CMS F-tag

F637: Assessment & care planning

Assess the resident when there is a significant change in condition Cited 1,122 times at 1,053 nursing homes in the last three inspection cycles.

#74 of 242 tags0% caused harm50 statesLatest survey Jan 15, 2026

How F637 shows up in inspections

F-TAGF637#74 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ0.1%1
  • Actual harmG0.2%2
  • No actual harmD · E · F95.8%1,075
  • Minimal harmB · C3.9%44

0% of F637 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,122Citations
  • 1,053Facilities cited7% of rated nursing homes

Citations by survey year

  • 201817
  • 201954
  • 202021
  • 202153
  • 2022161
  • 2023291
  • 2024277
  • 2025245
  • 20263

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

Where F637 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 F637 citation.

States by share of facilities cited

  • California11% of homes134 citations · 126 of 1,154 facilities
  • Missouri16% of homes90 citations · 77 of 479 facilities
  • Oklahoma20% of homes66 citations · 56 of 282 facilities
  • Washington27% of homes60 citations · 51 of 192 facilities
  • Pennsylvania8% of homes59 citations · 55 of 653 facilities
  • Iowa14% of homes58 citations · 54 of 388 facilities
  • Texas5% of homes56 citations · 54 of 1,167 facilities
  • Ohio6% of homes54 citations · 52 of 911 facilities
  • North Carolina10% of homes42 citations · 41 of 417 facilities
  • Massachusetts11% of homes39 citations · 37 of 338 facilities

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

Facilities cited most often

  1. Berkley West Healthcare CenterSanta Monica, CA · Report card4 F637No harm
  2. Casa Arena Healthcare LLCAlamogordo, NM · Report card3 F637No harm
  3. Pioneer Valley Living and RehabSergeant Bluff, IA · Report card3 F637No harm
  4. Seattle Medical Post Acute CareSeattle, WA · Report card3 F637No harm
  5. The Terraces at SkylineSeattle, WA · Report card3 F637No harm
  6. Laurelbrook Nursing HomeDayton, TN · Report card2 F6371 with harm
  7. Aspire Senior Living AdvanceAdvance, MO · Report card2 F637No harm
  8. Axiom Gardens of Mount VernonMount Vernon, IL · Report card2 F637No harm
  9. Alpine Nursing and Rehabilitation CenterXenia, OH · Report card2 F637No harm
  10. Baptist Homes, Tri-CountyVandalia, MO · Report card2 F637No harm
  11. Belleview Valley Nursing HomeBelleview, MO · Report card2 F637No harm
  12. Breakwater CommonsRockland, ME · Report card2 F637No harm
  13. Brentwood Extended Care & RehabMuskogee, OK · Report card2 F637No harm
  14. Brookfield Health Care CenterBrookfield, MO · Report card2 F637No harm
  15. Burgh Care CenterPittsburgh, PA · Report card2 F637No harm

What to ask a facility about a F637 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 15, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F637 in a nursing home inspection?
F637 is the CMS F-tag for the requirement "Assess the resident when there is a significant change in condition" (Assessment & care planning). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F637?
F637 was cited 1,122 times at 1,053 facilities (7% of rated nursing homes) in the last three inspection cycles, ranking #74 of 242 tags. 3 of those citations involved actual harm or immediate jeopardy.
Does a F637 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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