F919: Make sure that a working call system is available in each resident's bathroom and bathing area
F919 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Make sure that a working call system is available in each resident's bathroom and bathing area.
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). 33.4% of F919 citations came from a complaint visit rather than a routine inspection.
By letter: B 5, D 1,165, E 522, F 124, H 1, J 3, K 13, L 3.
What inspectors wrote
Three recent F919 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, July 29, 2026, scope and severity FBased on interview and record the facility failed to respond to resident call lights (primary purpose is to allow patients to request immediate assistance from nursing or care staff. It serves as a vital safety tool used for pain medication requests, toileting assistance, personal help, or alerting staff to medical emergencies) in a timely manner for 11 of 11 sampled residents (Resident 1, Resident 2, Resident 3, Resident 4, Resident 5, Resident 6, Resident 7, Resident 8, Resident 9, Resident 10, and Resident 11). This failure had the potential for care needs to not be met, injuries to occur, and other negative outcomes.
Bayshire Riverwalk Post-Acute, Bakersfield, CA
Inspectors wrote, July 29, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to ensure residents could call for staff assistance through a communication system which relays the call directly to a staff member or to a centralized staff work area from each resident's bedside for 1 of 6 residents (Resident #42) reviewed for resident call system. The facility failed to ensure Resident #42 had a call light button functioning at bedside. This failure could place residents at risk of a delay in assistance and decreased quality of life, self-worth, and dignity.
Marshall Manor Nursing & Rehabilitation Center, Marshall, TX
Inspectors wrote, July 27, 2026, scope and severity FBased on interviews, record review and facility policy review, the facility failed to have an adequate functioning call light system in place and staff did not follow the facility plan while the call light system was down by providing adequate resident supervision documented with attestation statements. This affected nine residents (Residents #326, #334, #335, #340, #341, #342, #348, #354 and #355) and had the potential to affect all residents residing in the facility. The facility census was 119.
Suburban Healthcare and Rehabilitation, North Randall, OH
Most recent F919 citations at the harm or jeopardy level
Newest first, all 20 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| March 10, 2026 | Newport News Nursing & Rehab | Newport News, VA | K | Standard |
| February 13, 2026 | Canterbury Place | Pittsburgh, PA | J | Complaint |
| December 9, 2025 | Thompson House Nursing Home | Brattleboro, VT | K | Complaint |
| September 10, 2025 | Goldwater Care Roseville | Roseville, IL | L | Complaint |
| July 26, 2025 | Viridian Wellness & Rehabilitation | Arlington, TX | K | Complaint |
| June 3, 2025 | Goldwater Care Roseville | Roseville, IL | H | Complaint |
| December 9, 2024 | Hansford County Hospital District Dba Lakeridge Nu | Lubbock, TX | K | Standard |
| November 19, 2024 | Paradigm at Katy | Katy, TX | K | Complaint |
| October 16, 2024 | Meadowview Healthcare and Rehab | Huntsville, AR | K | Standard |
| September 17, 2024 | The Eleanor Nursing Care Center | Hyde Park, NY | K | Complaint |
| September 5, 2024 | Linwood Nursing and Rehabilitation Center | Scranton, PA | K | Complaint |
| August 14, 2024 | Viridian Wellness & Rehabilitation | Arlington, TX | K | Complaint |
| July 3, 2024 | Midtown Oaks Health & Rehab Center | Altoona, PA | K | Complaint |
| June 14, 2024 | Sedona Trace Health and Wellness Center | Austin, TX | J | Standard |
| March 15, 2024 | Ocean Pointe Healthcare Center | Santa Monica, CA | L | Standard |
| February 29, 2024 | St. Helena Parish Nursing Home | Greensburg, LA | L | Standard |
| November 14, 2023 | Bridgecrest Rehabilitation Suites | Houston, TX | K | Complaint |
| May 9, 2023 | Courtyard Health and Rehabilitation | McComb, MS | J | Standard |
| July 13, 2021 | Coral Cove Post Acute | Long Beach, CA | K | Standard |
| April 2, 2021 | Laurelwood Community Living Center | Laurel, MS | K | Standard |
Most recent F919 citations
F919 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 6, 2019 26, 2020 15, 2021 41, 2022 98, 2023 306, 2024 538, 2025 483, 2026 323.
Common questions
- What is F919 in a nursing home inspection?
- F919 is the federal requirement to "make sure that a working call system is available in each resident's bathroom and bathing area". CMS files it under environmental. A home cited under F919 did not meet that requirement at the inspection.
- How often is F919 cited?
- The CMS files as of September 1, 2026 list 1,836 F919 citations at 1,579 nursing homes, 450 of them in the 12 months to that date. 1.1% were rated as actual harm or immediate jeopardy.
- Is a F919 citation serious?
- It depends on the letter. Most F919 citations (98.6%) were rated as potential for more than minimal harm, D to F. 19 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