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F688: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason

F688 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. It sits in CMS's quality of life and care category.

3,711citations in the CMS files
3,113homes cited at least once
646in the 12 months to September 2026
2.9%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). 11.2% of F688 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)4 (0.1%)
  • Actual harm (G, H, I)105 (2.8%)
  • Potential for more than minimal harm (D, E, F)3,601 (97.0%)
  • Potential for minimal harm (A, B, C)1 (0.0%)

By letter: B 1, D 3,059, E 537, F 5, G 102, H 3, J 2, K 2.

What inspectors wrote

Three recent F688 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 6, 2026, scope and severity EBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to ensure a resident with limited mobility receives appropriate services, equipment, and assistance to maintain or improve mobility for one of 34 residents reviewed (Resident 39).

Casselman Healthcare and Rehabilitation Center, Meyersdale, PA

Inspectors wrote, August 6, 2026, scope and severity DBased on observation, resident interview, staff interviews, and record review, the facility failed to provide appropriate treatment and services to maintain and prevent further decrease in range of motion for 1 of 1 residents sampled for limited range of motion. (Resident #8)

Westwood Nursing and Rehabilitation Center, Fort Walton Beach, FL

Inspectors wrote, July 31, 2026, scope and severity DBased on observation, interview, medical record review, and facility P&P review, the facility failed to provide RNA services as ordered by the physician for one of one final sampled resident (Resident 178) reviewed for ROM. * The facility failed to provide documented evidence that the splint for Resident 178 was applied for up to three hours per day as ordered by the physician. This failure had the potential to result in the decline in Resident 178's ROM which could lead to further deterioration in the resident's physical well- being.

South Coast Post Acute, Santa Ana, CA

Most recent F688 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 16, 2026Crystal Heights Care CenterOskaloosa, IA GStandard
May 6, 2026Benson Heights Rehabilitation CenterKent, WA GStandard
March 31, 2026Middleton Oaks Health and RehabilitationWinona, MS GComplaint
March 12, 2026Kalispell Rehabilitation and Nursing LLCKalispell, MT GComplaint
March 2, 2026Pine Knoll Nursing CenterLexington, MA KStandard
February 26, 2026Charlene Manor Extended Care FacilityGreenfield, MA GStandard
February 12, 2026Irondale Post AcuteCommerce City, CO GStandard
February 11, 2026Hammond-Whiting Care CenterWhiting, IN GStandard
January 29, 2026Katherine and Charles Hover Green HousesLongmont, CO GStandard
January 28, 2026Munster Med-InnMunster, IN GStandard
January 23, 2026Jennings TerraceAurora, IL GStandard
January 20, 2026Pittsfield ManorPittsfield, IL GStandard
January 12, 2026Hutsonwood at BrazilBrazil, IN GStandard
January 9, 2026Country View NursingBowling Green, MO GStandard
January 8, 2026Avalon Villa Care CenterLos Angeles, CA GStandard
December 18, 2025Lakewood Healthcare CenterDowney, CA GStandard
December 3, 2025Galena Stauss Nursing HomeGalena, IL GStandard
November 20, 2025The Villas at the ParkSaint Louis Park, MN GStandard
October 30, 2025Majestic Mountain Care CenterOakhurst, CA GComplaint
October 1, 2025Tunica County Health & Rehab, LLCTunica, MS GStandard
September 16, 2025Belleville Healthcare and Rehabilitation CenterBelleville, KS GStandard
September 5, 2025Aspyre of BronzevilleChicago, IL GStandard
September 4, 2025Berkshire PlaceProvidence, RI HStandard
August 28, 2025Panorama Gardens Nursing and Rehabilitation CenterPanorama City, CA GStandard
August 20, 2025Alderwood Post Acute & RehabilitationLynnwood, WA GStandard
July 30, 2025West Wind VillageMorris, MN GStandard
July 21, 2025Bishop Drumm Retirement CenterJohnston, IA GStandard
May 14, 2025Seacoast Nursing and Rehabilitation CenterGloucester, MA GStandard
May 6, 2025Concordia Nursing & Rehab, LLCBella Vista, AR JStandard
April 28, 2025Taylor Springs Health CampusGahanna, OH GStandard
April 18, 2025Shoreline Healthcare CenterLong Beach, CA GStandard
March 13, 2025River Walk Care CenterPorterville, CA GComplaint
March 6, 2025Elevate Care Windsor ParkChicago, IL GStandard
March 4, 2025Gogebic Medical Care FacilityWakefield, MI GStandard
February 13, 2025University Park Healthcare CenterLos Angeles, CA GStandard
February 7, 2025Pacific Gardens Nursing and Rehabilitation CenterFresno, CA GStandard
February 7, 2025The Springs Post-AcuteNorwalk, CA GStandard
January 31, 2025Adviniacare Waterview Villas, LLCEast Providence, RI HStandard
December 9, 2024Crescent Health CareYakima, WA GStandard
November 1, 2024Arbor Hills Nursing CenterLa Mesa, CA GStandard

Most recent F688 citations

InspectionHomeTownLetter
August 6, 2026Casselman Healthcare and Rehabilitation CenterMeyersdale, PA E
August 6, 2026Westwood Nursing and Rehabilitation CenterFort Walton Beach, FL D
July 31, 2026Gardens at Orangeville, theOrangeville, PA E
July 31, 2026South Coast Post AcuteSanta Ana, CA D
July 30, 2026White Settlement Nursing CenterWhite Settlement, TX E
July 30, 2026Complete Care at Lehigh LLCMacungie, PA D
July 30, 2026Saint Anne HomeGreensburg, PA D
July 30, 2026Bloomfield Care CenterBloomfield, IA D
July 30, 2026Diablo Valley Post AcuteConcord, CA D
July 28, 2026Clyde W Cosper Texas State Veterans HomeBonham, TX E
July 27, 2026Cabarrus Health and Rehabilitation CenterConcord, NC D
July 24, 2026Eden Nursing & Rehabilitation CenterBrackenridge, PA D
July 23, 2026Carlisle Skilled Nursing and Rehabilitation CenterCarlisle, PA E
July 23, 2026Northeast Ctr for Rehabilitation and Brain InjuryLake Katrine, NY D
July 21, 2026Vancrest-Upper ValleyTroy, OH D
July 20, 2026Cabell Healthcare CenterCulloden, WV D
July 17, 2026Professional Post Acute CenterSan Rafael, CA E
July 16, 2026Kingston Health Center of PerrysburgPerrysburg, OH D
July 16, 2026Lakeshore Rehabilitation Center LLCWaseca, MN D
July 16, 2026Medilodge of WestwoodKalamazoo, MI D
July 16, 2026Harmony Village of WarrenWarren, MI D
July 16, 2026Crystal Heights Care CenterOskaloosa, IA G
July 16, 2026Accura Healthcare of Le MarsLe Mars, IA D
July 13, 2026Windsor Health and RehabilitationSalem, OR D
July 10, 2026Fir Lane CareShelton, WA E

F688 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
California513
Illinois346
Ohio264
Pennsylvania233
Florida178
Michigan163
New York151
Washington137
Missouri122
Indiana107
Texas104
Minnesota100
Wisconsin88
Kansas87
Iowa86
New Jersey83
Virginia76
Georgia74
Colorado72
Maryland70
Oregon65
Massachusetts63
North Carolina53
Connecticut51
Oklahoma44
Mississippi33
Arkansas32
Nevada28
Louisiana27
Hawaii24
Delaware22
Nebraska20
West Virginia20
South Carolina19
Utah16
Montana15
New Mexico15
Idaho14
Alabama11
Kentucky11
Arizona10
Rhode Island10
New Hampshire9
Tennessee9
District of Columbia7
South Dakota7
Wyoming7
Maine6
North Dakota5
Alaska3
Vermont1

By inspection year: 2017 1, 2018 9, 2019 103, 2020 48, 2021 151, 2022 340, 2023 654, 2024 1,075, 2025 863, 2026 467.

Common questions

What is F688 in a nursing home inspection?
F688 is the federal requirement to "provide appropriate care for a resident to maintain and/or improve range of motion (rom), limited rom and/or mobility, unless a decline is for a medical reason". CMS files it under quality of life and care. A home cited under F688 did not meet that requirement at the inspection.
How often is F688 cited?
The CMS files as of September 1, 2026 list 3,711 F688 citations at 3,113 nursing homes, 646 of them in the 12 months to that date. 2.9% were rated as actual harm or immediate jeopardy.
Is a F688 citation serious?
It depends on the letter. Most F688 citations (97.0%) were rated as potential for more than minimal harm, D to F. 4 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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