US · guidance
CMS SOM App. J, Tag W182
§483.430(c)(1) The facility must not depend upon clients or volunteers to perform direct care
services for the facility.
Guidance §483.430(c)(1)
The facility must have sufficient staff to provide needed care and services without the use of
volunteers or enlisting the help of clients residing in the facility to perform the duties normally
performed by facility staff.
The facility may not rely on volunteers in lieu of paid staff to fill required staff positions and
perform direct care services. Volunteers are permissible, but must be in addition to the number
of paid staff required to carry out a function. Volunteers should have an orientation to the
policies and procedures of the facility and oversight is required by facility staff.
History
Rev. 135, Issued: 02-27-15, Effective: 04-27-15, Implementation: 04-27-15
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
827361a5859b69dcf38ae0374c6d0f4e3ddf82e94cc07a9c66f2e29a4d373b81
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.