This letter from CMS outlines the requirements for nurse aides working in healthcare facilities. Facilities must not use any individual as a nurse aide for more than 4 months unless they have completed a training and competency evaluation program, been deemed or determined competent, or are full-time employees in a state-approved training and competency evaluation program. Facilities must also ensure that any nurse aides they employ have demonstrated competence through satisfactory participation in a state-approved program or have been deemed or determined competent. Healthcare facilities must take action to confirm that nurse aides have successfully completed a training and competency evaluation program, are currently receiving training, or have been deemed or determined competent. These requirements are in place to ensure quality of care for patients.

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