F660: Plan the resident's discharge to meet the resident's goals and needs
F660 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Plan the resident's discharge to meet the resident's goals and needs.
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). 53.0% of F660 citations came from a complaint visit rather than a routine inspection.
By letter: B 1, C 1, D 510, E 38, F 2, G 8, H 1, J 12, K 2.
What inspectors wrote
Three recent F660 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, May 7, 2025, scope and severity DBased on interview, record review, and document review, the facility failed to ensure a resident who had functional impairments was appropriately discharged for 1 of 4 sampled residents (Resident 4). This failure could potentially lead to medical complications or adverse events which could result in hospitalization, prolonged illness, or even death.
Green Valley Health and Wellness Suites, Henderson, NV
Inspectors wrote, April 25, 2025, scope and severity DBased on interviews and record review, the facility failed to regularly re-evaluate, refer, and document any referrals to the local contact agencies for discharge planning and assessment for one (R3) of three residents reviewed.
Ryze West, Chicago, IL
Inspectors wrote, April 24, 2025, scope and severity EBased on interview and record review, the facility failed to develop and implement an effective discharge planning process to identify and address goals for three of three sampled residents (Resident 4, Resident 5, and Resident 6). This failure resulted in rushed discharges without adequate coordination of post-discharge care, placing residents at risk for rehospitalization and inadequate support. (Cross-reference: F-656, Comprehensive Care Plans)
Cottonwood Canyon Healthcare Center, El Cajon, CA
Most recent F660 citations at the harm or jeopardy level
Newest first, all 23 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| May 8, 2025 | Methodist Transitional Care Center-Desoto LLC | Desoto, TX | J | Complaint |
| March 20, 2025 | Charlotte Health & Rehabilitation Center | Charlotte, NC | G | Complaint |
| February 24, 2025 | Perry Creek Health and Rehabilitation Center | Raleigh, NC | G | Complaint |
| December 11, 2024 | The Villa at Green Lake Estates | Orchard Lake, MI | G | Complaint |
| May 23, 2024 | Corona Post Acute Center | Corona, CA | G | Complaint |
| May 17, 2024 | Lilac at Bayview, the | Saint Augustine, FL | G | Complaint |
| May 1, 2024 | Brookdale Westlake Hills | Austin, TX | J | Complaint |
| April 30, 2024 | Lampstand Nursing and Rehabilitation | Bryan, TX | J | Complaint |
| April 17, 2024 | Burbank Healthcare & Rehab | Burbank, CA | G | Complaint |
| March 28, 2024 | Pine Acres Center for Nursing and Rehabilitation | Lexington, NC | J | Complaint |
| March 23, 2024 | Village Care of King | King, NC | J | Complaint |
| March 20, 2024 | Terrell Healthcare Center | Terrell, TX | J | Complaint |
| March 9, 2024 | Aventura at Prospect | Prospect Park, PA | J | Complaint |
| January 17, 2024 | Manly Specialty Care | Manly, IA | J | Complaint |
| January 8, 2024 | Encore at Wilmington | Wilmington, DE | J | Complaint |
| November 22, 2023 | Park Bend Rehabilitation and Healthcare Center | Burleson, TX | K | Complaint |
| November 2, 2023 | Eagle Lake Nursing and Rehab Care Center | Saint Petersburg, FL | K | Complaint |
| October 19, 2023 | Avina of Fond Du Lac | Fond Du Lac, WI | J | Complaint |
| September 29, 2023 | Northgate Postacute Care | San Rafael, CA | H | Complaint |
| September 22, 2023 | Diversicare of Oak Ridge | Oak Ridge, TN | J | Complaint |
| September 15, 2023 | North Valley Nursing Center | Tujunga, CA | J | Complaint |
| April 15, 2022 | Petersburg Healthcare Center | Petersburg, VA | G | Standard |
| May 18, 2018 | Golden Modesto Care Center | Modesto, CA | G | Standard |
Most recent F660 citations
F660 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 5, 2019 15, 2020 7, 2021 19, 2022 46, 2023 143, 2024 255, 2025 85.
Common questions
- What is F660 in a nursing home inspection?
- F660 is the federal requirement to "plan the resident's discharge to meet the resident's goals and needs". CMS files it under resident assessment and care planning. A home cited under F660 did not meet that requirement at the inspection.
- How often is F660 cited?
- The CMS files as of September 1, 2026 list 575 F660 citations at 551 nursing homes, 0 of them in the 12 months to that date. 4.0% were rated as actual harm or immediate jeopardy.
- Is a F660 citation serious?
- It depends on the letter. Most F660 citations (95.7%) were rated as potential for more than minimal harm, D to F. 14 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