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F835: Administer the facility in a manner that enables it to use its resources effectively and efficiently

F835 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Administer the facility in a manner that enables it to use its resources effectively and efficiently. It sits in CMS's administration category.

1,188citations in the CMS files
1,048homes cited at least once
268in the 12 months to September 2026
27.2%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). 56.1% of F835 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)295 (24.8%)
  • Actual harm (G, H, I)28 (2.4%)
  • Potential for more than minimal harm (D, E, F)857 (72.1%)
  • Potential for minimal harm (A, B, C)8 (0.7%)

By letter: B 2, C 6, D 241, E 194, F 422, G 10, H 16, I 2, J 134, K 77, L 84.

What inspectors wrote

Three recent F835 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 6, 2026, scope and severity DBased on review of job descriptions, clinical records, and staff interviews, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed effectively manage the facility to protect residents from elopement. This failure resulted in a resident, who was a known elopement risk, exiting the resident's assigned nursing unit unsupervised (Resident R1). This failure created an Immediate Jeopardy situation for one of fourteen residents who were documented as elopement risks (Resident R1).

Asbury Health Center, Pittsburgh, PA

Inspectors wrote, July 30, 2026, scope and severity FBased on record review, interview, and facility policy review, the facility failed to ensure effective administration staff. This affected 30 residents (Residents #6, #9, #12, #13, #16, #24, #25, #29, #30, #32, #39, #40, #45, #49, #56, #61, #72, #80, #82, #83, #86, #88, #93, #96, #99, #106, #110, #113, #115 and #117) and had the potential to affect all residents residing in the facility. The facility census was 95.

Avenue at Brooklyn, Brooklyn, OH

Inspectors wrote, July 24, 2026, scope and severity FBased on interview and record review the facility failed to administer the facility by failing to ensure a qualified individual was hired as the social service director. This has the potential to affect all 182 residents in the facility.

Alden Debes Rehab & HCC, Rockford, IL

Most recent F835 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 28, 2026Christian City Rehabilitation CenterUnion City, GA JComplaint
June 23, 2026Franklin Restorative Care CenterFranklin, MN LComplaint
June 16, 2026Emerald Nursing & Rehabilitation MercyOmaha, NE HComplaint
June 7, 2026Rosewood at Tybee Island of Journey LLC, theTybee Island, GA JStandard
May 26, 2026Good Samaritan Society - MillardOmaha, NE HStandard
May 15, 2026Kings Daughters Community Health & RehabStaunton, VA GComplaint
May 15, 2026Homestead Rehabilitation & Health Care CenterNewton, NJ LComplaint
May 8, 2026Port Charlotte Rehabilitation CenterPort Charlotte, FL LComplaint
April 16, 2026Oak Haven Rehabilitation and Healthcare CenterCenter Point, LA KStandard
April 1, 2026Westside Oaks Rehabilitation & Nursing CenterJacksonville, FL LComplaint
March 25, 2026Luling Living CenterLuling, LA LComplaint
March 14, 2026Lakeshore Manor Nursing & RehabSlidell, LA LComplaint
March 10, 2026Pinewood Health and RehabilitationWhigham, GA JComplaint
March 6, 2026Naples Health and Rehabilitation CenterNaples, FL JStandard
March 5, 2026Wewoka Healthcare CenterWewoka, OK LStandard
March 3, 2026Arcadia Care ToulonToulon, IL IStandard
March 2, 2026Edgewood Health & RehabilitationByram, MS JComplaint
March 1, 2026Crestview Health & Rehab CtrAtlanta, GA JComplaint
February 13, 2026Goldwater Care Peoria HeightsPeoria Heights, IL LComplaint
February 13, 2026Ambassador Healthcare at College ParkFort Myers, FL JComplaint
January 19, 2026Christian Health Center CorbinCorbin, KY JComplaint
January 16, 2026Archway Transitional Care CenterMacon, GA JComplaint
January 15, 2026Heartland Health Care Center - Greenville EastGreenville, SC LComplaint
January 9, 2026Award Care at BenevaSarasota, FL LStandard
January 8, 2026Archbold Living CamillaCamilla, GA JComplaint
December 18, 2025Lady Lake Specialty Care Center and RehabLady Lake, FL JStandard
December 17, 2025Giddings Nursing and RehabilitationGiddings, TX JComplaint
November 18, 2025Folkston Park Care and Rehabilitation CenterFolkston, GA JComplaint
November 6, 2025Amethyst Health of WausauWausau, WI KComplaint
October 29, 2025Birmingham Nursing and Rehabilitation Ctr LLCBirmingham, AL JComplaint
September 30, 2025Bayshore Nursing & RehabGlendale, WI LStandard
September 30, 2025Waters Edge Health and Rehabilitation CenterKenosha, WI KComplaint
September 26, 2025Hazelhurst Court Care and Rehabilitation CenterHazlehurst, GA JComplaint
September 10, 2025Cassville Health Care CenterCassville, MO KComplaint
September 2, 2025Falkville Rehabilitation and Healthcare CenterFalkville, AL JStandard
August 29, 2025Aviata at Santa BarbaraCape Coral, FL LStandard
August 29, 2025Lake Eustis Healthcare and Rehabilitation CenterEustis, FL JStandard
August 20, 2025Mission at Alpine Rehabilitation CenterPleasant Grove, UT HStandard
August 20, 2025Pinewood Health and RehabilitationWhigham, GA JComplaint
August 12, 2025Allaire Rehab & NursingFreehold, NJ JComplaint

Most recent F835 citations

InspectionHomeTownLetter
August 6, 2026Asbury Health CenterPittsburgh, PA D
July 30, 2026Avenue at BrooklynBrooklyn, OH F
July 30, 2026Laurel Health & Rehabilitation CenterLaurel, MT E
July 28, 2026Christian City Rehabilitation CenterUnion City, GA J
July 27, 2026Fairview ManorFairview, PA D
July 24, 2026Alden Debes Rehab & HCCRockford, IL F
July 23, 2026Montgomeryville Skilled Nursing and RehabilitatiMontgomeryville, PA E
July 22, 2026Southside Care CenterMinneapolis, MN F
July 20, 2026Sanctuary WadsworthWadsworth, OH F
July 18, 2026John J Kane Regional Center-RoPittsburgh, PA D
July 17, 2026Armstrong Rehabilitation and Nursing CenterKittanning, PA D
July 17, 2026Edenbrook Pine HavenPine Island, MN F
July 15, 2026Orchard Park Health Care & Rehab CenterTacoma, WA E
July 9, 2026Burgh Care CenterPittsburgh, PA D
July 9, 2026Laurel Ridge CenterUniontown, PA E
July 9, 2026Culver West Health CenterLos Angeles, CA D
July 6, 2026Hewitt Health & Rehabilitation Center, IncShelton, CT D
July 2, 2026Affinity Skilled Living and Rehabilitation CenterOakdale, NY D
July 2, 2026Safire Rehabilitation of Northtowns, L L CTonawanda, NY E
July 1, 2026Greenwood Center for Nursing and RehabTamaqua, PA E
June 30, 2026Hempfield ManorGreensburg, PA E
June 30, 2026Lost Creek Rehabilitation and Nursing CenterLima, OH D
June 30, 2026Magnolia Haven Health and Rehabilitation CenterTuskegee, AL D
June 29, 2026Park Valley Inn Health CenterRound Rock, TX E
June 29, 2026Avenue at North RidgevilleNorth Ridgeville, OH F

F835 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
Pennsylvania170
Ohio93
Florida80
New York75
Louisiana65
Georgia60
California52
New Jersey49
Illinois47
Tennessee41
Texas35
Maryland32
Missouri32
Kentucky30
Virginia25
Massachusetts23
Washington22
Connecticut18
Michigan18
Alabama17
Iowa16
Oklahoma15
North Carolina14
Kansas13
Nevada12
Rhode Island11
Montana10
Utah10
West Virginia10
Arkansas9
Mississippi9
South Dakota9
New Mexico8
Colorado7
Minnesota7
Nebraska6
Indiana5
Oregon5
Maine4
South Carolina4
Wisconsin4
District of Columbia3
Hawaii3
Vermont3
Alaska2
Arizona1
Delaware1
Idaho1
New Hampshire1
Puerto Rico1

By inspection year: 2018 5, 2019 17, 2020 7, 2021 19, 2022 62, 2023 176, 2024 394, 2025 318, 2026 190.

Common questions

What is F835 in a nursing home inspection?
F835 is the federal requirement to "administer the facility in a manner that enables it to use its resources effectively and efficiently". CMS files it under administration. A home cited under F835 did not meet that requirement at the inspection.
How often is F835 cited?
The CMS files as of September 1, 2026 list 1,188 F835 citations at 1,048 nursing homes, 268 of them in the 12 months to that date. 27.2% were rated as actual harm or immediate jeopardy.
Is a F835 citation serious?
It depends on the letter. Most F835 citations (72.1%) were rated as potential for more than minimal harm, D to F. 295 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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