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F497: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews

F497 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. It sits in CMS's nursing and physician services category.

1citations in the CMS files
1homes cited at least once
0in the 12 months to September 2026
0.0%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 0.0% of F497 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)0 (0.0%)
  • Actual harm (G, H, I)0 (0.0%)
  • Potential for more than minimal harm (D, E, F)1 (100.0%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 1.

Most recent F497 citations

InspectionHomeTownLetter
September 21, 2017Albertville Nursing HomeAlbertville, AL D

F497 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
Alabama1

By inspection year: 2017 1.

Common questions

What is F497 in a nursing home inspection?
F497 is the federal requirement to "1) review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews". CMS files it under nursing and physician services. A home cited under F497 did not meet that requirement at the inspection.
How often is F497 cited?
The CMS files as of September 1, 2026 list 1 F497 citations at 1 nursing homes, 0 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
Is a F497 citation serious?
It depends on the letter. Most F497 citations (100.0%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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