IN THIS DAY and age of professionalism, many careers that years ago didn’t require much expertise now require not only formal training, but also some type of recognized certification. This is particularly true for many healthcare professions, including nursing assistant/nurse aide (NA). Prior to 1987, there were no standards in nursing homes and the quality of care was in the public began to hear horrible stories in the media of the abuse and mistreatment of residents in nursing homes, the government decided to step in and take action. The result was the Omnibus Budget and Reform Act (OBRA), which required the implementation of standards for.