F698: Provide safe, appropriate dialysis care/services for a resident who requires such services
F698 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide safe, appropriate dialysis care/services for a resident who requires such services.
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). 11.7% of F698 citations came from a complaint visit rather than a routine inspection.
By letter: B 3, C 2, D 2,768, E 527, F 5, G 32, H 1, J 19, K 3.
What inspectors wrote
Three recent F698 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 interview and record review the facility failed to complete dialysis communication sheet for 1 (Resident #6) of 2 residents reviewed for dialysis.
Lake City Healthcare and Rehabilitation Center, Lake City, FL
Inspectors wrote, August 5, 2026, scope and severity DBased on observation, record review, and interviews, the facility failed to complete and document a post hemodialysis (a procedure where impurities or wastes are removed from the blood) assessment for Resident (R) 5.
North Point Skilled Nursing Center, Paola, KS
Inspectors wrote, July 30, 2026, scope and severity DBased on medical record review, observation, interview, review of dialysis transfer agreement, and facility policy review, the facility failed to ensure residents were transported to dialysis treatments. This affected one resident (Resident #106) of one resident reviewed for dialysis services. The facility census was 95.
Avenue at Brooklyn, Brooklyn, OH
Most recent F698 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 |
|---|---|---|---|---|
| June 18, 2026 | Winston County Nursing Home | Louisville, MS | G | Standard |
| June 3, 2026 | Warren Barr North Shore | Highland Park, IL | G | Standard |
| June 3, 2026 | La Bella of Danville | Danville, IL | G | Standard |
| April 27, 2026 | Park River Healthcare and Rehabilitation Center Ll | Coon Rapids, MN | J | Standard |
| April 16, 2026 | Evergreen Nursing & Rehab Center | Effingham, IL | G | Complaint |
| March 12, 2026 | Oxford Health & Rehab Center | Oxford, MS | G | Standard |
| February 7, 2026 | Ignite Medical Resort Fort Worth, LLC | Fort Worth, TX | G | Complaint |
| December 26, 2025 | Astoria Healthcare Center | Sylmar, CA | G | Complaint |
| December 8, 2025 | Dept of State Hospitals - Metropolitan SNF | Norwalk, CA | J | Standard |
| December 3, 2025 | Alderwood Post Acute & Rehabilitation | Lynnwood, WA | G | Complaint |
| November 21, 2025 | Aliya of Oak Lawn | Oak Lawn, IL | G | Complaint |
| November 14, 2025 | Orchards of Cascadia, the | Nampa, ID | J | Complaint |
| October 30, 2025 | Evercare at Edwardsville | Edwardsville, IL | J | Complaint |
| October 27, 2025 | Afton Oaks Nursing and Rehabilitation Center | Houston, TX | K | Complaint |
| September 26, 2025 | Alpine Care of St. Charles LLC | Saint Charles, IL | G | Standard |
| September 11, 2025 | Advanced Rehabilitation & Healthcare of Burleson | Burleson, TX | J | Standard |
| September 11, 2025 | Accel at Longmont Health and Rehab, LLC | Longmont, CO | G | Standard |
| July 26, 2025 | California Post Acute | Los Angeles, CA | J | Standard |
| June 9, 2025 | Nurse Care of Buckhead | Atlanta, GA | J | Complaint |
| June 2, 2025 | Axiom Healthcare of West Frankfort | West Frankfort, IL | G | Complaint |
| March 25, 2025 | Axiom Healthcare of Mount Vernon | Mount Vernon, IL | J | Complaint |
| February 7, 2025 | Horsham Center for Jewish Life | North Wales, PA | G | Complaint |
| February 3, 2025 | Complete Care at Kimberly Hall-South | Windsor, CT | J | Complaint |
| January 31, 2025 | Thryve of Crestwood | Crestwood, IL | J | Complaint |
| December 6, 2024 | Accolade Healthcare of Savoy | Savoy, IL | G | Standard |
| November 1, 2024 | Aviata at Saint Lucie | Fort Pierce, FL | J | Complaint |
| October 31, 2024 | Villages of Jackson Creek | Independence, MO | J | Complaint |
| September 30, 2024 | The Laurels of Gahanna | Columbus, OH | G | Complaint |
| September 14, 2024 | Pleasant Valley Healthcare and Rehabilitation Cent | Garland, TX | J | Complaint |
| August 28, 2024 | Arcadia Care Watseka | Watseka, IL | G | Complaint |
| August 23, 2024 | Majestic Care of South Bend | South Bend, IN | K | Complaint |
| July 26, 2024 | Shenandoah Center | Charles Town, WV | K | Standard |
| July 19, 2024 | Emerald Care Center Tulsa | Tulsa, OK | G | Complaint |
| May 29, 2024 | Paradigm at Katy | Katy, TX | J | Complaint |
| May 10, 2024 | Metropolis Rehab & HCC | Metropolis, IL | G | Complaint |
| May 3, 2024 | Avantara Chicago Ridge | Chicago Ridge, IL | G | Complaint |
| April 29, 2024 | Majestic Care of Middletown LLC | Middletown, OH | J | Complaint |
| February 23, 2024 | Aperion Care International | Chicago, IL | G | Complaint |
| February 17, 2024 | Avir at Orem | Houston, TX | J | Standard |
| January 31, 2024 | Shenandoah Valley Health and Rehab | Buena Vista, VA | G | Complaint |
Most recent F698 citations
F698 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 |
|---|---|
| California | 518 |
| Ohio | 282 |
| Pennsylvania | 226 |
| Missouri | 192 |
| Florida | 147 |
| Massachusetts | 139 |
| New Jersey | 133 |
| Virginia | 129 |
| Texas | 122 |
| Indiana | 107 |
| Illinois | 93 |
| New York | 93 |
| Washington | 89 |
| Kansas | 88 |
| Michigan | 80 |
| Wisconsin | 73 |
| Oklahoma | 71 |
| Minnesota | 65 |
| Connecticut | 62 |
| Iowa | 60 |
| Louisiana | 53 |
| Oregon | 49 |
| Georgia | 48 |
| North Carolina | 42 |
| West Virginia | 41 |
| Colorado | 34 |
| Maryland | 34 |
| Tennessee | 31 |
| Nevada | 27 |
| Nebraska | 25 |
| Rhode Island | 25 |
| New Mexico | 22 |
| Kentucky | 21 |
| South Carolina | 18 |
| Arizona | 16 |
| Mississippi | 14 |
| Utah | 10 |
| Idaho | 9 |
| District of Columbia | 8 |
| Hawaii | 8 |
| Alabama | 7 |
| Delaware | 7 |
| Maine | 7 |
| Montana | 6 |
| North Dakota | 6 |
| South Dakota | 5 |
| Arkansas | 4 |
| New Hampshire | 4 |
| Alaska | 3 |
| Vermont | 3 |
| Wyoming | 2 |
| Guam | 1 |
| Puerto Rico | 1 |
By inspection year: 2018 17, 2019 101, 2020 40, 2021 122, 2022 287, 2023 583, 2024 921, 2025 810, 2026 479.
Common questions
- What is F698 in a nursing home inspection?
- F698 is the federal requirement to "provide safe, appropriate dialysis care/services for a resident who requires such services". CMS files it under quality of life and care. A home cited under F698 did not meet that requirement at the inspection.
- How often is F698 cited?
- The CMS files as of September 1, 2026 list 3,360 F698 citations at 2,797 nursing homes, 649 of them in the 12 months to that date. 1.6% were rated as actual harm or immediate jeopardy.
- Is a F698 citation serious?
- It depends on the letter. Most F698 citations (98.2%) were rated as potential for more than minimal harm, D to F. 22 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