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F658: Ensure services provided by the nursing facility meet professional standards of quality

F658 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure services provided by the nursing facility meet professional standards of quality. It sits in CMS's resident assessment and care planning category.

6,970citations in the CMS files
4,235homes cited at least once
1,614in the 12 months to September 2026
1.9%rated actual harm or immediate jeopardy

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). 36.0% of F658 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)37 (0.5%)
  • Actual harm (G, H, I)94 (1.3%)
  • Potential for more than minimal harm (D, E, F)6,831 (98.0%)
  • Potential for minimal harm (A, B, C)8 (0.1%)

By letter: B 6, C 2, D 5,307, E 1,487, F 37, G 91, H 2, I 1, J 26, K 8, L 3.

What inspectors wrote

Three recent F658 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 provide services that met professional standards for two (Resident #37 and Resident #2) of ten reviewed for skin issues and one (Resident #43) of three reviewed for feeding tube management.

Lake City Healthcare and Rehabilitation Center, Lake City, FL

Inspectors wrote, August 6, 2026, scope and severity DBased on clinical record review and staff interviews, it was determined that the facility failed to ensure that care and services were provided according to accepted standards of practice for two of 34 residents reviewed (Residents 1 and 55).

Casselman Healthcare and Rehabilitation Center, Meyersdale, PA

Inspectors wrote, July 31, 2026, scope and severity DBased on interview and record review it was determined the facility failed to ensure staff provided care and services according to professional standards for 1 of 3 sampled residents (#4) reviewed for medication administration. This placed residents at risk for unsafe medication administration.

Independence Health and Rehabilitation, Independence, OR

Most recent F658 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 20, 2026West View Nursing Home, IncWest Warwick, RI GComplaint
June 28, 2026Kenedy Health & RehabilitationKenedy, TX GComplaint
June 11, 2026West View Nursing Home, IncWest Warwick, RI GComplaint
June 5, 2026Napa Community Health CenterNapa, CA GStandard
May 7, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA GComplaint
May 5, 2026West View Nursing Home, IncWest Warwick, RI JComplaint
April 29, 2026Westmoreland ManorGreensburg, PA GComplaint
April 27, 2026Clove Lakes Health Care and Rehabilitation Center,Staten Island, NY GComplaint
April 10, 2026Marquis Forest Grove Post Acute RehabForest Grove, OR GComplaint
April 9, 2026Embassy of TunkhannockTunkhannock, PA GComplaint
March 16, 2026Provo Rehabilitation and NursingProvo, UT GComplaint
January 7, 2026Shenandoah Senior Living CommunityShenandoah, PA GComplaint
January 2, 2026Dubois Nursing HomeDubois, PA GComplaint
October 23, 2025Big Horn Rehabilitation and Care CenterSheridan, WY GComplaint
October 16, 2025Adel AcresAdel, IA GComplaint
October 9, 2025Magnolia Manor of MidwayMidway, GA GComplaint
October 7, 2025Meadowood Nursing CenterClearlake, CA GComplaint
September 26, 2025New Mark Rehab and Healthcare CenterKansas City, MO GComplaint
September 17, 2025Arcadia Care on the HillSpringfield, IL LComplaint
September 8, 2025Elevate Care NorthbrookNorthbrook, IL GComplaint
September 5, 2025Grandview Healthcare CenterWashington, MO GComplaint
September 5, 2025Pointe Coupee HealthcareNew Roads, LA KComplaint
September 4, 2025Beartooth Rehabilitation and Nursing LLCColumbus, MT GComplaint
August 28, 2025Hilltop Nursing & Rehabilitation CenterPineville, LA JComplaint
July 29, 2025North Village ParkMoberly, MO GComplaint
July 28, 2025Northvine Postacute CareSanta Rosa, CA GComplaint
July 24, 2025Greene County Health and RehabilitationLeakesville, MS GComplaint
July 17, 2025Westview Nursing HomeCenter, MO GComplaint
June 18, 2025Riverview Care CenterBossier City, LA JComplaint
June 12, 2025Heritage Specialty CareCedar Rapids, IA GComplaint
June 5, 2025Magnolia RidgeGardendale, AL JComplaint
May 30, 2025Bethany Lutheran HomeCouncil Bluffs, IA GComplaint
May 28, 2025St. Johnsbury Health & RehabSaint Johnsbury, VT JComplaint
May 21, 2025Westview Nursing HomeCenter, MO GStandard
May 8, 2025Nexus at AltonAlton, IL GComplaint
May 6, 2025Greentree Manor Nursing and Rehabilitation CenterWaterford, CT GStandard
April 28, 2025Burgh Care CenterPittsburgh, PA GComplaint
April 7, 2025North Bay Post AcutePetaluma, CA GComplaint
April 4, 2025Ceres Postacute CareCeres, CA GComplaint
March 30, 2025Bell Minor Home, theGainesville, GA JComplaint

Most recent F658 citations

InspectionHomeTownLetter
August 12, 2026Lake City Healthcare and Rehabilitation CenterLake City, FL D
August 6, 2026Casselman Healthcare and Rehabilitation CenterMeyersdale, PA D
July 31, 2026Gridley Post AcuteGridley, CA E
July 31, 2026Independence Health and RehabilitationIndependence, OR D
July 31, 2026Bridgewood Health Care CenterKansas City, MO D
July 31, 2026Salyersville Nursing and Rehabilitation CenterSalyersville, KY D
July 31, 2026Courtyard Health Care CenterDavis, CA D
July 30, 2026Good Samaritan Society - St. Martin VillageRapid City, SD D
July 30, 2026Life Care Center of FarmingtonFarmington, NM D
July 30, 2026Glen Oaks Nursing CenterLucedale, MS D
July 30, 2026Mission Point Nursing & Physical Rehabilitation CeCedar Springs, MI D
July 30, 2026The Center at AdvocateEast Boston, MA D
July 30, 2026Aviata at Arbor SpringsOcala, FL D
July 30, 2026Ojai Health & RehabilitationOjai, CA D
July 29, 2026John J Kane Regional Center-GlPittsburgh, PA E
July 29, 2026Artesia Healthcare & Rehabilitation Center, LLCArtesia, NM F
July 29, 2026North River Health CampusEvansville, IN D
July 29, 2026Hebrew Center for Health and RehabilitationWest Hartford, CT D
July 29, 2026Longwood Manor Conv.hospitalLos Angeles, CA D
July 28, 2026The Rehabilitation Center of Los AngelesLos Angeles, CA D
July 28, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA D
July 28, 2026Delhaven ManorSaint Louis, MO D
July 28, 2026Aria Nursing and RehabilitationLansing, MI D
July 28, 2026Countryside Nursing & Rehab CtrDolton, IL D
July 27, 2026Carlin Springs Health & RehabilitationArlington, VA E

F658 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.

StateCitations
California1,375
Missouri644
Massachusetts439
New Jersey403
Iowa364
Virginia354
Michigan351
Pennsylvania245
Connecticut234
Washington225
Rhode Island197
Maryland186
Louisiana176
New Mexico140
Illinois134
New York121
North Carolina120
Arizona112
Colorado95
South Dakota92
New Hampshire84
Indiana71
Mississippi68
North Dakota68
Alabama61
Georgia58
Texas48
Minnesota47
Oregon44
Montana38
Florida37
Tennessee37
Kentucky32
Ohio31
Wisconsin30
Nevada29
Idaho28
Delaware25
Vermont22
Kansas19
South Carolina19
Utah18
Nebraska12
Arkansas8
District of Columbia7
Wyoming7
West Virginia5
Maine4
Oklahoma4
Guam1
Puerto Rico1

By inspection year: 2018 49, 2019 174, 2020 73, 2021 200, 2022 298, 2023 1,130, 2024 1,991, 2025 1,933, 2026 1,122.

Common questions

What is F658 in a nursing home inspection?
F658 is the federal requirement to "ensure services provided by the nursing facility meet professional standards of quality". CMS files it under resident assessment and care planning. A home cited under F658 did not meet that requirement at the inspection.
How often is F658 cited?
The CMS files as of September 1, 2026 list 6,970 F658 citations at 4,235 nursing homes, 1,614 of them in the 12 months to that date. 1.9% were rated as actual harm or immediate jeopardy.
Is a F658 citation serious?
It depends on the letter. Most F658 citations (98.0%) were rated as potential for more than minimal harm, D to F. 37 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

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