Nursing homes and other healthcare facilities must conduct a performance review of every nurse aide at least once every 12 months, and provide regular in-service education based on the outcome of these reviews. The in-service training must comply with the requirements of §483.95(g) and must include no less than twelve hours of in-service education per year for each nurse aide, based on their individual performance review. Facilities must also provide evidence that the in-service education provided addresses areas of weakness identified in performance reviews, special resident needs, and needs of residents with cognitive impairments. This new regulation requires nursing homes and healthcare facilities to ensure that their nurse aides have adequate training and education, and that they are regularly evaluated and provided with in-service education based on their performance reviews.

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