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title: "September 30, 2022 - Substantive Change Actions"
canonical: "https://resources.acenursing.org/space/CA/4016341069/September%2030%2C%202022%20-%20Substantive%20Change%20Actions"
format: markdown
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# <span style="color: #333333">Notification of Substantive Change Actions September 30, 2022</span>

## <span style="color: #333333">**Board of Commissioners Actions**</span>

<span style="color: #333333">The following publicly available information is provided by the Accreditation Commission for Education in Nursing (ACEN) concerning actions taken on September 30, 2022, by the ACEN Board of Commissioners related to substantive changes. Commission staff will not speculate on what decision might be made by the ACEN Board of Commissioners the next time a program is reviewed. For additional information regarding ACEN accreditation process, access the Accreditation Manual.</span>

<span style="color: #333333">**Standards: 2017 Standards and Criteria**</span>

<span style="color: #333333">**The Board of Commissioners approved the **</span><u><span style="color: #333399">**substantive change report**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**for the following programs:**</span>

  - **Central Maine Community College **<span style="color: #333333">(Associate) Auburn, Maine, related to an increase of program enrollment of 50% or greater.</span>
  - **Columbia Central University **<span style="color: #333333">(Baccalaureate) Caguas, Puerto Rico, related the merger of Columbia Central University and NUC University.</span>
  - **Galen College of Nursing – Louisville **<span style="color: #333333">(Associate) Louisville, Kentucky, related to the implementation of the Pikeville off-campus instructional site.</span>
  - **Galen College of Nursing – San Antonio **<span style="color: #333333">(Associate) San Antonio, Texas, related to the implementation the new Houston off-campus instructional site.</span>
  - **Motlow State Community College **<span style="color: #333333">(Associate) Tullahoma, Tennessee, related to the implementation of the new Fayetteville off-campus instructional site.</span>
  - **Murray State College **<span style="color: #333333">(Associate) Tishomingo, Oklahoma, related to the implementation of the new Southeastern Oklahoma State University off-campus instructional site.</span>
  - **NUC University **<span style="color: #333333">(Baccalaureate) Bayamon, Puerto Rico, related the merger of Columbia Central University and NUC University.</span>
  - **NUC University **<span style="color: #333333">(Associate) Bayamon, Puerto Rico, related the merger of Columbia Central University and NUC University.</span>
  - **Southwest Technical College **<span style="color: #333333">(Practical) Cedar City, Utah, related to an increase of program enrollment of 50% or greater.</span>
  - **SUNY Adirondack Community College **<span style="color: #333333">(Associate) Queensbury, New York, related to the implementation of a new off-campus instructional site.</span>

<span style="color: #333333">**The Board of Commissioners approved the **</span><u><span style="color: #333399">**substantive change report**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**and authorized a **</span><u><span style="color: #333399">**focused visit**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**for the following programs:**</span>

  - **Neumann University **<span style="color: #333333">(Master’s) Aston, Pennsylvania, related to the implementation of a new MSN/AGACNP and PMC/AGACNP program option.</span>
  - **San Antonio College **<span style="color: #333333">(Associate) San Antonio, Texas, related to the implementation of the Northeast Lakeview College off-campus instructional site.</span>

<span style="color: #333333">**The Board of Commissioners approved the **</span><u><span style="color: #333399">**substantive change report**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**and requested a written report about the status of the implementation of the substantive change for the following programs:**</span>

  - <span style="color: #333333">**None**</span>

<span style="color: #333333">**The Board of Commissioners approved the **</span><u><span style="color: #333399">**substantive change report**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**and removed the requirement for a **</span><u><span style="color: #333399">**focused visit**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**for the following programs:**</span>

  - <span style="color: #333333">**None**</span>

<span style="color: #333333">**The Board of Commissioners denied the **</span><u><span style="color: #333399">**substantive change report**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**and authorized a **</span><u><span style="color: #333399">**focused visit**</span></u><span style="color: #333399">** **</span>**for the following programs:**

  - <span style="color: #333333">**None**</span>

<span style="color: #333333">**The Board of Commissioners denied the **</span><u><span style="color: #333399">**substantive change report**</span></u><span style="color: #333399">** **</span><span style="color: #333333">**for the following programs:**</span>

  - <span style="color: #333333">**None**</span>

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# <span style="color: #333333">Definitions</span>

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<span style="color: #333333">**Continuing Accreditation: **</span><span style="color: #333333">A determination by the ACEN Board of Commissioners that a nursing program is in compliance with all Accreditation Standards.</span>

<span style="color: #333333">**Continuing Accreditation with Conditions: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Continuing Accreditation with Warning: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Continuing Accreditation for Good Cause: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Denied Initial Accreditation: **</span><span style="color: #333333">A determination by the ACEN Board of Commissioners that a nursing program is in non-compliance with one or more Accreditation Standard.</span>

<span style="color: #333333">**Denied Continuing Accreditation: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Focused Visit: **</span><span style="color: #333333">A site visit authorized by the ACEN Board of Commissioners to review significant accreditation-related information disclosed about a program as a result of:</span>

- <span style="color: #333333">A substantive change;</span>
- <span style="color: #333333">Information revealed about a program between periods of scheduled review;</span>
- <span style="color: #333333">Information received from the governing organization’s accrediting body related to an adverse action;</span>
- <span style="color: #333333">Information received from the program’s state regulatory agency for nursing related to a change in its status;</span>

- <span style="color: #333333">Information revealed by a program during the Evaluation Review Panel process;</span>
- <span style="color: #333333">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.</span>

<span style="color: #333333">**Follow-up Report: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Initial Accreditation: **</span><span style="color: #333333">A determination by the ACEN Board of Commissioners that a nursing program is in compliance with all Accreditation Standards.</span>

<span style="color: #333333">**Remove the Conditions Status and Grant Continuing Accreditation: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Remove the for Good Cause Status and Grant Continuing Accreditation: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Remove the Warning Status and Grant Continuing Accreditation: **</span><span style="color: #333333">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.</span>

<span style="color: #333333">**Standard:**</span>

<span style="color: #333333">**See ACEN 2017 Standards and Criteria**</span>

<span style="color: #333333">**Substantive Change Report: **</span><span style="color: #333333">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.</span>