State Operations Manual (Pub. 100-07), Ch. 4 § 4141
Nurse Aide Registry (NAR)
4141 – Nurse Aide Registry (NAR)
(Rev. 1, 05-21-04)
The State establishes and maintains a NAR of individuals who have successfully
completed a NATCEP or CEP approved by the State, or are deemed to have completed a
NATCEP, or have had the competency evaluation requirement waived. (See §4131.)
4141A - Registry Function
The State ensures that the NAR:
• Lists all individuals who have successfully completed a NATCEP or CEP
approved by the State;
• Lists all individuals who are deemed to have completed a NATCEP;
• Lists all individuals for whom the requirement to complete a CEP has been
waived by the State;
• Lists all nurse aides who are found by the State to have abused or neglected a
resident or misappropriated resident property;
• Removes entries for all individuals who have performed no nursing or nursing-
related services for monetary compensation for a period of 24 consecutive
months, except those individuals who are found to have abused or neglected
residents or misappropriated resident property;
• Discloses to everyone requesting information about an individual on the registry,
the date of eligibility for placement on the registry, and any information
pertaining to a finding of resident abuse or neglect, or misappropriation of
resident property. (The State may disclose any additional information it deems
necessary.);
• Provides individuals on the registry with all information in the registry on them
when findings of resident abuse or neglect or misappropriation of resident
property are made, or upon request;
• Permits all individuals on the registry sufficient opportunity to correct any
misstatements or inaccuracies contained in the registry;
• Is sufficiently accessible to meet the needs of the public and health care providers;
• Provides requested information promptly; and
• Does not impose any charges related to registration on individuals listed in the
registry.
The NAR may include information on home health aides who have successfully
completed a home health aide training and competency evaluation program approved by
the State if home health aides are differentiated from nurse aides.
4141B - Registry Information
(Rev. 1, 05-21-04)
The following items must be maintained and retrievable from the NAR for each
individual who has completed a NATCEP or CEP approved by the State, who has been
deemed to have completed a NATCEP, or for whom the State has waived the
competency evaluation requirement:
1. The individual’s full name;
2. Information necessary to identify the individual;
3. The date the individual became eligible for placement in the registry; and
4. Any finding by the SA of resident abuse or neglect or misappropriation of
resident property by an individual documenting:
• The SA investigation, including the nature of the allegation and the evidence
that led it to conclude that the allegation was valid;
• The date of the hearing (if the individual chose to have one) and its outcome;
and
• A statement disputing the allegation, if the individual chose to make one.
Findings of resident abuse or neglect or misappropriation of resident property against a
nurse aide must be included in the registry within 10 working days of the finding and
must remain in the registry permanently, unless the finding was made in error, the
individual was found not guilty in a court of law, or the State is notified of the
individual’s death.
4141C - Responsibility for NAR
(Rev. 1, 05-21-04)
The State may contract the daily operation and maintenance of the registry to a non-State
entity. However, the State must maintain overall accountability for operation of the
registry and compliance with regulations, and only the SA is permitted to place findings
of resident abuse or neglect or misappropriation of resident property on the registry.