F677: Provide care and assistance to perform activities of daily living for any resident who is unable
F677 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide care and assistance to perform activities of daily living for any resident who is unable.
It sits in CMS's quality of life and care 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). 37.3% of F677 citations came from a complaint visit rather than a routine inspection.
By letter: B 6, C 1, D 7,627, E 2,414, F 13, G 72, H 10, J 2, K 1.
What inspectors wrote
Three recent F677 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 observation, interview, and document review, the facility failed to ensure routine personal hygiene care (i.e., nail care, shaving) was provided for 2 of 2 residents (R58, R5) reviewed for activities of daily living (ADLs) and were dependent on staff for their care.
St. Anthony Park Home Inc, Saint Paul, MN
Inspectors wrote, August 12, 2026, scope and severity DBased on interview, observation, and record review, the facility failed to ensure assistance with activities of daily living (ADLs) for haircuts for 1 of 3 residents, Resident #7 reviewed for ADL care.
Lake City Healthcare and Rehabilitation Center, Lake City, FL
Inspectors wrote, August 6, 2026, scope and severity DBased on review of facility policies and clinical record reviews, as well as observations and staff interviews, it was determined that the facility failed to provide dependent residents the necessary services to maintain nutritional status for one of 34 residents reviewed (Resident 51).
Casselman Healthcare and Rehabilitation Center, Meyersdale, PA
Most recent F677 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.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| July 25, 2026 | Macomb Post Acute Care Center | Macomb, IL | G | Complaint |
| June 24, 2026 | Fondulac Rehabilitation and Health Care Center | East Peoria, IL | G | Complaint |
| June 5, 2026 | Focused Care at Webster | Webster, TX | G | Complaint |
| June 5, 2026 | Woodway Nursing & Rehab | Houston, TX | G | Standard |
| May 11, 2026 | Wilmington Nursing & Rehabilitation Center | Wilmington, DE | G | Complaint |
| May 7, 2026 | Thryve of Crestwood | Crestwood, IL | G | Standard |
| April 29, 2026 | Fallbrook Rehabilitation and Care Center | Houston, TX | G | Complaint |
| April 23, 2026 | Champions Healthcare at Willowbrook | Houston, TX | G | Standard |
| April 15, 2026 | Radford Green | Lincolnshire, IL | G | Standard |
| April 10, 2026 | Aliya on 87th | Chicago, IL | G | Complaint |
| April 6, 2026 | Grenada Rehabilitation and Healthcare Center | Grenada, MS | G | Complaint |
| April 6, 2026 | Alta Rehab at Fairmont | Chicago, IL | G | Complaint |
| March 4, 2026 | Trinity Rehabilitation & Healthcare Center | Trinity, TX | G | Complaint |
| February 20, 2026 | Mountain Top Rehabilitation & Healthcare Center | Mountain Top, PA | G | Standard |
| January 30, 2026 | Alden Lakeland Rehab & HCC | Chicago, IL | G | Complaint |
| January 14, 2026 | Aliya of Highwood | Highwood, IL | G | Standard |
| December 22, 2025 | Waterview Heights Rehabilitation and Nursing Cente | Rochester, NY | G | Standard |
| December 18, 2025 | Golfcrest Nursing and Rehabilitation | Houston, TX | G | Complaint |
| December 18, 2025 | Prairie Oasis | South Holland, IL | G | Complaint |
| September 25, 2025 | The Sapphire at Maple Crest | Belvidere, IL | G | Standard |
| August 21, 2025 | Charming Lakes Rehab | Lakeland, FL | G | Standard |
| July 3, 2025 | Viridian Wellness & Rehabilitation | Arlington, TX | G | Complaint |
| June 9, 2025 | St. John's Health Care Corporation | Rochester, NY | G | Standard |
| June 5, 2025 | Paul House & Health Cr Ctr | Chicago, IL | G | Standard |
| April 29, 2025 | Nexus Pavilion at Belleville | Belleville, IL | G | Complaint |
| April 17, 2025 | Sequoia Transitional Care | Porterville, CA | G | Complaint |
| February 24, 2025 | Terra Bella Health and Wellness Suites | Houston, TX | H | Complaint |
| February 20, 2025 | Calibre Post Acute, LLC | Las Cruces, NM | G | Complaint |
| February 20, 2025 | Roswell Center for Nursing and Healing LLC | Roswell, GA | J | Complaint |
| February 11, 2025 | Wurtland Nursing and Rehabilitation | Wurtland, KY | G | Complaint |
| February 6, 2025 | Keystone Nursing Care Center Inc | Keystone, IA | G | Complaint |
| December 19, 2024 | Integrity Hc of Carbondale | Carbondale, IL | G | Complaint |
| December 12, 2024 | Stevens County Hospital Ltcu Dba Pioneer Manor | Hugoton, KS | G | Complaint |
| November 15, 2024 | Elevate Care Waukegan | Waukegan, IL | G | Complaint |
| October 31, 2024 | Quarters at Des Peres, the | Des Peres, MO | H | Complaint |
| October 25, 2024 | Grace Care Center of Henrietta | Henrietta, TX | H | Complaint |
| October 16, 2024 | Seabreeze Nursing and Rehabilitation | Texas City, TX | K | Complaint |
| October 10, 2024 | Alton Memorial Rehab & Therapy | Alton, IL | G | Standard |
| October 1, 2024 | Landmark at 95th Rehabilitation and Nursing Center | Chicago, IL | G | Complaint |
| September 18, 2024 | Quarters at Des Peres, the | Des Peres, MO | H | Complaint |
Most recent F677 citations
F677 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 |
|---|---|
| Illinois | 965 |
| Texas | 919 |
| Ohio | 909 |
| California | 746 |
| Missouri | 475 |
| Michigan | 399 |
| Indiana | 380 |
| Florida | 369 |
| New York | 350 |
| Pennsylvania | 347 |
| Washington | 281 |
| Virginia | 259 |
| Kansas | 248 |
| Louisiana | 219 |
| Massachusetts | 214 |
| Iowa | 203 |
| Maryland | 201 |
| Minnesota | 201 |
| Mississippi | 196 |
| Wisconsin | 187 |
| North Carolina | 176 |
| Arkansas | 173 |
| Georgia | 173 |
| Oklahoma | 164 |
| New Jersey | 149 |
| Colorado | 146 |
| Oregon | 136 |
| Connecticut | 113 |
| West Virginia | 105 |
| Tennessee | 76 |
| Arizona | 60 |
| South Carolina | 60 |
| Nebraska | 57 |
| New Mexico | 56 |
| Kentucky | 53 |
| Utah | 47 |
| Montana | 43 |
| Delaware | 41 |
| Alabama | 40 |
| Nevada | 38 |
| Idaho | 30 |
| Maine | 23 |
| North Dakota | 19 |
| Wyoming | 19 |
| District of Columbia | 15 |
| Rhode Island | 14 |
| Vermont | 14 |
| Hawaii | 13 |
| South Dakota | 9 |
| Alaska | 8 |
| New Hampshire | 7 |
| Puerto Rico | 1 |
By inspection year: 2018 30, 2019 216, 2020 69, 2021 283, 2022 699, 2023 1,939, 2024 2,939, 2025 2,450, 2026 1,521.
Common questions
- What is F677 in a nursing home inspection?
- F677 is the federal requirement to "provide care and assistance to perform activities of daily living for any resident who is unable". CMS files it under quality of life and care. A home cited under F677 did not meet that requirement at the inspection.
- How often is F677 cited?
- The CMS files as of September 1, 2026 list 10,146 F677 citations at 6,378 nursing homes, 2,071 of them in the 12 months to that date. 0.8% were rated as actual harm or immediate jeopardy.
- Is a F677 citation serious?
- It depends on the letter. Most F677 citations (99.1%) were rated as potential for more than minimal harm, D to F. 3 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