F946: Provide training in compliance and ethics
F946 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide training in compliance and ethics.
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). 26.7% of F946 citations came from a complaint visit rather than a routine inspection.
By letter: B 9, C 5, D 54, E 55, F 38.
What inspectors wrote
Three recent F946 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 12, 2026, scope and severity DBased on interviews and record review, the facility failed to provide required Ethics training, for 1 of 23 (PT F) staff sampled for licensure and training. The facility failed to ensure that PT F had completed the mandatory Ethics training. This failure could place residents at risk of being cared for by untrained staff. Record review of personnel record for PT F indicated a hire date of 01/31/2025. Review of the facility's training log, undated, showed no evidence of ethics training for PT F.Record review of the training log for the previous 12 months (08/12/2025 to 08/12/2026) provided by human resources department indicated no evidence that PT F completed ethics training. [...]
Beaumont Nursing and Rehabilitation, Beaumont, TX
Inspectors wrote, July 18, 2026, scope and severity DBased on review of facility documents, and staff interview, it was determined that the facility failed to provide training on Compliance and Ethics for one of one of eight staff members (nurse aide (NA) Employee E27).
John J Kane Regional Center-Ro, Pittsburgh, PA
Inspectors wrote, June 29, 2026, scope and severity DBased on interview, personnel record review, and document review, the facility failed to ensure initial and annual compliance and ethics training was completed timely per facility policy for 3 of 20 sampled employees (Employee #2, #9 and #16). 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
Most recent F946 citations
F946 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 2, 2023 13, 2024 56, 2025 55, 2026 35.
Common questions
- What is F946 in a nursing home inspection?
- F946 is the federal requirement to "provide training in compliance and ethics". CMS files it under administration. A home cited under F946 did not meet that requirement at the inspection.
- How often is F946 cited?
- The CMS files as of September 1, 2026 list 161 F946 citations at 150 nursing homes, 51 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F946 citation serious?
- It depends on the letter. Most F946 citations (91.3%) 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