---
kind: "section"
citation: "42 C.F.R. § 483.95"
title: "42"
number: "483.95"
heading: "Training requirements."
url: "https://uscodex.org/cfr/42/483.95"
---

# §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](/cfr/42/483.71.md). 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](/cfr/42/483.10.md), respectively.
- (c) **Abuse, neglect, and exploitation.** In addition to the freedom from abuse, neglect, and exploitation requirements in [§ 483.12](/cfr/42/483.12.md), 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](/cfr/42/483.12.md).
  - (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](/cfr/42/483.75.md).
- (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)](/cfr/42/483.80.md?p=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](/cfr/42/483.85.md)—
  - (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)](/cfr/42/483.70.md?p=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](/cfr/42/483.160.md).
- (i) **Behavioral health.** A facility must provide behavioral health training consistent with the requirements at [§ 483.40](/cfr/42/483.40.md) and as determined by the facility assessment at [§ 483.70(e)](/cfr/42/483.70.md?p=e).

## Notes

### Amendments

[81 FR 68870, Oct. 4, 2016, as amended at 89 FR 41000, May 10, 2024]

### Source

Source: 54 FR 5359, Feb. 2, 1989, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1320a-7, 1395i, 1395hh and 1396r.

### Amendments

[81 FR 68870, Oct. 4, 2016, as amended at 89 FR 41000, May 10, 2024]