F641: Ensure each resident receives an accurate assessment
F641 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure each resident receives an accurate 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). 13.4% of F641 citations came from a complaint visit rather than a routine inspection.
By letter: B 459, C 25, D 5,886, E 1,101, F 14, G 3, J 2.
What inspectors wrote
Three recent F641 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 13, 2026, scope and severity DBased on observation, interview, and document review, the facility failed to ensure resident assessments were accurate for 1 of 1 resident (R61) reviewed for dental.
Good Samaritan Society - Maplewood, Saint Paul, MN
Inspectors wrote, August 13, 2026, scope and severity DBased on record review and interview, the facility failed to ensure Minimum Data Set (MDS) assessments were complete and accurate for 1 of 3 residents, Resident #11, reviewed for Minimum Data Set assessments.
Suwannee Valley Nursing Center, Jasper, FL
Inspectors wrote, August 7, 2026, scope and severity DBased on review of the RAI (Resident Assessment Instrument), clinical records, and staff interviews it was determined that the facility failed to make certain that resident assessments were accurate for one of three residents (Resident R164).
Providence Health & Rehab Center, Beaver Falls, PA
Most recent F641 citations at the harm or jeopardy level
Newest first, all 5 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| March 21, 2025 | Abbeville Crossing of Journey LLC | Abbeville, GA | J | Complaint |
| December 11, 2024 | Jamestown Nursing and Rehab, LLC | Rogers, AR | G | Complaint |
| October 31, 2024 | Archer Heights Healthcare | Chicago, IL | G | Complaint |
| March 11, 2024 | Legacy Transitional Care & Rehabilitation | Atlanta, GA | J | Complaint |
| January 24, 2018 | Smyrna Care Center | Smyrna, TN | G | Standard |
Most recent F641 citations
F641 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.
| State | Citations |
|---|---|
| California | 911 |
| Texas | 709 |
| Pennsylvania | 486 |
| Ohio | 372 |
| North Carolina | 334 |
| Florida | 310 |
| Maryland | 291 |
| Virginia | 244 |
| New Jersey | 229 |
| Indiana | 219 |
| Louisiana | 209 |
| Oklahoma | 200 |
| Massachusetts | 193 |
| Washington | 191 |
| New York | 184 |
| Iowa | 182 |
| Missouri | 182 |
| Tennessee | 141 |
| Minnesota | 139 |
| Mississippi | 123 |
| Arkansas | 116 |
| Illinois | 112 |
| Georgia | 111 |
| West Virginia | 108 |
| Michigan | 99 |
| Nebraska | 95 |
| New Mexico | 80 |
| Alabama | 74 |
| Kansas | 74 |
| North Dakota | 70 |
| Wisconsin | 62 |
| Connecticut | 60 |
| Idaho | 60 |
| Kentucky | 59 |
| Oregon | 49 |
| South Carolina | 46 |
| Delaware | 41 |
| District of Columbia | 38 |
| Arizona | 36 |
| Montana | 33 |
| Hawaii | 32 |
| Utah | 31 |
| Nevada | 29 |
| South Dakota | 27 |
| Maine | 25 |
| New Hampshire | 22 |
| Rhode Island | 18 |
| Colorado | 11 |
| Wyoming | 10 |
| Alaska | 7 |
| Guam | 3 |
| Puerto Rico | 2 |
| Vermont | 1 |
By inspection year: 2017 2, 2018 64, 2019 281, 2020 80, 2021 195, 2022 428, 2023 1,238, 2024 2,047, 2025 1,993, 2026 1,162.
Common questions
- What is F641 in a nursing home inspection?
- F641 is the federal requirement to "ensure each resident receives an accurate assessment". CMS files it under resident assessment and care planning. A home cited under F641 did not meet that requirement at the inspection.
- How often is F641 cited?
- The CMS files as of September 1, 2026 list 7,490 F641 citations at 5,507 nursing homes, 1,592 of them in the 12 months to that date. 0.1% were rated as actual harm or immediate jeopardy.
- Is a F641 citation serious?
- It depends on the letter. Most F641 citations (93.5%) 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