§ 483.95 Training requirements. A facility must develop, implement, and maintain an effective training program for all new and existing staff; individuals providing services under a contractual arrangement; and volunteers, consistent with their expected roles. A facility must determine the amount and types of training necessary based on a facility assessment as specified at § 483.71. Training topics must include but are not limited to— ( a ) *Communication.* A facility must include effective communications as mandatory training for direct care staff.
( b ) *Resident's rights and facility responsibilities.* A facility must ensure that staff members are educated on the rights of the resident and the responsibilities of a facility to properly care for its residents as set forth at § 483.10, respectively.
( c ) *Abuse, neglect, and exploitation.* In addition to the freedom from abuse, neglect, and exploitation requirements in § 483.12, facilities must also provide training to their staff that at a minimum educates staff on— ( 1 ) Activities that constitute abuse, neglect, exploitation, and misappropriation of resident property as set forth at § 483.12.
( 2 ) Procedures for reporting incidents of abuse, neglect, exploitation, or the misappropriation of resident property.
( 3 ) Dementia management and resident abuse prevention.
( d ) *Quality assurance and performance improvement.* A facility must include as part of its QAPI program mandatory training that outlines and informs staff of the elements and goals of the facility's QAPI program as set forth at § 483.75.
( e ) *Infection control.* A facility must include as part of its infection prevention and control program mandatory training that includes the written standards, policies, and procedures for the program as described at § 483.80(a)(2).
( f ) *Compliance and ethics.* The operating organization for each facility must include as part of its compliance and ethics program, as set forth at § 483.85— ( 1 ) An effective way to communicate that program's standards, policies, and procedures through a training program or in another practical manner which explains the requirements under the program.
( 2 ) Annual training if the operating organization operates five or more facilities.
( g ) *Required in-service training for nurse aides.* In-service training must— ( 1 ) Be sufficient to ensure the continuing competence of nurse aides, but must be no less than 12 hours per year.
( 2 ) Include dementia management training and resident abuse prevention training.
( 3 ) Address areas of weakness as determined in nurse aides' performance reviews and facility assessment at § 483.70(e) and may address the special needs of residents as determined by the facility staff.
( 4 ) For nurse aides providing services to individuals with cognitive impairments, also address the care of the cognitively impaired.
( h ) *Required training of feeding assistants.* A facility must not use any individual working in the facility as a paid feeding assistant unless that individual has successfully completed a State-approved training program for feeding assistants, as specified in § 483.160.
( i ) *Behavioral health.* A facility must provide behavioral health training consistent with the requirements at § 483.40 and as determined by the facility assessment at § 483.70(e).
[81 FR 68870, Oct. 4, 2016, as amended at 89 FR 41000, May 10, 2024]