US · guidance
CMS SOM App. U, Tag R193
(2) Staff must demonstrate, in practice, the skills and techniques necessary to
perform their duties and responsibilities.
Interpretive Guidelines: §403.740(b)(2)
As part of the performance evaluation, the RNHCI should establish a process for staff to
demonstrate their ability to perform their duties and responsibilities. For instance,
RNHCI management or individuals who supervise staff may conduct observations of care
provided to a patient, such as routine bathing or assisting a patient in movement from
bed to chair.
Survey Procedures:
• Interview supervisory staff and ask them what their process is for evaluating
competency among their staff.
• Review personnel records. Do RNHCI staff have documentation of their
performance reviews?
• Observe whether or not staff are knowledgeable about the needs of each patient
with whom they are assigned to work.
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
18917330f691072d8c26a68a7d5e7fe44ba9c3d2ffb8f840cdb254f3a43c3e59
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