F640: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment
F640 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
It sits in CMS's resident assessment and care planning category.
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). 5.6% of F640 citations came from a complaint visit rather than a routine inspection.
By letter: B 239, C 24, D 887, E 266, F 33.
What inspectors wrote
Three recent F640 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 12, 2026, scope and severity DBased on interview and record review the facility failed to encode and transmit the resident discharge assessment for 1 of 4 residents, Resident #9, reviewed for minimum data set [MDS] completion.
Lake City Healthcare and Rehabilitation Center, Lake City, FL
Inspectors wrote, July 30, 2026, scope and severity DBased on clinical record review and interview with staff, it was determined that the facility failed to encode a subset of items upon a resident's reentry to the facility for one of 12 residents reviewed (Resident 34).
Preston Residence, West Grove, PA
Inspectors wrote, July 23, 2026, scope and severity DBased on record review, interviews, and facility policy review, the facility failed to complete the discharge Minimum Data Set (MDS) in accordance with the Center for Medicare and Medicaid Services (CMS) guidelines for one (1) of (22) sampled residents. Resident #104.
Edgewood Health & Rehabilitation, Byram, MS
Most recent F640 citations
F640 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.
By inspection year: 2018 11, 2019 55, 2020 19, 2021 35, 2022 126, 2023 286, 2024 396, 2025 316, 2026 205.
Common questions
- What is F640 in a nursing home inspection?
- F640 is the federal requirement to "encode each resident’s assessment data and transmit these data to the state within 7 days of assessment". CMS files it under resident assessment and care planning. A home cited under F640 did not meet that requirement at the inspection.
- How often is F640 cited?
- The CMS files as of September 1, 2026 list 1,449 F640 citations at 1,307 nursing homes, 250 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F640 citation serious?
- It depends on the letter. Most F640 citations (81.8%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy 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