F655: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F655 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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). 21.7% of F655 citations came from a complaint visit rather than a routine inspection.
By letter: B 50, C 9, D 2,484, E 433, F 22, G 16, H 1, J 15.
What inspectors wrote
Three recent F655 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 observation, interview and record review, the facility failed to develop the baseline care plan within 48 hours of admission for 1 of 17 residents (Resident #56) reviewed for baseline care plans. The facility failed to ensure Resident #56's baseline care plan was completed within 48 hours of admission on to include oxygen administration and bi-pap (a non-invasive medical device that helps people breathe by delivering two alternating pressure levels a higher pressure when you breath in and lower pressure when you breathe out) machine use. This failure could place residents at risk of not having needs met
Beaumont Nursing and Rehabilitation, Beaumont, TX
Inspectors wrote, August 7, 2026, scope and severity DBased on review of clinical records and staff interviews, it was determined that the facility failed to develop and implement a baseline care plan to include instructions needed to provide effective and person-centered care of the resident for one of three residents reviewed (Resident R181).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, July 30, 2026, scope and severity EBased on record review, interview, and policy review, the provider failed to ensure the resident's baseline care plan (personalized plan that addresses a resident's care needs, goals, and interventions) was reviewed with and a copy offered to the resident or the resident's representative within 48 hours of the resident's admission to the facility for three of four newly admitted residents (3, 9, and 12).
Good Samaritan Society - St. Martin Village, Rapid City, SD
Most recent F655 citations at the harm or jeopardy level
Newest first, all 32 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, 2026 | Woodway Nursing & Rehab | Houston, TX | G | Standard |
| December 8, 2025 | Atrium Health Navicent Baldwin | Milledgeville, GA | G | Standard |
| September 23, 2025 | The Bluffs Rehabilitation and Healthcare Center | Vicksburg, MS | G | Complaint |
| September 6, 2025 | Town Hall Estates | Hillsboro, TX | J | Complaint |
| August 15, 2025 | Louisville East Post Acute | Louisville, KY | J | Complaint |
| May 2, 2025 | Castle Hills Rehabilitation and Care Center | San Antonio, TX | J | Complaint |
| April 18, 2025 | Rosewood Heights | Killeen, TX | J | Complaint |
| February 13, 2025 | Lyndon Crossing, LLC | Louisville, KY | J | Complaint |
| January 3, 2025 | Madonna Manor | Villa Hills, KY | J | Complaint |
| December 24, 2024 | Careone at Middletown | Atlantic Highlands, NJ | G | Complaint |
| December 4, 2024 | Life Care Center of Merrimack Valley | Billerica, MA | G | Standard |
| November 22, 2024 | Bourbon Heights Nursing Home | Paris, KY | G | Standard |
| October 9, 2024 | The Windsor Place | Columbus, MS | G | Standard |
| August 17, 2024 | North Pointe Nursing and Rehabilitation | Watauga, TX | J | Complaint |
| July 30, 2024 | Mayfair Manor | Lexington, KY | J | Complaint |
| July 27, 2024 | Berea Health and Rehabilitation | Berea, KY | J | Complaint |
| July 3, 2024 | Pruitthealth - Lakehaven, LLC | Valdosta, GA | J | Complaint |
| May 6, 2024 | New Albany Health & Rehab Center | New Albany, MS | J | Complaint |
| May 3, 2024 | Regency Park Health and Rehabilitation | Dalton, GA | G | Complaint |
| March 23, 2024 | Highlands Nursing and Rehabilitation | Louisville, KY | J | Standard |
| February 20, 2024 | Morada Temple | Temple, TX | J | Complaint |
| January 27, 2024 | Colonial Nursing and Rehabilitation Center | Bowling Green, KY | G | Standard |
| December 28, 2023 | Bedford Alzheimer's Care Center | Hattiesburg, MS | H | Complaint |
| December 15, 2023 | Hathorne Hill Rehabilitation and Healthcare Center | Danvers, MA | G | Standard |
| November 21, 2023 | St. Johnsbury Health & Rehab | Saint Johnsbury, VT | G | Complaint |
| September 25, 2023 | Focused Care at Burnet Bay | Baytown, TX | J | Complaint |
| September 8, 2023 | Stone County Rehabilitation and Nursing Ctr Inc | Wiggins, MS | G | Complaint |
| May 25, 2023 | Medford Rehabilitation and Nursing Center | Medford, MA | G | Standard |
| November 19, 2019 | Alta Heights Post Acute | Goodlettsville, TN | J | Standard |
| October 4, 2019 | Boyd Nursing and Rehabilitation | Ashland, KY | G | Standard |
| May 28, 2019 | San Luis Care Center | Newman, CA | G | Standard |
| April 18, 2018 | Antioch Tn Opco, LLC | Antioch, TN | G | Standard |
Most recent F655 citations
F655 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 |
|---|---|
| Texas | 372 |
| California | 338 |
| Pennsylvania | 198 |
| Ohio | 165 |
| Virginia | 159 |
| Maryland | 147 |
| Missouri | 115 |
| New York | 113 |
| Massachusetts | 87 |
| Florida | 86 |
| Oklahoma | 78 |
| Washington | 76 |
| New Mexico | 72 |
| Maine | 58 |
| Michigan | 51 |
| Kansas | 50 |
| North Carolina | 49 |
| Georgia | 48 |
| Indiana | 45 |
| Minnesota | 42 |
| Illinois | 41 |
| Montana | 41 |
| New Jersey | 41 |
| Nevada | 41 |
| Oregon | 37 |
| Wisconsin | 34 |
| Iowa | 32 |
| Tennessee | 32 |
| Connecticut | 31 |
| South Dakota | 31 |
| Nebraska | 30 |
| Kentucky | 28 |
| Arizona | 27 |
| Idaho | 27 |
| Louisiana | 23 |
| Arkansas | 20 |
| Utah | 20 |
| West Virginia | 18 |
| Hawaii | 16 |
| Rhode Island | 15 |
| Colorado | 14 |
| District of Columbia | 14 |
| Alabama | 13 |
| Mississippi | 13 |
| Puerto Rico | 10 |
| South Carolina | 10 |
| Vermont | 10 |
| Delaware | 7 |
| North Dakota | 3 |
| Alaska | 1 |
| Wyoming | 1 |
By inspection year: 2017 1, 2018 20, 2019 127, 2020 37, 2021 104, 2022 223, 2023 573, 2024 838, 2025 710, 2026 397.
Common questions
- What is F655 in a nursing home inspection?
- F655 is the federal requirement to "create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted". CMS files it under resident assessment and care planning. A home cited under F655 did not meet that requirement at the inspection.
- How often is F655 cited?
- The CMS files as of September 1, 2026 list 3,030 F655 citations at 2,593 nursing homes, 559 of them in the 12 months to that date. 1.1% were rated as actual harm or immediate jeopardy.
- Is a F655 citation serious?
- It depends on the letter. Most F655 citations (97.0%) were rated as potential for more than minimal harm, D to F. 15 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