CMS F-tag

F642: Assessment & care planning

Ensure a qualified health professional conducts resident assessments. Cited 92 times at 90 nursing homes in the last three inspection cycles.

#162 of 242 tags0% caused harm29 statesLatest survey May 8, 2025

How F642 shows up in inspections

F-TAGF642#162 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E · F93.5%86
  • Minimal harmB · C6.5%6

0% of F642 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 92Citations
  • 90Facilities cited1% of rated nursing homes

Citations by survey year

  • 20185
  • 201910
  • 20202
  • 20213
  • 202213
  • 202331
  • 202422
  • 20256

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

Where F642 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 F642 citation.

States by share of facilities cited

  • California1% of homes15 citations · 14 of 1,154 facilities
  • Texas1% of homes10 citations · 10 of 1,167 facilities
  • Maryland4% of homes9 citations · 8 of 219 facilities
  • Oklahoma3% of homes8 citations · 8 of 282 facilities
  • Missouri1% of homes5 citations · 5 of 479 facilities
  • Indiana1% of homes4 citations · 4 of 504 facilities
  • Tennessee1% of homes4 citations · 4 of 298 facilities
  • Iowa1% of homes3 citations · 3 of 388 facilities
  • West Virginia2% of homes3 citations · 3 of 122 facilities
  • Louisiana1% of homes3 citations · 3 of 264 facilities

Top 10 of 29 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Indian Canyon Post AcuteYucca Valley, CA · Report card2 F642No harm
  2. Lions Rehab CenterCumberland, MD · Report card2 F642No harm
  3. Acadia St Landry Nursing & Rehabilitation CenterChurch Point, LA · Report card1 F642No harm
  4. Auburn Post AcuteAuburn, WA · Report card1 F642No harm
  5. Autumn Care of NorfolkNorfolk, VA · Report card1 F642No harm
  6. Autumn Lake Healthcare at Birch ManorSykesville, MD · Report card1 F642No harm
  7. Avante Rehabilitation CenterIrving, TX · Report card1 F642No harm
  8. Avir at CarthageCarthage, TX · Report card1 F642No harm
  9. Avir at ComfortComfort, TX · Report card1 F642No harm
  10. Avir at KerrvilleKerrville, TX · Report card1 F642No harm
  11. Baptist Village of OwassoOwasso, OK · Report card1 F642No harm
  12. Battle Mountain General HospitalBattle Mountain, NV · Report card1 F642No harm
  13. Bedford Wellness & RehabilitationBedford, TX · Report card1 F642No harm
  14. Berkley East Healthcare CenterSanta Monica, CA · Report card1 F642No harm
  15. Burgh Care CenterPittsburgh, PA · Report card1 F642No harm

What to ask a facility about a F642 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 May 8, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F642 in a nursing home inspection?
F642 is the CMS F-tag for the requirement "Ensure a qualified health professional conducts resident assessments." (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 F642?
F642 was cited 92 times at 90 facilities (1% of rated nursing homes) in the last three inspection cycles, ranking #162 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F642 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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