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Staffing42 CFR §483.35(d)(7); training hours at §483.95(g)(1)

F0731Nurse Aide Perform Review – 12 Hrs/Yr In-service

F0731 requires the facility to complete a performance review of each nurse aide at least once every 12 months, and to provide in-service education based on the outcomes of that review — with the in-service training itself required to total no less than 12 hours per year per aide.

Common Deficiency Examples

  • Annual in-service hour requirement not met for one or more nurse aides
  • Performance review not completed or not used to inform in-service training content
  • In-service training not documented adequately
  • Training content not addressing performance review findings

What Your Plan of Correction Needs

F0731 PoCs should tie training hours completion to a tracking system, since this is a quantifiable requirement:

Gap identifiedspecific staff member(s) and hours/review shortfall
Immediate actiontraining hours completed or review conducted
Systemic fixin-service tracking system tied to hire date/anniversary
Monitoring planperiodic audit of in-service hours against requirement per aide
See the four required elements of every Plan of Correction →

Frequently Asked Questions

How many annual in-service hours are required?+

No less than 12 hours per year per nurse aide (42 CFR §483.95(g)(1)), sufficient to ensure continuing competence and addressing areas of weakness identified in that aide's performance review — plus specific required content on dementia management and resident abuse prevention.

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