Find a nursing home

Home / F-tags / F697

F697: Provide safe, appropriate pain management for a resident who requires such services

F697 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide safe, appropriate pain management for a resident who requires such services. It sits in CMS's quality of life and care category.

3,125citations in the CMS files
2,609homes cited at least once
675in the 12 months to September 2026
21.3%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). 36.5% of F697 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)66 (2.1%)
  • Actual harm (G, H, I)600 (19.2%)
  • Potential for more than minimal harm (D, E, F)2,459 (78.7%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 2,138, E 321, G 583, H 17, J 37, K 29.

What inspectors wrote

Three recent F697 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity DBased on observation, interview, and record review it was determined the facility failed to ensure residents received appropriate pain management for 1 of 3 sampled residents (#23) reviewed for pain. This placed residents at risk for uncontrolled pain.

Belmont Care and Rehabilitation, Portland, OR

Inspectors wrote, July 30, 2026, scope and severity DBased on observation, interview, and document review, the facility failed to ensure pain medication was administered timely for 1 of 1 resident (R12) reviewed for pain management.

Martin Luther Care Center, Bloomington, MN

Inspectors wrote, July 30, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to ensure one of 24 sampled residents (Resident 13's) pain was managed when the scheduled pain medications were not administered as ordered. This failure resulted in Resident 13 experiencing unmanaged pain.

River Bend Nursing Center, West Sacramento, CA

Most recent F697 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 31, 2026The Haven of TuscolaTuscola, IL GComplaint
July 20, 2026Bel-Air Manor Nursing & Rehabilitation CenterNewington, CT GComplaint
July 14, 2026Complete Care at Harrington CourtColchester, CT GComplaint
July 12, 2026Pearl of Montclare, theChicago, IL GComplaint
July 10, 2026Metropolis Rehab & HCCMetropolis, IL GComplaint
July 9, 2026Cisne Rehabilitation and Health Care CenterCisne, IL GComplaint
June 29, 2026Libby Care CenterLibby, MT GStandard
June 24, 2026Fondulac Rehabilitation and Health Care CenterEast Peoria, IL GComplaint
June 21, 2026Nexus at AltonAlton, IL GComplaint
June 11, 2026Nexus Pavilion at BellevilleBelleville, IL GComplaint
June 4, 2026Bel Air at TeravistaRound Rock, TX GStandard
June 3, 2026Pine Acres Rehabilitation and Care CenterWest Des Moines, IA JComplaint
May 29, 2026Nexus at PalosPalos Hills, IL GComplaint
May 26, 2026Metropolis Rehab & HCCMetropolis, IL GComplaint
May 23, 2026Terra Bella Health and Wellness SuitesHouston, TX HComplaint
May 20, 2026Marcella Post AcuteHampton, VA GComplaint
May 20, 2026Ignite Medical Resort St. PetersSaint Peters, MO GComplaint
May 20, 2026St. Francisville Nursing and Rehab, LLCSaint Francisville, LA GStandard
May 19, 2026Colonial Health & Rehab Center of Plainfield, LLCPlainfield, CT GComplaint
May 18, 2026Cisne Rehabilitation and Health Care CenterCisne, IL GComplaint
May 15, 2026Kings Daughters Community Health & RehabStaunton, VA HComplaint
May 15, 2026Harmony Suites Rehabilitation and Wellness CenterSilver Spring, MD GStandard
May 12, 2026Regency Care CenterNorwalk, IA GComplaint
May 11, 2026Onyx Care of JenaJena, LA GComplaint
May 8, 2026Holiday Operator, LLC Dba Holiday Rehabilitation aManville, RI GComplaint
May 8, 2026Generations at ApplewoodMatteson, IL GComplaint
May 7, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA GComplaint
May 6, 2026Frederick Villa HealthcareCatonsville, MD GComplaint
May 5, 2026Rehabilitation Center of AllisonAllison, IA GComplaint
April 30, 2026Fountain Circle Care & Rehabilitation CenterWinchester, KY GStandard
April 30, 2026Cisne Rehabilitation and Health Care CenterCisne, IL GComplaint
April 28, 2026Memorial City Nursing and Rehabilitation CenterHouston, TX GStandard
April 27, 2026Crestwood Rehabilitation and NursingOgden, UT GStandard
April 24, 2026Hillside Health Care CenterSaint Louis, MO GStandard
April 23, 2026Stonebridge Health RehabAustin, TX GStandard
April 23, 2026Diversicare of SouthavenSouthaven, MS GStandard
April 18, 2026Avir at Veterans MemorialHouston, TX JComplaint
April 17, 2026Country Club Center IDover, OH GStandard
April 16, 2026The Haven on the RiverGrayville, IL GComplaint
April 10, 2026Sherbrooke VillageSaint Louis, MO GComplaint

Most recent F697 citations

InspectionHomeTownLetter
August 7, 2026Belmont Care and RehabilitationPortland, OR D
July 31, 2026The Haven of TuscolaTuscola, IL G
July 31, 2026South Coast Post AcuteSanta Ana, CA E
July 30, 2026Martin Luther Care CenterBloomington, MN D
July 30, 2026River Bend Nursing CenterWest Sacramento, CA D
July 29, 2026Mid-Town Oaks Post-AcuteSacramento, CA E
July 28, 2026New Dawn Rehabilitation and Healthcare CenterDover, OH D
July 28, 2026Carecore at GaymontNorwalk, OH D
July 28, 2026Ignite Medical Resort ChestertonChesterton, IN D
July 24, 2026Resorts of AugsburgBaltimore, MD D
July 23, 2026Carlisle Skilled Nursing and Rehabilitation CenterCarlisle, PA D
July 23, 2026Pine View Healthcare and Rehabilitation CenterBroomall, PA D
July 23, 2026Burbank Healthcare & RehabBurbank, CA D
July 22, 2026The Atrium of BellmeadBellmead, TX E
July 21, 2026River City Post AcuteCarmichael, CA D
July 20, 2026Bel-Air Manor Nursing & Rehabilitation CenterNewington, CT G
July 18, 2026John J Kane Regional Center-RoPittsburgh, PA D
July 17, 2026Keystone Post-AcuteFresno, CA D
July 16, 2026Prestige Care Center of Nebraska CityNebraska City, NE D
July 15, 2026Aperion Care Arbors Michigan CityMichigan City, IN D
July 15, 2026Anaheim Terrace Care CenterAnaheim, CA E
July 15, 2026Pacific Haven Subacute and Healthcare CenterGarden Grove, CA D
July 14, 2026Park Regency Care CenterLa Habra, CA D
July 14, 2026Rydal Park of Philadelphia Presbytery Homes, IncRydal, PA D
July 14, 2026Layhill Nursing and Rehabilitation CenterSilver Spring, MD D

F697 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
California579
Illinois272
Ohio248
Pennsylvania162
Maryland146
Virginia119
Missouri112
Indiana111
Texas108
Florida92
Michigan72
Washington67
Colorado65
Wisconsin61
New York60
Connecticut54
New Jersey51
Minnesota50
Kansas43
West Virginia43
Louisiana42
North Carolina42
Massachusetts40
Oregon37
Nevada36
Iowa35
Utah34
Georgia32
Oklahoma30
Mississippi29
Kentucky26
New Mexico26
Arizona25
Nebraska22
Hawaii18
Tennessee15
Delaware14
Idaho14
Montana14
Rhode Island12
District of Columbia10
South Dakota10
Vermont10
Alabama8
South Carolina8
Arkansas6
North Dakota6
Maine4
Wyoming3
Alaska1
New Hampshire1

By inspection year: 2018 24, 2019 93, 2020 23, 2021 91, 2022 174, 2023 492, 2024 889, 2025 844, 2026 495.

Common questions

What is F697 in a nursing home inspection?
F697 is the federal requirement to "provide safe, appropriate pain management for a resident who requires such services". CMS files it under quality of life and care. A home cited under F697 did not meet that requirement at the inspection.
How often is F697 cited?
The CMS files as of September 1, 2026 list 3,125 F697 citations at 2,609 nursing homes, 675 of them in the 12 months to that date. 21.3% were rated as actual harm or immediate jeopardy.
Is a F697 citation serious?
It depends on the letter. Most F697 citations (78.7%) were rated as potential for more than minimal harm, D to F. 66 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

Find a nursing home Read an inspection