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F600: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody

F600 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. It sits in CMS's freedom from abuse, neglect, and exploitation category.

8,701citations in the CMS files
5,088homes cited at least once
2,329in the 12 months to September 2026
37.4%rated actual harm or immediate jeopardy

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). 83.7% of F600 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)1,371 (15.8%)
  • Actual harm (G, H, I)1,886 (21.7%)
  • Potential for more than minimal harm (D, E, F)5,443 (62.6%)
  • Potential for minimal harm (A, B, C)1 (0.0%)

By letter: C 1, D 4,820, E 607, F 16, G 1,822, H 62, I 2, J 1,035, K 290, L 46.

What inspectors wrote

Three recent F600 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 5, 2026, scope and severity DBased on observation, policy review, record review, and staff interview, it was determined the facility failed to ensure resident's right were protected to be free from abuse. This was true for 1 of 1 resident (Resident #56) observed during lunch assistive feeding. This failure placed all residents at risk for potential abuse and potential physical and psychosocial harm.

Mini-Cassia Care Center, Burley, ID

Inspectors wrote, August 5, 2026, scope and severity DBased on clinical record review, staff interviews, facility documentation, and review of applicable policies and procedures, the facility failed to ensure two of five sampled resident's (Resident #75 and Resident #52) right to be free from physical abuse by another resident (Resident #43 and Resident #6). The deficient practice had the potential to result in additional incidents of abuse and failure to take appropriate measures to protect the residents.

Haven of Safford, Safford, AZ

Inspectors wrote, July 31, 2026, scope and severity GBased on a review of clinical records, facility policy, facility-provided investigative documentation, and staff interviews, it was determined the facility failed to protect one of 23 residents reviewed (Resident 110) from neglect by failing to ensure staff implemented the resident's individualized care plan requiring the assistance of two staff members for transfers resulting in actual harm in the form of a fracture of the right distal tibia and fibula (the two bones of the lower leg located between the knee and ankle) that required hospital evaluation and treatment. This deficient practice is cited as past noncompliance.

Gardens at Orangeville, the, Orangeville, PA

Most recent F600 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 31, 2026Gardens at Orangeville, theOrangeville, PA GComplaint
July 31, 2026Heritage ManorChisholm, MN GComplaint
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY GComplaint
July 29, 2026Artesia Healthcare & Rehabilitation Center, LLCArtesia, NM GComplaint
July 29, 2026Spring River Rehabilitation and Care CenterRoswell, NM JComplaint
July 29, 2026St. Francisville Nursing and Rehab, LLCSaint Francisville, LA GComplaint
July 28, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA GComplaint
July 28, 2026Montgomery Nursing and Rehabilitation CenterMontgomery, NY GComplaint
July 27, 2026Suburban Healthcare and RehabilitationNorth Randall, OH GComplaint
July 27, 2026Arabella Health & Wellness of MeridianMeridian, MS JComplaint
July 27, 2026Ellicott City Healthcare CenterEllicott City, MD JComplaint
July 27, 2026Avalon Health and RehabilitationNewnan, GA GComplaint
July 25, 2026Crestwood TerraceCrestwood, IL GComplaint
July 24, 2026North Pointe Care CenterSacramento, CA GComplaint
July 24, 2026Yorkview Nursing and RehabilitationYork, PA GComplaint
July 24, 2026Berlin Rehabilitation and Healthcare CenterBerlin, NJ JComplaint
July 24, 2026Elevate Care Des PlainesDes Plaines, IL GComplaint
July 24, 2026Franklin County Transitional CarePreston, ID GComplaint
July 24, 2026Heritage Living CenterConway, AR GComplaint
July 23, 2026NorterreLiberty, MO GComplaint
July 23, 2026PortagepointeHancock, MI GComplaint
July 23, 2026Bella Terra Morton GroveMorton Grove, IL GComplaint
July 23, 2026Pine View Nursing and Rehab CenterSylvania, GA GComplaint
July 22, 2026Rainbow Rehab and HealthcareBartlett, TN JComplaint
July 22, 2026La Bella of RochelleRochelle, IL GComplaint
July 21, 2026Lebanon Valley Home theAnnville, PA GComplaint
July 21, 2026Good Shepherd Home Raker CenterAllentown, PA GComplaint
July 20, 2026Austin Wellness & RehabilitationAustin, TX JComplaint
July 20, 2026Hamilton Arms CenterLancaster, PA GComplaint
July 20, 2026Wesley Health Care Center IncSaratoga Springs, NY KComplaint
July 20, 2026Franklin Restorative Care CenterFranklin, MN JComplaint
July 17, 2026Vivo Healthcare UniversityJacksonville, FL JComplaint
July 17, 2026Complete Care at Kimberly Hall NorthWindsor, CT GComplaint
July 16, 2026Cardinal Woods Skilled Nursing & Rehab CtrMadison, OH GComplaint
July 16, 2026Ozark Care & Rehab CenterOzark, MO JComplaint
July 16, 2026Beecher Manor Nrsg & Rehab CtrBeecher, IL GComplaint
July 15, 2026Valley View Rehab and Nursing CenterMontoursville, PA GComplaint
July 15, 2026Lawrence Rehab & HCC/the Meadows at LawrenceLawrenceville, NJ JComplaint
July 15, 2026Manor Court of MaryvilleMaryville, IL GComplaint
July 14, 2026Montgomeryville Skilled Nursing and RehabilitatiMontgomeryville, PA GComplaint

Most recent F600 citations

InspectionHomeTownLetter
August 5, 2026Mini-Cassia Care CenterBurley, ID D
August 5, 2026Haven of SaffordSafford, AZ D
July 31, 2026Gardens at Orangeville, theOrangeville, PA G
July 31, 2026Sunnyview Nursing and Rehabilitation CenterButler, PA D
July 31, 2026Holliswood Center for Rehabilitation and HealthcarHollis, NY D
July 31, 2026Willow Haven Health and Rehab, LLCLas Vegas, NV D
July 31, 2026Heritage ManorChisholm, MN G
July 31, 2026South Coast Post AcuteSanta Ana, CA D
July 31, 2026Vernon Healthcare CenterLos Angeles, CA D
July 31, 2026Catalina Post Acute and RehabilitationTucson, AZ D
July 31, 2026Sandstone of Tucson Rehab CentreTucson, AZ D
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY G
July 30, 2026Morgantown Heights of JourneyMorgantown, WV D
July 30, 2026Ayers Nursing HomeSnyder, OK E
July 30, 2026Avenue at BrooklynBrooklyn, OH D
July 30, 2026Mt Alverna Home IncParma, OH D
July 30, 2026Our Lady of Consolation Nursing and RehabilitativeWest Islip, NY D
July 30, 2026Brendan HouseKalispell, MT D
July 30, 2026The Laurels of ColdwaterColdwater, MI D
July 30, 2026Grey Stone Health and Rehabilitation CenterFort Wayne, IN D
July 30, 2026Garden Terrace Alzheimer's Center of ExcellenceAurora, CO D
July 30, 2026San Luis Care CenterAlamosa, CO D
July 30, 2026San Francisco Health CareSan Francisco, CA D
July 30, 2026Long Beach Healthcare CenterLong Beach, CA D
July 30, 2026Hampton Place Healthcare, LLCRogers, AR E

F600 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.

StateCitations
Illinois1,239
California1,023
Texas644
Pennsylvania454
Missouri357
Ohio320
Arizona303
Michigan300
New York283
Colorado276
Connecticut269
Florida203
Indiana196
North Carolina182
Maryland178
Louisiana177
Oklahoma136
Washington130
Georgia122
Wisconsin121
Tennessee119
Virginia117
Iowa110
Oregon109
Kansas99
Mississippi90
New Jersey80
Kentucky73
Massachusetts66
South Dakota66
West Virginia66
Minnesota65
Nevada65
Montana63
Alabama60
South Carolina59
Rhode Island58
Utah58
Wyoming51
North Dakota50
New Mexico43
Idaho38
Delaware36
Vermont36
Arkansas33
Hawaii18
District of Columbia17
Nebraska17
Maine15
New Hampshire5
Alaska3
Puerto Rico3

By inspection year: 2018 21, 2019 74, 2020 33, 2021 87, 2022 208, 2023 1,059, 2024 2,863, 2025 2,832, 2026 1,524.

Common questions

What is F600 in a nursing home inspection?
F600 is the federal requirement to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody". CMS files it under freedom from abuse, neglect, and exploitation. A home cited under F600 did not meet that requirement at the inspection.
How often is F600 cited?
The CMS files as of September 1, 2026 list 8,701 F600 citations at 5,088 nursing homes, 2,329 of them in the 12 months to that date. 37.4% were rated as actual harm or immediate jeopardy.
Is a F600 citation serious?
It depends on the letter. Most F600 citations (62.6%) were rated as potential for more than minimal harm, D to F. 1,371 were immediate jeopardy, the most serious 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

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