Elder Care Record

Deficiency tags › F0604

F0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies. The wording is the CMS summary of the requirement; the full text is in the State Operations Manual, Appendix PP.

1,540citations, 3 survey cycles
1,358facilities cited9% of all certified homes
96at actual harm or immediate jeopardy6% of citations

By state

"Share" is citations divided by the number of certified facilities in the state, so a value over 100% means more than one citation per facility on average.

StateCitationsShare
California29425%
New York10618%
Massachusetts10029%
Illinois9414%
Ohio879%
Texas787%
Pennsylvania609%
Missouri5211%
Michigan5112%
Washington4624%
Minnesota4614%
Louisiana3112%
Mississippi3115%
Colorado2813%
Tennessee279%
Florida264%
Indiana245%
Wisconsin247%
Oklahoma228%
Maryland209%
New Jersey195%
Oregon1915%
Montana1728%
North Carolina164%
Connecticut147%
Georgia144%
West Virginia1311%
New Mexico1319%
Nebraska116%
Hawaii1126%
South Carolina116%
Iowa113%
Kansas103%
South Dakota1010%
Idaho911%
Arizona96%
Rhode Island811%
Virginia83%
Nevada812%
New Hampshire710%
Kentucky73%
Alabama63%
Arkansas63%
Utah66%
District of Columbia529%
Maine56%
North Dakota46%
Delaware49%
Vermont39%
Puerto Rico333%
Alaska315%
Wyoming38%

Most recent citations

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C
Survey dateFacilityCityStateSeverity
26 Jun 2026Autumn Hills Health Care CenterGlendaleCAD
24 Jun 2026Casa RealSanta FeNMD
23 Jun 2026Davis Health Care CenterWilmingtonNCG
23 Jun 2026California Post-Acute CareLynwoodCAD
12 Jun 2026Buena Vida Rehab and Nursing CenterBrooklynNYD
11 Jun 2026Bria of BellevilleBellevilleILG
1 Jun 2026Adventist Health DelanoDelanoCAD
28 May 2026Cranbury CenterMonroe TownshipNJJ
22 May 2026Alexandria Care CenterLos AngelesCAE
21 May 2026Bishop Care CenterBishopCAE
21 May 2026Beacon Hill RehabilitationLongviewWAD
19 May 2026Champion City Nursing and Rehabilitation CenterPittsburghPAD
15 May 2026Dept of State Hospitals - Napa D/P SNFNapaCAD
23 Apr 2026Complete Care At Harston Hall LLCFlourtownPAD
23 Apr 2026California Healthcare and Rehabilitation CenterVan NuysCAD
17 Apr 2026Community Skilled HealthcareWarrenOHD
16 Apr 2026Bethel Lutheran Nursing & Rehabilitation CenterWillistonNDD
16 Apr 2026Bellflower Post AcuteBellflowerCAD
13 Apr 2026Courage Kenny Rehabilitation Institutes TrpGolden ValleyMND
8 Apr 2026Covenant Post AcuteFresnoCAD
6 Apr 2026Coler Rehabilitation and Nursing Care CenterRoosevelt IslandNYD
6 Apr 2026Burbank Healthcare & RehabBurbankCAD
3 Apr 2026Aventura At CreeksideCarbondalePAD
2 Apr 2026Aviata At Harts HarborJacksonvilleFLD
1 Apr 2026Briarcliff Skilled Nursing FacilityCarthageTXD
18 Mar 2026Buena Park Nursing CenterBuena ParkCAD
17 Mar 2026Affinity Skilled Living and Rehabilitation CenterOakdaleNYD
16 Mar 2026Circleville Post-AcuteCirclevilleOHD
13 Mar 2026Concord Nursing and Rehabilitation CenterBrooklynNYD
13 Mar 2026Bay Crest Care CenterTorranceCAD
13 Mar 2026Aventura At Oakwood VillageSpringfieldOHD
12 Mar 2026Burbank Healthcare & RehabBurbankCAE
12 Mar 2026Bay Shores Senior Care and Rehab CenterBay CityMID
3 Mar 2026Calibre Post Acute, LLCLas CrucesNMD
3 Mar 2026Arcadia Care ToulonToulonILD
27 Feb 2026Claremont Heights Post AcuteClaremontCAD
26 Feb 2026Desert Canyon Post Acute, LLCLancasterCAE
24 Feb 2026Cedar Ridge CenterSissonvilleWVD
19 Feb 2026Courville At ManchesterManchesterNHD
13 Feb 2026Avamere Crestview of PortlandPortlandORD

Questions and answers

What does deficiency tag F0604 mean?

F0604 is cited when a nursing home fails to: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. It falls under freedom from abuse, neglect, and exploitation deficiencies in the CMS requirements for long-term care facilities.

How common is F0604?

1,540 citations at 1,358 facilities (9% of all certified nursing homes) over the three most recent survey cycles; 96 were at the actual-harm or immediate-jeopardy level.

Which states cite F0604 most?

California (294), New York (106), Massachusetts (100), Illinois (94), Ohio (87).