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F745: Provide medically-related social services to help each resident achieve the highest possible quality of life

F745 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide medically-related social services to help each resident achieve the highest possible quality of life. It sits in CMS's quality of life and care category.

777citations in the CMS files
702homes cited at least once
166in the 12 months to September 2026
4.5%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). 45.8% of F745 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)9 (1.2%)
  • Actual harm (G, H, I)26 (3.3%)
  • Potential for more than minimal harm (D, E, F)741 (95.4%)
  • Potential for minimal harm (A, B, C)1 (0.1%)

By letter: B 1, D 625, E 111, F 5, G 23, H 3, J 5, K 4.

What inspectors wrote

Three recent F745 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 22, 2026, scope and severity DBased on interview and record review, the facility did not ensure medically-related social services were provided to attain or maintain the highest practicable well-being for 1 resident (R) (R1) of 18 sampled residents. R1 was admitted to the facility on [DATE]. The facility did not ensure appropriate and safe discharge planning was implemented and R1's decision-making capacity was assessed.

Meadowbrook at Oconto Falls, Oconto Falls, WI

Inspectors wrote, July 21, 2026, scope and severity DNumber of residents sampled: 4Number of residents cited: 1 Based on observation, record review, and interviews, the facility failed to ensure medically related social services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident were provided. This was evident in one resident (Resident #131) of four residents reviewed for Discharge out of 38 sampled residents. Specifically, there was no documented evidence in the resident's medical record that appropriate information was communicated to the receiving facility when Resident #131's representative request a transfer to another facility.

Wayne Center for Nursing & Rehabilitation, Bronx, NY

Inspectors wrote, July 16, 2026, scope and severity DBased on interviews, and record reviews the facility failed to provide medically related social services to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident for 1 (resident #18) of 12 residents reviewed for behavioral health services. The facility failed to follow up on referral for a transfer to another facility before and after the SW was terminated. These failures could result in a delay of behavioral health services and care for the residents.

Peach Tree Place, Weatherford, TX

Most recent F745 citations at the harm or jeopardy level

Newest first, all 35 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
May 3, 2026Pruitthealth - PeakeMacon, GA GStandard
April 2, 2026Kirkwood Wellness & RehabilitationKirkwood, MO GComplaint
January 29, 2026Kirkwood Wellness & RehabilitationKirkwood, MO GComplaint
December 3, 2025Ivy at Deer LodgeDeer Lodge, MT GComplaint
October 1, 2025Wi Veterans Home-Boland HallUnion Grove, WI JComplaint
September 30, 2025Waters Edge Health and Rehabilitation CenterKenosha, WI GStandard
June 5, 2025Chicago Ridge SNFChicago Ridge, IL GComplaint
May 28, 2025Lincoln Park Nursing and Rehab LLCRacine, WI JComplaint
March 26, 2025Wi Veterans Home-Boland HallUnion Grove, WI GComplaint
March 6, 2025Avir at San AngeloSan Angelo, TX HStandard
February 5, 2025Fall River HealthcareFall River, MA HStandard
December 24, 2024Careone at MiddletownAtlantic Highlands, NJ GComplaint
December 6, 2024Skyland Terrace and RehabilitationWaynesville, NC GStandard
October 30, 2024Crest View Lutheran HomeColumbia Heights, MN GComplaint
September 10, 2024Nexus at AltonAlton, IL GComplaint
July 11, 2024Bishop Rehabilitation and Nursing CenterSyracuse, NY KComplaint
July 1, 2024Bradley Estates Nursing and Rehab LLCMilwaukee, WI JComplaint
June 28, 2024Oak Ridge Care CenterUnion Grove, WI JComplaint
June 10, 2024The Center at AdvocateEast Boston, MA GStandard
May 15, 2024Sleepy Eye Rehabilitati CenterSleepy Eye, MN GComplaint
February 2, 2024Kingston Court Skilled Nursing and RehabilitationYork, PA KComplaint
December 15, 2023Woodhaven Nursing CenterLumberton, NC GComplaint
December 6, 2023Tri-State Village Nrsg & RhbLansing, IL GComplaint
November 8, 2023Little Village Nrsg & Rhb CtrChicago, IL GComplaint
November 2, 2023Eagle Lake Nursing and Rehab Care CenterSaint Petersburg, FL KComplaint
October 9, 2023Oakwood Care and RehabilitationLakewood, CO GComplaint
October 6, 2023Sandwich Living & Rehab CenterSandwich, IL GComplaint
June 19, 2023Greendale Park Nursing and RehabGreendale, WI GStandard
April 20, 2023Autumn Lake Healthcare at VinelandVineland, NJ GStandard
January 19, 2023Avamere Rehabilitation of Junction CityJunction City, OR GStandard
October 3, 2022Rocky Mountain Care - Maple DellPayson, UT GStandard
April 13, 2022Spring Creek Healthcare CenterSalt Lake City, UT HStandard
March 31, 2022Ridgeway Nursing & Rehabilitation FacilityOwingsville, KY KStandard
July 3, 2021Eastway Health & RehabilitationLouisville, KY JStandard
August 23, 2019Victorian Post AcuteSan Francisco, CA GStandard

Most recent F745 citations

InspectionHomeTownLetter
July 27, 2026Spring Creek Post-Acute Rehabilitation CenterMurray, KY D
July 23, 2026Chaparral HouseBerkeley, CA D
July 22, 2026Meadowbrook at Oconto FallsOconto Falls, WI D
July 22, 2026North Village ParkMoberly, MO E
July 21, 2026Wayne Center for Nursing & RehabilitationBronx, NY D
July 16, 2026Peach Tree PlaceWeatherford, TX D
July 16, 2026Villa Del RioBell Gardens, CA D
July 15, 2026Orchard Park Health Care & Rehab CenterTacoma, WA E
July 14, 2026Ybor City Center for Rehabilitation and HealingTampa, FL E
July 13, 2026Goldwater Care PrincetonPrinceton, IL D
July 7, 2026Garrison Mem Hosp Nsg FacGarrison, ND F
July 1, 2026Desert Springs Post AcutePalm Desert, CA D
June 30, 2026Optalis Health and Rehabilitation of Three RiversThree Rivers, MI D
June 24, 2026Civita Care Center at MilfordMilford, CT E
June 18, 2026Sheridan Health and Rehabilitation CenterKenosha, WI D
June 18, 2026Benefis Senior Services - WestviewGreat Falls, MT D
June 10, 2026Mountain View Care CenterRipley, WV E
June 9, 2026Watertown Health Care CenterWatertown, WI D
June 5, 2026Quality Life Services - Sugar CreekWorthington, PA E
June 5, 2026Rivers Edge Rehabilitation and CareSheridan, OR D
June 5, 2026Regency at JacksonJackson, MI D
June 5, 2026Rosecrans Care CenterGardena, CA D
June 4, 2026The Laurels of ColdwaterColdwater, MI D
June 3, 2026Williams Bay Health ServicesWilliams Bay, WI D
June 3, 2026Tarzana Health and Rehabilitation CenterTarzana, CA D

F745 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
California176
Pennsylvania54
Michigan51
Ohio44
Wisconsin40
Virginia37
Illinois32
Indiana32
Washington32
Connecticut27
North Carolina23
Missouri22
Florida21
New York17
Kansas16
Texas14
West Virginia14
Oregon13
Georgia12
Massachusetts11
Montana11
New Jersey10
Maryland9
Minnesota9
Nevada6
Delaware5
New Mexico5
Utah5
Colorado4
Kentucky4
Oklahoma4
Nebraska3
Alabama2
Rhode Island2
South Dakota2
Wyoming2
District of Columbia1
Hawaii1
Iowa1
Mississippi1
North Dakota1
South Carolina1

By inspection year: 2018 2, 2019 16, 2020 3, 2021 14, 2022 31, 2023 134, 2024 267, 2025 189, 2026 121.

Common questions

What is F745 in a nursing home inspection?
F745 is the federal requirement to "provide medically-related social services to help each resident achieve the highest possible quality of life". CMS files it under quality of life and care. A home cited under F745 did not meet that requirement at the inspection.
How often is F745 cited?
The CMS files as of September 1, 2026 list 777 F745 citations at 702 nursing homes, 166 of them in the 12 months to that date. 4.5% were rated as actual harm or immediate jeopardy.
Is a F745 citation serious?
It depends on the letter. Most F745 citations (95.4%) were rated as potential for more than minimal harm, D to F. 9 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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