F944: Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program
F944 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
It sits in CMS's administration 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). 23.1% of F944 citations came from a complaint visit rather than a routine inspection.
By letter: B 29, C 21, D 76, E 97, F 101.
What inspectors wrote
Three recent F944 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 7, 2026, scope and severity DBased on review of facility in-service documentation, personnel files, and staff interviews, it was determined that the facility failed to provide training on Quality Assurance and Performance Improvement (QAPI) for one of five staff members (Registered Nurse (RN) Employee E22).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, June 29, 2026, scope and severity DBased on interview, personnel record review, and document review, the facility failed to ensure initial Quality Assurance and Performance Improvement (QAPI) training was completed timely per facility policy for 5 of 20 sampled employees (Employee #9, #10, #15, #16 and #17). This deficient practice had the potential to put residents at risk of receiving care from employees unaware of facility regulations.
Gardnerville Health & Rehabilitation Center, Gardnerville, NV
Inspectors wrote, June 10, 2026, scope and severity FBased on record review and interview, the facility failed to include QAPI program mandatory training that outlined and informed staff of the elements and goals of the facility's QAPI program. The DON identified 25 residents resided in the facility.
Chickasha Nursing Center, Inc, Chickasha, OK
Most recent F944 citations
F944 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: 2022 1, 2023 42, 2024 111, 2025 99, 2026 71.
Common questions
- What is F944 in a nursing home inspection?
- F944 is the federal requirement to "conduct mandatory training, for all staff, on the facility’s quality assurance and performance improvement program". CMS files it under administration. A home cited under F944 did not meet that requirement at the inspection.
- How often is F944 cited?
- The CMS files as of September 1, 2026 list 324 F944 citations at 302 nursing homes, 98 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F944 citation serious?
- It depends on the letter. Most F944 citations (84.6%) 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