F-tag 677Quality of Life and Care
What the tag means
The number of a federal requirement for nursing homes. Each citation names one F-tag.
The home must help each resident who cannot do the activities of daily living without help.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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
- 10,172
- Nursing homes with a citation
- 6,395 (44%)
- Citations at actual harm or immediate jeopardy
- 88
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 | 40 | 18 |
| Alaska | 8 | 40 |
| Arizona | 63 | 45 |
| Arkansas | 177 | 80 |
| California | 738 | 63 |
| Colorado | 145 | 69 |
| Connecticut | 114 | 60 |
| Delaware | 41 | 93 |
| District of Columbia | 15 | 88 |
| Florida | 370 | 53 |
| Georgia | 173 | 49 |
| Hawaii | 13 | 30 |
| Idaho | 30 | 38 |
| Illinois | 978 | 147 |
| Indiana | 381 | 75 |
| Iowa | 206 | 53 |
| Kansas | 245 | 83 |
| Kentucky | 54 | 20 |
| Louisiana | 230 | 87 |
| Maine | 21 | 27 |
| Maryland | 196 | 89 |
| Massachusetts | 222 | 65 |
| Michigan | 401 | 95 |
| Minnesota | 208 | 62 |
| Mississippi | 192 | 95 |
| Missouri | 478 | 98 |
| Montana | 41 | 67 |
| Nebraska | 57 | 32 |
| Nevada | 36 | 55 |
| New Hampshire | 6 | 8 |
| New Jersey | 145 | 42 |
| New Mexico | 56 | 82 |
| New York | 345 | 58 |
| North Carolina | 183 | 44 |
| North Dakota | 18 | 25 |
| Ohio | 916 | 99 |
| Oklahoma | 166 | 59 |
| Oregon | 138 | 108 |
| Pennsylvania | 343 | 52 |
| Puerto Rico | 1 | 11 |
| Rhode Island | 16 | 22 |
| South Carolina | 59 | 32 |
| South Dakota | 9 | 9 |
| Tennessee | 77 | 25 |
| Texas | 908 | 77 |
| Utah | 47 | 48 |
| Vermont | 15 | 45 |
| Virginia | 259 | 90 |
| Washington | 280 | 145 |
| West Virginia | 107 | 87 |
| Wisconsin | 188 | 58 |
| Wyoming | 17 | 47 |
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 677?
- 10,172 citations at 6,395 nursing homes in the last three survey cycles. That is 44% of all certified nursing homes.
- How many of the citations are at the level of actual harm or immediate jeopardy?
- 88 of 10,172 citations have a scope and severity letter from G to L.
- Which CMS category has F-tag 677?
- CMS puts F-tag 677 in the category "Quality of Life and Care".
- Where does the text of F-tag 677 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.