F725: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift
F725 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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). 54.7% of F725 citations came from a complaint visit rather than a routine inspection.
By letter: B 2, C 7, D 543, E 1,591, F 872, G 41, H 16, I 3, J 17, K 16, L 10.
What inspectors wrote
Three recent F725 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 5, 2026, scope and severity EBased on resident and staff interviews, facility documentation, staffing records, and policy review, the facility failed to ensure sufficient nursing staff were available to provide care and services to meet residents' needs. The deficient practice could result in delayed or unmet care needs for residents requiring staff assistance.
Haven of Safford, Safford, AZ
Inspectors wrote, July 31, 2026, scope and severity EBased on observation, interview, and record review, the facility failed to ensure there were sufficient numbers of nursing staff to provide care and services for 13 of 13 residents (Residents 54, 35, 4, 3, 79, 89, 7, 53, 62, 90, 92, 6, and 23) reviewed for sufficient staffing as evidenced by failures related to Resident Rights, Quality of Care and Pressure Injuries. Additionally, resident interviews, staff interviews and reports from the resident council meeting provided evidence of insufficient staffing without resolution. This failed practice placed residents at risk of not having their needs met and potential negative outcomes to their physical and mental health.
Landmark Care and Rehabilitation, Yakima, WA
Inspectors wrote, July 30, 2026, scope and severity FBased on observations, resident and staff interviews, record reviews of nursing staff schedules, timecards, facility assessment and Payroll Based Journal, the facility failed to maintain sufficient staffing levels to ensure residents received timely care and services. This affected eight residents (Resident #6, #12, #13, #16, #39, #40, #93 and #99) and had the potential to affect all 95 residents residing in the facility.
Avenue at Brooklyn, Brooklyn, OH
Most recent F725 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 24, 2026 | Aventura at the Bay | Saint Petersburg, FL | G | Complaint |
| June 12, 2026 | Pruitthealth-Durham | Durham, NC | G | Complaint |
| May 15, 2026 | Kings Daughters Community Health & Rehab | Staunton, VA | K | Complaint |
| May 6, 2026 | Shalom Gardens Health & Rehabilitation | Richmond, VA | J | Complaint |
| April 28, 2026 | Pioneers Memorial Skilled Nursing Center | Brawley, CA | G | Complaint |
| March 26, 2026 | Stonehenge of Cedar City | Cedar City, UT | G | Complaint |
| February 16, 2026 | Merkel Nursing Center | Merkel, TX | K | Complaint |
| February 11, 2026 | Medilodge of Sault Ste. Marie | Sault Ste. Marie, MI | H | Complaint |
| January 22, 2026 | Spring Hill Rehabilitation and Nursing Center | Pittsburgh, PA | J | Complaint |
| January 16, 2026 | West Woods of Bridgman | Bridgman, MI | G | Complaint |
| January 14, 2026 | Bedford Care Center of Picayune | Picayune, MS | J | Complaint |
| January 7, 2026 | Pin Oaks Living Center | Mexico, MO | G | Complaint |
| November 24, 2025 | Menorah Home & Hospital for Aged & Infirm | Brooklyn, NY | G | Complaint |
| November 18, 2025 | Pin Oaks Living Center | Mexico, MO | G | Complaint |
| November 18, 2025 | Folkston Park Care and Rehabilitation Center | Folkston, GA | J | Complaint |
| November 3, 2025 | Chapel Manor | Philadelphia, PA | G | Complaint |
| October 28, 2025 | Coventry Operations Ri LLC Dba Respiratory and Reh | Coventry, RI | G | Complaint |
| October 28, 2025 | Sunplex Sub-Acute Center | Ocean Springs, MS | K | Complaint |
| October 22, 2025 | Royal Oaks Nursing and Rehabilitation Center | Urbandale, IA | K | Complaint |
| October 9, 2025 | Southwood Healthcare Center | Terre Haute, IN | J | Complaint |
| September 24, 2025 | Norfolk Health Care Center | Norfolk, VA | J | Complaint |
| September 22, 2025 | Fleshers Fairview Health Care | Fairview, NC | G | Standard |
| September 13, 2025 | Whispering Pines Lodge | Longview, TX | K | Complaint |
| September 10, 2025 | Cassville Health Care Center | Cassville, MO | G | Complaint |
| September 4, 2025 | Wells LTC Nursing & Rehabilitation | Wells, TX | K | Complaint |
| August 21, 2025 | Arcadia Care Morton | Morton, IL | H | Complaint |
| July 31, 2025 | Rosewood at Tybee Island of Journey LLC, the | Tybee Island, GA | L | Complaint |
| July 29, 2025 | Evercare at Edwardsville | Edwardsville, IL | G | Complaint |
| June 24, 2025 | Sienna Nursing and Rehabilitation | Odessa, TX | K | Complaint |
| June 11, 2025 | Cascades at Skyview | Bridgeport, NE | K | Complaint |
| June 5, 2025 | Magnolia Ridge | Gardendale, AL | J | Complaint |
| May 23, 2025 | Colville Health and Rehabilitation of Cascadia | Colville, WA | H | Complaint |
| May 15, 2025 | Cerenity Care Center on Humboldt | Saint Paul, MN | G | Complaint |
| May 9, 2025 | Waterview Heights Rehabilitation and Nursing Cente | Rochester, NY | L | Complaint |
| April 2, 2025 | Avir at Woodlands | Eastland, TX | K | Complaint |
| March 26, 2025 | Autumnwood of McBain | McBain, MI | H | Complaint |
| March 26, 2025 | Optalis Health and Rehabilitation of Kingsford | Kingsford, MI | G | Complaint |
| February 28, 2025 | Woodland Manor | Elkhart, IN | G | Complaint |
| February 20, 2025 | Calibre Post Acute, LLC | Las Cruces, NM | G | Complaint |
| January 31, 2025 | Ontario Center for Rehabilitation and Healthcare | Canandaigua, NY | H | Standard |
Most recent F725 citations
F725 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 |
|---|---|
| Illinois | 310 |
| California | 291 |
| Iowa | 253 |
| New York | 205 |
| Pennsylvania | 180 |
| Ohio | 174 |
| Michigan | 162 |
| Missouri | 133 |
| Florida | 91 |
| Oregon | 88 |
| Washington | 87 |
| New Jersey | 84 |
| Texas | 73 |
| Virginia | 62 |
| Indiana | 56 |
| Wisconsin | 55 |
| Massachusetts | 53 |
| Oklahoma | 51 |
| Maryland | 50 |
| Louisiana | 47 |
| Minnesota | 47 |
| Mississippi | 39 |
| Connecticut | 37 |
| West Virginia | 34 |
| North Carolina | 33 |
| New Mexico | 31 |
| Arizona | 29 |
| Maine | 29 |
| Kansas | 27 |
| Georgia | 26 |
| Nebraska | 21 |
| Tennessee | 21 |
| Kentucky | 20 |
| Montana | 20 |
| Utah | 20 |
| Colorado | 19 |
| New Hampshire | 18 |
| Hawaii | 17 |
| Vermont | 16 |
| Arkansas | 15 |
| North Dakota | 14 |
| South Dakota | 13 |
| Wyoming | 13 |
| Idaho | 10 |
| Rhode Island | 10 |
| Alabama | 6 |
| South Carolina | 6 |
| Delaware | 5 |
| Nevada | 5 |
| Puerto Rico | 5 |
| Alaska | 4 |
| District of Columbia | 3 |
By inspection year: 2018 9, 2019 58, 2020 20, 2021 76, 2022 157, 2023 539, 2024 971, 2025 840, 2026 448.
Common questions
- What is F725 in a nursing home inspection?
- F725 is the federal requirement to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift". CMS files it under nursing and physician services. A home cited under F725 did not meet that requirement at the inspection.
- How often is F725 cited?
- The CMS files as of September 1, 2026 list 3,118 F725 citations at 2,313 nursing homes, 639 of them in the 12 months to that date. 3.3% were rated as actual harm or immediate jeopardy.
- Is a F725 citation serious?
- It depends on the letter. Most F725 citations (96.4%) were rated as potential for more than minimal harm, D to F. 43 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