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F607: Develop and implement policies and procedures to prevent abuse, neglect, and theft

F607 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Develop and implement policies and procedures to prevent abuse, neglect, and theft. It sits in CMS's freedom from abuse, neglect, and exploitation category.

2,937citations in the CMS files
2,430homes cited at least once
598in the 12 months to September 2026
8.4%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). 51.5% of F607 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)208 (7.1%)
  • Actual harm (G, H, I)40 (1.4%)
  • Potential for more than minimal harm (D, E, F)2,615 (89.0%)
  • Potential for minimal harm (A, B, C)74 (2.5%)

By letter: B 9, C 65, D 1,803, E 692, F 120, G 33, H 7, J 123, K 75, L 10.

What inspectors wrote

Three recent F607 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity DBased on review of facility policy, personnel records and staff interview, it was determined that the facility failed to conduct an FBI background check on agency personnel prior to working on the nursing unit for one out of six personnel records (Agency Nurse aide (NA) Employee E20).

Providence Health & Rehab Center, Beaver Falls, PA

Inspectors wrote, August 5, 2026, scope and severity DBased on record review, resident interview, staff interview and facility policy and procedures the facility failed to ensure the facility policy for abuse was followed for 1 of 5 sampled residents. The deficient practice could result in allegations of abuse not being accurately identified, reported, investigated, and addressed, thereby placing residents at risk for further abuse, physical harm, pain, mental anguish, or emotional distress.

Haven of Safford, Safford, AZ

Inspectors wrote, July 31, 2026, scope and severity DBased on record review and staff interviews, the facility failed to implement their abuse policy in the areas of investigation and reporting after an allegation of staff-to-resident abuse for 1 of 3 residents reviewed for abuse (Resident #58).

Highland Farms, Black Mountain, NC

Most recent F607 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 28, 2026Countryside Nursing & Rehab CtrDolton, IL JComplaint
June 10, 2026Chickasha Nursing Center, IncChickasha, OK JComplaint
June 4, 2026Pleasant Springs Healthcare CenterMount Pleasant, TX JStandard
May 20, 2026Avir at OvertonOverton, TX JComplaint
May 8, 2026River Edge Rehabilitation and NursingWaynesboro, VA JComplaint
May 7, 2026Virginia Beach Healthcare and Rehab CenterVirginia Beach, VA JComplaint
May 1, 2026River Oaks Health and Rehabilitation CenterFort Worth, TX JComplaint
April 30, 2026August Healthcare at LeewoodAnnandale, VA JComplaint
April 29, 2026Grand Lake VillaGrove, OK JStandard
April 23, 2026Huntersville Health & Rehabilitation CenterHuntersville, NC GComplaint
April 14, 2026Heritage Ridge Senior Living at JohnstownJohnstown, PA GComplaint
April 3, 2026Sunview Respiratory and RehabilitationYoungtown, AZ JComplaint
March 27, 2026Meridian Care of AliceAlice, TX JStandard
March 26, 2026Village Creek Rehabilitation and Nursing CenterLumberton, TX KComplaint
March 20, 2026Park Manor of Cypress StationHouston, TX GComplaint
March 15, 2026Paradigm at the PrairiesEl Campo, TX JComplaint
March 14, 2026Embassy of SaxonburgSaxonburg, PA JComplaint
March 14, 2026Lakeshore Manor Nursing & RehabSlidell, LA LComplaint
March 10, 2026Newport News Nursing & RehabNewport News, VA KStandard
March 7, 2026Dept of State Hospitals - Metropolitan SNFNorwalk, CA LComplaint
March 5, 2026Wewoka Healthcare CenterWewoka, OK LComplaint
February 27, 2026Alfredo Gonzalez Texas State Veterans HomeMcAllen, TX JComplaint
February 23, 2026Wecare at Rolling Meadows Rehab and Nursing CeWaynesburg, PA GComplaint
February 20, 2026Paradigm at the OakSchulenburg, TX JComplaint
January 22, 2026Spring Hill Rehabilitation and Nursing CenterPittsburgh, PA LComplaint
January 18, 2026Enterprise Health & Rehabilitation CenterEnterprise, AL JComplaint
January 14, 2026Ralls Nursing HomeRalls, TX JComplaint
January 12, 2026Avir at WeatherfordWeatherford, TX JComplaint
January 3, 2026Avir at AdamsTemple, TX JComplaint
December 17, 2025Giddings Nursing and RehabilitationGiddings, TX JComplaint
December 14, 2025Evercare of JerseyvilleJerseyville, IL LStandard
December 1, 2025Arcadia Care AledoAledo, IL GComplaint
November 10, 2025Quality Life Services - ChicoraChicora, PA JComplaint
October 29, 2025Birmingham Nursing and Rehabilitation Ctr LLCBirmingham, AL JComplaint
October 22, 2025Kennedy Health & RehabLufkin, TX KComplaint
October 21, 2025Evercare at UniversityEdwardsville, IL GComplaint
October 3, 2025Epic Nursing & RehabilitationCorsicana, TX KComplaint
September 24, 2025Misty Willow Healthcare and Rehabilitation CenterHouston, TX KComplaint
September 17, 2025Legend Oaks Healthcare and Rehabilitation - NorthAustin, TX JComplaint
September 13, 2025Kirkland Court Health and Rehabilitation CenterAmarillo, TX JComplaint

Most recent F607 citations

InspectionHomeTownLetter
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA D
August 5, 2026Haven of SaffordSafford, AZ D
July 31, 2026Sunnyview Nursing and Rehabilitation CenterButler, PA E
July 31, 2026Highland FarmsBlack Mountain, NC D
July 31, 2026Good Samaritan Society - JacksonJackson, MN E
July 30, 2026Avenue at BrooklynBrooklyn, OH D
July 28, 2026Countryside Nursing & Rehab CtrDolton, IL J
July 28, 2026Arizona State Veteran Home-PhxPhoenix, AZ D
July 27, 2026Carlin Springs Health & RehabilitationArlington, VA D
July 26, 2026Rivaya Care of Des PlainesDes Plaines, IL F
July 23, 2026Carlisle Skilled Nursing and Rehabilitation CenterCarlisle, PA E
July 23, 2026Casa of HobartHobart, IN D
July 22, 2026Barrett Care Center IncBarrett, MN D
July 22, 2026Heritage Grove EstatesTopeka, KS D
July 21, 2026Lee HealthcareLee, MA D
July 21, 2026Landmark of Cicero Rehabilitation and Nursing CentCicero, IL F
July 18, 2026John J Kane Regional Center-RoPittsburgh, PA D
July 16, 2026Ivy at DavenportDavenport, IA D
July 16, 2026Devonshire Care CenterHemet, CA D
July 15, 2026Medicalodges Great BendGreat Bend, KS E
July 13, 2026Heatherdowns Rehab & Residential Care CenterToledo, OH F
July 9, 2026Luther HomeMarinette, WI D
July 9, 2026Mountain Laurel Healthcare and Rehabilitation CtrClearfield, PA D
July 9, 2026Stratford Specialty CareStratford, IA E
July 9, 2026Whitney Oaks Care CenterCarmichael, CA D

F607 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
Texas365
California271
Missouri248
Ohio202
Pennsylvania194
Virginia182
Illinois181
Massachusetts143
Wisconsin118
North Carolina106
New Jersey82
Washington70
Arizona69
Oklahoma69
Iowa68
Michigan48
West Virginia44
Connecticut40
Florida40
New York40
Georgia34
Maryland32
Kentucky26
Louisiana26
District of Columbia25
Minnesota25
Alabama23
Indiana20
Utah19
Nebraska16
Nevada15
Kansas13
Vermont11
Maine8
Mississippi8
Oregon7
Alaska6
Arkansas6
Tennessee6
Hawaii5
Colorado4
Delaware4
Idaho4
New Hampshire4
South Carolina4
Puerto Rico3
Montana2
North Dakota1

By inspection year: 2018 17, 2019 102, 2020 36, 2021 85, 2022 168, 2023 476, 2024 915, 2025 712, 2026 426.

Common questions

What is F607 in a nursing home inspection?
F607 is the federal requirement to "develop and implement policies and procedures to prevent abuse, neglect, and theft". CMS files it under freedom from abuse, neglect, and exploitation. A home cited under F607 did not meet that requirement at the inspection.
How often is F607 cited?
The CMS files as of September 1, 2026 list 2,937 F607 citations at 2,430 nursing homes, 598 of them in the 12 months to that date. 8.4% were rated as actual harm or immediate jeopardy.
Is a F607 citation serious?
It depends on the letter. Most F607 citations (89.0%) were rated as potential for more than minimal harm, D to F. 208 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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