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F726: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being

F726 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. It sits in CMS's nursing and physician services category.

2,458citations in the CMS files
2,054homes cited at least once
493in the 12 months to September 2026
9.2%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). 42.7% of F726 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)162 (6.6%)
  • Actual harm (G, H, I)64 (2.6%)
  • Potential for more than minimal harm (D, E, F)2,226 (90.6%)
  • Potential for minimal harm (A, B, C)6 (0.2%)

By letter: B 5, C 1, D 1,247, E 768, F 211, G 55, H 8, I 1, J 105, K 47, L 10.

What inspectors wrote

Three recent F726 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 31, 2026, scope and severity DBased on interview and record review, the facility failed to ensure that the Restorative Nursing assistant (RNA , Certified Nursing Assistant [CNA] who has extra training to help patients recover lost physical skills, improve mobility, and maintain their independence) had current training and demonstrated competency in the proper use of a gait belt (assistive medical device worn around a person's waist to help caregivers safely support, stabilize, and transfer individuals with mobility or balance challenges ) for resident transfers and / or ambulation. This deficient practice had the potential to place residents at risk for falls, injury, or unsafe transfer or ambulation.

The Californian Pasadena Healthcare, Pasadena, CA

Inspectors wrote, July 30, 2026, scope and severity FBased on review of personnel files, staff interviews, and review of facility policy the facility failed to ensure Certified Nursing Assistants (CNA) had documented competency in skills and techniques to meet the residents' needs. This had the potential to affect all residents. The facility census was 65.

Lima Convalescent Home, Lima, OH

Inspectors wrote, July 30, 2026, scope and severity DBased on clinical record review, facility documentation/policies, and interviews for one (1) of three (3) sampled residents (Resident #1) reviewed for competent nursing staff, the facility failed to ensure licensed nursing staff were competent to perform assigned duties of accurately reconciling and transcribing hospital discharge medication orders, recognizing and responding to electronic medication safety alerts, completing the required secondary review of readmission orders, and ensuring a newly assigned agency Registered Nurse Supervisor (RN #2) was oriented to the responsibilities of the 11:00 PM to 7:00 AM shift, including verification of readmission orders. [...]

Touchpoints at Manchester, Manchester, CT

Most recent F726 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 28, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA GComplaint
July 21, 2026Bethel Pointe Health and RehabMuncie, IN GComplaint
July 9, 2026Matlock Place Health & Rehabilitation CenterArlington, TX JStandard
June 10, 2026Palm Garden of ClearwaterClearwater, FL JComplaint
June 4, 2026San Diego Post-Acute CenterEl Cajon, CA JComplaint
May 22, 2026Oaks at Denville, theDenville, NJ KComplaint
May 20, 2026San Diego Post-Acute CenterEl Cajon, CA JComplaint
May 8, 2026The Club at Lake GibsonLakeland, FL GComplaint
April 28, 2026Lawton Post Acute & RehabLawton, OK JComplaint
April 16, 2026Oak Haven Rehabilitation and Healthcare CenterCenter Point, LA KStandard
April 16, 2026Aviata at Santa BarbaraCape Coral, FL JComplaint
April 8, 2026Mountain View Center Genesis HealthcareRutland, VT GComplaint
April 1, 2026Bel Aire CenterNewport, VT HComplaint
March 26, 2026Village Creek Rehabilitation and Nursing CenterLumberton, TX JStandard
March 20, 2026Bayview Rehabilitation and Healthcare CenterNorth Kingstown, RI GComplaint
March 11, 2026Mainplace Post AcuteOrange, CA GStandard
March 5, 2026Pinellas Park Fl Opco, LLCPinellas Park, FL JComplaint
February 27, 2026Fallbrook Rehabilitation and Care CenterHouston, TX KComplaint
February 25, 2026Aliya of EvanstonEvanston, IL GComplaint
February 18, 2026Greenwood Operations Dba Greenwood CenterWarwick, RI KComplaint
February 16, 2026Merkel Nursing CenterMerkel, TX KComplaint
February 9, 2026Palm Terrace Healthcare & Rehabilitation CenterLaguna Hills, CA GComplaint
February 6, 2026Wharton Nursing and Rehabilitation CenterWharton, TX KComplaint
February 5, 2026Huntington Valley Healthcare CenterHuntington Beach, CA GComplaint
February 4, 2026Manatee Springs Rehabilitation and Nursing CenterBradenton, FL JComplaint
January 23, 2026The Orchards at NorthwestDetroit, MI GComplaint
January 23, 2026Springs at Boca Ciega BaySouth Pasadena, FL JComplaint
December 17, 2025Premier Rehab and Healthcare at BurlingtonBurlington, VT GStandard
December 17, 2025Essentia Health HomesteadDeer River, MN KComplaint
December 17, 2025Dade City Health and Rehabilitation CenterDade City, FL JComplaint
December 2, 202524th PlaceNorman, OK GComplaint
November 25, 2025Cedar Haven Operations LLC Dba Lake Forest HealthSmithfield, RI JComplaint
November 24, 2025Waters of Huntington Skilled Nursing Facility, theHuntington, IN GComplaint
November 20, 2025Adviniacare Scallop Shell, LLCSouth Kingstown, RI GStandard
November 20, 2025Aviata at the PalmsPalm Harbor, FL JComplaint
November 19, 2025Skyline Heights Nursing and RehabilitationBillings, MT GComplaint
November 17, 2025Corn Heritage Village and RehabCorn, OK JComplaint
November 4, 2025Pacific Haven Subacute and Healthcare CenterGarden Grove, CA GComplaint
October 28, 2025Coventry Operations Ri LLC Dba Respiratory and RehCoventry, RI HComplaint
October 27, 2025Harborview Post AcuteMemphis, TN GComplaint

Most recent F726 citations

InspectionHomeTownLetter
July 31, 2026The Californian Pasadena HealthcarePasadena, CA D
July 30, 2026Santa Monica Rehabilitation CenterSanta Monica, CA D
July 30, 2026Lima Convalescent HomeLima, OH F
July 30, 2026Touchpoints at ManchesterManchester, CT D
July 28, 2026Avir at Johnson CityJohnson City, TX D
July 28, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA G
July 28, 2026Accura Healthcare of FranklinFranklin, NE D
July 24, 2026Fox Hollow Post AcuteBrownsville, TX D
July 24, 2026Sweden Valley ManorCoudersport, PA E
July 24, 2026McLoud Nursing CenterMcLoud, OK D
July 21, 2026Bethel Pointe Health and RehabMuncie, IN G
July 21, 2026Magnolia Gardens Convalescent HospitalGranada Hills, CA E
July 17, 2026The Gardens Healthcare CenterNorthridge, CA E
July 17, 2026Edenbrook Pine HavenPine Island, MN F
July 16, 2026Villa Del RioBell Gardens, CA F
July 16, 2026Benefis Senior Services - EastviewGreat Falls, MT D
July 16, 2026The Villa at the BayPetoskey, MI D
July 16, 2026Heritage Manor WestShreveport, LA E
July 15, 2026Miracle Mile Healthcare Center, LLCLos Angeles, CA D
July 14, 2026Overland Park Post AcuteOverland Park, KS E
July 13, 2026Sprain Brook Manor RehabScarsdale, NY E
July 10, 2026North Long Beach Post AcuteLong Beach, CA D
July 10, 2026Golden Rose Care CenterPasadena, CA D
July 9, 2026Matlock Place Health & Rehabilitation CenterArlington, TX J
July 9, 2026Laurel Ridge CenterUniontown, PA E

F726 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
California605
Texas168
Pennsylvania127
Louisiana115
Florida92
Massachusetts88
Maryland77
Connecticut73
Michigan67
Kansas58
New York52
Indiana51
Ohio49
Minnesota45
Missouri45
North Carolina44
Rhode Island44
Washington43
Illinois42
Iowa40
Oklahoma38
Arkansas33
Colorado33
Virginia33
Montana31
Hawaii30
Tennessee29
New Mexico24
District of Columbia23
Vermont23
Wisconsin23
West Virginia22
Idaho19
Arizona17
Georgia17
Nebraska16
New Jersey16
Mississippi14
Kentucky12
Oregon11
Alaska9
Delaware9
Nevada9
South Dakota9
South Carolina8
Utah8
New Hampshire6
Maine4
Alabama3
Puerto Rico2
North Dakota1
Wyoming1

By inspection year: 2018 7, 2019 45, 2020 19, 2021 51, 2022 142, 2023 403, 2024 798, 2025 649, 2026 344.

Common questions

What is F726 in a nursing home inspection?
F726 is the federal requirement to "ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being". CMS files it under nursing and physician services. A home cited under F726 did not meet that requirement at the inspection.
How often is F726 cited?
The CMS files as of September 1, 2026 list 2,458 F726 citations at 2,054 nursing homes, 493 of them in the 12 months to that date. 9.2% were rated as actual harm or immediate jeopardy.
Is a F726 citation serious?
It depends on the letter. Most F726 citations (90.6%) were rated as potential for more than minimal harm, D to F. 162 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

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