F918: Provide a bathroom in or located near each resident’s room
F918 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide a bathroom in or located near each resident’s room.
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). 70.0% of F918 citations came from a complaint visit rather than a routine inspection.
By letter: D 6, E 3, F 1.
What inspectors wrote
Three recent F918 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, July 31, 2025, scope and severity EBased on observation, record review and interview the facility failed to maintain a safe, sanitary and functioning environment when the sinks in rooms [ROOM NUMBER] had discolored water standing in the sinks and in rooms [ROOM NUMBERS] the sinks did not drain after water was ran for 2 minutes. This failure impacted nine residents living in those rooms. The facility census was 151 residents. S483.90(i) The facility must provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public. [...]
Bridgewood Health Care Center, Kansas City, MO
Inspectors wrote, April 9, 2025, scope and severity DBased on observations, records reviewed, and interviews, for two of three sampled residents (#3 and #1), who required the use of a wheelchair for mobility, the facility failed to ensure each residents room was equipped with or located near toilet/commode that they can access quickly, both residents ability to quickly access their bathrooms were restricted because the bathroom door size was smaller than the wheelchair.
Quabbin Valley Healthcare, Athol, MA
Inspectors wrote, March 27, 2025, scope and severity DBased on observation and interview, the facility failed to ensure each resident room was equipped with a sink and toilet for 1 (#7) of 18 sampled residents.
Yellowstone River Nursing and Rehabilitation, Billings, MT
Most recent F918 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| July 31, 2025 | Bridgewood Health Care Center | Kansas City, MO | E |
| April 9, 2025 | Quabbin Valley Healthcare | Athol, MA | D |
| March 27, 2025 | Yellowstone River Nursing and Rehabilitation | Billings, MT | D |
| May 11, 2024 | Arcadia Care Peoria Heights | Peoria Heights, IL | F |
| April 25, 2024 | Willow Pass Healthcare Center | Concord, CA | D |
| February 10, 2024 | Decatur Rehab & Health Care Ct | Decatur, IL | E |
| January 25, 2024 | Lake Mariam Health and Rehabilitation Center | Winter Haven, FL | D |
| January 3, 2024 | Brookside Care Center | Stockton, CA | D |
| September 9, 2022 | Linley Park Post Acute | Anderson, SC | D |
| December 2, 2021 | Hopkins Nursing and Rehabilitation Center | Woodburn, KY | E |
F918 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 | 2 |
| Illinois | 2 |
| Florida | 1 |
| Kentucky | 1 |
| Massachusetts | 1 |
| Missouri | 1 |
| Montana | 1 |
| South Carolina | 1 |
By inspection year: 2021 1, 2022 1, 2024 5, 2025 3.
Common questions
- What is F918 in a nursing home inspection?
- F918 is the federal requirement to "provide a bathroom in or located near each resident’s room". CMS files it under environmental. A home cited under F918 did not meet that requirement at the inspection.
- How often is F918 cited?
- The CMS files as of September 1, 2026 list 10 F918 citations at 10 nursing homes, 0 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F918 citation serious?
- It depends on the letter. Most F918 citations (100.0%) 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