Contact Person: Alec Graham, Nurse Aide Registry Manager (617)753-8140

Responsibilities to Contact the Registry Prior to Hiring

The Department maintains a registry of (1) all certified nursing assistants, home health aides, hospice home health aides, and homemakers who have a finding or adjudicated finding of patient abuse, neglect, mistreatment or misappropriation, or (2) individuals certified as nurse aides pursuant to federal long term care facility regulations, 42 USC s.1396r. Facilities and agencies must contact the registry before hiring individuals. This provision was previously in effect for Medicare and Medicaid certified facilities and currently applies to all nursing homes, rest homes, home health agencies, homemaker agencies and hospice programs. The regulatory requirements and instructions for accessing the registry follow.

All nursing homes must contact the registry prior to hiring a nurse aide in order to determine whether the prospective employee has met the federal requirement for competency contained in 42 USC s.1396r and has been certified as a nurse aide for employment in a nursing home facility. This requirement was previously in effect for Medicare and Medicaid certified and is currently applicable to non-certified nursing homes as well.

All nursing homes and rest homes must contact the registry prior to hiring any employee to ascertain if there is any sanction, finding or adjudicated finding of patient or resident abuse, neglect, mistreatment or misappropriation of patient or resident property against the prospective employee.

All home health agencies, homemaker agencies, and hospice programs must contact the registry prior to hiring an individual who will provide direct care to patients or have access to patients or their property to ascertain if there is any sanction, finding or adjudicated finding of patient or resident abuse, neglect mistreatment or misappropriation of patient or resident property against the prospective employee.

Prohibition on Hiring or Employing Individuals

No nursing home, rest home, home health agency, homemaker agency or hospice program shall hire or employ an individual whose name appears in the registry with a finding or adjudicated finding of patient or resident abuse, neglect, mistreatment or misappropriation of patient or resident property, or if a sanction was imposed upon that individual, such individual may not be hired or employed until the terms of such sanction have been fulfilled, except in circumstances where the individual is working under a probationary sanction where the individual's performance is closely monitored by the employer. Furthermore, no nursing home, rest home, home health agency, homemaker agency or hospice program shall hire or employ an individual if such individual has been found guilty of, or pleaded guilty or nolo contendere to or admitted to sufficient facts to support a guilty finding of patient or resident abuse, neglect, mistreatment or misappropriation of patient or resident property in a court of law.

Accessing the Registry

In order to facilitate the verification process, the Department of Public Health has established an automated voice response system (AVRS), through which potential employers may inquire as to the status of a potential employee. When an inquiry is filed, the AVRS will respond by stating the present status of the potential employee. A written response with complete information about the individual is then sent to the inquiring organization by fax.

The enclosed materials provide detailed instructions about access to the AVRS and its use. Please complete the form, Nurse Aide Inquiry Response System User Profile, and return it to the address listed therein. We will send a written notice to confirm your access along with a 7-digit access code once you are active on the system.

Should you have any questions about Registry access, the enclosed instructions, or anything else pertaining to the AVRS, please contact Alec Graham at the above number.


This information is provided by the Nurse Aide Registry within the Department of Public Health.