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F947: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention

F947 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. It sits in CMS's nursing and physician services category.

1,119citations in the CMS files
1,016homes cited at least once
236in 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). 17.2% of F947 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)1,089 (97.3%)
  • Potential for minimal harm (A, B, C)30 (2.7%)

By letter: B 11, C 19, D 425, E 391, F 273.

What inspectors wrote

Three recent F947 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 3, 2026, scope and severity FLicensure Reference Number 175 NAC 12-006.04(B)(ii)1 Based on record review and interview, the facility failed to ensure that Nurse Aides (NAs) are provided 12 hours of yearly education, and fails to follow their Facility Assessment that includes dementia management training for NAs. This affected 1 of 1 NAs sampled. The facility census was 27.

Wauneta Care and Therapy Center, Wauneta, NE

Inspectors wrote, July 30, 2026, scope and severity DBased on a review facility policies, employee education records, as well as staff interviews, it was determined that the facility failed to ensure that nurse aides completed the required annual education for three of three nurse aides reviewed (Nurse Aides 10, 11, 12).

Saint Anne Home, Greensburg, PA

Inspectors wrote, July 22, 2026, scope and severity FBased on record review and interviews, the facility failed to ensure the nurse aides received the required number of in-service training hours per year.

Heritage Grove Estates, Topeka, KS

Most recent F947 citations

InspectionHomeTownLetter
August 3, 2026Wauneta Care and Therapy CenterWauneta, NE F
July 30, 2026Saint Anne HomeGreensburg, PA D
July 23, 2026Carlisle Skilled Nursing and Rehabilitation CenterCarlisle, PA D
July 22, 2026Heritage Grove EstatesTopeka, KS F
July 20, 2026Westmoreland PlaceChillicothe, OH F
July 14, 2026Alderwood Post Acute & RehabilitationLynnwood, WA D
July 14, 2026Bethany Home AssociationLindsborg, KS E
July 9, 2026Serenity Spring Senior Living at ArlingtonArlington, OH F
July 9, 2026Northfield Retirement Communities Care CenterScottsbluff, NE F
July 8, 2026Calhoun Convalescent CenterSaint Matthews, SC E
July 8, 2026Diversicare of Council GroveCouncil Grove, KS F
July 2, 2026Maplewood of Sauk PrairieSauk City, WI F
June 26, 2026Merry Heart Nursing HomeSuccasunna, NJ E
June 26, 2026Clearwater Health & Rehabilitation of CascadiaOrofino, ID D
June 25, 2026Avista Nursing and RehabilitationSaginaw, MI D
June 25, 2026Palazzo Post AcuteLos Angeles, CA E
June 25, 2026White Point Care CenterSan Pedro, CA D
June 24, 2026Autumn Lake Healthcare at GreenfieldMilwaukee, WI E
June 18, 2026Masonic Village at SewickleySewickley, PA D
June 18, 2026Avenue at LyndhurstLyndhurst, OH F
June 11, 2026Catalina Island HealthAvalon, CA D
June 11, 2026Heritage Ridge Senior Living at Windy HillPhilipsburg, PA E
June 11, 2026St. Peters Rehab and Healthcare CenterSaint Peters, MO F
June 10, 2026Laureldale Skilled Nursing and Rehabilitation CentLaureldale, PA D
June 10, 2026King Nursing & Rehabilitation CommunityHoughton Lake, MI F

F947 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: 2018 1, 2019 14, 2020 6, 2021 12, 2022 45, 2023 197, 2024 370, 2025 301, 2026 173.

Common questions

What is F947 in a nursing home inspection?
F947 is the federal requirement to "ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention". CMS files it under nursing and physician services. A home cited under F947 did not meet that requirement at the inspection.
How often is F947 cited?
The CMS files as of September 1, 2026 list 1,119 F947 citations at 1,016 nursing homes, 236 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
Is a F947 citation serious?
It depends on the letter. Most F947 citations (97.3%) 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

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