F469: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests
F469 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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 F469 citations came from a complaint visit rather than a routine inspection.
By letter: E 1.
What inspectors wrote
Three recent F469 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, September 8, 2017, scope and severity EBased on observations, facility document review and staff interviews the facility staff failed to maintain an effective pest control program to ensure the facility is free of pests. 1. The facility staff failed to ensure that the kitchen was free from pests to include roaches and drain flies. 2. The facility staff failed to ensure the facility was free from ants.
Chesapeake Health and Rehabilitation Center, Chesapeake, VA
Most recent F469 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| September 8, 2017 | Chesapeake Health and Rehabilitation Center | Chesapeake, VA | E |
F469 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 F469 in a nursing home inspection?
- F469 is the federal requirement to "make sure there is a pest control program to prevent/deal with mice, insects, or other pests". CMS files it under environmental. A home cited under F469 did not meet that requirement at the inspection.
- How often is F469 cited?
- The CMS files as of September 1, 2026 list 1 F469 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 F469 citation serious?
- It depends on the letter. Most F469 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