F948: Ensure that paid feeding assistants have the training they need
F948 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure that paid feeding assistants have the training they need.
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). 17.6% of F948 citations came from a complaint visit rather than a routine inspection.
By letter: D 11, E 6.
What inspectors wrote
Three recent F948 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, March 26, 2026, scope and severity DBased on interview and record review, the facility did not assure that the Feeding Assistant Program included annual training and skills review for 2 of 4 feeding assistants reviewed. The facility did not provide annual training or skills monitoring, per state regulations for two Feeding Assistants. This is evidenced by:Wisconsin's State requirements for Feeding Assistants, specified in 42 CFR 483.60(h), includes, in part: . Feeding Assistants must receive an annual in-service on relevant feeding assistant topics (any topic area included in the curriculum is appropriate). [...]
Edgerton Care Center, Inc, Edgerton, WI
Inspectors wrote, March 19, 2026, scope and severity EBased on interview and record review, the facility failed to maintain record of successful completion of a State-approved paid feeding assistant training course for 6 of 12 paid feeding assistants. Review of the lists provided by the facility, the facility had 12 staff who were Paid Feeding Assistants and 9 residents who were approved for the Paid Feeding Assistant program. In an interview on 03/19/26 at 12:55 PM, Director of Nursing (DON) B reported the facility was only able to locate the documentation of completion of a State-approved paid feeding assistant training course for 6 of the 12 staff who worked as Paid Feeding Assistants. [...]
Lenawee Medical Care Facility, Adrian, MI
Inspectors wrote, August 15, 2025, scope and severity DBased on observation, record review and interviews during the recertification survey 8/11/25-8/15/25, the facility did not ensure individuals working in the facility under the title Home Health Aides, had successfully completed a State-approved training program for feeding residents for 12 of 12 employees reviewed (Home Health Aides #4, #8, #32, #33, #34, #35, #36, #37, #38, #39, #40 and #41.) Specifically, there was no documentation the Home Health Aides received the required training to feed residents and Home Health Aide # 4 was observed feeding Residents on more than one occasion and Home Health Aide#38 and #36 were observed feeding residents on the Dementia Unit.
Springvale Nursing & Rehabilitation Center, Croton on Hudson, NY
Most recent F948 citations
F948 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.
| State | Citations |
|---|---|
| Michigan | 3 |
| Massachusetts | 2 |
| New York | 2 |
| Iowa | 1 |
| Missouri | 1 |
| North Dakota | 1 |
| New Mexico | 1 |
| Ohio | 1 |
| Oklahoma | 1 |
| Utah | 1 |
| Virginia | 1 |
| Wisconsin | 1 |
| Wyoming | 1 |
By inspection year: 2019 1, 2022 1, 2023 2, 2024 3, 2025 8, 2026 2.
Common questions
- What is F948 in a nursing home inspection?
- F948 is the federal requirement to "ensure that paid feeding assistants have the training they need". CMS files it under nursing and physician services. A home cited under F948 did not meet that requirement at the inspection.
- How often is F948 cited?
- The CMS files as of September 1, 2026 list 17 F948 citations at 17 nursing homes, 3 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F948 citation serious?
- It depends on the letter. Most F948 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