Elder Care Record

Deficiency tags › F0646

F0646

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Category: Resident Assessment and Care Planning Deficiencies. The wording is the CMS summary of the requirement; the full text is in the State Operations Manual, Appendix PP.

236citations, 3 survey cycles
228facilities cited2% of all certified homes
0at actual harm or immediate jeopardy0% 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
Ohio657%
California313%
Washington158%
Massachusetts144%
North Carolina133%
Texas121%
Mississippi94%
Illinois71%
Wisconsin72%
Connecticut63%
Missouri51%
Colorado52%
Pennsylvania41%
Delaware49%
Oklahoma41%
Florida41%
Indiana31%
Michigan31%
Virginia31%
Tennessee31%
Iowa21%
Minnesota21%
Nevada23%
Idaho23%
Maine23%
West Virginia11%
Montana12%
Kansas10%
Georgia10%
New Jersey10%
Louisiana10%
Arizona11%
Maryland10%
South Carolina11%

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 2026Smoky Ridge Health and RehabilitationBurnsvilleNCD
25 Jun 2026Benedictine Health Center InnsbruckNew BrightonMND
24 Jun 2026Granada Rehabilitation & Wellness Center, LPEurekaCAD
8 Jun 2026Redwood Grove Post AcuteSanta CruzCAD
5 Jun 2026The Laurels of HendersonvilleHendersonvilleNCD
4 Jun 2026Brookfield Health and Rehab of CascadiaBattle GroundWAD
3 Jun 2026Elms, TheMacombILD
2 Jun 2026Heritage Plaza Nursing CenterTexarkanaTXD
27 May 2026Kin On Health Care CenterSeattleWAD
26 May 2026Galion Meadows Skilled Nursing and RehabilitationGalionOHD
18 May 2026Bethany At PacificEverettWAD
7 May 2026Mckinley NursingCantonOHD
1 May 2026Snohomish Health and Rehabilitation of CascadiaSnohomishWAD
23 Apr 2026Copper Ridge Health and Rehabilitation CenterButteMTD
16 Apr 2026Ballard CenterSeattleWAD
7 Apr 2026Complete Care At Ridgewood LLCRacineWID
30 Mar 2026Golden Age ManorAmeryWID
23 Mar 2026Winship Green Center For Health & Rehab, LLCBathMED
20 Mar 2026Greenfield Care Center of Fillmore, LLCFillmoreCAD
20 Mar 2026Grace Healthcare CenterFresnoCAD
5 Mar 2026Clairidge HouseKenoshaWID
20 Feb 2026Orchard Valley Health and RehabilitationHendersonvilleNCD
19 Feb 2026Bruce Community Living CenterBruceMSD
6 Feb 2026Westpark Rehabilitation and LivingEulessTXD
4 Feb 2026Berkshire Rehabilitation & Skilled Care CenterSandisfieldMAD
30 Jan 2026Emerald CareWapatoWAE
21 Jan 2026Pruitthealth- RidgewayRidgewaySCD
10 Jan 2026Bellevue Post AcuteBellevueWAD
9 Jan 2026Country View NursingBowling GreenMOD
5 Jan 2026Beacon Brook Center For Health & RehabilitationNaugatuckCTB
2 Jan 2026Meadowbrook Health & RehabilitationSalisburyNCD
18 Dec 2025Vineyard Post AcutePetalumaCAD
16 Dec 2025Norwood Towers Post-AcuteCincinnatiOHD
12 Dec 2025Warren Park Health & Living CtrChicagoILD
5 Dec 2025Tracy Nursing and Rehabilitation CenterTracyCAD
5 Dec 2025Oak Creek Rehabilitation Center of KimberlyKimberlyIDD
5 Dec 2025Kenedy Health & RehabilitationKenedyTXD
3 Dec 2025Independence Rehab and NursingPhiladelphiaPAE
24 Nov 2025Marlow Nursing & RehabMarlowOKE
20 Nov 2025Nursing & Rehabilitation Center of MelbourneMelbourneFLD

Questions and answers

What does deficiency tag F0646 mean?

F0646 is cited when a nursing home fails to: Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. It falls under resident assessment and care planning deficiencies in the CMS requirements for long-term care facilities.

How common is F0646?

236 citations at 228 facilities (2% of all certified nursing homes) over the three most recent survey cycles; 0 were at the actual-harm or immediate-jeopardy level.

Which states cite F0646 most?

Ohio (65), California (31), Washington (15), Massachusetts (14), North Carolina (13).