CMS F-tag

F644: Assessment & care planning

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Cited 2,442 times at 2,187 nursing homes in the last three inspection cycles.

#44 of 242 tags0% caused harm47 statesLatest survey Jan 16, 2026

How F644 shows up in inspections

F-TAGF644#44 of 242 tagsOften cited

How serious it usually is

  • Immediate jeopardyJ0%1
  • Actual harmG0.2%4
  • No actual harmD · E · F98.8%2,413
  • Minimal harmB · C1%24

0% of F644 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 2,442Citations
  • 2,187Facilities cited15% of rated nursing homes

Citations by survey year

  • 201820
  • 201952
  • 202015
  • 202149
  • 2022269
  • 2023623
  • 2024783
  • 2025627
  • 20264

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

Where F644 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 F644 citation.

States by share of facilities cited

  • Texas24% of homes320 citations · 284 of 1,167 facilities
  • Ohio22% of homes231 citations · 197 of 911 facilities
  • California17% of homes217 citations · 196 of 1,154 facilities
  • Florida20% of homes151 citations · 140 of 689 facilities
  • Iowa31% of homes146 citations · 120 of 388 facilities
  • Illinois18% of homes128 citations · 117 of 665 facilities
  • Louisiana31% of homes97 citations · 81 of 264 facilities
  • North Carolina21% of homes94 citations · 86 of 417 facilities
  • Oklahoma27% of homes85 citations · 76 of 282 facilities
  • Washington35% of homes78 citations · 67 of 192 facilities

Top 10 of 47 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Terrell Healthcare CenterTerrell, TX · Report card4 F644No harm
  2. Avir at El PasoEl Paso, TX · Report card3 F644No harm
  3. Bettendorf Health Care CenterBettendorf, IA · Report card3 F644No harm
  4. Cerritos Vista Healthcare CenterBellflower, CA · Report card3 F644No harm
  5. Clyde W Cosper Texas State Veterans HomeBonham, TX · Report card3 F644No harm
  6. Continuing Healthcare at Cedar HillZanesville, OH · Report card3 F644No harm
  7. Edenbrook of Greenwood HillPottsville, PA · Report card3 F644No harm
  8. Kimes Nursing & Rehab CtrAthens, OH · Report card3 F644No harm
  9. Longwood Manor Conv.HospitalLos Angeles, CA · Report card3 F644No harm
  10. Lytle Nursing HomeLytle, TX · Report card3 F644No harm
  11. Landmark of Lake CharlesLake Charles, LA · Report card3 F644No harm
  12. Pruitthealth - West AtlantaAtlanta, GA · Report card3 F644No harm
  13. Reunion Plaza Senior Care and Rehabilitation CenteTexarkana, TX · Report card3 F644No harm
  14. Richland Nursing & RehabOlney, IL · Report card3 F644No harm
  15. Riverside Landing Nursing and RehabilitationMcConnelsville, OH · Report card3 F644No harm

What to ask a facility about a F644 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 16, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F644 in a nursing home inspection?
F644 is the CMS F-tag for the requirement "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed." (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 F644?
F644 was cited 2,442 times at 2,187 facilities (15% of rated nursing homes) in the last three inspection cycles, ranking #44 of 242 tags. 5 of those citations involved actual harm or immediate jeopardy.
Does a F644 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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