Which law set CNA training rules

During my 7 a.m. rounds I asked a new aide this: which federal law established minimum CNA training hours and spelled out residents’ rights in long-term care? I won’t spoil it yet, but it changed how we do daily care and advocate at the bedside.

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And oBRA ’87 — the Nursing Home Reform Act — set the 75-hour CNA training minimum and spelled out residents’ rights. On 7 a.m. rounds I keep a pocket card so if someone declines care I document “right to refuse” first, then offer a later time instead. Do you teach it as OBRA or call it the Nursing Home Reform Act?

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OBRA ’87 set the 75‑hour federal baseline and put residents’ rights into 42 CFR 483; here’s the reg: eCFR :: 42 CFR Part 483 -- Requirements for States and Long Term Care Facilities. Quick tip: do a 60‑second shift huddle on one right each week and post the link on the unit board; some states bump the hours above 75 — does yours?

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Nursing Home Reform Act ’87, but states exceed it; on “7 a.m. rounds” I point newbies to NATCEP binder @henryjames92.

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OBRA ’87 is the one, and it also requires at least 16 hours of core instruction before any resident contact — think of it as training wheels; see 42 CFR 483.152: https://www.ecfr.gov/current/title-42/part-483/section-483. Some states go 120+ hours, so I tell newbies to check both the NATCEP and state add‑ons; do you use a 16‑hour checklist before shadowing?

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With @vhoward on this — the 1987 nursing‑home standards law also created the nurse aide registry and that 12‑hour annual in‑service we all sit through. On your 7 a.m. rounds, I tell newbies to check their state registry listing before first shift — CMS keeps the links here: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/NurseAide-Training.

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Omnibus Budget Reconciliation Act of 1987 — the 75‑hour floor — also put a 4‑month clock on passing the aide competency and baked in rights like ‘free from unnecessary restraints.’ On 7 a.m. rounds I have new aides read the rights poster and practice documenting a polite refusal per the care plan. @vhoward probably has the registry check covered.

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