Based on interviews with facility staff and review of facility documentation and employee files, it was determined that the facility failed to ensure staff received mandatory communication training. This was evident for 4 (LPN #45, GNA #46, GNA #47, GNA #48) out of 6 direct care staff employees reviewed during the Extended Survey portion of the facility's recertification survey.A facility must include effective communications as mandatory training for direct care staff. Direct care staff are defined as those individuals who, through interpersonal contact with residents or resident care management, provide care and services to allow residents to attain or maintain the highest practicable physical, mental, and psychosocial well-being. …
F941 citations in Maryland
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.
Against expectation — 2025
Maryland cites F941 more often than its own record predicts
2.55 times the share F941 takes of citations nationally.
Of every deficiency written in Maryland in 2025, this is the portion that was F941.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F941 findings written in Maryland, 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 Maryland citations | vs expected |
|---|---|---|
| 2024 | 0.27% | 4.31× |
| 2025 | 0.16% | 2.55× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maryland 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