Based on review of facility documentation, facility policy and interviews for 1 of 5 licensed staff employee files reviewed, the facility failed to ensure that the required employee Communication training/in-services were completed. The findings include:Licensed Practice Nurse (LPN)#10 's date of hire was 7/20/2012 and upon review of the facility documentation provided for LPN #10 the facility failed to identify that in-service training had been completed for Communication in 2026 (per the course completion documentation provided representing the date of 8/31/2026). …
F941
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F941 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F941 finding.
The harm level
How severely F941 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D6130.0% | E6833.5% | F5024.6% |
| No harm, potential for minimal | A— | B167.9% | C83.9% |
In the surveyor’s words
What an F941 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on review of facility policy, facility in-service documentation, personnel files, and staff interview, it was determined that the facility failed to provide annual training on Effective Communication for one of five staff members (Physical Therapist Employee E12). Findings include: Review of facility policy Facility Assessment last reviewed 8/4/26, with a previous review date of 1/14/26, indicated all personnel, including contracted staff will have annual trainings provided including content and competency and will be monitored by facility designated Managers/ Supervisors for attendance. Training requirements identified included Effective Communication as mandatory training for direct care staff including contracted staff. …
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