Editable, survey-ready CNA competency & staff-development kits
The forms and documents a Director of Staff Development actually needs — written by your instructor, cited to the regulations, and delivered as editable Microsoft Word files you can put your facility’s name on and use today.
CNA Skills Competency Evaluation Kit
A survey-ready packet to evaluate, document, and track nurse-assistant competency.
Prove every nurse assistant is competent — and document it the way a surveyor expects.
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32-skill return-demonstration checklist Six domains — infection control & safety, ADLs & mobility, measurement & monitoring, elimination & nutrition, restorative & psychosocial, and rights, communication & emergencies — each skill marked met / not met / retrained, with the evaluator’s initials.
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Annual competency evaluation summary A one-page attestation with employee, evaluator and DSD signatures — the record F-tag surveyors ask for.
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Remediation & retraining plan A structured form for any skill not met: the gap, the plan, the re-evaluation date, and sign-off.
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Four-year competency tracking log One line per employee per year, so you can show a full history at a glance.
Written to 42 CFR § 483.35(c) · § 483.95(g) · 22 CCR § 71847
Less than an afternoon spent building and formatting these forms yourself — with every citation already checked.
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For Directors of Staff Development, DONs, and CNA program coordinators.
Staff Development Program Kit
The whole in-service program in one editable packet — ready to adopt and defend at survey.
Stop building your program from scratch — adopt a complete, cited one and make it your facility’s.
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Written in-service training program An adopt-ready program document (purpose, governance, methods, evaluation) that satisfies the 22 CCR § 71847 requirement for a written program — not just a schedule.
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12-month in-service calendar Every required and recommended topic laid across the year, so nothing is missed and the plan is visible.
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Required-training & F-tag crosswalk Each mandated in-service tied to its federal / state citation and CMS F-tag (F940–F949), verified against Appendix PP.
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Orientation checklist & records register A new-employee orientation checklist and a facility records register that shows a surveyor where everything lives.
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Survey-readiness checklist & POC template A pre-survey self-audit and a Plan-of-Correction template for when a tag is cited.
Written to 22 CCR § 71847 · 42 CFR Part 483, Subpart B · CMS Appendix PP (F940–F949)
A complete program you can adopt today. Writing one from a blank page — the program document, the F-tag crosswalk, the full-year calendar — is days of work; this is done, cited, and yours to rebrand.
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For New and experienced Directors of Staff Development, and the administrators behind them.
Instant, secure delivery
Pay by card through Stripe and your download link appears immediately — and lands in your inbox too. The link works for 90 days.
Yours to edit
Every kit is a fully editable Word document — add your facility name and logo, adjust it to your policies, and reuse it as long as you need. No subscription.
Single-facility license
Licensed for use within the purchasing facility. Managing several facilities? Contact us for a group license.
Questions before you buy
More from DSD Certify
The manuals, lessons, and course that pair with the kits.