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F679: Provide activities to meet all resident's needs

F679 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide activities to meet all resident's needs. It sits in CMS's quality of life and care category.

2,359citations in the CMS files
2,045homes cited at least once
430in the 12 months to September 2026
0.2%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). 12.5% of F679 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)0 (0.0%)
  • Actual harm (G, H, I)5 (0.2%)
  • Potential for more than minimal harm (D, E, F)2,343 (99.3%)
  • Potential for minimal harm (A, B, C)11 (0.5%)

By letter: B 2, C 9, D 1,438, E 864, F 41, G 1, H 4.

What inspectors wrote

Three recent F679 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 activities based on the comprehensive assessment and care plan, designed to meet the interests of and support the physical, mental and psychosocial well-being of 2 of 8 (Resident #40 and Resident #56) residents who were reviewed for activities. The facility failed to consistently provide individualized activities and did not meet the needs of Resident #40 and Resident #56 on a weekly basis. This failure placed the residents at risk of becoming apathetic (marked indifference to the environment), isolated from others, having a depressed mood, boredom, loneliness, and a decreased quality of life.

Val Verde Nursing and Rehabilitation Center, Del Rio, TX

Inspectors wrote, August 5, 2026, scope and severity DBased on observation, record review and interview, the facility failed to provide an ongoing program of activities designed to meet the interests and well-being of Resident (R)11 and R67.

Shawnee Gardens Healthcare & Rehab Center, Shawnee, KS

Inspectors wrote, July 30, 2026, scope and severity EBased on observation, resident representative, and staff interviews, medical record review, and policy and procedure review, the facility failed to ensure individual activities designed to meet the interests of and support the physical, mental, and psychosocial well-being of each resident were provided for 3 of 4 sample residents (#34, #123, #178) reviewed for activity participation.

Shepherd of the Valley Rehabilitation and Wellness, Casper, WY

Most recent F679 citations at the harm or jeopardy level

Newest first, all 5 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 30, 2025Belaire Health Care CenterGastonia, NC HStandard
March 25, 2024Royal Park Rehabilitation & Health CenterMatthews, NC HComplaint
March 13, 2024University Place Nursing and Rehabilitation CenterCharlotte, NC HComplaint
February 6, 2024Mission Point Nursing & Physical Rehabilitation CeGreenville, MI HComplaint
August 16, 2023Sandy Health and RehabSandy, UT GStandard

Most recent F679 citations

InspectionHomeTownLetter
August 12, 2026Beaumont Nursing and RehabilitationBeaumont, TX D
August 12, 2026Val Verde Nursing and Rehabilitation CenterDel Rio, TX D
August 5, 2026Shawnee Gardens Healthcare & Rehab CenterShawnee, KS D
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY E
July 29, 2026Morgantown Healthcare CenterMorgantown, WV D
July 28, 2026Arma Operator, LLCArma, KS D
July 24, 2026Eastwood ManorCommerce, OK D
July 23, 2026Almond View Care CenterWilliams, CA D
July 23, 2026Nora Springs Care CenterNora Springs, IA D
July 16, 2026Peak Resources-CherryvilleCherryville, NC E
July 16, 2026Crystal Heights Care CenterOskaloosa, IA D
July 15, 2026Bear Mountain Health and RehabilitationAsheville, NC E
July 14, 2026Complete Care at HagerstownHagerstown, MD D
July 14, 2026McPherson Operator, LLCMcPherson, KS D
July 13, 2026Windsor Health and RehabilitationSalem, OR E
July 13, 2026Rolling Hills Rehab and Care CtrBridgeport, OH D
July 10, 2026Secora Rehabilitation of CascadiaPortland, OR D
July 9, 2026Providence Health & Rehab CenterBeaver Falls, PA D
July 9, 2026Avamere at Three FountainsMedford, OR D
July 9, 2026Picayune Rehabilitation and Healthcare CenterPicayune, MS D
July 8, 2026Avir at ChildressChildress, TX E
July 8, 2026Wickliffe Country PlaceWickliffe, OH D
July 1, 2026Longmeadow Healthcare CenterJustin, TX E
July 1, 2026Laconia Rehabilitation CenterLaconia, NH D
June 30, 2026Windsor Nursing and Rehabilitation Center of BastrBastrop, TX D

F679 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 12, 2019 89, 2020 33, 2021 111, 2022 203, 2023 441, 2024 615, 2025 543, 2026 312.

Common questions

What is F679 in a nursing home inspection?
F679 is the federal requirement to "provide activities to meet all resident's needs". CMS files it under quality of life and care. A home cited under F679 did not meet that requirement at the inspection.
How often is F679 cited?
The CMS files as of September 1, 2026 list 2,359 F679 citations at 2,045 nursing homes, 430 of them in the 12 months to that date. 0.2% were rated as actual harm or immediate jeopardy.
Is a F679 citation serious?
It depends on the letter. Most F679 citations (99.3%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy 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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