F645: PASARR screening for Mental disorders or Intellectual Disabilities
F645 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: PASARR screening for Mental disorders or Intellectual Disabilities
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). 7.0% of F645 citations came from a complaint visit rather than a routine inspection.
By letter: B 23, C 1, D 2,238, E 331, F 15, J 1.
What inspectors wrote
Three recent F645 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 record review, staff interview, and policy review, the facility failed to ensure the accuracy of the Preadmission Screening and Resident Review (PASARR) for 2 of 2 sampled resident reviewed for PASARR. (Resident #8 and #22)
Shores Nursing and Rehab Center, Port Saint Joe, FL
Inspectors wrote, August 12, 2026, scope and severity DBased on observation, interview and record review, the facility failed to ensure preadmissions screening for individuals with a mental disorder and individuals with intellectual disability for 1 of 6 (Resident #3) residents reviewed for PASARR accuracy. The MDS Nurse failed to accurately screen Resident #3 for mental illness upon admission to the facility. This failure could place the residents at risk of not receiving the necessary care and services.
Val Verde Nursing and Rehabilitation Center, Del Rio, TX
Inspectors wrote, July 31, 2026, scope and severity DBased on record review and staff interviews, the facility failed to ensure that each resident was screened for a mental disorder or an intellectual disability prior to admission. This was evident for one resident (Resident #373) of three residents reviewed for Preadmission Screening and Resident Review out of a total sample of 38 residents. Specifically, the Preadmission Screening and Resident Review was not completed for Resident #373 prior to admission to the facility.
Seagate Rehabilitation and Nursing Center, Brooklyn, NY
Most recent F645 citations at the harm or jeopardy level
Newest first, all 1 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| June 5, 2025 | Magnolia Ridge | Gardendale, AL | J | Complaint |
Most recent F645 citations
F645 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 | 356 |
| Florida | 240 |
| Texas | 230 |
| Washington | 222 |
| Ohio | 143 |
| Illinois | 133 |
| Michigan | 106 |
| Missouri | 95 |
| Virginia | 93 |
| Wisconsin | 88 |
| Georgia | 69 |
| West Virginia | 65 |
| Arizona | 62 |
| New York | 55 |
| Oklahoma | 51 |
| Maryland | 44 |
| North Carolina | 39 |
| Massachusetts | 37 |
| New Jersey | 32 |
| Minnesota | 31 |
| Connecticut | 28 |
| New Mexico | 28 |
| Colorado | 27 |
| Louisiana | 27 |
| Pennsylvania | 26 |
| Maine | 25 |
| Mississippi | 24 |
| Arkansas | 23 |
| Idaho | 23 |
| Iowa | 21 |
| Nebraska | 19 |
| South Carolina | 17 |
| Tennessee | 17 |
| Indiana | 16 |
| Alabama | 11 |
| Kentucky | 10 |
| New Hampshire | 10 |
| Oregon | 10 |
| Delaware | 7 |
| Kansas | 7 |
| Montana | 7 |
| District of Columbia | 6 |
| Nevada | 5 |
| Vermont | 5 |
| Wyoming | 5 |
| South Dakota | 4 |
| Utah | 4 |
| Guam | 2 |
| North Dakota | 2 |
| Alaska | 1 |
| Hawaii | 1 |
By inspection year: 2018 15, 2019 46, 2020 14, 2021 60, 2022 164, 2023 451, 2024 773, 2025 658, 2026 428.
Common questions
- What is F645 in a nursing home inspection?
- F645 is the federal requirement to "pasarr screening for mental disorders or intellectual disabilities". CMS files it under resident assessment and care planning. A home cited under F645 did not meet that requirement at the inspection.
- How often is F645 cited?
- The CMS files as of September 1, 2026 list 2,609 F645 citations at 2,266 nursing homes, 553 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F645 citation serious?
- It depends on the letter. Most F645 citations (99.0%) were rated as potential for more than minimal harm, D to F. 1 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