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F606: Not hire anyone with a finding of abuse, neglect, exploitation, or theft

F606 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Not hire anyone with a finding of abuse, neglect, exploitation, or theft. It sits in CMS's freedom from abuse, neglect, and exploitation category.

221citations in the CMS files
216homes cited at least once
44in the 12 months to September 2026
1.8%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). 37.6% of F606 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)2 (0.9%)
  • Actual harm (G, H, I)2 (0.9%)
  • Potential for more than minimal harm (D, E, F)185 (83.7%)
  • Potential for minimal harm (A, B, C)32 (14.5%)

By letter: B 1, C 31, D 101, E 51, F 33, G 2, K 1, L 1.

What inspectors wrote

Three recent F606 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 27, 2026, scope and severity EBased on review of the state nurse aide registry, review of electronic mail (email) communications, review of the facility working schedules, review of employee time sheets, observations, staff interviews, and policy review, the facility failed to ensure staff were not working in the facility with abuse findings in the stated nurse aide registry. This had the potential to affect 15 (#16, #17, #19, #20, #21, #22, #23, #24, #25, #26, #27, #28, #29, #30 and #31) residents that reside on [NAME] and [NAME] hallways. The facility census was 51.

Liberty Retirement Community of Lima Inc, Lima, OH

Inspectors wrote, July 23, 2026, scope and severity DBased on interview and record review, the facility failed to conduct a background check during the pre-employment screening for one of one sampled staff (the Administrator [ADM]). This failure had the potential to place residents (in general) at risk for abuse.

Grand Park Convalescent Hospital, Los Angeles, CA

Inspectors wrote, July 9, 2026, scope and severity EBased on record review and interview, the facility failed to ensure a volunteer with adverse actions was not allowed to volunteer at the facility for 1 (Volunteer #1) of 1 sampled volunteer reviewed for adverse actions. The ADON identified seven volunteers performed services in the facility.

Heartsworth Center for Nursing & Rehabilitation, Vinita, OK

Most recent F606 citations at the harm or jeopardy level

Newest first, all 4 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
August 21, 2025Sterling Care Bel AirBel Air, MD GComplaint
February 24, 2025Rancho Seco Care CenterGalt, CA LComplaint
March 8, 2024The Greens at ViewmontHickory, NC KComplaint
November 21, 2019Washington County Nursing HomeAkron, CO GStandard

Most recent F606 citations

InspectionHomeTownLetter
July 27, 2026Liberty Retirement Community of Lima IncLima, OH E
July 23, 2026Grand Park Convalescent HospitalLos Angeles, CA D
July 9, 2026Heartsworth Center for Nursing & RehabilitationVinita, OK E
June 25, 2026The Pines at Placerville Healthcare CenterPlacerville, CA E
June 18, 2026Avenue at LyndhurstLyndhurst, OH F
June 16, 2026Trotwood Health & Rehab LLCDayton, OH F
June 8, 2026Accura Healthcare of O'NeillO' Neill, NE C
June 2, 2026Kimes Nursing and Rehab LLCAthens, OH F
May 26, 2026Galion Meadows Skilled Nursing and RehabilitationGalion, OH C
May 21, 2026Accura Healthcare of CarlisleCarlisle, IA D
April 30, 2026Royal Middletown Nursing CenterMiddletown, RI F
April 28, 2026Thalia Gardens Rehabilitation and NursingVirginia Beach, VA E
April 24, 2026Avir at MineolaMineola, TX E
April 24, 2026Majestic Care of PerrysburgPerrysburg, OH F
April 15, 2026St. Mary's HospitalHuntington, WV E
March 25, 2026Providence HealthcareThomaston, GA D
March 20, 2026Miracle Mile Healthcare Center, LLCLos Angeles, CA D
March 17, 2026St. Catherine HealthcareFullerton, CA E
March 11, 2026Parkside ManorStuart, NE E
March 10, 2026Newport News Nursing & RehabNewport News, VA D
February 20, 2026CrosslandsKennett Square, PA D
February 9, 2026Valley View Care CenterDelano, CA D
February 9, 2026Ascension Living - Lakeshore at SienaRacine, WI F
February 2, 2026Northstar Post AcuteCarson City, NV D
February 2, 2026San Pablo Healthcare & Wellness CenterSan Pablo, CA E

F606 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
Ohio40
Nebraska24
California21
Missouri19
Pennsylvania19
Iowa9
Kentucky8
Virginia8
Georgia7
Kansas5
Maryland5
Mississippi5
West Virginia5
Connecticut4
Illinois4
North Carolina4
Oklahoma4
Texas4
Michigan3
Wisconsin3
Arizona2
Louisiana2
Nevada2
Puerto Rico2
Rhode Island2
Tennessee2
Colorado1
Minnesota1
New Hampshire1
New Jersey1
Oregon1
South Dakota1
Utah1
Washington1

By inspection year: 2018 4, 2019 9, 2020 2, 2021 5, 2022 15, 2023 27, 2024 75, 2025 56, 2026 28.

Common questions

What is F606 in a nursing home inspection?
F606 is the federal requirement to "not hire anyone with a finding of abuse, neglect, exploitation, or theft". CMS files it under freedom from abuse, neglect, and exploitation. A home cited under F606 did not meet that requirement at the inspection.
How often is F606 cited?
The CMS files as of September 1, 2026 list 221 F606 citations at 216 nursing homes, 44 of them in the 12 months to that date. 1.8% were rated as actual harm or immediate jeopardy.
Is a F606 citation serious?
It depends on the letter. Most F606 citations (83.7%) were rated as potential for more than minimal harm, D to F. 2 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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