F-tags
Each F-tag with 20 or more citations in the CMS record, with the CMS text of its requirement. What an F-tag is
Tags
The number of a federal requirement for nursing homes. Each citation names one F-tag.
| F-tag | Requirement (CMS text) | Category | Citations | Homes with a citation | At actual harm or immediate jeopardy |
|---|---|---|---|---|---|
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Resident Rights | 9,040 | 6,306 | 145 |
| F0551 | Give the resident's representative the ability to exercise the resident's rights. | Resident Rights | 295 | 276 | 2 |
| F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | Resident Rights | 1,879 | 1,596 | 9 |
| F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Resident Rights | 738 | 693 | 2 |
| F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | Resident Rights | 2,289 | 1,968 | 2 |
| F0555 | Honor the resident's right to choose his or her attending physician. | Resident Rights | 56 | 55 | 0 |
| F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Resident Rights | 1,016 | 912 | 12 |
| F0558 | Reasonably accommodate the needs and preferences of each resident. | Resident Rights | 4,604 | 3,421 | 20 |
| F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Resident Rights | 393 | 380 | 1 |
| F0560 | Protect a residents' right to refuse some types of non-requested transfers within the nursing home. | Resident Rights | 25 | 25 | 0 |
| F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Resident Rights | 1,883 | 1,673 | 21 |
| F0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Resident Rights | 162 | 158 | 4 |
| F0564 | Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Resident Rights | 24 | 24 | 1 |
| F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | Resident Rights | 1,243 | 1,128 | 0 |
| F0567 | Honor the resident's right to manage his or her financial affairs. | Resident Rights | 579 | 553 | 1 |
| F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Resident Rights | 515 | 470 | 0 |
| F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Resident Rights | 532 | 487 | 0 |
| F0570 | Assure the security of all personal funds of residents deposited with the facility. | Resident Rights | 226 | 216 | 0 |
| F0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid. | Resident Rights | 43 | 43 | 0 |
| F0572 | Give residents a notice of rights, rules, services and charges. | Resident Rights | 178 | 175 | 0 |
| F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Resident Rights | 325 | 303 | 0 |
| F0574 | The resident has the right to receive notices in a format and a language he or she understands. | Resident Rights | 211 | 205 | 0 |
| F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Resident Rights | 231 | 226 | 0 |
| F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | Resident Rights | 525 | 503 | 0 |
| F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Resident Rights | 878 | 847 | 0 |
| F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Resident Rights | 4,346 | 3,642 | 110 |
| F0579 | Provide information about how to apply for and use Medicare and Medicaid benefits. | Resident Rights | 28 | 27 | 0 |
| F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Resident Rights | 5,952 | 4,322 | 461 |
| F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Resident Rights | 2,218 | 2,009 | 0 |
| F0583 | Keep residents' personal and medical records private and confidential. | Resident Rights | 2,568 | 2,254 | 9 |
| F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Resident Rights | 9,024 | 5,789 | 57 |
| F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Resident Rights | 2,530 | 2,128 | 5 |
| F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Freedom from Abuse, Neglect, and Exploitation | 8,730 | 5,106 | 3,299 |
| F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | Freedom from Abuse, Neglect, and Exploitation | 1,560 | 1,392 | 65 |
| F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Freedom from Abuse, Neglect, and Exploitation | 160 | 157 | 39 |
| F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Freedom from Abuse, Neglect, and Exploitation | 1,540 | 1,358 | 96 |
| F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Freedom from Abuse, Neglect, and Exploitation | 1,451 | 1,413 | 16 |
| F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Freedom from Abuse, Neglect, and Exploitation | 224 | 219 | 4 |
| F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Freedom from Abuse, Neglect, and Exploitation | 2,977 | 2,466 | 258 |
| F0608 | Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Freedom from Abuse, Neglect, and Exploitation | 29 | 29 | 4 |
| F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Freedom from Abuse, Neglect, and Exploitation | 8,854 | 5,820 | 243 |
| F0610 | Respond appropriately to all alleged violations. | Freedom from Abuse, Neglect, and Exploitation | 5,646 | 4,047 | 313 |
| F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Resident Rights | 120 | 116 | 1 |
| F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Resident Rights | 912 | 834 | 29 |
| F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Resident Rights | 3,259 | 2,844 | 6 |
| F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | Resident Rights | 319 | 301 | 32 |
| F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | Resident Rights | 2,270 | 2,031 | 0 |
| F0626 | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Resident Rights | 326 | 312 | 19 |
| F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Resident Rights | 645 | 610 | 53 |
| F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Resident Rights | 1,971 | 1,848 | 10 |
| F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Resident Assessment and Care Planning | 218 | 209 | 17 |
| F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Resident Assessment and Care Planning | 1,381 | 1,273 | 0 |
| F0637 | Assess the resident when there is a significant change in condition | Resident Assessment and Care Planning | 1,074 | 1,015 | 3 |
| F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | Resident Assessment and Care Planning | 769 | 726 | 0 |
| F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | Resident Assessment and Care Planning | 1,444 | 1,304 | 0 |
| F0641 | Ensure each resident receives an accurate assessment. | Resident Assessment and Care Planning | 7,489 | 5,498 | 5 |
| F0642 | Ensure a qualified health professional conducts resident assessments. | Resident Assessment and Care Planning | 77 | 76 | 0 |
| F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Resident Assessment and Care Planning | 2,614 | 2,316 | 5 |
| F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | Resident Assessment and Care Planning | 2,579 | 2,247 | 1 |
| F0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Resident Assessment and Care Planning | 236 | 228 | 0 |
| F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Resident Assessment and Care Planning | 3,052 | 2,611 | 32 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Resident Assessment and Care Planning | 14,681 | 8,403 | 483 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Resident Assessment and Care Planning | 8,555 | 6,004 | 63 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | Resident Assessment and Care Planning | 6,992 | 4,243 | 133 |
| F0659 | Provide care by qualified persons according to each resident's written plan of care. | Resident Assessment and Care Planning | 154 | 147 | 4 |
| F0660 | Plan the resident's discharge to meet the resident's goals and needs. | Resident Assessment and Care Planning | 602 | 574 | 24 |
| F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Resident Assessment and Care Planning | 727 | 698 | 9 |
| F0675 | Honor each resident's preferences, choices, values and beliefs. | Quality of Life and Care | 179 | 176 | 17 |
| F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Quality of Life and Care | 1,495 | 1,343 | 13 |
| F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | Quality of Life and Care | 10,172 | 6,395 | 88 |
| F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | Quality of Life and Care | 768 | 728 | 379 |
| F0679 | Provide activities to meet all resident's needs. | Quality of Life and Care | 2,375 | 2,053 | 5 |
| F0680 | Ensure the activities program is directed by a qualified professional. | Quality of Life and Care | 311 | 300 | 0 |
| F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | Quality of Life and Care | 16,469 | 8,347 | 2,089 |
| F0685 | Assist a resident in gaining access to vision and hearing services. | Quality of Life and Care | 1,186 | 1,100 | 8 |
| F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Quality of Life and Care | 8,450 | 5,525 | 1,902 |
| F0687 | Provide appropriate foot care. | Quality of Life and Care | 768 | 715 | 36 |
| F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Quality of Life and Care | 3,752 | 3,132 | 112 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Quality of Life and Care | 21,413 | 10,066 | 7,004 |
| F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Quality of Life and Care | 6,165 | 4,634 | 242 |
| F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Quality of Life and Care | 320 | 308 | 13 |
| F0692 | Provide enough food/fluids to maintain a resident's health. | Quality of Life and Care | 5,138 | 4,067 | 623 |
| F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Quality of Life and Care | 2,961 | 2,466 | 75 |
| F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Quality of Life and Care | 1,195 | 1,038 | 26 |
| F0695 | Provide safe and appropriate respiratory care for a resident when needed. | Quality of Life and Care | 9,507 | 6,803 | 162 |
| F0696 | Provide appropriate care/assistance for a resident with a prosthesis. | Quality of Life and Care | 21 | 21 | 0 |
| F0697 | Provide safe, appropriate pain management for a resident who requires such services. | Quality of Life and Care | 3,150 | 2,636 | 684 |
| F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | Quality of Life and Care | 3,346 | 2,792 | 55 |
| F0699 | Provide care or services that was trauma informed and/or culturally competent. | Quality of Life and Care | 1,074 | 995 | 19 |
| F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Quality of Life and Care | 1,658 | 1,489 | 44 |
| F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Nursing and Physician Services | 332 | 318 | 21 |
| F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Nursing and Physician Services | 562 | 507 | 14 |
| F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Nursing and Physician Services | 463 | 435 | 0 |
| F0713 | Provide or arrange emergency care by a doctor 24 hours a day. | Nursing and Physician Services | 29 | 28 | 1 |
| F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Nursing and Physician Services | 3,142 | 2,329 | 108 |
| F0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Nursing and Physician Services | 2,494 | 2,077 | 233 |
| F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Nursing and Physician Services | 2,048 | 1,575 | 6 |
| F0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Nursing and Physician Services | 276 | 249 | 3 |
| F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Nursing and Physician Services | 174 | 165 | 0 |
| F0730 | Observe each nurse aide's job performance and give regular training. | Nursing and Physician Services | 1,484 | 1,329 | 1 |
| F0732 | Post nurse staffing information every day. | Nursing and Physician Services | 2,827 | 2,499 | 0 |
| F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Quality of Life and Care | 1,019 | 924 | 121 |
| F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Quality of Life and Care | 195 | 182 | 22 |
| F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Quality of Life and Care | 491 | 460 | 82 |
| F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Quality of Life and Care | 895 | 780 | 55 |
| F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | Quality of Life and Care | 787 | 710 | 36 |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Pharmacy Service | 9,024 | 5,669 | 153 |
| F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Pharmacy Service | 3,846 | 3,175 | 14 |
| F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | Pharmacy Service | 3,363 | 2,782 | 48 |
| F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Pharmacy Service | 5,075 | 4,222 | 25 |
| F0759 | Ensure medication error rates are not 5 percent or greater. | Pharmacy Service | 4,835 | 3,878 | 6 |
| F0760 | Ensure that residents are free from significant medication errors. | Pharmacy Service | 4,923 | 3,722 | 793 |
| F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Pharmacy Service | 13,677 | 8,788 | 19 |
| F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | Administration | 912 | 829 | 25 |
| F0772 | Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Administration | 59 | 58 | 0 |
| F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Administration | 516 | 495 | 20 |
| F0774 | Help the resident with transportation to and from laboratory services outside of the facility. | Administration | 46 | 44 | 1 |
| F0775 | Keep complete, dated laboratory records in the resident's record. | Administration | 70 | 63 | 0 |
| F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Administration | 185 | 182 | 15 |
| F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Administration | 107 | 106 | 19 |
| F0778 | Help the resident make transportation arrangements to and from radiology services. | Administration | 25 | 23 | 0 |
| F0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | Administration | 24 | 22 | 0 |
| F0790 | Provide routine and 24-hour emergency dental care for each resident. | Quality of Life and Care | 538 | 516 | 9 |
| F0791 | Provide or obtain dental services for each resident. | Quality of Life and Care | 1,243 | 1,145 | 24 |
| F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Nutrition and Dietary | 549 | 537 | 3 |
| F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Nutrition and Dietary | 1,272 | 1,098 | 9 |
| F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Nutrition and Dietary | 830 | 751 | 4 |
| F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Nutrition and Dietary | 2,966 | 2,437 | 39 |
| F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Nutrition and Dietary | 3,988 | 3,096 | 5 |
| F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Nutrition and Dietary | 1,398 | 1,265 | 88 |
| F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Nutrition and Dietary | 1,613 | 1,422 | 32 |
| F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Nutrition and Dietary | 248 | 239 | 8 |
| F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Nutrition and Dietary | 704 | 659 | 8 |
| F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Nutrition and Dietary | 832 | 747 | 2 |
| F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Nutrition and Dietary | 579 | 551 | 0 |
| F0811 | Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Nutrition and Dietary | 50 | 50 | 0 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Nutrition and Dietary | 20,020 | 11,042 | 71 |
| F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Nutrition and Dietary | 709 | 634 | 1 |
| F0814 | Dispose of garbage and refuse properly. | Nutrition and Dietary | 1,975 | 1,754 | 0 |
| F0825 | Provide or get specialized rehabilitative services as required for a resident. | Quality of Life and Care | 550 | 517 | 12 |
| F0826 | Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Quality of Life and Care | 35 | 35 | 0 |
| F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Administration | 1,203 | 1,057 | 338 |
| F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Administration | 348 | 324 | 9 |
| F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Administration | 277 | 249 | 33 |
| F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Administration | 937 | 873 | 6 |
| F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | Administration | 196 | 193 | 4 |
| F0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Administration | 192 | 176 | 6 |
| F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Nursing and Physician Services | 113 | 110 | 16 |
| F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Resident Assessment and Care Planning | 8,381 | 5,189 | 9 |
| F0843 | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Administration | 54 | 54 | 0 |
| F0844 | Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Administration | 44 | 44 | 0 |
| F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Administration | 568 | 547 | 0 |
| F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Administration | 174 | 172 | 0 |
| F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Administration | 1,238 | 1,137 | 7 |
| F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | Administration | 209 | 189 | 0 |
| F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Administration | 900 | 810 | 0 |
| F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | Administration | 837 | 743 | 23 |
| F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Administration | 1,785 | 1,444 | 114 |
| F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Administration | 1,025 | 932 | 2 |
| F0880 | Provide and implement an infection prevention and control program. | Infection Control | 24,240 | 11,947 | 309 |
| F0881 | Implement a program that monitors antibiotic use. | Infection Control | 1,929 | 1,686 | 7 |
| F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Infection Control | 834 | 782 | 5 |
| F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | Infection Control | 2,948 | 2,599 | 10 |
| F0885 | Report COVID19 data to residents and families. | Infection Control | 131 | 131 | 1 |
| F0886 | Perform COVID19 testing on residents and staff. | Infection Control | 247 | 246 | 15 |
| F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Infection Control | 1,304 | 1,214 | 7 |
| F0888 | Ensure staff are vaccinated for COVID-19 | Infection Control | 226 | 226 | 3 |
| F0895 | Have a Compliance and Ethics Program. | Administration | 42 | 40 | 0 |
| F0907 | Provide enough space and equipment to meet each resident's needs | Environmental | 20 | 20 | 0 |
| F0908 | Keep all essential equipment working safely. | Environmental | 1,935 | 1,663 | 17 |
| F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Environmental | 491 | 459 | 4 |
| F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Environmental | 165 | 65 | 0 |
| F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Environmental | 970 | 398 | 0 |
| F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | Environmental | 159 | 151 | 0 |
| F0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Environmental | 60 | 60 | 1 |
| F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | Environmental | 1,829 | 1,572 | 21 |
| F0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Environmental | 58 | 58 | 0 |
| F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Environmental | 3,406 | 2,550 | 16 |
| F0922 | Have enough backup water supply for essential areas of the nursing home. | Environmental | 42 | 42 | 0 |
| F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | Environmental | 136 | 130 | 0 |
| F0924 | Put firmly secured handrails on each side of hallways. | Environmental | 201 | 197 | 0 |
| F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Environmental | 1,829 | 1,475 | 27 |
| F0926 | Have policies on smoking. | Environmental | 274 | 257 | 10 |
| F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Administration | 323 | 314 | 4 |
| F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Administration | 196 | 175 | 0 |
| F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Resident Rights | 153 | 140 | 0 |
| F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Freedom from Abuse, Neglect, and Exploitation | 458 | 423 | 0 |
| F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | Administration | 318 | 296 | 0 |
| F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Infection Control | 159 | 150 | 1 |
| F0946 | Provide training in compliance and ethics. | Administration | 158 | 146 | 0 |
| F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Nursing and Physician Services | 1,112 | 1,014 | 0 |
| F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Administration | 255 | 235 | 1 |
The counts are for the last three survey cycles of each home. CMS data processed 1 Aug 2026.