Federal requirements for nursing homes to include certified nursing assistants in resident care planning and interdisciplinary teams: A policy analysis

Jasmine L. Travers, Billy A. Caceres, David Vlahov, Hussain Zaidi, Janette S. Dill, Robyn I. Stone, Patricia W. Stone

Research output: Contribution to journalComment/debatepeer-review


Starting in 2016, Centers for Medicare and Medicaid Services implemented the first phase of a 3-year multi-phase plan revising the manner in which nursing homes are regulated. In this revision, attention was placed on the importance of certified nursing assistants (CNAs) to resident care and the need to empower these frontline workers. Phase II mandates that CNAs be included as members of the nursing home interdisciplinary team that develops care plans for the resident that are person-centered and comprehensive and reviews and revises these care plans after each resident assessment. While these efforts are laudable, there are no direct guidelines for how to integrate CNAs in the interdisciplinary team. We recommend the inclusion of direct guidelines, in which this policy revision clarifies the expected contributions from CNAs, their responsibilities, their role as members of the interdisciplinary team, and the expected patterns of communication between CNAs and other members of the interdisciplinary team.

Original languageEnglish (US)
JournalNursing outlook
StateAccepted/In press - 2021

Bibliographical note

Funding Information:
Funding Source: JLT is supported by a Harold Amos career development award funded by the Robert Wood Johnson Foundation (RWJF; 77872 to JLT). At the time this work was conducted, JLT was supported by the VA Office of Academic Affiliations through the VA/National Clinician Scholars Program and Yale University and by CTSA Grant Number TL1 TR001864 from the National Center for Advancing Translational Science (NCATS), a component of the National Institutes of Health. BC is funded by an award from the National Heart, Lung, and Blood Institute (K01HL146965). The content is solely the responsibility of the authors and does not necessarily represent the official views of the Robert Wood Johnson Foundation, the National Institutes of Health, the U.S. Department of Veterans Affairs or the United States Government. Moreover, the funders had no role in the design and conduct of this study; collection, management, analysis, and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Publisher Copyright:
© 2021 Elsevier Inc.

Copyright 2021 Elsevier B.V., All rights reserved.


  • Direct care workforce
  • Long-term care
  • Policy
  • Practice

PubMed: MeSH publication types

  • Journal Article

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