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CMS S & C Memo 11-35 Mandate of Section 6121 of the Affordable Care Act for Nurse Aide Training in Nursing Homes

PDF Version of DQA 12-001 (PDF, 11 KB)

Date: January 17, 2012 -- DQA Memo 12-001
To: Nurse Aide Training Programs 01
Nursing Homes NH 01
From: Shari Busse, Deputy Administrator
Division of Quality Assurance

CMS S & C Memo 11-35 Mandate of Section 6121 of the Affordable Care Act for Nurse Aide Training in Nursing Homes

The Centers for Medicare and Medicaid Services (CMS) Survey and Certification (S&C) Memo 11-35 at, reports on the progress of a project mandated by Section 6121 of the Affordable Care Act to enhance the skills of nurse aides in two important areas:

  • How to care for residents with dementia
  • How to prevent resident abuse

Section 6121 of the Affordable Care Act mandates the inclusion of training for nurse aides working in nursing homes on abuse prevention and care of persons with dementia. CMS has revised the Interpretive Guidelines for the In-service Training Tag (F497) and is developing a regulation to mandate these topics and training materials that nursing homes may use to train staff.

The memo highlights possible Alternative Training Materials for Sec 6121 of the Affordable Care Act. If you have any questions or comments regarding S & C 11-35, please contact Karen Schoeneman at (410)786-6855, or Chris Allen at
(410) 786-3322,

In conjunction with CMS S & C Memo 11-35, the Division of Quality Assurance would like to highlight the Wisconsin Caregiver Abuse and Neglect Prevention Project training materials on reducing the incidence of abuse and neglect. These training materials include PowerPoint presentations as well as Facilitator and Participant Guides and can be found at If you have questions about these training materials, please contact Jan Censky at

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Last Updated: January 18, 2012