US · guidance
CMS SOM App. B, Tag G726
§484.75(c)(1) Nursing services are provided under the supervision of a registered
nurse that meets the requirements of §484.115(k).
Interpretive Guidelines §484.75(c)(1)
The HHA should identify a registered nurse (RN) to supervise the care provided by
licensed practical/vocational nurses (LPN/LVNs). §484.115(k) requires the RN be a
graduate of an approved school of professional nursing who is licensed in the state where
practicing.
The identified RN must in turn monitor and evaluate LPN/LVN performance in the
provision of services, provision of treatments, patient education, communication with the
RN, and data collection regarding the patient’s status and health needs (as delegated by
the RN). Only a registered nurse may perform comprehensive assessment, evaluations,
care planning and discharge planning.
History
Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
d8c7f7fcf28650485e5a6d983fcb4a616d3bde1d2d092772cfc1caac73479fed
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