Answer:
The competency evaluation required by OBRA involves a written and a skills test.
Explanation:
In USA, OBRA stands for the Omnibus Budget Reconciliation Act also widely known as the Nursing Home Reform Act of 1987. This Act establish common standards for nursing homes and ensure the protection and safety of patients.
The OBRA act applies for all 50 states. Evaluation of comentencies and standards involves a written and a skills test.