CMS F-tag

F941: Administration

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Cited 171 times at 162 nursing homes in the last three inspection cycles.

#149 of 242 tags0% caused harm27 statesLatest survey Dec 11, 2025

How F941 shows up in inspections

F-TAGF941#149 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E · F87.1%149
  • Minimal harmB · C12.9%22

0% of F941 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 171Citations
  • 162Facilities cited1% of rated nursing homes

Citations by survey year

  • 20222
  • 202328
  • 202477
  • 202564

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F941 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F941 citation.

States by share of facilities cited

  • Texas3% of homes37 citations · 34 of 1,167 facilities
  • Pennsylvania5% of homes37 citations · 33 of 653 facilities
  • Wisconsin3% of homes10 citations · 10 of 321 facilities
  • Virginia3% of homes10 citations · 9 of 285 facilities
  • Maryland5% of homes10 citations · 10 of 219 facilities
  • Massachusetts2% of homes8 citations · 8 of 338 facilities
  • Kansas3% of homes8 citations · 8 of 294 facilities
  • Nevada9% of homes7 citations · 6 of 65 facilities
  • Illinois1% of homes5 citations · 5 of 665 facilities
  • New Mexico6% of homes4 citations · 4 of 67 facilities

Top 10 of 27 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Ashland Nursing and RehabilitationAshland, VA · Report card2 F941No harm
  2. Cherokee Trails Nursing HomeRusk, TX · Report card2 F941No harm
  3. Little Sisters of the PoorPittsburgh, PA · Report card2 F941No harm
  4. Monroeville Post AcuteMonroeville, PA · Report card2 F941No harm
  5. Ormsby Post Acute RehabilitationCarson City, NV · Report card2 F941No harm
  6. Squirrel Hill Wellness and Rehabilitation CenterPittsburgh, PA · Report card2 F941No harm
  7. Sunnyview Nursing and Rehabilitation CenterButler, PA · Report card2 F941No harm
  8. The Oaks at Radford Hills Healthcare CenterAbilene, TX · Report card2 F941No harm
  9. Winfield Rehab & NursingCrockett, TX · Report card2 F941No harm
  10. Adviniacare NewburyportNewburyport, MA · Report card1 F941No harm
  11. Alderwood Park Health and Rehab of CascadiaBellingham, WA · Report card1 F941No harm
  12. Alpine Skilled Nursing and Rehabilitation CenterReno, NV · Report card1 F941No harm
  13. Amethyst Health of Brown DeerMilwaukee, WI · Report card1 F941No harm
  14. Aspen Health and WellnessOverland Park, KS · Report card1 F941No harm
  15. Aspen Point Health and RehabilitationSaint Charles, MO · Report card1 F941No harm

What to ask a facility about a F941 citation

  1. What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
  2. What was the plan of correction, and was it accepted by the state on the first submission?
  3. Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
  4. If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey Dec 11, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F941 in a nursing home inspection?
F941 is the CMS F-tag for the requirement "Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members." (Administration). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F941?
F941 was cited 171 times at 162 facilities (1% of rated nursing homes) in the last three inspection cycles, ranking #149 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F941 citation mean the facility is unsafe?
Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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