Based on interview, personnel files review, and document review, the facility failed to ensure five of five Certified Nurse Aides (CNA #7, #18, #19, #12, and #14) received education related to the facility's Compliance and Ethics program. This had the potential to affect 107 residents who resided at the facility. Findings include: Review of the undated, Certified Nursing Assistant Job Description, revealed . Compliance as a condition of employment and performance appraisal. Agreement to abide by all standards, policies and procedures of the facility, including the facility's compliance and ethics program, is a condition of employment . 1. Review of CNA 18's personnel files revealed CNA 18 had a date of hire (DOH) 05/23/22. …
F946 citations in New Jersey
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 — 2025
New Jersey cites F946 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Jersey in 2025, 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 New Jersey surveyors wrote
F946 findings written in New Jersey, 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 observation, interview, and review of pertinent facility documents, it was determined that the facility failed to ensure that Certified Nursing Aid (CNA) education included compliance and ethics for 5 of 5 CNAs reviewed (CNA #1, CNA #2, CNA #3, CNA #4, and CNA #5). This deficient practice was evidenced by the following:On 6/12/26 at 12:57 PM, the Surveyor requested from the Licensed Nursing Home Administrator (LNHA) the annual education that was done for five randomly selected CNAs based on their date of hire (doh).A review of the facility-provided annual education transcripts, in-service sign in sheets, individual in-service logs, employee training reports, and training hours for courses revealed the following:CNA #1 did not have compliance and ethics training.CNA #2 did not have… …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2024 | 0.05% | 1.09× |
| 2025 | 0.05% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey 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