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US · guidance

CMS SOM App. J, Tag W231

§483.440(c)(4)(iii) Be expressed in behavioral terms that provide measurable indices of

activein force · 2026-07-22 – presentas-observed

performance;

Guidance §483.440(c)(4)(iii)

The desired learning outcome is stated in a manner which enables all staff working with the

client to consistently identify the target behavior and to clearly identify when it is being

displayed.

The objective is stated in a manner which permits it to be measured with quantifiable data.

"Behavioral" terms include only those behaviors which are "client" rather than staff oriented

and those that any person would agree can be seen or heard. Determine if all staff who work

with the client can define the exact same outcome on which to measure the client's

performance.

"Measurable indices of performance" are the quantifiable criteria to use in determining

successful achievement of the objective. Quantifiable criteria include various measurements of

intensity and duration. For example, "Client X will walk ten feet, with the use of her tripod

walker, on each of five (5) consecutive days."

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
7125caf94151275f286a19bad698f9c32efa4a967facedb4e580589155bf9725
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