Based on interview, personnel record review, and document review, the facility failed to ensure initial Quality Assurance and Performance Improvement (QAPI) training was completed timely per facility policy for 5 of 20 sampled employees (Employee #9, #10, #15, #16 and #17). This deficient practice had the potential to put residents at risk of receiving care from employees unaware of facility regulations. Findings include:Employee #9 Employee #9 was hired as a Certified Nursing Assistant (CNA) hired on 08/05/2020. Employee #9's personnel record documented QAPI training completed on 09/16/2024, however, lacked documented evidence of annual QAPI training completed in 2025. Employee #10 Employee #10 was hired as a CNA hired on 01/16/2026. …
F944 citations in Nevada
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 — 2025
Nevada cites F944 more often than its own record predicts
1.79 times the share F944 takes of citations nationally.
Of every deficiency written in Nevada in 2025, 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 Nevada surveyors wrote
F944 findings written in Nevada, 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 Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.19% | 3.01× |
| 2024 | 0.51% | 5.50× |
| 2025 | 0.16% | 1.79× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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