How often is a supervisory visit required?

It depends whose supervision you are tracking. For hospice aides, a registered nurse must make an on-site visit to the patient's home no less frequently than every 14 days (42 CFR 418.76(h)(1)(i)). For home health aides serving a patient who is also receiving skilled care, a supervisory assessment is required no less frequently than every 14 days (42 CFR 484.80(h)(1)(i)(A)); for an aide-only patient the registered nurse makes an onsite visit every 60 days (42 CFR 484.80(h)(2)(i)(A)). Supervision of physical therapist assistants and occupational therapy assistants is set by state licensure law rather than by a single federal interval, so this tool asks you to enter it.

Is the 30-day rule a supervisory visit?

No, and conflating the two is a common source of trouble. The 30-day requirement in home health is a functional reassessment: at least every 30 calendar days a qualified therapist rather than an assistant must provide the needed therapy service and functionally reassess the patient, separately for each therapy discipline involved (42 CFR 409.44(c)(2)(i)(B)). It is about who furnishes and reassesses the therapy, not about observing an aide. An agency can meet the 30-day reassessment and still be out of compliance with a state supervision interval, or the other way round, which is why this calculator tracks whichever interval you select rather than assuming one covers the other.

How is the due date counted?

The due date is the last supervisory visit date plus the interval in days, and it is counted in calendar days including weekends and holidays. A 14-day interval from a visit on the 1st is due on the 15th. The tool shows days remaining from the reference date you set — today by default — and flags anything already past due, so you can work a list rather than one patient at a time. Regulations say 'no less frequently than', which means the interval is a ceiling, not a target: a visit done early resets the clock from the earlier date, which is why the calculator always counts from the last visit actually completed.

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Supervisory Visit Due Date Calculator — PTA, COTA & Hospice Aide Supervision Intervals

Pick the supervision you are tracking, enter the date of the last supervisory visit, and get the next due date, the days remaining, and a sorted list with anything overdue flagged first. Add a row per aide, assistant or patient to work a whole caseload at once. Runs entirely in your browser: nothing is sent anywhere, and nothing is stored.

Supervision type

A registered nurse or other appropriate skilled professional familiar with the patient must complete a supervisory assessment of the aide services no less frequently than every 14 days. The aide does not need to be present. The assessment is onsite, except that on rare occasions it may use two-way audio-video technology, not more than one virtual assessment per patient in a 60-day episode.

42 CFR 484.80(h)(1)(i)(A)

Required interval (calendar days)

Editable — use the tighter of your agency policy and the requirement above.

Count from

Defaults to today. Change it to see where the list stands on another date.

Aides, assistants or patients

Name or initials

Last supervisory visit

Overdue

Due within 7 days

Entries dated

Entry 114 days remaining
Last visit Fri, Sep 18, 2026 → due Fri, Oct 2, 2026

How these dates are worked out

Due date = last supervisory visit + 14 calendar days, counting weekends and holidays. Days remaining = due date − Fri, Sep 18, 2026; a negative number is shown as overdue by that many days. The list is sorted by due date, soonest first, so anything already past due sits at the top. Nothing is rounded and no visit is assumed — each row counts only from the date you entered.

https://casedaisy.com/tools/supervisory-visit-calculator?type=hh_aide_skilled&days=14&today=2026-09-18&rows=%7E2026-09-18

casedaisy schedules supervisory visits on cadence and shows what's overdue

A due date only helps if somebody sees it in time to drive there. Supervisory visits sit on the same schedule as everything else, recur on the interval you set, and appear on the overdue list the moment they pass — alongside the routes and mileage for the rest of the week.

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What a supervisory visit actually is

A supervisory visit is a qualified clinician checking, in the place where care is happening, that the care an aide or assistant delivers is the care the plan calls for and that it still meets the patient's needs. In hospice, a registered nurse must make that on-site visit to the patient's home no less frequently than every 14 days, and the aide does not have to be present for it. In home health, where the patient is also receiving skilled nursing or therapy, the supervisory assessment of aide services runs on the same 14-day ceiling; where the patient receives aide services only, the nurse's onsite visit happens every 60 days, with a semi-annual visit to observe the aide actually performing care.

Two things get confused with supervision and are worth keeping separate. The 30-day rule in home health is a functional reassessment by a qualified therapist rather than an assistant — a requirement about who furnishes and evaluates the therapy, not about observing anyone. And supervision of physical therapist assistants and occupational therapy assistants is a matter of state licensure law, which is why this calculator will not put a number in that box for you: the interval, and sometimes the unit it is measured in, differs from state to state.

What surveyors look for

Surveys of supervision are mostly arithmetic. A reviewer takes a sample of patients, finds the aide visits, and counts the days between supervisory visits — so an interval missed by two days looks exactly like an interval missed by twenty. What separates a finding from a clean record is usually whether the agency noticed. A gap with a dated note explaining a hospitalisation, a refused visit or a staffing failure, and showing when supervision resumed, reads very differently from a gap nobody saw.

The second thing reviewers check is whether the visit did what the regulation asks. An assessment that only records that the nurse attended does not evidence an assessment of the quality of the aide's care or of whether ordered services still meet the patient's needs. Where a concern is noted, the rules expect a follow-up on-site visit to observe the aide performing care, and a competency evaluation of the deficient skill if the concern is confirmed — so the paperwork trail has to continue past the first visit.

Documenting them

Write the note the same way every time: the date and that it was on-site, who performed it and that they are qualified to, which patient and which aide or assistant, what was assessed, whether the services still meet the patient's needs, any concern noted, and what follows from it. The date is the part people get wrong — a note signed later is fine, but the visit date drives the next interval, and the calculator above counts from the visit, not the signature.

Because the interval is a ceiling rather than a target, a visit completed early restarts the clock early, and losing track of that is the usual way a caseload drifts into a cluster of visits all falling due the same week. Dating the whole list at once, then spreading the due ones across the weeks you can actually drive, is the cheapest fix. The home health frequency calculator dates the ordered visits alongside it, and the caseload capacity calculator turns the combined week into hours.

This tool is a planning aid based on the dates and interval you enter. It is not legal, billing or clinical advice, and it does not replace your agency's policy, your state practice act or the signed plan of care — always confirm against all three, and follow whichever requirement is stricter. Federal citations used here: 42 CFR 484.80(h) (home health aide supervision), 42 CFR 418.76(h) (hospice aide supervision) and 42 CFR 409.44(c)(2)(i)(B) (30-day therapy reassessment). Last reviewed: September 2026.

Frequently asked questions

How often is a supervisory visit required?: It depends whose supervision you are tracking. For hospice aides, a registered nurse must make an on-site visit to the patient's home no less frequently than every 14 days (42 CFR 418.76(h)(1)(i)). For home health aides serving a patient who is also receiving skilled care, a supervisory assessment is required no less frequently than every 14 days (42 CFR 484.80(h)(1)(i)(A)); for an aide-only patient the registered nurse makes an onsite visit every 60 days (42 CFR 484.80(h)(2)(i)(A)). Supervision of physical therapist assistants and occupational therapy assistants is set by state licensure law rather than by a single federal interval, so this tool asks you to enter it.
Is the 30-day rule a supervisory visit?: No, and conflating the two is a common source of trouble. The 30-day requirement in home health is a functional reassessment: at least every 30 calendar days a qualified therapist rather than an assistant must provide the needed therapy service and functionally reassess the patient, separately for each therapy discipline involved (42 CFR 409.44(c)(2)(i)(B)). It is about who furnishes and reassesses the therapy, not about observing an aide. An agency can meet the 30-day reassessment and still be out of compliance with a state supervision interval, or the other way round, which is why this calculator tracks whichever interval you select rather than assuming one covers the other.
How is the due date counted?: The due date is the last supervisory visit date plus the interval in days, and it is counted in calendar days including weekends and holidays. A 14-day interval from a visit on the 1st is due on the 15th. The tool shows days remaining from the reference date you set — today by default — and flags anything already past due, so you can work a list rather than one patient at a time. Regulations say 'no less frequently than', which means the interval is a ceiling, not a target: a visit done early resets the clock from the earlier date, which is why the calculator always counts from the last visit actually completed.