Based on record review and staff interviews, the facility failed to implement an effective training program to ensure staff received required training and to maintain documented evidence of trainings for 4 of 4 Nursing Assistants (NA #2, NA #8, NA #9, and NA #11). This practice had the potential to affect all residents. The findings included: A review of the 2024 annual education records provided by the facility revealed no documented evidence that communication, resident rights, compliance and ethics, behavioral health, infection control training on policies and procedures, and QAPI training were conducted for the staff. a. …
F940 citations in North Carolina
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
North Carolina cites F940 less often than its own record predicts
0.49 times the national share — cited less often here than elsewhere.
Of every deficiency written in North Carolina in 2025, this is the portion that was F940.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What North Carolina surveyors wrote
F940 findings written in North Carolina, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of North Carolina citations | vs expected |
|---|---|---|
| 2023 | 0.05% | 0.60× |
| 2024 | 0.04% | 0.42× |
| 2025 | 0.05% | 0.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else North Carolina surveyors cite →
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