F-tag 689Quality 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 keep its areas free from accident hazards and must supervise residents to prevent accidents.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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
- 21,413
- Nursing homes with a citation
- 10,066 (69%)
- Citations at actual harm or immediate jeopardy
- 7,004
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 | 55 | 25 |
| Alaska | 21 | 105 |
| Arizona | 166 | 119 |
| Arkansas | 260 | 118 |
| California | 2,622 | 225 |
| Colorado | 344 | 164 |
| Connecticut | 427 | 224 |
| Delaware | 65 | 148 |
| District of Columbia | 40 | 235 |
| Florida | 514 | 74 |
| Georgia | 255 | 72 |
| Hawaii | 72 | 167 |
| Idaho | 64 | 80 |
| Illinois | 2,358 | 354 |
| Indiana | 609 | 120 |
| Iowa | 529 | 137 |
| Kansas | 600 | 203 |
| Kentucky | 175 | 66 |
| Louisiana | 245 | 92 |
| Maine | 105 | 135 |
| Maryland | 300 | 136 |
| Massachusetts | 354 | 104 |
| Michigan | 840 | 199 |
| Minnesota | 504 | 149 |
| Mississippi | 182 | 90 |
| Missouri | 808 | 166 |
| Montana | 93 | 152 |
| Nebraska | 204 | 113 |
| Nevada | 78 | 118 |
| New Hampshire | 23 | 32 |
| New Jersey | 246 | 71 |
| New Mexico | 105 | 154 |
| New York | 590 | 99 |
| North Carolina | 355 | 85 |
| North Dakota | 116 | 161 |
| Ohio | 1,478 | 160 |
| Oklahoma | 287 | 101 |
| Oregon | 229 | 179 |
| Pennsylvania | 999 | 152 |
| Rhode Island | 96 | 133 |
| South Carolina | 148 | 79 |
| South Dakota | 140 | 146 |
| Tennessee | 248 | 82 |
| Texas | 1,679 | 143 |
| Utah | 150 | 155 |
| Vermont | 54 | 164 |
| Virginia | 344 | 119 |
| Washington | 385 | 199 |
| West Virginia | 207 | 168 |
| Wisconsin | 608 | 188 |
| Wyoming | 37 | 103 |
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 689?
- 21,413 citations at 10,066 nursing homes in the last three survey cycles. That is 69% of all certified nursing homes.
- How many of the citations are at the level of actual harm or immediate jeopardy?
- 7,004 of 21,413 citations have a scope and severity letter from G to L.
- Which CMS category has F-tag 689?
- CMS puts F-tag 689 in the category "Quality of Life and Care".
- Where does the text of F-tag 689 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.