of F947 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025301
Every F947 citation surveyors wrote nationally that year.
Facilities cited298
Distinct nursing homes with at least one F947 finding.
The harm level
How severely F947 is cited
0.0% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J—
K—
L—
Actual harm
G—
H—
I—
No harm, potential for more than minimal
D43537.6%
E41135.5%
F28024.2%
No harm, potential for minimal
A—
B121.0%
C201.7%
Every recorded F947 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F947 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
K · Immediate jeopardy, patternAugust 20, 2018
Based on review of the facility's (YEAR) Assessment, review of the facility's computer based training documentation, and interview, the facility failed to implement a system to track nurse aide competency levels in order to ensure training was sufficient based on the resident population.
The Administrator and the Director of Nursing (DON) were informed of the IJ in the conference room on 8/18/18 at 8:10 PM.
The facility was cited Immediate Jeopardy at F657, F689, F725, F726, F841, F867 and F947.
The facility was cited Substandard Quality of Care (SQC) at F-689
The IJ was effective 11/10/17 and is ongoing. …
D · No harm, potential for more than minimal, isolatedAugust 31, 2026
Based on staff interview, review of personnel files and training records, and review of a facility policy, the facility failed to ensure nurse aides completed required training for dementia care. This affected two (#447 and #720) of five certified nurse aide personnel files reviewed. The facility census was 39.Findings include:Review of the personnel file and staff training records for Certified Nurse Aide (CNA) #447 revealed a hire date of 03/11/15 and no documentation of training for dementia management had been completed.Review of the personnel file and staff training records for CNA #720 revealed a hire date of 02/08/24 and no documentation of training for dementia management had been completed.Interview on 08/24/26 at 9:48 A.M. …
C · No harm, potential for minimal, widespreadAugust 20, 2026
Based on interview and personnel record review, the facility failed to ensure Certified Nursing Assistants (CNAs) received at least twelve hours of in-services annually. This affected two (CNA #99 and CNA #140) of two CNAs reviewed for annual in-services. The facility census was 101.Findings include:1. Review of CNA #99's personnel file revealed a hire date of 05/29/24. Further review revealed no documented in-service education from 05/29/25 to 05/29/26.Interview with Human Resources (HR) #72 on 08/19/26 at 10:00 A.M. verified CNA #99 did not have any documented in- service education from 05/29/25 to 05/29/26.2. Review of CNA #140's personnel file revealed a hire date of 08/24/06. …
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Cited in the same inspection, not caused by one another.
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