F922: Have enough backup water supply for essential areas of the nursing home
F922 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Have enough backup water supply for essential areas of the nursing home.
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). 2.4% of F922 citations came from a complaint visit rather than a routine inspection.
By letter: C 5, D 4, E 6, F 27.
What inspectors wrote
Three recent F922 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, April 17, 2026, scope and severity FBased on interview and record review, the facility failed to have a policy in place that addressed the quantity of emergency water to be kept on-site and failed have a supply of emergency water on-site. The facility census was 118. Review of the facility's policy entitled, Emergency Water, undated, showed the following:-To ensure safe water for residents, staff, and visitors during a crisis, our facility maintains:-An emergency water supply that is suitable and accessible;-An emergency water supply consistent with applicable regulatory requirements; and-Methods for water treatment when supplies are low;-A corporation provides emergency water supply in the event it is needed. [...]
Springfield Villa, Springfield, MO
Inspectors wrote, March 12, 2026, scope and severity FBased on observation and interview, the facility failed to ensure an adequate available emergency water supply for a census of 89 residents. This failure had the potential to result in residents not having access to sufficient water for hydration, sanitation, and essential care needs in the event of an emergency.
Harvest Crossing Post Acute, Manteca, CA
Inspectors wrote, February 25, 2026, scope and severity EBased on observation, interview and record review it was determined the facility failed to ensure onsite emergency water supply. This was evident during the surveyor's tour of the emergency water storage area during the facility's recertification survey.
Autumn Lake Healthcare at Ruxton, Towson, MD
Most recent F922 citations
F922 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 |
|---|---|
| Pennsylvania | 7 |
| New Jersey | 6 |
| Maryland | 5 |
| Missouri | 5 |
| Ohio | 5 |
| Texas | 5 |
| California | 2 |
| Kentucky | 2 |
| Connecticut | 1 |
| Iowa | 1 |
| Tennessee | 1 |
| Virginia | 1 |
| Wisconsin | 1 |
By inspection year: 2018 1, 2020 1, 2021 3, 2022 1, 2023 14, 2024 10, 2025 9, 2026 3.
Common questions
- What is F922 in a nursing home inspection?
- F922 is the federal requirement to "have enough backup water supply for essential areas of the nursing home". CMS files it under environmental. A home cited under F922 did not meet that requirement at the inspection.
- How often is F922 cited?
- The CMS files as of September 1, 2026 list 42 F922 citations at 42 nursing homes, 6 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F922 citation serious?
- It depends on the letter. Most F922 citations (88.1%) 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