Nurse Registry (FL): Commonly Cited Deficiencies
The deficiency areas AHCA commonly cites at Florida nurse registries, with the tag, the rule, and the evidence to have on file.
Practical guide to ADRD training requirements for Florida home health agencies, nurse registries, and other licensed providers.
| Document no. | ACL-001 |
|---|---|
| Effective date | Original home health ADRD requirement: July 1, 2005 Current standardized statewide ADRD law: July 1, 2023 |
| Regulatory source | Section 430.5025, Florida Statutes (Alzheimer's Disease and Related Forms of Dementia Education and Training Act) AHCA Core Licensure Regulations, Tag ST-ZZ875 |
| Applies to | Employees, contracted staff, and independent contractors who are required to undergo Level 2 background screening and are employed or referred by a licensed Florida home health agency, nurse registry, homemaker and companion service, health care services pool, assisted living facility, nursing home, adult day care center, or adult family-care home. |
Florida law (s. 430.5025, F.S.) requires covered providers to ensure that employees and independent contractors who must undergo Level 2 background screening complete Alzheimer's Disease and Related Dementias (ADRD) training. The requirements begin at hire, continue with a 1-hour course within 30 days for staff who provide personal care or have regular contact, and require additional hours within 7 months for staff who provide personal care. This training guide outlines every requirement, timeline, and link you need to stay in compliance.
In this guide
Requirement 1 · Upon hire
Upon hire, every employee or independent contractor must receive basic written information about interacting with persons who have Alzheimer's Disease and Related Dementias.
Practical tip: Add the handout to your onboarding packet and have the new hire sign and date an acknowledgment of receipt. The signed acknowledgment, not the handout itself, is what proves distribution to a surveyor.
Requirement 2 · Within 30 days of hire
Within 30 days of hire, any employee or independent contractor who is required to have a Level 2 background screening and who provides personal care to or has regular contact with patients must complete the Department of Elder Affairs 1-hour video training program.
Practical tip: Ask every new hire whether they already hold a DOEA 1-hour certificate before assigning the course. When they take it, have them use a desktop computer, type their full legal name exactly as it should appear, and check their spam folder for the certificate. Problems with a missing certificate go to abh@elderaffairs.org.
Requirement 3 · Within 7 months of hire
In addition to the one-hour video, employees and independent contractors who provide personal care must complete additional ADRD training from a Department of Elder Affairs-approved trainer within 7 months of hire. The number of hours depends on the provider type.
| Provider type | Additional training | Who must complete it |
|---|---|---|
| Home health agencies, nurse registries, homemaker and companion services | 2 hours within 7 months of hire | Employees and contractors who provide personal care |
| Nursing homes, assisted living facilities, adult family-care homes, adult day care centers | 3 hours within 7 months of hire | Employees who provide personal care |
| ALFs, adult family-care homes, and adult day care centers that advertise or are designated to provide specialized Alzheimer’s/dementia care | 3 hours within 3 months; plus 4 dementia-specific hours within 6 months; plus 4 hours of continuing education each calendar year | 3-hour course: staff with personal care or regular contact. 4-hour course and continuing education: staff who provide personal care |
| Health care services pools | The training required for the covered provider and position where the worker is placed | Pool must verify and keep documentation before assigning staff |
Practical tip: Before you schedule the course, get a copy of the trainer’s and curriculum’s DOEA approval letters and confirm they are approved for your care setting (in-home vs. facility). Keep the letters on file with your training records.
Survey readiness
During an AHCA survey, surveyors will review personnel files/registration folders to verify:
Survey alert: Missing or incomplete ADRD training documentation is cited under Tag ST-ZZ875 and may result in a deficiency finding. Maintain all certificates in each employee's personnel file.
Practical tip: Staff hired or referred before July 1, 2023 had until July 1, 2026 to complete the required training. That deadline has passed, so audit long-tenured staff files now. Equivalent training completed before July 1, 2023 may be accepted if it is documented.
At a glance
| Timing | Requirement | Who it applies to |
|---|---|---|
| Upon hire | Distribute the Department of Elder Affairs basic written ADRD information | All employees and independent contractors required to have Level 2 background screening |
| Within 30 days | Complete 1-hour Department of Elder Affairs video training | Staff required to have Level 2 background screening who provide personal care or have regular contact with patients |
| Within 7 months | Complete 2 additional hours (in-home providers) or 3 additional hours (facility-based providers) from a DOEA-approved trainer and curriculum | Staff who provide personal care |
Practical tips
Practical tip: Personnel File Checklist. Add ADRD training to every new employee's personnel file to track each required step from hire through the 7-month deadline. For example, ADRD handout provided during onboarding, completion of 1 hour training within 30 days of hire/registration, and completion of 2 additional hours (in-home providers) or 3 additional hours (facility-based providers) of training within 7 months of hire/registration.
Practical tip: Provide Handout. Document that the employee received the required Alzheimer's disease and related dementias (ADRD) educational information on or before the first day of employment or registration.
Practical tip: Complete the 1-Hour DOEA Training Within 30 Days. Ensure employees who provide personal care or have regular patient contact complete the Florida Department of Elder Affairs (DOEA) approved 1-hour online ADRD training within 30 days of hire or registration.
Practical tip: File the Certificate. Place the DOEA certificate in the employee's/contractor's personnel file or registration folder.
Practical tip: Track the 7-Month Deadline. Employees/contractors who provide personal care must complete the additional 2-hour (or 3-hour) ADRD training within seven months of hire or registration. Don't rely on memory; use an electronic calendar reminder system.
Practical tip: Use an Approved Training Provider. Verify that the additional ADRD course is provided by a Department of Elder Affairs-approved trainer using a curriculum approved for your care setting. A course approved for a different setting does not satisfy the requirement.
Practical tip: Accept Prior Training When Appropriate. If a newly hired employee has already completed the required ADRD training with another covered provider, obtain documentation and place it in the personnel file. Employees generally are not required to repeat the training when changing employers.
Practical tip: Re-check When a Role Changes. If an office or administrative employee begins making home visits, conducting admissions, or providing hands-on help, their training obligations change. Update their checklist and schedule the 1-hour course right away.
Sources: Florida Statutes and Agency for Health Care Administration (AHCA)
Section 430.5025, Florida Statutes: flsenate.gov/Laws/Statutes/2025/430.5025
Tag ST-ZZ875, AHCA Core Licensure Regulations. Full regulation available at: AHCA Core Licensure Regulations (PDF)
Disclaimer: The information contained in this document is provided for general informational and educational purposes only. While Alliance Consulting Services of Florida, Inc. makes every effort to ensure accuracy, regulatory requirements, statutes, and guidance are subject to change at any time without notice. This document does not constitute legal advice. Alliance Consulting Services of Florida, Inc. assumes no liability for errors, omissions, or outcomes resulting from reliance on this material.
The deficiency areas AHCA commonly cites at Florida nurse registries, with the tag, the rule, and the evidence to have on file.
A practical guide to contractor registration records for Florida nurse registries.
Answers tell you what is in the manual. They are not legal advice. For anything else, email Maggie Farley at mfarley@floridaconsulting.net.