US · guidance
CMS SOM App. U, Tag R191
§403.740(a) Standard: Personnel Qualifications
The RNHCI must ensure that staff who supervise or furnish services to patients are
qualified to do so and that staff allowed to practice without direct supervision have
specific training to furnish these services.
Interpretive Guidelines: §403.740(a)
In order to determine whether RNHCI staff are “qualified,” in the absence of specific
Federal, State, or local laws, review staff records for evidence of work experience and
training (including, but not limited to, educational or life experience) with respect to
duties currently performed.
This standard applies to all such individuals who furnish services, whether or not they are
employed or compensated by the RNHCI or, if they are compensated, whether salaried or
contractors.
Survey Procedures:
• Review personnel records.
o Are staff in food services trained and have the safe quality food
certifications?
o Is housekeeping staff trained in sanitation and infection control?
o Are staff trained in routine first aid?
History
Rev. 239; Issued: 04-24-26; Effective: 04-24-26; Implementation: 04-24-26
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
09955c0d2c10a97ae70c8f9fe5aa0be0f0434641510d34b5a2508b2b6d15016e
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