report, removed the conditions status, and granted continuing accreditation to the following programs: - **Albany State University **(Associate) Albany, GA - **Georgia Northwestern Technical College **(Associate) Las Vegas, NV **The Commission ****removed the conditions status and granted continuing**** ****accreditation**** ****after a follow-up visit to the following programs:** - **None** ## Continuing Accreditation – Remove Warning Status **The Commission ****removed the warning status and granted continuing**** ****accreditation**** ****after a follow-up visit to the following programs:** - **None** ## Continuing Accreditation – Remove Good Cause Status **The Commission ****removed the good cause status and granted continuing**** ****accreditation**** ****after a follow-up visit to the following programs:** - **None** ## Affirm Continuing Accreditation ### The Commission affirmed continuing accreditation after a focused visit to the following programs: - **Albany State University **(Associate) Albany, GA - **Albany State University **(Baccalaureate) Albany, GA - **Albany State University **(Master’s/Post Master’s Certificate) Albany, GA - **Community College of Beaver County **(Associate) Monaca, PA - **Covenant Health **(Diploma) Lubbock, TX - **Dickinson State University **(Baccalaureate) Dickinson, ND - **George Corley Wallace Community College **(Associate) Selma, AL - **George Corley Wallace Community College **(Practical) Selma, AL - **J. Sargeant Reynolds Community College **(Associate) Richmond, VA - **Jefferson State Community College **(Associate) Birmingham, AL - **North Idaho College **(Associate) Coeur d’Alene, ID - **Seminole State College **(Associate) Seminole, OK - **Universidad Metropolitana **(Baccalaureate) Bayamón, PR - **Washtenaw Community College **(Associate) Ann Arbor, MI ## Continuing Accreditation with Conditions ### The Commission granted continuing accreditation with conditions to the following programs: - **Becker College **(Baccalaureate) Worcester, MA related to non-compliance with: - **Standard 4 Curriculum, Criteria 4.2, 4.3, 4.6, 4.7, and 4.9** - There is a lack of evidence that the course student learning outcomes consistently progress throughout the curriculum in support of the end-of-program student learning outcomes. - There is a lack of evidence that the curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor, and currency. - There is a lack of evidence that the instructional processes reflect educational theory, interprofessional collaboration, research, and current standards of practice. - There is a lack of evidence that evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of the end-of-program student learning outcomes. - There is a lack of evidence that student clinical experiences support the achievement of the end-of-program student learning outcomes. - **Standard 6 Outcomes, Criteria 6.1, 6.3, and 6.4** - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of student’s attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for program completion has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students complete the nursing program. - There is a lack of evidence that the assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ completion of the nursing program. - There is a lack of evidence that the expected level of achievement for job placement has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which graduates of the nursing program are employed. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - **Big Bend Community College **(Associate) Moses Lake, WA related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1 and 6.3** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for program completion has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students complete the nursing program. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ completion of the nursing program. - **Bluefield State College **(Associate) Bluefield, WV related to non-compliance with: - **Standard 4 Curriculum, Criteria 4.2, 4.3, and 4.7** - There is a lack of evidence that the end-of-program student learning outcomes are used to organize the curriculum, guide the delivery of instruction, and direct learning activities. - There is a lack of evidence that the course student learning outcomes/course objectives consistently progress throughout the curriculum in support of the end-of-program student learning outcomes. - There is a lack of evidence that the curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor, and currency. - There is a lack of evidence that evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of the end-of-program student learning outcomes. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - **Bucks County Community College **(Associate) Newtown, PA related to non-compliance with: - **Standard 4 Curriculum, Criteria 4.2, 4.3, and 4.6** - There is a lack of evidence that the end-of-program student learning outcomes are used to organize the curriculum. - There is a lack of evidence that the curriculum is regularly reviewed to ensure integrity, rigor, and currency. - There is a lack of evidence that the curriculum reflects educational theory, interprofessional collaboration, and current standards of practice. - **Standard 6 Outcomes, Criteria 6.1 and 6.3** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for program completion has been consistently met. - **Central Alabama Community College **(Associate) Childersburg, AL related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.2 and 6.3** - There is a lack of evidence that the expected level of achievement for first-time test takers during the same 12-month period on the licensure examination has been consistently met. - There is a lack of evidence that the expected level of achievement for program completion has been consistently met. - **Copiah-Lincoln Community College **(Associate) Wesson, MS related to non-compliance with: - **Standard 4 Curriculum, Criteria 4.2, 4.3, and 4.7** - There is a lack of evidence that the end-of-program student learning outcomes are used to organize the curriculum, guide the delivery of instruction, and direct learning activities. - There is a lack of evidence that the course student learning outcomes/course objectives consistently progress throughout the curriculum in support of the end-of-program student learning outcomes. - There is a lack of evidence that the curriculum is regularly reviewed to ensure integrity, rigor, and currency. - There is a lack of evidence that evaluation methodologies are varied, reflect established professional and practice competencies, and measure the achievement of the end-of-program student learning outcomes. - **Standard 6 Outcomes, Criteria 6.1, 6.2, and 6.3** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for first-time test takers during the same 12-month period on the licensure examination has been consistently met. - There is a lack of evidence that the expected level of achievement for program completion has been consistently met. - **Fayetteville Technical Community College **(Associate) Fayetteville, NC related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - **Florida A&M University **(Baccalaureate) Tallahassee, FL related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.2** - There is a lack of evidence that the expected level of achievement for first-time test takers during the same 12-month period on the licensure examination has been consistently met. - **Frederick Community College **(Associate) Frederick, MD related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that the expected level of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - **Grand Rapids Community College **(Associate) Grand Rapids, MI related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - **Grand Rapids Community College **(Practical) Grand Rapids, MI related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - **Houston Baptist University **(Baccalaureate) Houston, TX related to non-compliance with: - **Standard 4 Curriculum, Criteria 4.1, 4.2, 4.3, and 4.9** - There is a lack of evidence that the program has clearly articulated end-of-program student learning outcomes. - There is a lack of evidence that the end-of-program student learning outcomes are used to organize the curriculum, guide the delivery of instruction, and direct learning activities. - There is a lack of evidence that the curriculum is developed by the faculty and regularly reviewed to ensure integrity, rigor, and currency. - There is a lack of evidence that student clinical experiences and practice learning environments for the RN-to-BSN program option are evidence-based, reflect contemporary practice and nationally established patient health and safety goals, and support achievement of the end-of-program student learning outcomes. - **Standard 6 Outcomes, Criteria 6.1, 6.2, 6.3, and 6.4** - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ success on licensure examination. - There is a lack of evidence that the expected level of achievement for program completion has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students complete the nursing program. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ completion of the traditional and RN-to-BSN nursing program. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - **Mohave Community College **(Associate) Kingman, AZ related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that the program demonstrates evidence of students’ achievement of each end-of-program student learning outcome. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain each end-of-program student learning outcome. - There is a lack of evidence that assessment data are consistently analyzed. - There is a lack of evidence that the analysis of assessment data is used in program decision-making for the maintenance and improvement of students’ attainment of each end-of-program student learning outcome. - **Neosho County Community College **(Associate) Ottawa, KS related to non-compliance with: - **Standard 2 Faculty and Staff, Criteria 2.4, 2.8, and 2.9** - There is a lack of evidence that preceptors are mentored and monitored. - There is a lack of evidence that the part-time faculty are oriented and mentored in their areas of responsibility. - There is a lack of evidence that full-time and part-time faculty performance is regularly evaluated in accordance with the governing organization’s policy/procedures. - **Standard 6 Outcomes, Criteria 6.1, 6.2, and 6.3** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that assessment data are consistently used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for first-time test takers during the same 12-month period on the licensure examination has been consistently met. - There is lack of evidence of a minimum of the three (3) most recent years of available licensure examination pass rate data are disaggregated for the nursing program by option and cohort. - There is a lack of evidence of a minimum of the three (3) most recent years of available program completion data are disaggregated by program option and date of program completion or entering cohort. - **Oakwood University **(Baccalaureate) Huntsville, AL related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1, 6.3, and 6.4** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for program completion has been consistently met. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - There is a lack of evidence of a minimum of the three (3) most recent years of available job placement data and that data are aggregated for the program as a whole. - **Paradise Valley Community College **(Associate) Phoenix, AZ related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - **Salt Lake Community College **(Associate) West Jordan, UT related to non-compliance with: - **Standard 2 Faculty and Staff, Criteria 2.1, 2.2, 2.4, and 2.9** - There is a lack of evidence that full-time nursing faculty hold the required educational qualifications and experience as required by the governing organization. - There is a lack of evidence that the part-time nursing faculty hold the required educational qualification and experience as required by the governing organization. - There is a lack of evidence that preceptors when used are academically qualified, oriented, mentored or monitored in the role of preceptor. - There is a lack of evidence that part-time faculty performance is regularly evaluated in accordance with the governing organization’s policy/procedures. - There is a lack of evidence that part-time faculty performance demonstrates effectiveness in assigned areas of responsibility. - **Southside Regional Medical Center dba. Petersburg Hospital **(Associate) Colonial Heights, VA related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1 and 6.3** - There is a lack of evidence there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that there is ongoing assessment of the extent to which students complete the nursing program. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ completion of the nursing program. - There is a lack of evidence of a minimum of the three (3) most recent years of available program completion data, and that program completion data are aggregated for the nursing program as a whole as well as disaggregated by program option, location, and date of program completion or entering cohort. - **Trocaire College **(Baccalaureate) Buffalo, NY related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that documentation is maintained that demonstrates the use of assessment data in program decision-making for the maintenance and improvement of each end-of-program student learning outcome. ## Continuing Accreditation with Warning **The Commission ****granted continuing accreditation with warning**** ****to the following programs:** - **None** ## Continuing Accreditation for Good Cause ## The Commission granted continuing accreditation for good cause to the following programs: - **Clarkson College **(Master’s/Post Master’s Certificate) Omaha, NE related to non-compliance with: - **Standard 2 Faculty and Staff, Criteria 2.1, 2.2, and 2.5** - There is a lack of evidence that full-time nursing faculty are qualified to teach the assigned nursing courses in accordance with NTF guidelines. - There is a lack of evidence that part-time nursing faculty hold educational qualifications and experience as required by the state. - There is a lack of evidence that the number of full-time nursing faculty is sufficient for the achievement of the end-of-program student learning outcomes and program outcomes. - **Standard 6 Outcomes, Criteria 6.2 and 6.4** - There is a lack of evidence that the expected level of achievement for first-time test-takers during the same 12-month period on the certification examinations has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which graduates of the nursing program are employed. - **Cox College **(Associate) Springfield, MO related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1, 6.3, and 6.4** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that there is ongoing assessment of the extent to which students complete the nursing program. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ completion of the nursing program. - There is a lack of evidence that there is ongoing assessment of the extent to which graduates of the nursing program are employed. - **El Centro College **(Associate) Dallas, TX related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.2** - There is a lack of evidence that the expected level of achievement for first-time test-takers during the same 12-month period on the licensure examination has been consistently met. - **Medgar Evers College – CUNY **(Associate) Brooklyn, NY related to non-compliance with: - **Standard 2 Faculty and Staff, Criteria 2.1 and 2.2** - There is a lack of evidence that full-time nursing faculty hold educational qualifications and experience as required by the state. - There is a lack of evidence that part-time nursing faculty hold educational qualifications and experience as required by the state. - **Standard 3 Students, Criteria 3.1 and 3.7** - There is a lack of evidence that policies for nursing students are consistently applied. - There is a lack of evidence that program complaints and grievances receive due process and include evidence of resolution in accordance with the policy of the governing organization. - **Standard 6 Outcomes, Criterion 6.2** - There is a lack of evidence that the expected level of achievement for the first-time test takers during the same 12-month period on the licensure examination has been consistently met. - **Medgar Evers College – CUNY **(Baccalaureate) Brooklyn, NY related to non-compliance with: - **Standard 2 Faculty and Staff, Criteria 2.1 and 2.2** - There is a lack of evidence that full-time nursing faculty hold educational qualifications and experience as required by the state. - There is a lack of evidence that part-time nursing faculty hold educational qualifications and experience as required by the state. - **Standard 3 Students, Criteria 3.1 and 3.7** - There is a lack of evidence that policies for nursing students are consistently applied. - There is a lack of evidence that program complaints and grievances receive due process and include evidence of resolution in accordance with the policy of the governing organization. - **North Central Texas College **(Associate) Gainesville, TX related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.1** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - **Roxbury Community College **(Associate) Boston, MA related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1 and 6.4** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - **Tennessee State University **(Baccalaureate) Nashville, TN related to non-compliance with: - **Standard 4 Curriculum, Criterion 4.1** - There is a lack of evidence that the curriculum has clearly articulated end-of-program student learning outcomes for the baccalaureate program. - **Standard 6 Outcomes, Criteria 6.2 and 6.4** - There is a lack of evidence that the expected level of achievement for first-time test-takers during the same 12-month period on the licensure examination has been consistently met. - There is a lack of evidence that the expected level of achievement for job placement has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which graduates of the nursing program are employed. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - There is a lack of evidence of a minimum of the three (3) most recent years of available job placement data and that data are aggregated for the program as a whole. ## 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 program: - **Alderson Broaddus University **(Baccalaureate) Philippi, WV related to non-compliance with: - **Standard 1 Mission and Administrative Capacity, Criteria 1.5 and 1.6** - There is a lack of evidence that the nursing education unit is administered by a nurse who holds a graduate degree with a major in nursing and is doctorally prepared. - There is a lack of evidence that the nurse administration meets the School of Nursing’s requirements. - **Kansas City Kansas Community College **(Associate) Kansas City, KS related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1, 6.2, 6.3, and 6.4** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for first-time test-takers during the same 12-month period on the licensure examination has been consistently met. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ success on the licensure examination. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ completion of the nursing program. - There is a lack of evidence of a minimum of the three (3) most recent years of available program completion data and that program completion data are aggregated for the nursing program as a whole as well as disaggregated by program option, location, and date of program completion or entering cohort. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - There is a lack of evidence of a minimum of the three (3) most recent years of available job placement data and that data are aggregated for the program as a whole. - **Mercy College of Health Sciences **(Associate) Des Moines, IA related to non-compliance with: - **Standard 6 Outcomes, Criterion 6.2** - There is a lack of evidence that the expected levels of achievement for first-time test takers during the same 12-month period on the licensure examination has been consistently met. - **Snow College **(Associate) Richfield, UT related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1 and 6.2** - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that the expected level of achievement for first-time test takers during the same 12-month period on the licensure examination has been consistently met. - **Tennessee State University **(Associate) Nashville, TN related to non-compliance with: - **Standard 2 Faculty and Staff, Criterion 2.2** - There is a lack of evidence that part-time faculty hold educational qualifications as required by the governing organization. - **Standard 6 Outcomes, Criteria 6.2 and 6.4** - There is a lack of evidence that the expected level of achievement for first-time test-takers during the same 12-month period on the licensure examination has been consistently met. - There is a lack of evidence that the expected level of achievement for job placement has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which graduates of the nursing program are employed. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - There is a lack of evidence of a minimum of the three (3) most recent years of available job placement data and that data are aggregated for the program as a whole. ## 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 for Good Cause ### The Commission changed the accreditation status to continuing accreditation for good cause after a focused visit to the following programs: - **Roxbury Community College **(Associate) Boston, MA related to non-compliance with: - **Standard 6 Outcomes, Criteria 6.1 and 6.4** - There is a lack of evidence that the expected levels of achievement of the end-of-program student learning outcomes are consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which students attain the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of students’ attainment of the end-of-program student learning outcomes. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - **Tennessee State University **(Baccalaureate) Nashville, TN related to non-compliance with: - **Standard 4 Curriculum, Criterion 4.1** - There is a lack of evidence that the curriculum has clearly articulated end-of-program student learning outcomes for the baccalaureate program. - **Standard 6 Outcomes, Criteria 6.2 and 6.4** - There is a lack of evidence that the expected level of achievement for first-time test-takers during the same 12-month period on the licensure examination has been consistently met. - There is a lack of evidence that the expected level of achievement for job placement has been consistently met. - There is a lack of evidence that there is ongoing assessment of the extent to which graduates of the nursing program are employed. - There is a lack of evidence that assessment data are consistently analyzed and used in program decision-making for the maintenance and improvement of graduates being employed. - There is a lack of evidence of a minimum of the three (3) most recent years of available job placement data and that data are aggregated for the program as a whole. # Adverse Actions **Any program denied initial or continuing accreditation has the right to forward comments regarding the Commission decision to the ACEN by May 9, 2018. 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:** - **None** ## Deny Continuing Accreditation **The Commission ****denied continuing accreditation**** ****to the following program** - **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 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: **ACEN 2017 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.