US · guidance
CMS SOM App. A, Tag A-0207
§482.13(f)(3) Trainer Requirements
- Individuals providing staff training must be qualified as
evidenced by education, training, and experience in techniques used to address patients'
behaviors.
Interpretive Guidelines §482.13(f)(3)
There is no requirement that training be obtained from Federally-specified programs. Hospitals may
develop and implement their own training programs or use an outside training program. However,
individuals providing the training must be qualified as evidenced by education, training and experience
in techniques used to address patients’ behaviors for the patient populations being served. Trainers
should demonstrate a high level of knowledge regarding all the requirements of these regulations as well
as the hospital’s policies and procedures that address these requirements.
Survey Procedures §482.13(f)(3)
Review personnel files of individuals responsible for providing staff education and training.
Do the individuals providing the education and training possess education, training, and experience to
qualify them to teach the staff? Are they qualified to identify and meet the needs of the patient
population(s) being served?
Does the hospital have a system for documenting and ensuring that the individuals providing education
and training have the appropriate qualifications required by this regulation?
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
23b6340e883fac9f43b33602c23d7905ece3d4015a80e5b45ec4cd82b47a0f5d
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