F642: Ensure a qualified health professional conducts resident assessments
F642 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure a qualified health professional conducts resident assessments.
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). 14.9% of F642 citations came from a complaint visit rather than a routine inspection.
By letter: B 4, C 1, D 45, E 20, F 4.
What inspectors wrote
Three recent F642 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, March 27, 2025, scope and severity EBased on review of the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual, medical record review, and interview, the facility failed to complete discharge and death in facility assessments using the centers for Medicare & Medicaid services specified RAI process for 9 of 33 (Resident #3, #12, #15, #18, #31, 59, #60, #61 and #224) sampled residents reviewed.
The Suites at Jordan River, Collierville, TN
Inspectors wrote, March 4, 2025, scope and severity DBased on interview and document review, the facility failed to ensure 1 of 1 resident (R41) was accurately and comprehensively assessed as certified when it was R41 exhibited behaviors and refusal of all cares, medication, treatment and evaluation.
The Shores of Worthington, Worthington, MN
Inspectors wrote, January 31, 2025, scope and severity DBased on interview and record review, the facility failed to ensure the Discharge Minimum Data Set (MDS-a resident assessment and care-screening tool) was transmitted timely and within 30 days, to the Centers for Medicare and Medicaid Services (CMS) system for one of 19 sampled residents (Resident 87) MDS Assessments. This deficient practice had the potential to affect the quality-of-care monitoring system to ensure safe, efficient, resident centered care in a timely manner.
Whittier Pacific Care Center, Whittier, CA
Most recent F642 citations
F642 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 3, 2019 7, 2020 1, 2021 1, 2022 8, 2023 26, 2024 22, 2025 6.
Common questions
- What is F642 in a nursing home inspection?
- F642 is the federal requirement to "ensure a qualified health professional conducts resident assessments". CMS files it under resident assessment and care planning. A home cited under F642 did not meet that requirement at the inspection.
- How often is F642 cited?
- The CMS files as of September 1, 2026 list 74 F642 citations at 73 nursing homes, 0 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F642 citation serious?
- It depends on the letter. Most F642 citations (93.2%) 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