State Operations Manual (Pub. 100-07), Ch. 4 § 4132.3
Requirements for CEP
4132.3 - Requirements for CEP
(Rev. 1, 05-21-04)
4132.3A - Notification to Individual
(Rev. 1, 05-21-04)
The State provides advance notice to any individual who takes the competency evaluation
that a record of the successful completion of the evaluation will be included in the nurse
aide registry (NAR).
4132.3B - Content of CEP
(Rev. 1, 05-21-04)
Competency evaluations must consist of two components: a written or oral examination
and a skills demonstration program. The written or oral examination must:
• Allow aides to choose between a written and an oral examination;
• Address each item specified in §4132.2.D;
• Be developed from a pool of test questions, only a portion of which is used in any
one examination;
• Use a system that prevents disclosure of both the test questions and the individual
competency evaluations; and
• If oral, must be read from a prepared text in a neutral manner.
The skills demonstration must consist of a demonstration of randomly-selected items
drawn from a pool consisting of tasks generally performed by nurse aides. This pool of
skills must include all of the personal care skills listed in §4132.2.D.
4132.3C - Administration of NACEP
(Rev. 1, 05-21-04)
The competency evaluation may be administered and evaluated only by:
• The State directly; or
• A State-approved entity which is not the SNF which provided the training.
The skills demonstration component of the evaluation must be:
• Performed in a facility or laboratory setting similar to the setting in which the
individual functions as a nurse aide; and
• Administered and evaluated by an RN with at least one year’s experience in
providing care for the elderly or the chronically ill of any age.
4132.3D - Proctoring
(Rev. 1, 05-21-04)
The competency evaluation may, at the nurse aide’s option, be conducted at the facility in
which the nurse aide is or will be employed unless the facility is described in §4132.1.C.
The State may permit the competency evaluation to be proctored by facility personnel if
it finds that the procedure adopted by the facility assures that the NATCEP:
• Is secure from tampering;
• Is standardized and scored by a testing, educational, or other organization
approved by the State; and
• Requires no scoring by facility personnel.
The State retracts the right to proctor nurse aide competency evaluations from facilities in
which it finds any evidence of impropriety or tampering by facility staff.
4132.3E - Successful Completion of CEP
(Rev. 1, 05-21-04)
The State establishes a standard for successful completion of the competency evaluation.
To complete the competency evaluation successfully, an individual must pass both the
written or oral examination and the skills demonstration. A record of successful
completion of the competency evaluation must be included in the NAR described in
§4141 within 30 days of the date the individual is found to be competent.
4132.3F - Unsuccessful Completion of Competency Evaluation
(Rev. 1, 05-21-04)
If an individual does not complete the evaluation satisfactorily, the individual must be
advised:
• Of the areas in which he or she did not pass; and
• That he or she has at least three opportunities to take the evaluation.
The State may impose a maximum on the number of times an individual may attempt to
complete the competency evaluation successfully, but the maximum may be no less than
three.