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F608: Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting

F608 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 ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. It sits in CMS's freedom from abuse, neglect, and exploitation category.

25citations in the CMS files
25homes cited at least once
0in the 12 months to September 2026
16.0%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). 0.0% of F608 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)4 (16.0%)
  • Actual harm (G, H, I)0 (0.0%)
  • Potential for more than minimal harm (D, E, F)19 (76.0%)
  • Potential for minimal harm (A, B, C)2 (8.0%)

By letter: C 2, D 17, E 2, J 2, K 2.

What inspectors wrote

Three recent F608 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, October 20, 2022, scope and severity DBased on clinical record review, staff interviews, State Agency (SA) database, review of facility records, and review of policies and procedures, the facility failed to report an allegation of abuse regarding one sampled resident (#130), to the law enforcement agency within the required time frame. The deficient practice could result in more reasonable suspicions of crime not being reported.

Fountain Hills Post Acute, Fountain Hills, AZ

Inspectors wrote, October 14, 2022, scope and severity DBased on medical record review and interviews it was determined the facility failed to notify the state agency of allegations of abuse within the mandated 2-hour time frame. This was evident in 2 (Residents #301 and #308) of 8 intakes investigated for abuse.

Ellicott City Healthcare Center, Ellicott City, MD

Inspectors wrote, September 29, 2022, scope and severity DBased on Resident interview, staff interview, clinical record review, facility documentation review and in the course of a complaint investigation, the facility staff failed implement their policy with regards to reporting crimes affecting 3 Residents (Resident #35, #368, and 217) in a survey sample of 60 Residents.

Mount Vernon Healthcare Center, Alexandria, VA

Most recent F608 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, 2022Pruitthealth-Evans, LLCEvans, GA KStandard
May 16, 2022Winthrop Health and RehabilitationRome, GA JStandard
March 3, 2022Golden Gate Rehabilitation & Health Care CenterStaten Island, NY JStandard
October 21, 2019Eagle Pointe Skilled Nursing & RehabOrwell, OH KStandard

Most recent F608 citations

InspectionHomeTownLetter
October 20, 2022Fountain Hills Post AcuteFountain Hills, AZ D
October 14, 2022Ellicott City Healthcare CenterEllicott City, MD D
October 6, 2022Pines Nursing HomeMiami, FL D
September 29, 2022Mount Vernon Healthcare CenterAlexandria, VA D
September 26, 2022Unique Rehabilitation and Health Center LLCWashington, DC D
September 16, 2022Axiom Healthcare of FloraFlora, IL D
September 9, 2022Prescott Valley Nursing & RehabilitationPrescott Valley, AZ D
August 21, 2022Pruitthealth-Evans, LLCEvans, GA K
August 10, 2022Grant Rehabilitation and Care CenterPetersburg, WV D
May 16, 2022Winthrop Health and RehabilitationRome, GA J
May 6, 2022Autumn Lake Healthcare at Arlington WestBaltimore, MD D
April 26, 2022Coffman Nursing HomeHagerstown, MD D
April 13, 2022Spring Creek Healthcare CenterSalt Lake City, UT E
April 4, 2022Logan Elm Health Care CenterCircleville, OH D
March 3, 2022Golden Gate Rehabilitation & Health Care CenterStaten Island, NY J
February 18, 2022Randolph County Care CenterSparta, IL D
December 8, 2021Asbury SolomonsSolomons, MD D
October 15, 2021Autumn Lake Healthcare at Glade ValleyWalkersville, MD E
September 2, 2021Arbors at DelawareDelaware, OH D
March 26, 2021Pine Forest Health and RehabilitationJackson, MS D
March 10, 2020Rose Hill Health and RehabBerryville, VA C
December 11, 2019Autumn Lake Healthcare at Glen BurnieGlen Burnie, MD D
October 21, 2019Eagle Pointe Skilled Nursing & RehabOrwell, OH K
June 14, 2019Elizabeth Adam Crump Health and RehabGlen Allen, VA C
August 7, 2018Sans Souci Rehabilitation and Nursing CenterYonkers, NY D

F608 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
Maryland6
Ohio3
Virginia3
Arizona2
Georgia2
Illinois2
New York2
District of Columbia1
Florida1
Mississippi1
Utah1
West Virginia1

By inspection year: 2018 1, 2019 3, 2020 1, 2021 4, 2022 16.

Common questions

What is F608 in a nursing home inspection?
F608 is the federal requirement to "develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting". CMS files it under freedom from abuse, neglect, and exploitation. A home cited under F608 did not meet that requirement at the inspection.
How often is F608 cited?
The CMS files as of September 1, 2026 list 25 F608 citations at 25 nursing homes, 0 of them in the 12 months to that date. 16.0% were rated as actual harm or immediate jeopardy.
Is a F608 citation serious?
It depends on the letter. Most F608 citations (76.0%) were rated as potential for more than minimal harm, D to F. 4 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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