Based on observation and interview, the facility failed to ensure the provision of compliance and ethics training for 7 of 134 employees reviewed for compliance and ethics training resulting in the potential for unethical and unprofessional staff conduct which could affect all residents at the facility. Findings include: During an interview on 7/26/23 at 11:08 AM, Staff Development Coordinator (SDC) E reported that the facility used Relias (an online service for facility staff to complete required training) to complete required training for facility staff. SDC E reported that she was responsible for ensuring that staff completed their required training, and was aware aware that several staff members had overdue training. …
F946 citations in Michigan
Administration Deficiencies
Provide training in compliance and ethics.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Michigan cites F946 more often than its own record predicts
2.56 times the share F946 takes of citations nationally.
Of every deficiency written in Michigan in 2023, this is the portion that was F946.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Michigan surveyors wrote
F946 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.
What else Michigan surveyors cite →
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