CMS Manual System - Louisiana Department of Health and Hospitals

Probes: §483.75(e)(2 - 4)
During an extended or partial extended survey:
Have all nurse aides completed a nurse aide training and competency evaluation
program or a competency evaluation program? If not, are those nurse aides
permanent employees enrolled in a training and competency evaluation program
who have worked in the facility for 4 months or less?
Ask nurse aides where they received their training, how long the training was and
how long they have worked in the facility as a nurse aide.
During all surveys:
If incorrect nurse aide work performance is observed during the survey, check to
see if the nurse aide received training and licensed nurse supervision to correctly
carry out the task.
A ―permanent employee‖ is defined as any employee you expect to continue working
on an ongoing basis.
Procedures: §483.75(e)(2-4)
Review competency requirements for nurse aides if you identify potential deficient care
practices in quality of care, resident rights, resident behavior and facility practice or
quality of life which may be related to nurse aide competency. Is there evidence that the
nurse aide has successfully completed the competency evaluation program, or has the
individual been grandfathered in by the State?
If you identify deficient care practices by nurse aides who do not have evidence of having
successfully completed a competency evaluation program, determine:
If the aide is currently receiving training an a State approved Nurse Aide Training
Program;
If the aide is under the supervision of a licensed nurse; and
If the aide has been trained and determined to be proficient for the tasks to which
he or she is assigned. See §483.152 for specific training that the aide is to
receive. This training includes:
At least 16 hours of training in the following subjects before any direct contact
with the resident:
o Communication and interpersonal skills;