F-tag 684Quality 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 give treatment and care that agree with the orders and with the preferences and goals of the resident.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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
- 16,469
- Nursing homes with a citation
- 8,347 (57%)
- Citations at actual harm or immediate jeopardy
- 2,089
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 | 20 | 9 |
| Alaska | 19 | 95 |
| Arizona | 129 | 92 |
| Arkansas | 123 | 56 |
| California | 2,112 | 181 |
| Colorado | 168 | 80 |
| Connecticut | 487 | 255 |
| Delaware | 63 | 143 |
| District of Columbia | 36 | 212 |
| Florida | 700 | 101 |
| Georgia | 144 | 40 |
| Guam | 1 | 100 |
| Hawaii | 54 | 126 |
| Idaho | 116 | 145 |
| Illinois | 1,279 | 192 |
| Indiana | 768 | 151 |
| Iowa | 373 | 96 |
| Kansas | 200 | 68 |
| Kentucky | 61 | 23 |
| Louisiana | 104 | 39 |
| Maine | 131 | 168 |
| Maryland | 437 | 198 |
| Massachusetts | 218 | 64 |
| Michigan | 738 | 175 |
| Minnesota | 437 | 129 |
| Mississippi | 54 | 27 |
| Missouri | 456 | 94 |
| Montana | 29 | 48 |
| Nebraska | 199 | 111 |
| Nevada | 115 | 174 |
| New Hampshire | 7 | 10 |
| New Jersey | 149 | 43 |
| New Mexico | 93 | 137 |
| New York | 434 | 73 |
| North Carolina | 214 | 51 |
| North Dakota | 40 | 56 |
| Ohio | 1,252 | 136 |
| Oklahoma | 209 | 74 |
| Oregon | 263 | 205 |
| Pennsylvania | 1,275 | 194 |
| Puerto Rico | 2 | 22 |
| Rhode Island | 106 | 147 |
| South Carolina | 47 | 25 |
| South Dakota | 63 | 66 |
| Tennessee | 147 | 49 |
| Texas | 684 | 58 |
| Utah | 75 | 77 |
| Vermont | 18 | 55 |
| Virginia | 446 | 154 |
| Washington | 471 | 244 |
| West Virginia | 295 | 240 |
| Wisconsin | 385 | 119 |
| Wyoming | 23 | 64 |
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 684?
- 16,469 citations at 8,347 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?
- 2,089 of 16,469 citations have a scope and severity letter from G to L.
- Which CMS category has F-tag 684?
- CMS puts F-tag 684 in the category "Quality of Life and Care".
- Where does the text of F-tag 684 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.