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F740: Ensure each resident must receive and the facility must provide necessary behavioral health care and services

F740 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure each resident must receive and the facility must provide necessary behavioral health care and services. It sits in CMS's quality of life and care category.

1,013citations in the CMS files
918homes cited at least once
217in the 12 months to September 2026
11.6%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). 39.5% of F740 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)59 (5.8%)
  • Actual harm (G, H, I)59 (5.8%)
  • Potential for more than minimal harm (D, E, F)895 (88.4%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 791, E 101, F 3, G 56, H 3, J 44, K 15.

What inspectors wrote

Three recent F740 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 EBased on a review of clinical records, select facility policy, and staff interviews, it was determined that the facility failed to implement, evaluate, and revise behavioral health interventions in response to persistent and escalating behavioral symptoms for one of 23 sampled residents reviewed for behavioral health services (Resident 63).

Gardens at Orangeville, the, Orangeville, PA

Inspectors wrote, July 30, 2026, scope and severity DBased on medical record review, and staff interview, the facility failed to ensure behavioral health services were provided to 1 of 3 sample residents (#13) with a psychiatric diagnosis. The following concerns were identified: 1. Review of the admission MDS assessment dated [DATE] showed resident #13 had been admitted to the facility on [DATE], had a diagnosis of schizophrenia, and a BIMS score of 10 out of 15, which indicated moderate cognitive impairment. Review of the medication administration record (MAR) showed the resident received the antipsychotic medications haloperidol 2.5 mg, clozapine 12.5 mg, aripiprazole 15 mg. [...]

Shepherd of the Valley Rehabilitation and Wellness, Casper, WY

Inspectors wrote, July 24, 2026, scope and severity DBased on record review, interviews, and observations conducted during a survey, the facility failed to ensure a resident was provided with the necessary services to attain or maintain the highest practicable physical, mental, and psychosocial well-being in accordance with the comprehensive assessment and plan of care for 1 of 5 residents reviewed for behavioral health. Specifically, Resident #5 refused 144 out of 178 doses of antipsychotic medications from March 2026 to June 2026 that contributed to symptoms of catatonia (withdrawal, intermittent mutism and posturing), weight loss, urinary tract infection and admission to hospital on 6/7/26.

Briarcliff Manor Center for Rehab and Nursing Care, Briarcliff Manor, NY

Most recent F740 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 13, 2026Windsor Health and RehabilitationSalem, OR GStandard
July 8, 2026Wabasso Restorative Care CenterWabasso, MN JComplaint
June 9, 2026Resthave Home-Whiteside CountyMorrison, IL GComplaint
May 21, 2026Carrie Elligson Gietner Health Care CenterSaint Louis, MO GComplaint
May 21, 2026Huntsville Health & Rehabilitation, LLCHuntsville, AL KComplaint
May 20, 2026Gregory Ridge Health Care CenterKansas City, MO GComplaint
May 14, 2026Avantara Mountain ViewRapid City, SD GComplaint
May 7, 2026Avantara MilbankMilbank, SD GComplaint
April 24, 2026Hillside Health Care CenterSaint Louis, MO JComplaint
April 14, 2026Bridgewood Health Care CenterKansas City, MO GComplaint
April 14, 2026Pueblo Heights Nursing and RehabilitationPueblo, CO JComplaint
April 2, 2026Gregory Ridge Health Care CenterKansas City, MO GComplaint
March 12, 2026Bridgewood Health Care CenterKansas City, MO GComplaint
March 2, 2026Pine Knoll Nursing CenterLexington, MA HStandard
February 26, 2026Bridgewood Health Care CenterKansas City, MO GComplaint
February 17, 2026Parkview HealthcareKansas City, MO JComplaint
January 21, 2026Continuing Care at Highland SpringsDallas, TX KComplaint
December 18, 2025Firesteel Healthcare CenterMitchell, SD GComplaint
December 10, 2025Access Mental HealthPeabody, KS JComplaint
October 15, 2025Mountain View Skilled Nursing Community at WlrcLander, WY GComplaint
October 14, 2025Dfw Nursing & RehabFort Worth, TX GComplaint
September 25, 2025Uintah Health Care Special Service DistrictVernal, UT JComplaint
September 23, 2025Beltline Healthcare CenterGarland, TX KComplaint
September 22, 2025Sapphire Rehabilitation and Care CenterColumbus, OH GStandard
September 16, 2025Height Street Skilled CareBakersfield, CA GComplaint
September 4, 2025Helia Healthcare of EnergyEnergy, IL JComplaint
September 2, 2025Falkville Rehabilitation and Healthcare CenterFalkville, AL JStandard
August 28, 2025Brighton Place WestTopeka, KS JComplaint
August 27, 2025Evercare of SwanseaSwansea, IL GComplaint
August 8, 2025Briarcliff Health & Rehabilitation CenterSouth Bend, IN GStandard
August 7, 2025Lutheran Living Senior CampusMuscatine, IA JComplaint
July 7, 2025Blue Point Healthcare CenterBaltimore, MD JComplaint
June 24, 2025Granite Rehabilitation and WellnessCheyenne, WY GComplaint
June 5, 2025Magnolia RidgeGardendale, AL JComplaint
May 29, 2025Mill Town Health and RehabilitationAmesbury, MA GStandard
May 22, 2025Rowan Community, IncDenver, CO GStandard
May 10, 2025Coral Rehabilitation and Nursing of AustinAustin, TX KComplaint
May 9, 2025Trellis CentennialLas Vegas, NV GStandard
May 9, 2025Northgate Health and Rehabilitation CenterBessemer, AL JComplaint
April 15, 2025Gregory Ridge Health Care CenterKansas City, MO JComplaint

Most recent F740 citations

InspectionHomeTownLetter
August 13, 2026St. Anthony Park Home IncSaint Paul, MN D
July 31, 2026Gardens at Orangeville, theOrangeville, PA E
July 31, 2026Bridgewood Health Care CenterKansas City, MO D
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY D
July 24, 2026Oak Park Nursing and Rehabilitation CenterSan Antonio, TX E
July 24, 2026Briarcliff Manor Center for Rehab and Nursing CareBriarcliff Manor, NY D
July 22, 2026The MerrimanAkron, OH D
July 22, 2026Colfax Nursing and Rehab, LLCColfax, LA D
July 17, 2026Hanford Post AcuteHanford, CA D
July 15, 2026Midtown Oaks Health & Rehab CenterAltoona, PA E
July 13, 2026Windsor Health and RehabilitationSalem, OR G
July 8, 2026Wickliffe Country PlaceWickliffe, OH D
July 8, 2026Wabasso Restorative Care CenterWabasso, MN J
July 7, 2026Avon Place Healthcare CenterAvon, OH D
July 6, 2026Lions Rehab CenterCumberland, MD D
July 2, 2026The Estates at Greeley LLCStillwater, MN D
July 1, 2026Avantara PierrePierre, SD D
June 30, 2026Sapphire Care and Rehab CenterEast Stroudsburg, PA E
June 30, 2026Magnolia Haven Health and Rehabilitation CenterTuskegee, AL D
June 29, 2026Uptown Rehabilitation CenterAlbuquerque, NM E
June 29, 2026Providence PlaceMinneapolis, MN D
June 18, 2026Sheridan Health and Rehabilitation CenterKenosha, WI D
June 18, 2026Montesano Health-Rehab CenterMontesano, WA D
June 18, 2026Gallatin Rest HomeBozeman, MT D
June 16, 2026Cascades at SkyviewBridgeport, NE D

F740 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
California102
Indiana78
Missouri71
Massachusetts68
Illinois65
Ohio63
Pennsylvania63
Michigan39
Maryland35
Minnesota31
New York29
Virginia28
Washington26
Texas25
Wisconsin24
New Mexico23
Oregon22
Alabama21
Kansas19
Colorado17
Montana15
Utah15
Florida11
Louisiana11
Rhode Island11
Iowa10
Georgia8
Mississippi8
Wyoming7
Kentucky6
North Carolina6
Nebraska6
Oklahoma6
Arizona5
Hawaii5
South Dakota5
District of Columbia4
New Jersey4
Nevada4
West Virginia4
Tennessee3
Vermont3
Connecticut2
Puerto Rico2
South Carolina2
Delaware1

By inspection year: 2018 1, 2019 20, 2020 10, 2021 21, 2022 52, 2023 174, 2024 301, 2025 285, 2026 149.

Common questions

What is F740 in a nursing home inspection?
F740 is the federal requirement to "ensure each resident must receive and the facility must provide necessary behavioral health care and services". CMS files it under quality of life and care. A home cited under F740 did not meet that requirement at the inspection.
How often is F740 cited?
The CMS files as of September 1, 2026 list 1,013 F740 citations at 918 nursing homes, 217 of them in the 12 months to that date. 11.6% were rated as actual harm or immediate jeopardy.
Is a F740 citation serious?
It depends on the letter. Most F740 citations (88.4%) were rated as potential for more than minimal harm, D to F. 59 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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