F465: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public
F465 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
It sits in CMS's environmental category.
CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.
How seriously inspectors rate it
Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 0.0% of F465 citations came from a complaint visit rather than a routine inspection.
By letter: E 1.
Most recent F465 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| July 13, 2017 | Portsmouth Health and Rehab | Portsmouth, VA | E |
F465 citations by state
Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.
| State | Citations |
|---|---|
| Virginia | 1 |
By inspection year: 2017 1.
Common questions
- What is F465 in a nursing home inspection?
- F465 is the federal requirement to "make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public". CMS files it under environmental. A home cited under F465 did not meet that requirement at the inspection.
- How often is F465 cited?
- The CMS files as of September 1, 2026 list 1 F465 citations at 1 nursing homes, 0 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F465 citation serious?
- It depends on the letter. Most F465 citations (100.0%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy level.
The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology