Based on interview and record review, the facility did not implement and maintain an effective training program for facility staff consistent with their expected roles and based on the facility assessment for 5 of 5 facility staff (CNA- L , CNA-M CNA-N, CNA-O, CNA-P). This has the potential to affect the total census of 91 residents. Findings include: The facility's assessment titled, Facility Assessment Tool last updated in April, 2025 and reviewed by the Quality Assurance Committee on May, 2025 documents under the Titled section: Staffing 3.4 staff training/ education and competencies documents that [facility name] provides staff training/ education and competencies that is necessary to provide care and support needed for our resident population. …
F940 citations in Wisconsin
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
Wisconsin cites F940 more often than its own record predicts
1.49 times the share F940 takes of citations nationally.
Of every deficiency written in Wisconsin 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 Wisconsin surveyors wrote
F940 findings written in Wisconsin, 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 Wisconsin citations | vs expected |
|---|---|---|
| 2024 | 0.14% | 1.48× |
| 2025 | 0.15% | 1.49× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wisconsin surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction