1. (1) A nursing facility must not use (on a full-time, temporary, per diem, or other basis) any individual as a nurse aide in the facility on or after October 1, 1990, for more than four (4) months unless the individual has completed a training and competency evaluation program, or a competency evaluation program, approved by the state and is competent to provide nursing or nursing related services.
2. (2) The Alabama Department of Public Health will be responsible for the certification of the Competency Evaluation programs and will establish and maintain a nurse aide registry.

Author: Dittra S. Graham, Administrator, LTC Program Management Unit

Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§401, et seq.; 431; 483; OBRA-87 §§4201(a), 4211(a); OBRA-89 §6901(b)

Editor’s Note: Rule 560-X-10-.13, Nursing Aide Training, was renumbered to Rule 560-X-10-.15, as per certification filed August 11, 2003; effective September 15, 2003.

History: Rule effective October 1, 1982. Amended: Effective September 8, 1983. Emergency rule: Effective October 1, 1990. Amended: Effective February 13, 1991. Amended: Filed August 11, 2003; effective September 15, 2003.