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F741: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents

F741 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. It sits in CMS's quality of life and care category.

189citations in the CMS files
176homes cited at least once
27in the 12 months to September 2026
11.1%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). 50.8% of F741 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)14 (7.4%)
  • Actual harm (G, H, I)7 (3.7%)
  • Potential for more than minimal harm (D, E, F)167 (88.4%)
  • Potential for minimal harm (A, B, C)1 (0.5%)

By letter: B 1, D 96, E 61, F 10, G 5, H 2, J 8, K 5, L 1.

What inspectors wrote

Three recent F741 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, June 23, 2026, scope and severity EBased on interview and record review, the facility failed to implement its policy and procedure (P&P) titled Trauma Informed Care, dated 1/2026, by ensuring staff received training and/or in-services to ensure they were equipped to provide all facility residents with trauma-informed care (an organizational and clinical framework requiring skilled nursing and long-term care facilities to recognize, understand, and respond to the effects of trauma). This failure placed the facility residents at risk of not receiving care to meet their behavioral health needs, including person-centered care approaches designed to meet their individual goals.

California Post-Acute Care, Lynwood, CA

Inspectors wrote, May 28, 2026, scope and severity DBased on observation, clinical record review, and interviews the facility failed to address trauma history, PTSD triggers, signs of distress, non-pharmacological interventions, or medication in assessments and care plans for 1 of 1 residents reviewed for Post Traumatic Stress Disorder (PTSD) (Resident #112). The facility reported a census of 127 residents.

Heritage Specialty Care, Cedar Rapids, IA

Inspectors wrote, April 27, 2026, scope and severity EBased on interview and record review it was determined the facility failed to ensure facility staff had the appropriate competencies to work with residents with substance use disorders for 1 of 1 facility reviewed for substance use disorder training. This placed residents at risk for diminished physical, mental and psychosocial well-being.

Saint Helens Post Acute, Saint Helens, OR

Most recent F741 citations at the harm or jeopardy level

Newest first, all 21 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
August 7, 2025Lutheran Living Senior CampusMuscatine, IA JComplaint
April 14, 2025Mulder Health Care FacilityWest Salem, WI JStandard
March 11, 2025Estates of Perryville, LLC, thePerryville, MO JComplaint
February 5, 2025The Laurels of Sandy CreekWayland, MI GComplaint
December 16, 2024Brandon Woods of New BedfordNew Bedford, MA KStandard
November 15, 2024Artesia Christian Home Inc.Artesia, CA KStandard
September 19, 2024Eastview Manor Care CenterTrenton, MO JComplaint
September 14, 2024Alwyn C Cashe State Veterans Nursing HomeOrlando, FL GComplaint
June 18, 2024The Health Center at Research ParkHuntsville, AL JComplaint
May 30, 2024Valley View VillageDes Moines, IA GComplaint
April 23, 2024Gregory Ridge Health Care CenterKansas City, MO HComplaint
April 18, 2024Aliya on 87thChicago, IL GComplaint
March 22, 2024Portsmouth Health and RehabPortsmouth, VA KComplaint
February 1, 2024Access Mental HealthPeabody, KS GComplaint
December 18, 2023Onyx Care of BerniceBernice, LA KComplaint
September 26, 2023Lewis Park Post AcuteHohenwald, TN JComplaint
September 21, 2023Santa Fe Post-AcuteVista, CA KComplaint
September 6, 2023Grandview Health Care CenterDayton, IA JComplaint
April 13, 2022Spring Creek Healthcare CenterSalt Lake City, UT HStandard
July 13, 2021Church Hill Post-Acute and Rehabilitation CenterChurch Hill, TN LStandard
July 16, 2019Forest Grove Post AcuteForest Grove, OR JStandard

Most recent F741 citations

InspectionHomeTownLetter
July 28, 2026Kith HavenFlint, MI D
June 23, 2026California Post-Acute CareLynwood, CA E
May 29, 2026Beachside Post AcuteLong Beach, CA D
May 28, 2026Heritage Specialty CareCedar Rapids, IA D
May 19, 2026Harvest Acres Nursing and RehabKeota, IA D
May 13, 2026Columbus Healthcare CenterColumbus, OH D
April 30, 2026Hickory ManorLicking, MO D
April 28, 2026The Eleanor Nursing Care CenterHyde Park, NY D
April 27, 2026Saint Helens Post AcuteSaint Helens, OR E
April 2, 2026Abbey Rehabilitation and Nursing CenterSaint Petersburg, FL D
March 11, 2026Medilodge of LudingtonLudington, MI E
March 10, 2026Majestic Care of BedfordBedford, IN D
March 3, 2026The Hilltop on MainMeridian, TX D
March 3, 2026Arbors at StreetsboroStreetsboro, OH D
January 29, 2026Palm Garden of MattoonMattoon, IL D
January 29, 2026Amaya Springs Health Care CenterSpring Valley, CA D
December 30, 2025Apple Ridge Care CenterWaverly, MO E
December 11, 2025Rowntree GardensStanton, CA E
December 8, 2025Four Seasons Living CenterSedalia, MO E
November 25, 2025The Orchards at Three RiversThree Rivers, MI E
November 19, 2025Highland Ridge Care Center, LLCWilliamsburg, IA D
November 6, 2025Harrison Springs Health CampusCorydon, IN E
October 29, 2025Golden Years Center for Rehab and HealthcareHarrisonville, MO E
September 29, 2025Putnam RidgeBrewster, NY D
September 19, 2025Warren Operations Ri, LLC Dba Warren CenterWarren, RI E

F741 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
Missouri31
California28
Iowa12
Illinois10
Ohio9
Pennsylvania9
Maryland8
New York8
Indiana7
Michigan7
Massachusetts6
Kansas4
Louisiana4
New Mexico4
Virginia4
Connecticut3
Florida3
Minnesota3
Tennessee3
Alabama2
Arkansas2
Oregon2
Puerto Rico2
South Dakota2
Texas2
Wisconsin2
West Virginia2
Alaska1
Arizona1
Colorado1
District of Columbia1
Delaware1
Georgia1
Rhode Island1
Utah1
Vermont1
Washington1

By inspection year: 2019 7, 2021 7, 2022 13, 2023 34, 2024 60, 2025 52, 2026 16.

Common questions

What is F741 in a nursing home inspection?
F741 is the federal requirement to "ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents". CMS files it under quality of life and care. A home cited under F741 did not meet that requirement at the inspection.
How often is F741 cited?
The CMS files as of September 1, 2026 list 189 F741 citations at 176 nursing homes, 27 of them in the 12 months to that date. 11.1% were rated as actual harm or immediate jeopardy.
Is a F741 citation serious?
It depends on the letter. Most F741 citations (88.4%) were rated as potential for more than minimal harm, D to F. 14 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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