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CMS Hand in Hand: A Training Series for Nursing Homes


Section 6121 of the Affordable Care Act of 2010 requires CMS to ensure that nurse aides receive regular training on caring for residents with dementia and on preventing abuse. CMS, supported by a team of training developers and subject matters experts, created this training to address the need for nurse aides’ annual in-service training on these important topics.


The mission of the Hand in Hand training is to provide nursing homes with a high-quality training program that emphasizes person-centered care in the care of persons with dementia and the prevention of abuse.


You can download individual components from this screen.

  • To play from your computer, your software must support the ISO format. If you don’t have software that supports ISO, you must burn the file to a DVD.
  • To play from a DVD player, ISOs must be burned to a DVD.
  • Note that the ISO file must be burned as a disc image and that each ISO file must be burned to a separate disc.

Please note: Download speeds will vary based on your internet connection and may be lengthy.

DVD Images (ISO)

Introduction DVD (ISO, 687 MB)

Module 1 (ISO, 689 MB)

Module 2 (ISO, 392 MB)

Module 3 (ISO, 934 MB)

Module 4 (ISO, 401 MB)

Module 5 (ISO, 1.5 GB)

Toolkit Documents

Instructor Guide (PDF, 11 MB)

Hand in Hand Toolkit - Front Cover (PDF, 4 MB)

Hand in Hand Toolkit - Back Cover (PDF, 3 MB)

DVD Labels (ZIP, 2.5 MB) - Contains 7 JPG images

Instructor Guide Icon Reference Sheets (ZIP, 1.5 MB) - Contains 2 JPG images

Wall Posters (ZIP, 2.5 MB) - Contains 2 JPG images

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