Caregiver Support21 mins
CMS F-tag
F641: Assessment & care planning
Assessments must accurately reflect the resident’s condition. Cited 7,338 times at 5,456 nursing homes in the last three inspection cycles.
#16 of 242 tags0% caused harm53 statesLatest survey Jan 27, 2026
How F641 shows up in inspections
#16 of 242 tagsVery often cited
- Rarely cited
- Occasionally cited
- Often cited
- Very often cited
- Among the most cited
How serious it usually is
- Immediate jeopardyJ0.1%5
- Actual harmG0.1%4
- No actual harmD · E · F93%6,823
- Minimal harmB · C6.9%506
0% of F641 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.
By the numbers
- 7,338Citations
- 5,456Facilities cited37% of rated nursing homes
Citations by survey year
- 20175
- 2018167
- 2019413
- 2020118
- 2021322
- 2022776
- 20231,602
- 20242,071
- 20251,855
- 20269
Partial years reflect the rolling three-cycle window, not a change in enforcement.
Where F641 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 F641 citation.
States by share of facilities cited
- California53% of homes873 citations · 611 of 1,154 facilities
- Texas40% of homes628 citations · 464 of 1,167 facilities
- Pennsylvania49% of homes484 citations · 323 of 653 facilities
- Ohio36% of homes401 citations · 329 of 911 facilities
- North Carolina58% of homes362 citations · 241 of 417 facilities
- Florida34% of homes311 citations · 233 of 689 facilities
- Maryland76% of homes280 citations · 166 of 219 facilities
- Virginia59% of homes239 citations · 168 of 285 facilities
- Massachusetts49% of homes222 citations · 165 of 338 facilities
- Louisiana52% of homes214 citations · 137 of 264 facilities
Top 10 of 53 states. Every state page lists its most-cited tags.
Facilities cited most often
- Avir at El PasoEl Paso, TX · Report card5 F641No harm
- Estates at Shavano ParkShavano Park, TX · Report card5 F641No harm
- Inland Valley Care and Rehabilitation CenterPomona, CA · Report card5 F641No harm
- Beeghly Oaks Center for Rehabilitation & HealingYoungstown, OH · Report card4 F641No harm
- Bridgepoint Sub-Acute & Rehab National HarborsideWashington, DC · Report card4 F641No harm
- Bellevue Post AcuteBellevue, WA · Report card4 F641No harm
- Calcasieu Community Care CenterLake Charles, LA · Report card4 F641No harm
- Charleston Healthcare CenterCharleston, WV · Report card4 F641No harm
- Deanwood Rehabilitation and Wellness CenterWashington, DC · Report card4 F641No harm
- Ellicott City Healthcare CenterEllicott City, MD · Report card4 F641No harm
- Fair City Health and RehabFranklinton, LA · Report card4 F641No harm
- Forest Hills of DcWashington, DC · Report card4 F641No harm
- Golden Pavilion HealthcareDaly City, CA · Report card4 F641No harm
- Landmark of Lake CharlesLake Charles, LA · Report card4 F641No harm
- Main West Postacute CareTurlock, CA · Report card4 F641No harm
What to ask a facility about a F641 citation
- What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
- What was the plan of correction, and was it accepted by the state on the first submission?
- Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
- 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 27, 2026. Counts are citations unless labeled facilities.
Frequently asked questions
What is F641 in a nursing home inspection?
F641 is the CMS F-tag for the requirement "Ensure each resident receives an accurate assessment." (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 F641?
F641 was cited 7,338 times at 5,456 facilities (37% of rated nursing homes) in the last three inspection cycles, ranking #16 of 242 tags. 9 of those citations involved actual harm or immediate jeopardy.
Does a F641 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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