Federal Requirements: Governing Law
States are free to develop their own in-service requirements, but there are broad, Federal regulations that apply to all states.
- Full Federal regulations may be found in 42 CFR 483.75(e)(8) - Required Training of Nursing Aides.
Federal CNA Inservice Requirements: Full Text
42 CFR 483.75(e)(8) specifies the following regarding CNA in-service requirements:
(8) Regular in-service education. The facility must complete a performance review of every nurse aide at least once every 12 months, and must provide regular in-service education based on the outcome of these reviews. The in-service training must—
(i) Be sufficient to ensure the continuing competence of nurse aides, but must be no less than 12 hours per year;
(ii) Address areas of weakness as determined in nurse aides' performance reviews and may address the special needs of residents as determined by the facility staff; and
(iii) For nurse aides providing services to individuals with cognitive impairments, also address the care of the cognitively impaired.
State-By-State In-Service Requirements
Select your state from the menu on the left side of this page to view state-specific requirements.