CMS F-tag

F645: Assessment & care planning

PASARR screening for Mental disorders or Intellectual Disabilities Cited 2,422 times at 2,148 nursing homes in the last three inspection cycles.

#46 of 242 tags0% caused harm51 statesLatest survey Jan 20, 2026

How F645 shows up in inspections

F-TAGF645#46 of 242 tagsOften cited

How serious it usually is

  • Immediate jeopardyJ0%1
  • Actual harmG–I0%0
  • No actual harmD · E · F99.1%2,399
  • Minimal harmB · C0.9%22

0% of F645 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 2,422Citations
  • 2,148Facilities cited15% of rated nursing homes

Citations by survey year

  • 201828
  • 201984
  • 202029
  • 202194
  • 2022288
  • 2023511
  • 2024784
  • 2025600
  • 20264

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

Where F645 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 F645 citation.

States by share of facilities cited

  • California25% of homes316 citations · 287 of 1,154 facilities
  • Florida28% of homes213 citations · 192 of 689 facilities
  • Texas16% of homes205 citations · 189 of 1,167 facilities
  • Washington69% of homes200 citations · 133 of 192 facilities
  • Ohio15% of homes156 citations · 139 of 911 facilities
  • Illinois14% of homes106 citations · 94 of 665 facilities
  • Missouri19% of homes102 citations · 93 of 479 facilities
  • Michigan21% of homes100 citations · 89 of 420 facilities
  • Virginia26% of homes93 citations · 75 of 285 facilities
  • Wisconsin21% of homes74 citations · 67 of 321 facilities

Top 10 of 51 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Aliya on 87thChicago, IL · Report card3 F645No harm
  2. Auburn Post AcuteAuburn, WA · Report card3 F645No harm
  3. Avamere Rehabilitation of IssaquahIssaquah, WA · Report card3 F645No harm
  4. Bethany at PacificEverett, WA · Report card3 F645No harm
  5. Extended Care Hospital of RiversideRiverside, CA · Report card3 F645No harm
  6. Garden Park Health Care CenterCincinnati, OH · Report card3 F645No harm
  7. Highland Oaks Health CenterMcConnelsville, OH · Report card3 F645No harm
  8. Hilltop Park Post AcuteDenver, CO · Report card3 F645No harm
  9. Landmark Care and RehabilitationYakima, WA · Report card3 F645No harm
  10. Life Care Center of Federal WayFederal Way, WA · Report card3 F645No harm
  11. North Auburn Rehab & Health CenterAuburn, WA · Report card3 F645No harm
  12. North Bend Post AcuteNorth Bend, WA · Report card3 F645No harm
  13. North Dade Nursing and Rehabilitation CenterNorth Miami, FL · Report card3 F645No harm
  14. Orchard Park Health Care & Rehab CenterTacoma, WA · Report card3 F645No harm
  15. Palomar Vista Healthcare CenterEscondido, CA · Report card3 F645No harm

What to ask a facility about a F645 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 20, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F645 in a nursing home inspection?
F645 is the CMS F-tag for the requirement "PASARR screening for Mental disorders or Intellectual Disabilities" (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 F645?
F645 was cited 2,422 times at 2,148 facilities (15% of rated nursing homes) in the last three inspection cycles, ranking #46 of 242 tags. 1 of those citations involved actual harm or immediate jeopardy.
Does a F645 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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