This letter explains the requirement for nursing homes and other healthcare facilities to include mandatory training on their Quality Assurance and Performance Improvement (QAPI) program as part of their QAPI program. The training must outline and inform staff of the elements and goals of the facility's QAPI program, as well as the staff's role in the program and how to communicate concerns, problems, or opportunities for improvement to the facility's QAA Committee. Facilities must also ensure that their training is updated when changes are made to the QAPI program or goals, and that staff are trained on these updates. If QAPI deficiencies are identified, facilities may be cited for deficient staff training.

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