This letter outlines new requirements for nursing homes and other healthcare facilities related to the hiring of nurse aides. Facilities must receive registry verification that the individual has met competency evaluation requirements before allowing them to serve as a nurse aide. Additionally, they must seek information from every State registry that the facility believes will include information on the individual. If the nurse aide has not provided nursing-related services for monetary compensation over a 24-month period, they must complete a new training and competency evaluation program. Facilities must review nurse aide personnel files to ensure they are meeting these requirements. This letter will require nursing homes and other healthcare facilities to take additional steps to verify the qualifications of nurse aides before hiring them.

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