How F628 shows up in inspections

F-TAGF628#86 of 242 tagsOccasionally cited
  1. Rarely cited
  2. Occasionally cited
  3. Often cited
  4. Very often cited
  5. Among the most cited

How serious it usually is

  • Immediate jeopardyJ0.5%4
  • Actual harmG · H0.5%4
  • No actual harmD · E · F90.8%795
  • Minimal harmB · C8.3%73

1% of F628 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 876Citations
  • 859Facilities cited6% of rated nursing homes

Citations by survey year

  • 2025871
  • 20265

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

Where F628 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 F628 citation.

States by share of facilities cited

  • California8% of homes99 citations · 96 of 1,154 facilities
  • Pennsylvania15% of homes95 citations · 95 of 653 facilities
  • Texas4% of homes45 citations · 43 of 1,167 facilities
  • Kansas14% of homes43 citations · 42 of 294 facilities
  • Washington22% of homes42 citations · 42 of 192 facilities
  • Ohio5% of homes42 citations · 41 of 911 facilities
  • Indiana8% of homes41 citations · 40 of 504 facilities
  • Wisconsin11% of homes36 citations · 36 of 321 facilities
  • Maryland15% of homes32 citations · 32 of 219 facilities
  • Illinois5% of homes31 citations · 31 of 665 facilities

Top 10 of 50 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Avir at San AntonioSan Antonio, TX · Report card2 F628No harm
  2. Brickyard Healthcare - Willow Springs Care CenterIndianapolis, IN · Report card2 F628No harm
  3. Boulder Park TerraceCharlevoix, MI · Report card2 F628No harm
  4. Clearwater Healthcare CenterStockton, CA · Report card2 F628No harm
  5. French Park Care CenterSanta Ana, CA · Report card2 F628No harm
  6. Heritage Manor Health & RehabBossier City, LA · Report card2 F628No harm
  7. Laurels of West Columbus, theColumbus, OH · Report card2 F628No harm
  8. Life Care Center of OmahaOmaha, NE · Report card2 F628No harm
  9. Newport Subacute Healthcare CenterCosta Mesa, CA · Report card2 F628No harm
  10. Optalis Health and Rehabilitation of Three RiversThree Rivers, MI · Report card2 F628No harm
  11. Polaris Extended CareAnchorage, AK · Report card2 F628No harm
  12. Quarters at Des Peres, theDes Peres, MO · Report card2 F628No harm
  13. Riverbend Post Acute RehabilitationKansas City, KS · Report card2 F628No harm
  14. Sabino Canyon Rehabilitation & Care CenterTucson, AZ · Report card2 F628No harm
  15. The Terrace at Crystal LLCCrystal, MN · Report card2 F628No harm

What to ask a facility about a F628 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 Jan 28, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F628 in a nursing home inspection?
F628 is the CMS F-tag for the requirement "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies." (Resident rights). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F628?
F628 was cited 876 times at 859 facilities (6% of rated nursing homes) in the last three inspection cycles, ranking #86 of 242 tags. 8 of those citations involved actual harm or immediate jeopardy.
Does a F628 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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