LPN/LVN and RN clinical competency is fundamental to quality care and outcomes and to success in a value-based purchasing environment. Clinical competency is also important to CMS in annual survey inspections. AHCA/NCAL’s 30-hour Gero Nurse Prep course significantly increases nurses’ gerontological nursing knowledge and competency test scores showing an average 24 percent increase between pre- and post-course test scores. 2025 research shows that nursing facilities with at least one nurse who had completed the Gero Nurse Prep course experienced lower turnover among CNAs, LPNs, and RNs, higher average occupancy rates, and fewer survey deficiencies.