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F689: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents

F689 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. It sits in CMS's quality of life and care category.

21,343citations in the CMS files
10,076homes cited at least once
5,245in the 12 months to September 2026
32.5%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). 55.4% of F689 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)2,634 (12.3%)
  • Actual harm (G, H, I)4,293 (20.1%)
  • Potential for more than minimal harm (D, E, F)14,405 (67.5%)
  • Potential for minimal harm (A, B, C)11 (0.1%)

By letter: B 9, C 2, D 11,637, E 2,730, F 38, G 4,247, H 46, J 2,213, K 344, L 77.

What inspectors wrote

Three recent F689 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 the resident's fall interventions were in place for 1 of 1 (R9) residents reviewed for falls.

Good Samaritan Society - Maplewood, Saint Paul, MN

Inspectors wrote, August 13, 2026, scope and severity DBased on observation, interview, record review and facility policy review, the facility failed to ensure adequate assessment and implementation of smoking safety interventions to reduce the risk of accidents and injury associated with smoking for 4 of 4 sampled residents for smoking safety. (Residents #12, #85, #52 and #11)

Shores Nursing and Rehab Center, Port Saint Joe, FL

Inspectors wrote, August 12, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to ensure the residents' environment remains as free of accident hazards as possible for 1 of 10 residents (Resident #5) reviewed for safe transfers. The facility failed to ensure CNA C used a mechanical lift to transfer Resident #5 on 8/11/2026. This failure could place residents at risk of falls or injuries.

Focused Care of Center, Center, TX

Most recent F689 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
August 6, 2026Asbury Health CenterPittsburgh, PA JStandard
July 31, 2026Avir at CaldwellCaldwell, TX KComplaint
July 31, 2026Montgomery PlaceChicago, IL GComplaint
July 30, 2026Firesteel Healthcare CenterMitchell, SD GComplaint
July 30, 2026Avenue at BrooklynBrooklyn, OH GComplaint
July 30, 2026Wilson Pines Nursing and Rehabilitation CenterWilson, NC GComplaint
July 30, 2026Quitman County Health & Rehab LLCMarks, MS GComplaint
July 30, 2026Andrew ResidenceMinneapolis, MN JComplaint
July 30, 2026Kittson HealthcareHallock, MN GStandard
July 30, 2026Mission Point Nursing & Physical Rehabilitation CeCedar Springs, MI GComplaint
July 30, 2026Center Home Hispanic ElderlyChicago, IL GComplaint
July 30, 2026Knox County Nursing HomeKnoxville, IL GComplaint
July 30, 2026Elevate Care Chicago NorthChicago, IL GComplaint
July 30, 2026Timbercreek Rehab and Health Care CenterPekin, IL GComplaint
July 30, 2026Colquitt Regional Senior Care & RehabilitationMoultrie, GA GComplaint
July 30, 2026Timberlane Health & RehabilitationEl Dorado, AR JComplaint
July 29, 2026Oak Park Place of JanesvilleJanesville, WI GComplaint
July 29, 2026Little Chute Health ServicesLittle Chute, WI GComplaint
July 29, 2026Morgantown Healthcare CenterMorgantown, WV GComplaint
July 29, 2026Continuing Healthcare of ToledoToledo, OH JComplaint
July 29, 2026Piatt County Nursing HomeMonticello, IL GComplaint
July 29, 2026La Bella of EdwardsvilleEdwardsville, IL JComplaint
July 28, 2026Future Care HomewoodBaltimore, MD GComplaint
July 28, 2026Christian City Rehabilitation CenterUnion City, GA JComplaint
July 28, 2026Poudre Canyon Rehabilitation and Nursing, LLCFort Collins, CO GComplaint
July 27, 2026Geneva Lake ManorLake Geneva, WI JComplaint
July 27, 2026Fairview ManorFairview, PA JComplaint
July 27, 2026The RiversideNew York, NY GComplaint
July 27, 2026Intermountain Health Holy Rosary HospitalMiles City, MT GComplaint
July 27, 2026Southfield Wellness CommunityWebster City, IA JComplaint
July 27, 2026Arcadia Care on the HillSpringfield, IL GComplaint
July 27, 2026Arden Care CenterHamden, CT JComplaint
July 26, 2026Pearl of Elk Grove, theElk Grove Village, IL GComplaint
July 25, 2026Pearl of Orchard ValleyAurora, IL GComplaint
July 24, 2026Buena Vida Nursing and Rehab-San AntonioSan Antonio, TX GComplaint
July 24, 2026Yorkview Nursing and RehabilitationYork, PA GComplaint
July 24, 2026McLoud Nursing CenterMcLoud, OK GComplaint
July 24, 2026Brown Memorial Home IncCircleville, OH GComplaint
July 24, 2026Heritage Living CenterConway, AR GComplaint
July 23, 2026Azle Manor Health Care, L.l.l.p.Azle, TX JComplaint

Most recent F689 citations

InspectionHomeTownLetter
August 13, 2026Good Samaritan Society - MaplewoodSaint Paul, MN D
August 13, 2026Suwannee Valley Nursing CenterJasper, FL D
August 13, 2026Shores Nursing and Rehab CenterPort Saint Joe, FL D
August 12, 2026Focused Care of CenterCenter, TX D
August 6, 2026Good Samaritan Society CantonCanton, SD E
August 6, 2026Asbury Health CenterPittsburgh, PA J
August 5, 2026Shawnee Gardens Healthcare & Rehab CenterShawnee, KS E
August 5, 2026Edwardsville Care and RehabEdwardsville, KS D
August 5, 2026Mini-Cassia Care CenterBurley, ID D
July 31, 2026Avir at CaldwellCaldwell, TX K
July 31, 2026Richardson Nursing and RehabilitationRichardson, TX D
July 31, 2026Gridley Post AcuteGridley, CA D
July 31, 2026Kei-Ai South Bay Healthcare CenterGardena, CA D
July 31, 2026Ohio Living Quaker HeightsWaynesville, OH D
July 31, 2026Holliswood Center for Rehabilitation and HealthcarHollis, NY D
July 31, 2026Heritage ManorChisholm, MN D
July 31, 2026Montgomery PlaceChicago, IL G
July 31, 2026The Californian Pasadena HealthcarePasadena, CA D
July 30, 2026Spring Creek Healthcare CenterSalt Lake City, UT D
July 30, 2026Park View Care CenterFort Worth, TX D
July 30, 2026White Settlement Nursing CenterWhite Settlement, TX E
July 30, 2026Firesteel Healthcare CenterMitchell, SD G
July 30, 2026Complete Care at Lehigh LLCMacungie, PA D
July 30, 2026Saint Anne HomeGreensburg, PA D
July 30, 2026Rivercrest Post AcuteOregon City, OR D

F689 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
California2,603
Illinois2,349
Texas1,679
Ohio1,481
Pennsylvania998
Michigan828
Missouri798
Wisconsin620
Indiana606
Kansas597
New York597
Iowa526
Florida512
Minnesota507
Connecticut430
Washington381
North Carolina355
Massachusetts347
Colorado345
Virginia339
Maryland306
Oklahoma289
Georgia258
Arkansas257
New Jersey247
Tennessee246
Louisiana235
Oregon229
West Virginia204
Nebraska203
Mississippi183
Kentucky173
Arizona164
Utah152
South Carolina146
South Dakota144
North Dakota115
New Mexico105
Maine102
Rhode Island94
Montana92
Nevada73
Hawaii70
Delaware66
Idaho64
Alabama57
Vermont52
District of Columbia39
Wyoming36
New Hampshire23
Alaska21

By inspection year: 2018 56, 2019 397, 2020 149, 2021 414, 2022 936, 2023 3,251, 2024 6,535, 2025 5,990, 2026 3,615.

Common questions

What is F689 in a nursing home inspection?
F689 is the federal requirement to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents". CMS files it under quality of life and care. A home cited under F689 did not meet that requirement at the inspection.
How often is F689 cited?
The CMS files as of September 1, 2026 list 21,343 F689 citations at 10,076 nursing homes, 5,245 of them in the 12 months to that date. 32.5% were rated as actual harm or immediate jeopardy.
Is a F689 citation serious?
It depends on the letter. Most F689 citations (67.5%) were rated as potential for more than minimal harm, D to F. 2,634 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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