F714: Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist
F714 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.
It sits in CMS's nursing and physician services 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). 66.7% of F714 citations came from a complaint visit rather than a routine inspection.
By letter: C 1, D 1, E 1, J 3.
What inspectors wrote
Three recent F714 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, April 9, 2025, scope and severity EBased on record review and interview, the facility failed to provide evidence that the physician did not delegate tasks to non-physician providers that were specified to be completed by the physician personally. This affected four residents (#3, #94, #145, and #146) of four reviewed for new admissions. The facility census was 40.
Circle of Care, Salem, OH
Inspectors wrote, December 11, 2019, scope and severity DBased on medical record review and interview, it was determined the Certified Registered Nurse Practitioner (CRNP) failed to ensure the criteria of a resident's advance directive was met prior to changing the code status of Resident #131. This was evident 1 of 5 residents selected for review of advance directives and 1 of 63 residents selected for review during the annual survey process.
Autumn Lake Healthcare at Glen Burnie, Glen Burnie, MD
Most recent F714 citations at the harm or jeopardy level
Newest first, all 3 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| February 18, 2025 | Brunswick Health & Rehab Center | Ash, NC | J | Complaint |
| January 13, 2025 | Valley Nursing and Rehabilitation Center | Taylorsville, NC | J | Complaint |
| January 9, 2025 | Blumenthal Health and Rehabilitation Center | Greensboro, NC | J | Complaint |
Most recent F714 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| April 9, 2025 | Circle of Care | Salem, OH | E |
| February 18, 2025 | Brunswick Health & Rehab Center | Ash, NC | J |
| January 13, 2025 | Valley Nursing and Rehabilitation Center | Taylorsville, NC | J |
| January 9, 2025 | Blumenthal Health and Rehabilitation Center | Greensboro, NC | J |
| September 6, 2024 | Bywood East Health Care | Minneapolis, MN | C |
| December 11, 2019 | Autumn Lake Healthcare at Glen Burnie | Glen Burnie, MD | D |
F714 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 |
|---|---|
| North Carolina | 3 |
| Maryland | 1 |
| Minnesota | 1 |
| Ohio | 1 |
By inspection year: 2019 1, 2024 1, 2025 4.
Common questions
- What is F714 in a nursing home inspection?
- F714 is the federal requirement to "ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist". CMS files it under nursing and physician services. A home cited under F714 did not meet that requirement at the inspection.
- How often is F714 cited?
- The CMS files as of September 1, 2026 list 6 F714 citations at 6 nursing homes, 0 of them in the 12 months to that date. 50.0% were rated as actual harm or immediate jeopardy.
- Is a F714 citation serious?
- It depends on the letter. Most F714 citations (33.3%) were rated as potential for more than minimal harm, D to F. 3 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