Find a nursing home

Home / F-tags / F603

F603: Protect each resident from separation (from other residents, his/her room, or confinement to his/her room)

F603 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). It sits in CMS's freedom from abuse, neglect, and exploitation category.

164citations in the CMS files
161homes cited at least once
44in the 12 months to September 2026
24.4%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). 57.9% of F603 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)15 (9.1%)
  • Actual harm (G, H, I)25 (15.2%)
  • Potential for more than minimal harm (D, E, F)124 (75.6%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 86, E 35, F 3, G 24, H 1, J 11, K 4.

What inspectors wrote

Three recent F603 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 6, 2026, scope and severity DBased on Observations, Interviews, and Record Review the facility failed to ensure residents were free from involuntary seclusion for 1 of 22 (Resident #7) residents reviewed for involuntary seclusion. The facility failed to obtain a physician order, documenting the clinical criteria met for placement in the secure/locked unit for Resident #7 on 08/04/2026. This failure could place residents at risk of isolation, decreased quality of life, and psychosocial harm.

Parkview Skilled Care and Rehabilitation, Big Spring, TX

Inspectors wrote, July 30, 2026, scope and severity EBased on record review and interview it was determined that for one (R182) out of sixteen residents reviewed for abuse the facility failed to ensure the resident was free from involuntary seclusion.

Ocean Grove Post Acute, Millsboro, DE

Inspectors wrote, June 17, 2026, scope and severity DBased on record review, observations and interview, it was determined that the facility failed to have prevent involuntary seclusion. This was evident for three (Resident #2, Resident #7 and Resident #8 ) out of three residents reviewed during the survey.

Elkton Nursing and Rehabilitation Center, Elkton, MD

Most recent F603 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 27, 2026Suburban Healthcare and RehabilitationNorth Randall, OH GComplaint
May 21, 2026Avantara Lincoln ParkChicago, IL GComplaint
April 23, 2026Pruitthealth - SwainsboroSwainsboro, GA GComplaint
April 7, 2026Axiom Healthcare of Mount VernonMount Vernon, IL GComplaint
March 3, 2026Arcadia Care ToulonToulon, IL JStandard
February 21, 2026Brenham Nursing and Rehabilitation CenterBrenham, TX KComplaint
December 23, 2025Helia Healthcare of EnergyEnergy, IL GComplaint
November 25, 2025Mission Care at HolyokeHolyoke, MA GComplaint
September 19, 2025Peach Tree PlaceWeatherford, TX JComplaint
September 15, 2025Miami Nursing Center, LLCMiami, OK JComplaint
August 7, 2025Paonia Care and Rehabilitation CenterPaonia, CO GStandard
July 24, 2025Grandview Rehabilitation and Healthcare CenterNew Britain, CT GComplaint
July 23, 2025Hudson Valley Rehabilitation & Extended Care CtrHighland, NY GComplaint
July 2, 2025Neilson PlaceBemidji, MN GComplaint
April 29, 2025White Oak Rehabilitation and Nursing CenterHyattsville, MD JComplaint
April 2, 2025Tishomingo ManorIuka, MS GStandard
March 14, 2025Heritage Care CenterSaint Louis, MO GComplaint
December 19, 2024Birchwood Park RehabilitationVirginia Beach, VA GComplaint
November 21, 2024Shearer-Richardson Memorial Nursing HomeOkolona, MS GComplaint
November 13, 2024Bella Terra St. George (black Rock Health and RehabSt. George, UT GComplaint
October 11, 2024Whiting Gardens Rehabilitation and Nursing CenterWhiting, NJ GComplaint
October 9, 2024Pleasant View Nursing HomeMonroe, WI GComplaint
August 19, 2024Allaire Rehab & NursingFreehold, NJ JComplaint
July 29, 2024Sinai Post-Acute Nursing & Rehab CenterNewark, NJ KComplaint
June 30, 2024Windsor Park Rehab & Nursing CenterQueens Village, NY KComplaint
June 26, 2024Belle Care Nursing and Rehabilitation CenterTrenton, NJ JStandard
May 22, 2024Orem Rehabilitation and Nursing CenterOrem, UT GComplaint
April 19, 2024Carlyle PlaceMacon, GA JComplaint
April 12, 2024Life Care Center of GrayGray, TN JComplaint
March 27, 2024Surry Community Health Center by HarborviewMount Airy, NC JComplaint
February 22, 2024Legend Oaks Healthcare and Rehabilitation Center GGladewater, TX HComplaint
January 25, 2024Royale Gardens Health & Rehabilitation CenterGrants Pass, OR GComplaint
January 19, 2024Santa Fe LodgeEl Monte, CA KComplaint
January 12, 2024Crestpark Stuttgart, LLCStuttgart, AR JStandard
November 30, 2023Care Village at ParkwayBoston, MA GComplaint
October 5, 2023Lutheran Living Senior CampusMuscatine, IA JComplaint
June 14, 2023Rocky River Gardens Rehab and Nursing CtrCleveland, OH GStandard
October 31, 2022Mountain View Health ServicesOgden, UT GStandard
April 19, 2022Winding Trails Post AcuteBoulder, CO GStandard
March 2, 2022Msm Brigham City LLCBrigham City, UT GStandard

Most recent F603 citations

InspectionHomeTownLetter
August 6, 2026Parkview Skilled Care and RehabilitationBig Spring, TX D
July 30, 2026Avir at ItascaItasca, TX E
July 30, 2026Ocean Grove Post AcuteMillsboro, DE E
July 27, 2026Suburban Healthcare and RehabilitationNorth Randall, OH G
July 24, 2026Paradigm at First ColonyMissouri City, TX E
June 17, 2026Elkton Nursing and Rehabilitation CenterElkton, MD D
June 9, 2026Maple Manor Christian Home IncSellersburg, IN D
May 26, 2026Galion Meadows Skilled Nursing and RehabilitationGalion, OH D
May 21, 2026Avantara Lincoln ParkChicago, IL G
April 23, 2026Franklin Restorative Care CenterFranklin, MN E
April 23, 2026Pruitthealth - SwainsboroSwainsboro, GA G
April 22, 2026Cardinal Care StrategiesMuncie, IN E
April 7, 2026Axiom Healthcare of Mount VernonMount Vernon, IL G
April 2, 2026Autumn Lake Healthcare at CromwellCromwell, CT E
March 30, 2026Los Alamos Wellness & RehabilitationLos Alamos, NM D
March 28, 2026Life Care Center of AthensAthens, TN E
March 26, 2026St. James House of BaytownBaytown, TX D
March 23, 2026Valley Grande ManorWeslaco, TX D
March 20, 2026Signature Healthcare of MuncieMuncie, IN E
March 12, 2026Brookside InnCastle Rock, CO D
March 6, 2026Harris Health Care Center NorthCentral Falls, RI D
March 3, 2026Arcadia Care ToulonToulon, IL J
March 2, 2026Monsignor Bojnowski Manor, IncNew Britain, CT D
February 24, 2026Windsor Health and RehabilitationSalem, OR D
February 21, 2026Brenham Nursing and Rehabilitation CenterBrenham, TX K

F603 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
Connecticut20
Texas18
Ohio14
Colorado11
Illinois11
California9
Maryland5
Michigan5
New Jersey5
New Mexico5
Georgia4
Indiana4
Massachusetts4
New York4
Oklahoma4
Pennsylvania4
Utah4
Missouri3
Mississippi3
Nevada3
Delaware2
Kentucky2
Minnesota2
North Carolina2
Oregon2
Puerto Rico2
Tennessee2
Wisconsin2
Arkansas1
Florida1
Iowa1
Maine1
New Hampshire1
Rhode Island1
Virginia1
Washington1

By inspection year: 2019 1, 2020 1, 2021 3, 2022 5, 2023 13, 2024 62, 2025 49, 2026 30.

Common questions

What is F603 in a nursing home inspection?
F603 is the federal requirement to "protect each resident from separation (from other residents, his/her room, or confinement to his/her room)". CMS files it under freedom from abuse, neglect, and exploitation. A home cited under F603 did not meet that requirement at the inspection.
How often is F603 cited?
The CMS files as of September 1, 2026 list 164 F603 citations at 161 nursing homes, 44 of them in the 12 months to that date. 24.4% were rated as actual harm or immediate jeopardy.
Is a F603 citation serious?
It depends on the letter. Most F603 citations (75.6%) were rated as potential for more than minimal harm, D to F. 15 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

Find a nursing home Read an inspection