F700: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail
F700 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
It sits in CMS's quality of life and care category.
1,661citations in the CMS files
1,490homes cited at least once
279in the 12 months to September 2026
2.6%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). 12.3% of F700 citations came from a complaint visit rather than a routine inspection.
By letter: C 1, D 1,021, E 563, F 32, G 6, J 14, K 21, L 3.
What inspectors wrote
Three recent F700 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 EBased on review of facility policy, clinical record review, observations, and staff interview, it was determined that the facility failed to maintain accurate resident care plans and conduct ongoing accurate assessments to ensure that bedrails were used to meet residents' needs and the risks associated with bedrail usage for three of five residents (Residents R2, R14, and R160).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, July 22, 2026, scope and severity EBased on interview, observation, and record review, the facility failed to obtain informed consent from the residents or the resident's legal representative for installation of bedrails for Resident (R) 10, R14, R1 and R39.
Medicalodges Eudora, Eudora, KS
Inspectors wrote, July 16, 2026, scope and severity DBased on observations, staff interviews, record review, and review of the facility policy titled, Proper Use of Bed Rails, the facility failed to ensure assessments included attempted alternatives with documented failures to bed/side rail or assist rail usage prior to the installation and use of rails for one of one resident (R) (R5) reviewed for bed/side rails out of a total sample of 44 residents. This failure had the potential to increase the risk of resident accidental entrapment or injury.
Buckhead Center for Nursing & Healing, Atlanta, GA
Most recent F700 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 26, 2026 | Pleasant Meadows Senior Living | Chrisman, IL | J | Complaint |
| June 25, 2026 | Mount St. Rita Health Centre | Cumberland, RI | G | Complaint |
| June 17, 2026 | Aventura at West Park | Cincinnati, OH | J | Complaint |
| May 19, 2026 | The Grand Rehabilitation and Nursing at Barnwell | Valatie, NY | L | Standard |
| April 13, 2026 | The Wybe and Marietje Kroontje Health Care Center | Blacksburg, VA | K | Standard |
| March 31, 2026 | Brodie Ranch Nursing and Rehabilitation Center | Austin, TX | J | Complaint |
| December 22, 2025 | St. Dominic Villa | Hazel Green, WI | J | Standard |
| December 4, 2025 | Park Terrace Rehabilitation Center | Toledo, OH | G | Complaint |
| September 17, 2025 | Copperfield Healthcare and Rehabilitation | Houston, TX | K | Standard |
| September 5, 2025 | Bellhaven Center for Rehab and Nursing Care | Brookhaven, NY | K | Complaint |
| September 5, 2025 | Neighborhoods Rehabilitation and Skilled Nursing B | Columbia, MO | J | Complaint |
| June 10, 2025 | Ottawa Co Riverview Nursing Ho | Oak Harbor, OH | J | Complaint |
| May 27, 2025 | Axiom Healthcare of Flora | Flora, IL | G | Complaint |
| May 6, 2025 | Concordia Nursing & Rehab, LLC | Bella Vista, AR | K | Standard |
| April 25, 2025 | Focused Care at Orange | Orange, TX | K | Standard |
| April 24, 2025 | Good Samaritan Society Sioux Falls Village | Sioux Falls, SD | J | Standard |
| April 17, 2025 | St. Williams Living Center | Parkers Prairie, MN | J | Complaint |
| April 9, 2025 | High View Rehabilitation and Living Center | Madawaska, ME | K | Standard |
| March 25, 2025 | Madison Health and Rehabilitation Center | Madison, WI | K | Complaint |
| March 25, 2025 | Axiom Healthcare of Mount Vernon | Mount Vernon, IL | K | Complaint |
| March 13, 2025 | Prairie Maison | Prairie Du Chien, WI | K | Complaint |
| March 3, 2025 | Carlyle House | Framingham, MA | J | Complaint |
| February 6, 2025 | Dawson Health and Rehabilitation | Dawson, GA | L | Complaint |
| January 31, 2025 | Complete Care at Jefferson Meadows LLC | Baraboo, WI | K | Complaint |
| December 4, 2024 | Groton Community Health Care Ctr Res Care Fac | Groton, NY | K | Standard |
| December 4, 2024 | Brooking Park | Chesterfield, MO | J | Complaint |
| November 4, 2024 | Soldiers and Sailors Memorial Hospital Extended Ca | Penn Yan, NY | K | Standard |
| September 30, 2024 | Elizabeth Church Manor Nursing Home | Binghamton, NY | L | Complaint |
| September 19, 2024 | The Greens at Lincolnton | Lincolnton, NC | G | Complaint |
| August 8, 2024 | River Oaks Retirement Manor | Lafayette, LA | K | Complaint |
| June 27, 2024 | Newaldaya Lifescapes | Cedar Falls, IA | K | Complaint |
| May 23, 2024 | Taylorville Care Center | Taylorville, IL | J | Complaint |
| May 3, 2024 | Carolina Rehab Center of Cumberland | Fayetteville, NC | G | Complaint |
| January 25, 2024 | Webster Health Services Nursing Facilty | Eupora, MS | G | Standard |
| January 19, 2024 | Watertown Health Care Center | Watertown, WI | K | Complaint |
| January 17, 2024 | Valley Hill Health & Rehab Center | Hendersonville, NC | J | Complaint |
| January 5, 2024 | Sandpiper Post Acute | Mount Pleasant, SC | J | Complaint |
| November 5, 2023 | Trinity Rehabilitation & Healthcare Center | Trinity, TX | K | Complaint |
| October 3, 2023 | Focused Care of Center | Center, TX | J | Complaint |
| October 3, 2023 | The McKendree Post Acute & Rehabilitation | Hermitage, TN | K | Complaint |
Most recent F700 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| August 7, 2026 | Providence Health & Rehab Center | Beaver Falls, PA | E |
| July 31, 2026 | Sunnyview Nursing and Rehabilitation Center | Butler, PA | D |
| July 24, 2026 | Sweden Valley Manor | Coudersport, PA | D |
| July 24, 2026 | Alhambra Healthcare & Wellness Centre, LP | Alhambra, CA | E |
| July 22, 2026 | Medicalodges Eudora | Eudora, KS | E |
| July 17, 2026 | The Gardens Healthcare Center | Northridge, CA | E |
| July 17, 2026 | Motion Picture and T.v. Hosp D/P SNF | Woodland Hills, CA | D |
| July 16, 2026 | Buckhead Center for Nursing & Healing | Atlanta, GA | D |
| July 10, 2026 | Bedford Wellness & Rehabilitation | Bedford, TX | E |
| July 9, 2026 | Good Shepherd Lutheran Home | Sauk Rapids, MN | D |
| July 8, 2026 | Berkeley Springs Healthcare Center | Berkeley Springs, WV | D |
| July 2, 2026 | El Encanto Healthcare Center | City of Industry, CA | E |
| July 2, 2026 | Adviniacare Summit Commons, LLC | Providence, RI | F |
| July 2, 2026 | Sherman Oaks Health & Rehab | Sherman Oaks, CA | D |
| July 1, 2026 | Wyoming Retirement Center | Basin, WY | E |
| June 30, 2026 | Avina on 32nd | Kenosha, WI | D |
| June 26, 2026 | Laurelhurst Post Acute & Rehabilitation | Portland, OR | D |
| June 26, 2026 | Pleasant Meadows Senior Living | Chrisman, IL | J |
| June 25, 2026 | Mount St. Rita Health Centre | Cumberland, RI | G |
| June 25, 2026 | The Meadows at Osborn Park | Huron, OH | D |
| June 18, 2026 | Windflower Health Center | Amarillo, TX | D |
| June 18, 2026 | Gallatin Rest Home | Bozeman, MT | D |
| June 18, 2026 | Scenic Wellness and Rehabilitation Center | Herculaneum, MO | D |
| June 18, 2026 | San Gabriel Conv Center | Rosemead, CA | D |
| June 17, 2026 | Aventura at West Park | Cincinnati, OH | J |
F700 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 6, 2019 32, 2020 24, 2021 53, 2022 131, 2023 281, 2024 519, 2025 422, 2026 193.
Common questions
- What is F700 in a nursing home inspection?
- F700 is the federal requirement to "try different approaches before using a bed rail. if a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) correctly install and maintain the bed rail". CMS files it under quality of life and care. A home cited under F700 did not meet that requirement at the inspection.
- How often is F700 cited?
- The CMS files as of September 1, 2026 list 1,661 F700 citations at 1,490 nursing homes, 279 of them in the 12 months to that date. 2.6% were rated as actual harm or immediate jeopardy.
- Is a F700 citation serious?
- It depends on the letter. Most F700 citations (97.3%) were rated as potential for more than minimal harm, D to F. 38 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