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Staffing42 CFR §483.35(a)(3)

F0726Competent Nursing Staff

F0726 requires that nursing staff have the appropriate competencies and skill sets to provide care based on resident needs identified through the facility assessment, distinct from F0725's focus on sufficiency of numbers.

Common Deficiency Examples

  • Staff assigned to care beyond their documented competency or scope
  • Competency validation not completed for specialized care needs present in the resident population
  • Ongoing competency assessment not occurring per facility policy
  • New hire orientation not covering competencies relevant to the resident population

What Your Plan of Correction Needs

F0726 PoCs should focus on competency validation processes, distinct from staffing ratios:

Gap identifiedspecific competency gap relative to resident needs
Immediate actioncompetency validation or reassignment for the staff/resident involved
Systemic fixcompetency validation program tied to facility assessment findings
Monitoring planperiodic competency review tracking

Frequently Asked Questions

How is F0726 different from F0725?+

F0725 is about having enough staff — sufficient numbers relative to the facility assessment. F0726 is about whether the staff on hand have the right competencies and skill sets for the resident population's actual needs. A facility can be adequately staffed by headcount and still be cited under F0726.

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