F514: Keep accurate, complete and organized clinical records on each resident that meet professional standards
F514 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Keep accurate, complete and organized clinical records on each resident that meet professional standards.
It sits in CMS's administration 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 F514 citations came from a complaint visit rather than a routine inspection.
By letter: D 2, E 1.
What inspectors wrote
Three recent F514 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 DBased on staff interview and clinical record review the facility staff failed to accurately document medical record information for one of 26 residents (Resident #17), in the survey sample. The facility staff failed to accurately document information on Resident #17's Screening for Mental Illness, Mental Retardation/Intellectual Disability, or Related Conditions assessments.
Chesapeake Health and Rehabilitation Center, Chesapeake, VA
Most recent F514 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| September 8, 2017 | Chesapeake Health and Rehabilitation Center | Chesapeake, VA | D |
| August 17, 2017 | Norfolk Health Care Center | Norfolk, VA | D |
| July 13, 2017 | Portsmouth Health and Rehab | Portsmouth, VA | E |
F514 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 | 3 |
By inspection year: 2017 3.
Common questions
- What is F514 in a nursing home inspection?
- F514 is the federal requirement to "keep accurate, complete and organized clinical records on each resident that meet professional standards". CMS files it under administration. A home cited under F514 did not meet that requirement at the inspection.
- How often is F514 cited?
- The CMS files as of September 1, 2026 list 3 F514 citations at 3 nursing homes, 0 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F514 citation serious?
- It depends on the letter. Most F514 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