F908: Keep all essential equipment working safely
F908 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Keep all essential equipment working safely.
It sits in CMS's environmental 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). 22.8% of F908 citations came from a complaint visit rather than a routine inspection.
By letter: B 21, C 20, D 765, E 635, F 478, G 6, J 3, K 2, L 5.
What inspectors wrote
Three recent F908 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 7, 2026, scope and severity DBased on observations, review of facility documentation, and staff interviews, it was determined that the facility failed to make certain that equipment was in safe operating condition for two of two crash carts (a cart that contains supplies in the event of an emergency) for two of six nursing units (Nursing units 1B and 2B).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, August 5, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to maintain all mechanical, electrical, and patient care equipment in safe operating condition for 1 of 1 stove in the kitchen reviewed for essential equipment. The facility did not ensure the back center burner on the gas stove ignited when the knob was turned. This failure could place the residents at risk of not having safe operating equipment.
Spindletop Hill Nursing and Rehabilitation Center, Beaumont, TX
Inspectors wrote, July 31, 2026, scope and severity DBased on record review, observations, and staff interviews, the facility failed to keep essential equipment clean and in safe operating order for 2 of 2 dryers (dryer #1 and dryer #2) observed for safe operating conditions.
The Greens at Maple Leaf, Statesville, NC
Most recent F908 citations at the harm or jeopardy level
Newest first, all 16 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| March 16, 2026 | Provo Rehabilitation and Nursing | Provo, UT | G | Complaint |
| December 24, 2025 | Axiom Gardens of Nashville | Nashville, IL | G | Complaint |
| November 15, 2025 | Harmar Village Health & Rehab Center | Cheswick, PA | G | Complaint |
| September 22, 2025 | La Bella of Cahokia | Cahokia, IL | G | Complaint |
| December 19, 2024 | Grand Manor Nursing & Rehabilitation Center | Bronx, NY | L | Complaint |
| July 27, 2024 | Spjst Rest Home 1 | Taylor, TX | J | Complaint |
| July 11, 2024 | Wyndmoor Hills Rehabilitation and Nursing Center | Wyndmoor, PA | L | Complaint |
| June 21, 2024 | Fifth Avenue Health Care | Rome, GA | G | Complaint |
| April 8, 2024 | Midlands Health & Rehabilitation Center | Columbia, SC | J | Complaint |
| February 16, 2024 | Winkler Court | Fort Myers, FL | K | Complaint |
| February 12, 2024 | Etowah Landing | Rome, GA | K | Standard |
| February 9, 2024 | Majestic Care of Hopemont | Terra Alta, WV | L | Complaint |
| February 2, 2024 | Shores Nursing and Rehab Center | Port Saint Joe, FL | L | Complaint |
| January 22, 2024 | Ivory Wellness Center | Norristown, PA | G | Standard |
| December 28, 2023 | Barnes Healthcare | Lonoke, AR | J | Standard |
| March 1, 2022 | Attalla Rehabilitation and Nursing Center | Attalla, AL | L | Standard |
Most recent F908 citations
F908 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.
By inspection year: 2018 15, 2019 55, 2020 13, 2021 77, 2022 110, 2023 325, 2024 536, 2025 492, 2026 312.
Common questions
- What is F908 in a nursing home inspection?
- F908 is the federal requirement to "keep all essential equipment working safely". CMS files it under environmental. A home cited under F908 did not meet that requirement at the inspection.
- How often is F908 cited?
- The CMS files as of September 1, 2026 list 1,935 F908 citations at 1,664 nursing homes, 425 of them in the 12 months to that date. 0.8% were rated as actual harm or immediate jeopardy.
- Is a F908 citation serious?
- It depends on the letter. Most F908 citations (97.1%) were rated as potential for more than minimal harm, D to F. 10 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