F728: Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training
F728 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
It sits in CMS's nursing and physician services category.
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). 35.6% of F728 citations came from a complaint visit rather than a routine inspection.
By letter: C 1, D 118, E 119, F 37, J 1, L 2.
What inspectors wrote
Three recent F728 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 5, 2026, scope and severity DBased on review of the State Operations Manual, Appendix PP dated 7/23/25, policy review, staffing schedules, personnel files, and staff interviews, it was determined the facility failed to ensure full-time employees working as a nurse aide successfully completed a State approved training and competency evaluation program within 4 months of being hired. This was true for 1 of 1 nurse aides (NA #1) whose personnel files were reviewed. This failure had the potential to result in negative outcomes for all residents living in the facility.
Mini-Cassia Care Center, Burley, ID
Inspectors wrote, July 16, 2026, scope and severity FBased on interview and record review, the facility failed to ensure one of four staff members (Social Services Coordinator [SSC]), who worked as an uncertified nursing assistant (NA) from 5/1/2023 through 7/31/2024, did not exceed a 4-month employment as an NA and did not perform duties and tasks reserved for certified staff. This deficient practice had the potential for the SSC to provide incompetent care to the assigned residents, which could affect the residents' safety and well-being.
Villa Del Rio, Bell Gardens, CA
Inspectors wrote, July 13, 2026, scope and severity DBased on employee file review, facility labor report, and staff interviews, it was determined that the facility failed to ensure an individual working in the facility as a nurse aide for more than 4 months, on a full-time basis, has completed a competency evaluation program approved by the state, for one of four employee files reviewed (Employee 1).
Amoroso Healthcare and Rehabilitation Woodridge, Harrisburg, PA
Most recent F728 citations at the harm or jeopardy level
Newest first, all 3 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| November 7, 2024 | Buckingham at Norwood, the | Norwood, NJ | L | Standard |
| April 8, 2024 | St. Jude's Health & Wellness Center | New Orleans, LA | L | Complaint |
| September 29, 2023 | Grace Barker Nursing Center | Warren, RI | J | Complaint |
Most recent F728 citations
F728 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.
By inspection year: 2019 1, 2021 1, 2022 11, 2023 59, 2024 91, 2025 71, 2026 44.
Common questions
- What is F728 in a nursing home inspection?
- F728 is the federal requirement to "ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training". CMS files it under nursing and physician services. A home cited under F728 did not meet that requirement at the inspection.
- How often is F728 cited?
- The CMS files as of September 1, 2026 list 278 F728 citations at 251 nursing homes, 68 of them in the 12 months to that date. 1.1% were rated as actual harm or immediate jeopardy.
- Is a F728 citation serious?
- It depends on the letter. Most F728 citations (98.6%) were rated as potential for more than minimal harm, D to F. 3 were immediate jeopardy, the most serious 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