CMS Manual System - Louisiana Department of Health and Hospitals

1919(e)(2)(A) of the Act the facility believes will include information on the
individual.
§483.75(e)(7) Required retraining
If, since an individual’s most recent completion of a training and competency
evaluation program, there has been a continuous period of 24 consecutive months
during none of which the individual provided nursing or nursing-related services
for monetary compensation, the individual must complete a new training and
competency evaluation program or a new competency evaluation program.
Interpretive Guidelines: §483.75(e)(7)
If an individual does not wish to be retrained, the individual must establish that he or she
performed nursing or nursing-related services for monetary compensation for at least one
documented day (i.e., 8 consecutive hours) during the previous 24 months. The State is
required to remove the individual‘s name from the registry if the services are not
provided for monetary compensation during the 24-month period. Thus, in the absence
of any evidence to the contrary, you can assume that the retraining requirement does not
apply to an individual whose name appears on the registry.
Section 6121 of the Patient Protection and Affordable Care Act (PPACA) of 2010,
amending Sections 1819(f)(2)(A)(i)(I)) and 1919(f)(2)(A)(i)(I) of the Social Security Act,
clarifies that nurse aide training includes initial and annual dementia management and
patient abuse prevention training for all nurse aides.
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F497
(Rev. 66, Issued: 10-01-10; Effective/Implementation Date: 10-01-10)
§483.75(e)(8) Regular In-Service Education
The facility must complete a performance review of every nurse aide at least once
every 12 months, and must provide regular in-service education based on the
outcome of these reviews. The in-service training must--
(i) Be sufficient to ensure the continuing competence of nurse aides, but must be
no less than 12 hours per year;
(ii) Address areas of weakness as determined in nurse aides’ performance
reviews and may address the special needs of residents as determined by the
facility staff; and
(iii) For nurse aides providing services to individuals with cognitive
impairments, also address the care of the cognitively impaired.