CMS SOM App. M, Tag L633

initial and continued satisfactory performance in meeting outcome criteria that

include, but is not limited to–

i. Following the patient’s plan of care for completion of tasks assigned to

the hospice aide by the registered nurse;

ii. Creating successful interpersonal relationships with the patient and

family;

iii. Demonstrating competency with assigned tasks;

iv. Complying with infection control policies and procedures;

v. Reporting changes in the patient’s condition.

Interpretive Guidelines §418.76(h)(3)

Supervisory visits may be made in conjunction with a professional visit to provide

services. Documentation of RN supervision should include, but not be limited to, if the

aide is following the plan of care, is competent in performing required tasks and is

satisfactory to the patient/family.