F743: Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable
F743 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
It sits in CMS's quality of life and care 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). 53.3% of F743 citations came from a complaint visit rather than a routine inspection.
By letter: D 12, E 2, J 1.
What inspectors wrote
Three recent F743 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, July 9, 2026, scope and severity EBased on clinical record reviews and staff interviews, it was determined that the facility failed to monitor, assess and analyze, and attempt new interventions for a resident's increased verbal, physically-aggressive behaviors, and sexual behaviors for one of seven residents reviewed (Resident 1).
Mountain Laurel Healthcare and Rehabilitation Ctr, Clearfield, PA
Inspectors wrote, January 5, 2026, scope and severity DBased on observation, interview and record review the facility failed to ensure residents did not display increased anger, withdrawal or depressive behaviors for 1 of 1 resident (# 14) reviewed for mood. This placed residents at risk for unidentified depression.
Marquis Springfield, Springfield, OR
Inspectors wrote, November 24, 2025, scope and severity DBased on interview, record review, review of the facility's information sheet, and review of the facility's policy, the facility failed to monitor and provide ongoing assessment as to whether the care approaches were meeting the needs/behaviors of the resident for 1 of 6 sampled residents, Resident (R) 1. Interview and record review revealed on 08/09/2025, R1 obtained granola from an unknown source; on 09/19/2025, R1 obtained popcorn from another resident during an activity; and on 10/16/2025, R1 obtained pineapple from another resident's tray. The foods obtained were not allowed on the resident's ordered pureed diet.
Hartland Park Health & Rehabilitation, Lexington, KY
Most recent F743 citations at the harm or jeopardy level
Newest first, all 1 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| February 16, 2024 | Brookview Health Care Center | Chambersburg, PA | J | Complaint |
Most recent F743 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| July 9, 2026 | Mountain Laurel Healthcare and Rehabilitation Ctr | Clearfield, PA | E |
| January 5, 2026 | Marquis Springfield | Springfield, OR | D |
| November 24, 2025 | Hartland Park Health & Rehabilitation | Lexington, KY | D |
| April 3, 2025 | Medilodge of Marshall | Marshall, MI | D |
| March 25, 2025 | Greene Health & Rehab Center | Greensburg, PA | E |
| January 10, 2025 | Wyndmoor Hills Rehabilitation and Nursing Center | Wyndmoor, PA | D |
| October 24, 2024 | Handmaker Home for the Aging | Tucson, AZ | D |
| September 3, 2024 | Main Street Care Center | Avon Lake, OH | D |
| April 18, 2024 | Midtown Oaks Health & Rehab Center | Altoona, PA | D |
| February 16, 2024 | Brookview Health Care Center | Chambersburg, PA | J |
| December 19, 2023 | Canterbury Nursing and Rehabilitation Center | Fort Wayne, IN | D |
| December 11, 2023 | Sage Bluff Health and Rehab Center | Fort Wayne, IN | D |
| August 14, 2023 | Julia Manor Nursing and Rehabilitation Center | Hagerstown, MD | D |
| August 15, 2019 | University Park Care Center | Pueblo, CO | D |
| August 31, 2018 | Alameda Healthcare & Wellness Center | Alameda, CA | D |
F743 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 |
|---|---|
| Pennsylvania | 5 |
| Indiana | 2 |
| Arizona | 1 |
| California | 1 |
| Colorado | 1 |
| Kentucky | 1 |
| Maryland | 1 |
| Michigan | 1 |
| Ohio | 1 |
| Oregon | 1 |
By inspection year: 2018 1, 2019 1, 2023 3, 2024 4, 2025 4, 2026 2.
Common questions
- What is F743 in a nursing home inspection?
- F743 is the federal requirement to "ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable". CMS files it under quality of life and care. A home cited under F743 did not meet that requirement at the inspection.
- How often is F743 cited?
- The CMS files as of September 1, 2026 list 15 F743 citations at 15 nursing homes, 3 of them in the 12 months to that date. 6.7% were rated as actual harm or immediate jeopardy.
- Is a F743 citation serious?
- It depends on the letter. Most F743 citations (93.3%) were rated as potential for more than minimal harm, D to F. 1 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