US · guidance
CMS SOM App. PP, Tag F730
§483.35(e)(7) Regular in-service education
The facility must complete a performance review of every nurse aide at least once
every 12 months, and must provide regular in-service education based on the
outcome of these reviews. In-service training must comply with the requirements of
§483.95(g).
INTENT
To focus on the performance review requirement and specific in-service education based
on the outcome of those reviews for each individual nurse aide.
GUIDANCE
NOTE: Cite this Tag only when a performance review of a nurse aide is not conducted
at least every 12 months or if the in-service education provided to an aide is not based on
his/her performance review.
Each nurse aide must have no less than twelve hours of in-service education per year
based on their individual performance review. Calculate the date by which a nurse aide
must receive annual in-service education by their employment date rather than the
calendar year.
For specific requirements regarding the content and requirements of training for nurse
aides DO NOT cite here but refer to F947, §483.95(g).
PROBES
Surveyors should determine through information obtained by observations, interviews
and verified by record reviews, whether a performance review of every nurse aide was
conducted at least once every 12 months and if the regular in-service education was based
on the outcome of these individual reviews.
• What is the process for reviewing the performance review of nurse aides?
• How are these reviews documented and does the documentation reflect at least
twelve hours of in-service training per year based on an aide’s individual
performance review?
• What evidence can the facility produce that demonstrates the in-service education
provided addresses areas of weakness identified in performance reviews, special
resident needs, and needs of residents with cognitive impairments?
History
Rev. 229; Issued: 04-25-25; Effective: 04-25-25; Implementation: 04-28-25
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
16ca86635dffbce669621ce1a0a3eae09eacb2f379b9a1af5e2f17f778772345
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