F-Tag F730

§483.35(e)(7) Regular in-service education.

This regulation requires nursing facilities to conduct a performance review of every nurse aide at least once every 12 months and to provide individualized in-service education based on the outcomes of those reviews, with a minimum of 12 hours of in-service training per year per aide. Training content must address areas of weakness identified in performance reviews, special resident needs, and needs of residents with cognitive impairments. Surveyors will cite this tag only when performance reviews are not completed on schedule or when in-service education is not tied to individual review outcomes.

F730
(Rev. 229; Issued: 04-25-25; Effective: 04-25-25; Implementation: 04-28-25) 
 
§483.35(e)(7) 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. In-service training must comply with the requirements of 
§483.95(g). 
 
INTENT 
 
To focus on the performance review requirement and specific in-service education based 
on the outcome of those reviews for each individual nurse aide. 
 
GUIDANCE 
 
NOTE: Cite this Tag only when a performance review of a nurse aide is not conducted 
at least every 12 months or if the in-service education provided to an aide is not based on 
his/her performance review. 
 
Each nurse aide must have no less than twelve hours of in-service education per year 
based on their individual performance review. Calculate the date by which a nurse aide 
must receive annual in-service education by their employment date rather than the 
calendar year. 
 
For specific requirements regarding the content and requirements of training for nurse 
aides DO NOT cite here but refer to F947, §483.95(g). 
 
PROBES 
 
Surveyors should determine through information obtained by observations, interviews 
and verified by record reviews, whether a performance review of every nurse aide was 
conducted at least once every 12 months and if the regular in-service education was based 
on the outcome of these individual reviews. 

• What is the process for reviewing the performance review of nurse aides? 
 
• How are these reviews documented and does the documentation reflect at least 
twelve hours of in-service training per year based on an aide’s individual 
performance review? 
 
• What evidence can the facility produce that demonstrates the in-service education 
provided addresses areas of weakness identified in performance reviews, special 
resident needs, and needs of residents with cognitive impairments?