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F836: Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards

F836 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. It sits in CMS's administration category.

344citations in the CMS files
320homes cited at least once
66in the 12 months to September 2026
2.0%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). 46.8% of F836 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)7 (2.0%)
  • Actual harm (G, H, I)0 (0.0%)
  • Potential for more than minimal harm (D, E, F)297 (86.3%)
  • Potential for minimal harm (A, B, C)40 (11.6%)

By letter: B 11, C 29, D 157, E 83, F 57, K 1, L 6.

What inspectors wrote

Three recent F836 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 30, 2026, scope and severity DBased on staff interview, record review, and facility policy review the facility failed to comply with state nursing facility staffing requirements by failing to designate a charge nurse responsible for supervision of the total nursing activities in the facility during the hours of 3:00 PM to 11:00 PM shift, separate from the medication/treatment nurse assignment for three (3) of (3) shifts reviewed for charge nurse supervision.

Glen Oaks Nursing Center, Lucedale, MS

Inspectors wrote, July 9, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to report a right wrist fracture (broken bone) sustained by one of three sampled residents (Resident 150), to the State Agency as required, when Resident 150 was sent to the emergency department on 3/29/26 for evaluation of right wrist pain, where an x-ray confirmed fractures of the right radius (thumb side of the wrist) and ulna (pinky side of the wrist). This failure could resulted in unaddressed causes of injury, missed corrective actions, and continued risk of harm to residents because required oversight, investigation, and prevention measures would not be initiated.

Rossmoor Post Acute, Walnut Creek, CA

Inspectors wrote, June 16, 2026, scope and severity DBased on review of facility policy, Pennsylvania Code Title 49. Professional and Vocational Standards, clinical records, and facility documentation, and staff interview, it was determined that the facility failed to follow nursing standards of practice for safe medication administration for one of eight residents reviewed for medication administration (Resident R1).

John J Kane Regional Center-Sc, Pittsburgh, PA

Most recent F836 citations at the harm or jeopardy level

Newest first, all 7 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 2, 2024Friendship Rehab and HealthBeaver, PA LComplaint
March 5, 2024Acadia Nursing and Rehab CenterAliquippa, PA LComplaint
March 4, 2024Ava Nursing and Rehab CenterCurwensville, PA LComplaint
February 28, 2024Amaryllis Nursing and RehabSmethport, PA LComplaint
December 13, 2023Clepper ManorSharon, PA KComplaint
November 15, 2023Transitions Healthcare Autumn Grove Care CenterHarrisville, PA LComplaint
June 15, 2023Little Brook Nursing and Convalescent HomeCalifon, NJ LStandard

Most recent F836 citations

InspectionHomeTownLetter
July 30, 2026Glen Oaks Nursing CenterLucedale, MS D
July 23, 2026Trend Health and Rehab of Natchez, LLCNatchez, MS D
July 16, 2026Hillcrest Nursing CenterMagee, MS D
July 9, 2026Rossmoor Post AcuteWalnut Creek, CA D
July 8, 2026Alhambra Post AcuteMartinez, CA F
July 6, 2026Pleasant Hill Post AcutePleasant Hill, CA F
July 1, 2026Clara Baldwin Stocker Home for WomenWest Covina, CA D
June 19, 2026Crystal Cove Care CenterNewport Beach, CA D
June 17, 2026Tice Valley Post AcuteWalnut Creek, CA F
June 16, 2026Barton Hospital D/P SNFSouth Lake Tahoe, CA B
June 16, 2026John J Kane Regional Center-ScPittsburgh, PA D
June 15, 2026Sunset Ridge Post AcuteLas Vegas, NV F
June 1, 2026Alta Gardens Care CenterGarden Grove, CA D
May 29, 2026Kindred Hospital Brea D/P SNFBrea, CA D
May 28, 2026Dunbar Village TerraceBay Saint Louis, MS D
May 26, 2026Diablo Valley Post AcuteConcord, CA F
May 20, 2026Aventura at Assumption VillageNorth Lima, OH F
May 18, 2026Troy Victorian Rehabilitation & Nursing Care CntrTroy, NY B
May 15, 2026Stellar Care CenterWoodsfield, OH F
May 12, 2026Glasgow Hills of JourneyGlasgow, WV E
May 7, 2026Shadelands Post AcuteWalnut Creek, CA F
April 27, 2026Lone Tree Post AcuteAntioch, CA F
April 23, 2026Elderwood at CheektowagaCheektowaga, NY B
April 16, 2026Ojai Health & RehabilitationOjai, CA D
April 15, 2026Peace Care St. Joseph'sJersey City, NJ D

F836 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
California71
New York64
Pennsylvania49
New Jersey38
Missouri12
Iowa10
Illinois10
Maryland10
District of Columbia9
Louisiana9
Virginia9
Ohio8
Connecticut7
Texas7
West Virginia5
Mississippi4
Nevada4
Arkansas3
Alaska2
Arizona2
Massachusetts2
North Carolina2
Alabama1
Kentucky1
Minnesota1
North Dakota1
Utah1
Vermont1
Washington1

By inspection year: 2019 13, 2020 3, 2021 12, 2022 11, 2023 70, 2024 112, 2025 73, 2026 50.

Common questions

What is F836 in a nursing home inspection?
F836 is the federal requirement to "ensure the facility is licensed under applicable state and local law and operates and provides services in compliance with all applicable federal, state, and local laws, regulations, and codes, and with accepted professional standards". CMS files it under administration. A home cited under F836 did not meet that requirement at the inspection.
How often is F836 cited?
The CMS files as of September 1, 2026 list 344 F836 citations at 320 nursing homes, 66 of them in the 12 months to that date. 2.0% were rated as actual harm or immediate jeopardy.
Is a F836 citation serious?
It depends on the letter. Most F836 citations (86.3%) were rated as potential for more than minimal harm, D to F. 7 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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