F-tag 656Resident Assessment and Care Planning
What the tag means
The number of a federal requirement for nursing homes. Each citation names one F-tag.
The home must write and use a complete care plan for each resident, with actions and dates that can be measured.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
A citation with this F-tag shows that surveyors found the home did not meet this requirement at the time of the survey.
- Citations, three survey cycles
- 14,681
- Nursing homes with a citation
- 8,403 (57%)
- Citations at actual harm or immediate jeopardy
- 483
By state
The last column divides the citations by the number of certified homes in the state.
| State | Citations | Citations for each 100 homes |
|---|---|---|
| Alabama | 87 | 39 |
| Alaska | 20 | 100 |
| Arizona | 44 | 31 |
| Arkansas | 148 | 67 |
| California | 2,661 | 228 |
| Colorado | 43 | 20 |
| Connecticut | 250 | 131 |
| Delaware | 51 | 116 |
| District of Columbia | 53 | 312 |
| Florida | 492 | 71 |
| Georgia | 388 | 109 |
| Guam | 2 | 200 |
| Hawaii | 78 | 181 |
| Idaho | 63 | 79 |
| Illinois | 298 | 45 |
| Indiana | 305 | 60 |
| Iowa | 228 | 59 |
| Kansas | 159 | 54 |
| Kentucky | 253 | 95 |
| Louisiana | 431 | 163 |
| Maine | 108 | 138 |
| Maryland | 386 | 175 |
| Massachusetts | 497 | 146 |
| Michigan | 356 | 84 |
| Minnesota | 221 | 65 |
| Mississippi | 374 | 185 |
| Missouri | 394 | 81 |
| Montana | 65 | 107 |
| Nebraska | 62 | 34 |
| Nevada | 92 | 139 |
| New Hampshire | 20 | 27 |
| New Jersey | 233 | 67 |
| New Mexico | 112 | 165 |
| New York | 579 | 98 |
| North Carolina | 185 | 44 |
| North Dakota | 2 | 3 |
| Ohio | 615 | 67 |
| Oklahoma | 237 | 84 |
| Oregon | 91 | 71 |
| Pennsylvania | 667 | 102 |
| Puerto Rico | 5 | 56 |
| Rhode Island | 34 | 47 |
| South Carolina | 77 | 41 |
| South Dakota | 18 | 19 |
| Tennessee | 171 | 56 |
| Texas | 1,804 | 153 |
| Utah | 81 | 84 |
| Vermont | 33 | 100 |
| Virginia | 414 | 143 |
| Washington | 263 | 136 |
| West Virginia | 231 | 188 |
| Wisconsin | 175 | 54 |
| Wyoming | 25 | 69 |
Latest citations
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm that is not immediate jeopardy | G | H | I |
| No actual harm, potential for more than minimal harm | D | E | F |
| No actual harm, potential for minimal harm | A | B | C |
Questions
- How many citations name F-tag 656?
- 14,681 citations at 8,403 nursing homes in the last three survey cycles. That is 57% of all certified nursing homes.
- How many of the citations are at the level of actual harm or immediate jeopardy?
- 483 of 14,681 citations have a scope and severity letter from G to L.
- Which CMS category has F-tag 656?
- CMS puts F-tag 656 in the category "Resident Assessment and Care Planning".
- Where does the text of F-tag 656 come from?
- The text is the CMS summary of the requirement, from the CMS citation code file. CMS processed the files on 1 Aug 2026.