US · guidance
CMS SOM App. M, Tag L618
§418.76(c)(4)
A hospice aide is not considered competent in any task for which he or
she is evaluated as unsatisfactory. An aide must not perform that task without
direct supervision by a registered nurse until after he or she has received training in
the task for which he or she was evaluated as “unsatisfactory,” and successfully
completes a subsequent evaluation. A hospice aide is not considered to have
successfully completed a competency evaluation if the aide has an “unsatisfactory”
rating in more than one of the required areas.
Interpretive Guidelines §418.76(c)(4)
A hospice aide who is evaluated as satisfactory in all subject areas except one would be
considered competent. However, this aide would not be allowed to perform the task in
which he or she was evaluated as unsatisfactory except under direct supervision. If a
hospice aide receives an unsatisfactory evaluation in more than one subject area, the aide
would not be considered to have successfully passed a competency evaluation program
and would be precluded from functioning as a hospice aide in any subject area. The
regulations place no restrictions on the number of times or the time frame in which an
aide can be tested in a deficient area.
History
Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
ac7f63ce150cdbebbb7361c8fe8ccae71b0a7b3c7fce3211dfa9e59861daecc4
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