CMS F-tag

F606: Abuse, neglect & exploitation

Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Cited 244 times at 235 nursing homes in the last three inspection cycles.

#131 of 242 tags2% caused harm36 statesLatest survey Dec 19, 2025

How F606 shows up in inspections

F-TAGF606#131 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ · K · L1.2%3
  • Actual harmG0.8%2
  • No actual harmD · E · F85.7%209
  • Minimal harmB · C12.3%30

2% of F606 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 244Citations
  • 235Facilities cited2% of rated nursing homes

Citations by survey year

  • 20185
  • 201915
  • 20203
  • 202111
  • 202222
  • 202360
  • 202476
  • 202552

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F606 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F606 citation.

States by share of facilities cited

  • Ohio4% of homes37 citations · 36 of 911 facilities
  • Missouri5% of homes26 citations · 25 of 479 facilities
  • Pennsylvania4% of homes26 citations · 25 of 653 facilities
  • Nebraska12% of homes24 citations · 22 of 178 facilities
  • California2% of homes20 citations · 19 of 1,154 facilities
  • Iowa3% of homes12 citations · 11 of 388 facilities
  • Kentucky4% of homes11 citations · 10 of 266 facilities
  • Illinois1% of homes7 citations · 7 of 665 facilities
  • Georgia2% of homes7 citations · 7 of 354 facilities
  • Mississippi3% of homes6 citations · 5 of 200 facilities

Top 10 of 36 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Arbor Care Centers-Countryside LLCMadison, NE · Report card2 F606No harm
  2. Emerald Nursing and RehabilitationElizabethtown, PA · Report card2 F606No harm
  3. Greater Southside Health and RehabilitationDes Moines, IA · Report card2 F606No harm
  4. Knox County Nursing Home DistrictEdina, MO · Report card2 F606No harm
  5. Lyndon CrossingLouisville, KY · Report card2 F606No harm
  6. Monument Rehabilitation and Care CenterScottsbluff, NE · Report card2 F606No harm
  7. San Joaquin Nursing Center and Rehabilitation CentBakersfield, CA · Report card2 F606No harm
  8. Unger Park Post AcuteBucyrus, OH · Report card2 F606No harm
  9. Winston County Nursing HomeLouisville, MS · Report card2 F606No harm
  10. Chicago Ridge SNFChicago Ridge, IL · Report card1 F6061 with harm
  11. Rancho Seco Care CenterGalt, CA · Report card1 F6061 with harm
  12. Sterling Care Bel AirBel Air, MD · Report card1 F6061 with harm
  13. The Greens at ViewmontHickory, NC · Report card1 F6061 with harm
  14. Washington County Nursing HomeAkron, CO · Report card1 F6061 with harm
  15. Alta Mesa Health and RehabilitationMesa, AZ · Report card1 F606No harm

What to ask a facility about a F606 citation

  1. What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
  2. What was the plan of correction, and was it accepted by the state on the first submission?
  3. Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
  4. If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey Dec 19, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F606 in a nursing home inspection?
F606 is the CMS F-tag for the requirement "Not hire anyone with a finding of abuse, neglect, exploitation, or theft." (Abuse, neglect & exploitation). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F606?
F606 was cited 244 times at 235 facilities (2% of rated nursing homes) in the last three inspection cycles, ranking #131 of 242 tags. 5 of those citations involved actual harm or immediate jeopardy.
Does a F606 citation mean the facility is unsafe?
Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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