Based on interview and record review, the facility failed to ensure the provision of training on Quality Assurance Performance Improvement (QAPI) training for one L of five staff reviewed for QAPI training. This deficient practice had the potential to result in unmet care needs due to an ineffective performance improvement program. Findings include: Review of [Vendor] Computer training logs on 8/7/24 at approximately 4:00 p.m., revealed the following staff had no QAPI training: Certified Nurse Aide (CNA) L was hired on 11/21/22. Review of Facility Assessment (FA) did not include a requirement for the provision of QAPI training for staff. Request for QAPI policy from this Surveyor. Facility did not provide QAPI policy prior to exit from facility on 8/12/24
F944 citations in Michigan
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Michigan cites F944 less often than its own record predicts
0.46 times the national share — cited less often here than elsewhere.
Of every deficiency written in Michigan in 2024, this is the portion that was F944.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F944 findings written in Michigan, 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 Michigan citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 0.97× |
| 2024 | 0.04% | 0.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Michigan 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