How F946 shows up in inspections

F-TAGF946#157 of 242 tagsRarely cited
  1. Rarely cited
  2. Occasionally cited
  3. Often cited
  4. Very often cited
  5. Among the most cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E · F90.3%121
  • Minimal harmB · C9.7%13

0% of F946 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 134Citations
  • 126Facilities cited1% of rated nursing homes

Citations by survey year

  • 20223
  • 202321
  • 202457
  • 202553

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

Where F946 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 F946 citation.

States by share of facilities cited

  • Texas3% of homes37 citations · 35 of 1,167 facilities
  • Pennsylvania2% of homes19 citations · 16 of 653 facilities
  • Wisconsin4% of homes13 citations · 12 of 321 facilities
  • Virginia3% of homes9 citations · 8 of 285 facilities
  • Maryland3% of homes6 citations · 6 of 219 facilities
  • Nevada8% of homes6 citations · 5 of 65 facilities
  • Illinois1% of homes6 citations · 6 of 665 facilities
  • Massachusetts2% of homes6 citations · 6 of 338 facilities
  • Delaware9% of homes4 citations · 4 of 43 facilities
  • Missouri1% of homes3 citations · 3 of 479 facilities

Top 10 of 26 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Ashland Nursing and RehabilitationAshland, VA · Report card2 F946No harm
  2. Bayshore Nursing & RehabGlendale, WI · Report card2 F946No harm
  3. Cherokee Trails Nursing HomeRusk, TX · Report card2 F946No harm
  4. Little Sisters of the PoorPittsburgh, PA · Report card2 F946No harm
  5. Monroeville Post AcuteMonroeville, PA · Report card2 F946No harm
  6. Ormsby Post Acute RehabilitationCarson City, NV · Report card2 F946No harm
  7. Sunnyview Nursing and Rehabilitation CenterButler, PA · Report card2 F946No harm
  8. The Oaks at Radford Hills Healthcare CenterAbilene, TX · Report card2 F946No harm
  9. Adviniacare NewburyportNewburyport, MA · Report card1 F946No harm
  10. Amethyst Health of Brown DeerMilwaukee, WI · Report card1 F946No harm
  11. Aspen Point Health and RehabilitationSaint Charles, MO · Report card1 F946No harm
  12. Austin Wellness & RehabilitationAustin, TX · Report card1 F946No harm
  13. Autumn Lake Healthcare at CroftonCrofton, MD · Report card1 F946No harm
  14. Autumn Lake Healthcare at Glen BurnieGlen Burnie, MD · Report card1 F946No harm
  15. Autumn Lake Healthcare at Loch RavenBaltimore, MD · Report card1 F946No harm

What to ask a facility about a F946 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 17, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F946 in a nursing home inspection?
F946 is the CMS F-tag for the requirement "Provide training in compliance and ethics." (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 F946?
F946 was cited 134 times at 126 facilities (1% of rated nursing homes) in the last three inspection cycles, ranking #157 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F946 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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