State Operations Manual (Pub. 100-07), Ch. 10 § 10009.3
Further Responsibilities
10009.3 - Further Responsibilities
(Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24)
The HHA or hospice program bears the expense of the directed in-service training for its staff.
After the training has been completed, the SA will assess whether substantial compliance
has been achieved. If directed in-service training was the sanction imposed and the HHA or
hospice program does not achieve substantial compliance, CMS may impose one or more
additional sanctions/remedies as specified at §488.820 for HHA or at §488.1220 for hospice
programs.