F814: Dispose of garbage and refuse properly
F814 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Dispose of garbage and refuse properly.
It sits in CMS's nutrition and dietary 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). 10.0% of F814 citations came from a complaint visit rather than a routine inspection.
By letter: B 75, C 182, D 623, E 406, F 695.
What inspectors wrote
Three recent F814 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 5, 2026, scope and severity FBased on observation, interview, and record review, the facility failed to dispose of garbage and refuse properly by failing to ensure the lid of the dumpster was kept closed and failing to ensure the trash bags filled with dietary and nursing trash were kept in an enclosure.
Shawnee Gardens Healthcare & Rehab Center, Shawnee, KS
Inspectors wrote, August 5, 2026, scope and severity DBased on observation, interview, and U.S. Food and Drug Administration 2022 Food Code review, the facility failed to ensure garbage cans were properly closed with lids to minimize attracting pests and rodents into the kitchen. This deficient practice had the potential to affect all residents and staff in the facility.
Mini-Cassia Care Center, Burley, ID
Inspectors wrote, July 24, 2026, scope and severity EBased on observation, interview, and record review, the facility failed to properly dispose of cooking grease and maintain refuse storage in a sanitary manner in 1 of 1 kitchen and refuse storage area.
Majestic Care of Goshen, Goshen, IN
Most recent F814 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| August 12, 2026 | Lake City Healthcare and Rehabilitation Center | Lake City, FL | D |
| August 5, 2026 | Shawnee Gardens Healthcare & Rehab Center | Shawnee, KS | F |
| August 5, 2026 | Mini-Cassia Care Center | Burley, ID | D |
| July 31, 2026 | Centre Care Rehabilitation and Wellness Services | Bellefonte, PA | C |
| July 24, 2026 | Sweden Valley Manor | Coudersport, PA | C |
| July 24, 2026 | Majestic Care of Goshen | Goshen, IN | E |
| July 23, 2026 | Lutheran Home | Napoleon, OH | E |
| July 23, 2026 | Grand Park Convalescent Hospital | Los Angeles, CA | E |
| July 22, 2026 | Parkside Homes | Hillsboro, KS | C |
| July 16, 2026 | Stoney Point Healthcare Center | Chatsworth, CA | F |
| July 16, 2026 | Wyndmoor Hills Rehabilitation and Nursing Center | Wyndmoor, PA | D |
| July 16, 2026 | Regency at Grand Blanc | Grand Blanc, MI | F |
| July 10, 2026 | Thousand Oaks Post Acute, LLC | Thousand Oaks, CA | E |
| July 9, 2026 | Rossmoor Post Acute | Walnut Creek, CA | D |
| July 9, 2026 | Arbor Post Acute | Chico, CA | F |
| July 9, 2026 | John J Kane Regional Center-Gl | Pittsburgh, PA | F |
| July 9, 2026 | Hoyt Nursing & Rehab Centre | Saginaw, MI | D |
| July 9, 2026 | Newaldaya Lifescapes | Cedar Falls, IA | D |
| July 9, 2026 | Culver West Health Center | Los Angeles, CA | D |
| July 3, 2026 | Seal Beach Health and Rehabilitation Center | Seal Beach, CA | D |
| July 2, 2026 | View Park Convalescent Center | Los Angeles, CA | F |
| July 2, 2026 | Dunbar Center | Dunbar, WV | E |
| July 2, 2026 | The Rowland | Covina, CA | E |
| July 2, 2026 | High Valley Lodge | Sunland, CA | E |
| July 1, 2026 | Homestead Hills | Winston-Salem, NC | F |
F814 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 |
|---|---|
| California | 475 |
| Texas | 175 |
| New York | 107 |
| Ohio | 103 |
| Pennsylvania | 99 |
| Illinois | 96 |
| Missouri | 73 |
| Florida | 71 |
| New Jersey | 68 |
| Alabama | 59 |
| West Virginia | 53 |
| Georgia | 52 |
| Virginia | 51 |
| North Carolina | 48 |
| Michigan | 46 |
| Wisconsin | 41 |
| Louisiana | 37 |
| Maryland | 36 |
| Tennessee | 36 |
| Maine | 31 |
| Kansas | 29 |
| Indiana | 22 |
| Idaho | 18 |
| Connecticut | 15 |
| South Carolina | 14 |
| Arkansas | 13 |
| Massachusetts | 13 |
| Oklahoma | 12 |
| Oregon | 12 |
| Washington | 10 |
| Arizona | 9 |
| Colorado | 9 |
| Kentucky | 9 |
| New Mexico | 9 |
| Iowa | 8 |
| Nevada | 8 |
| Delaware | 4 |
| Rhode Island | 4 |
| Nebraska | 2 |
| Mississippi | 1 |
| New Hampshire | 1 |
| Puerto Rico | 1 |
| Utah | 1 |
By inspection year: 2018 24, 2019 52, 2020 21, 2021 66, 2022 142, 2023 351, 2024 492, 2025 469, 2026 364.
Common questions
- What is F814 in a nursing home inspection?
- F814 is the federal requirement to "dispose of garbage and refuse properly". CMS files it under nutrition and dietary. A home cited under F814 did not meet that requirement at the inspection.
- How often is F814 cited?
- The CMS files as of September 1, 2026 list 1,981 F814 citations at 1,764 nursing homes, 463 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F814 citation serious?
- It depends on the letter. Most F814 citations (87.0%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy 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