Based on review of facility documents, and staff interview, it was determined that the facility failed to provide training on Effective Communication for one of eight staff members (nurse aide (NA) Employee E27).Findings include: Review of NA Employee E27's personnel file indicated a hire date of 6/1/24, and failed to include Effective Communication training between 6/1/24, and 6/1/25. During an interview on 7/18/26, at 9:50 a.m. Human Resources Employee E29 confirmed that the facility failed to provide training on Effective Communication for one of eight staff members as required. 28 Pa. Code: 201.14(a) Responsibility of licensee.28 Pa. Code: 201.20(a) Staff Development.
F941 citations in Pennsylvania
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
Pennsylvania cites F941 more often than its own record predicts
4.68 times the share F941 takes of citations nationally.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F941 findings written in Pennsylvania, 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.
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. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 3.22× |
| 2024 | 0.20% | 3.17× |
| 2025 | 0.30% | 4.68× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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