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Massachusetts Assisted Living Regulations

Assisted Living

Nursing Home Administrator Continuing Education

Hours: 40 Hours
Frequency: Biennially

Licensees must complete a minimum of 40 contact hours of continuing education activities that meet the applicable requirements between July of each even-numbered year and June 30 of the next even-numbered year.

Every Nursing Home Administrator shall complete a minimum of 20 contact hours of continuing education per annual license renewal period.

245 CMR 4.00 (4.02)

For more information visit Massachusetts Board of Registration of Nursing Home Administrators.

Direct Care Staff Continuing Education

Hours: 10 Hours
Frequency: Annually

A minimum of ten hours per year of ongoing education and training is required for all employees, with at least two hours on the specialized needs of Residents with Alzheimer's disease and related dementia.

All employees and providers shall receive ongoing in-service education and training, provided by a professional with relevant experience, that is designed to ensure orientation training is reinforced, from among the following topics:

a. Behavioral interventions, including prevention of manifestations of distress such as aggressive behavior and de-escalation techniques(mandatory);

b. Defining, recognizing and reporting elder abuse (mandatory);

c. Communication and teamwork;

d. The aging process, including typical changes and those related to disease;

e. The causes and prevention of falls and related injuries, and the Residence's established policies and procedures for an Evidence Informed Falls Prevention Program;

f. The effects of dehydration;

g. Alzheimer's disease and cognitive impairments;

h. Conflict resolution;

i. Resident rights;

j. Self-administered Medication Management;

k. Death and dying;

l. Maintaining skin integrity;

m. Nutrition;

n. Emergency procedures; and

o. Training which addresses topics required in the general orientation.

Each residence shall conduct an annual training needs assessment to prepare the curriculum for its required training and establish a process by which it will evaluate the efficacy of its training program.

651 CMR 12.07

For more information visit Massachusetts Executive Office of Elder Affairs.

Special Care Residence Staff Continuing Education

Hours: 4 Hours
Frequency: Annually

Employees working in a Special Care Residence must receive an additional four hours of training per year related to the Residents' specialized needs.

Such training shall include the development of communications skills for Residents with dementia.

651 CMR 12.07

For more information visit Massachusetts Executive Office of Elder Affairs.

Residence Managers Continuing Education

Hours: 15 Hours
Frequency: Annually

In addition to the general ten hour continuing education requirement for all employees, Residence Managers shall complete an additional five hours of training which shall be intended to complement the individual's background and experience.

Credits for completing annual continuing education requirements for Residence managers may be transferable to other Residences.

651 CMR 12.07

For more information visit Massachusetts Executive Office of Elder Affairs.

RN/LPN Continuing Education

Hours: 15 Hours
Frequency: Every 2 years

15 hours of continuing education within the two years immediately preceding renewal of registration are required for licensure.

244 CMR 5.00

For more information visit Massachusetts Board of Nursing.

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