US · guidance
CMS SOM App. J, Tag W347
§483.460(d)(5) Non- licensed nursing personnel who work with clients under a medical care
plan must do so under the supervision of licensed persons.
The work of any direct support staff (caring for clients with a medical care plan) is directed by an
onsite licensed nurse). The nurse evaluates the care provided by the staff as needed, but at
least each shift. If observations of care indicate that direct care staff are not providing care as
directed by the medical care plan, then review the supervision provided by the nursing staff.
(e) Standard: Dental services
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
27c349605c65bb9334283316d04038cbef854cf6729faaf344b48e63050840e2
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