Based on review of facility documents, and staff interview, it was determined that the facility failed to provide training on Compliance and Ethics for one of 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 Compliance and Ethics 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 Compliance and Ethics 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.
F946 citations in Pennsylvania
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
Pennsylvania cites F946 more often than its own record predicts
2.98 times the share F946 takes of citations nationally.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F946 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 interviews, it was determined that the facility failed to provide training on Compliance and Ethics for one of five employees (Physical Therapist (PT) 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 compliance with the annual trainings includes post tests to determine competency and designated Managers/ Supervisors monitor attendance. The mandatory training program included Corporate Compliance and Ethics. Review of PT Employee E12's personnel record indicated a hire date of 4/23/18. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 1.35× |
| 2024 | 0.10% | 2.27× |
| 2025 | 0.15% | 2.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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