Guide · checked October 22, 2026
Federal regulation requires nursing facilities to provide their aides at least 12 hours of in-service training per year (42 CFR 483.95(g), survey tag F947). Read it again: the duty belongs to the facility. It is the facility's compliance obligation, audited against the facility. It appears in no state's personal renewal rule as “the aide renewed by attending.”
In most states your status moves with paid work — roughly 8 supervised paid hours per 24 months — and CE plays no personal role at all. Aides lapse every year holding a tidy folder of in-service certificates and zero qualifying shifts on the registry's books. If you remember one sentence from this page: in-service keeps your employer compliant; paid work keeps you certified.
| State | Your personal education duty at renewal |
|---|---|
| California | 48 hours of in-service/CE per 2 years, filed by you on CDPH 283A — this one IS yours, and missing it lapses you even with perfect work. |
| Florida | 24 hours of in-service per biennium is part of renewal (F.S. 464.203(7)) — but you keep the documentation yourself; the Board does not collect it at renewal. |
| Texas | 24 hours of in-service per two years plus an annual HHSC infection-control/PPE course are written into the renewal rule itself (26 TAC 556.9). |
| Illinois, Wisconsin, North Carolina, Georgia, Tennessee, Pennsylvania | No personal CE requirement for renewal in the registry rules we publish — work (and reporting) is the whole machine. |
Because both numbers are real, both involve “hours,” and the person explaining your renewal is usually your employer — whose mental model is the facility's rulebook, not the registry's. When the two conflict, believe the registry: your state page prints your renewal rule and its source, and the status checker computes from the work clock, not from certificates.
