CMS F-tag

F655: Assessment & care planning

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Cited 3,203 times at 2,764 nursing homes in the last three inspection cycles.

#35 of 242 tags1% caused harm51 statesLatest survey Jan 16, 2026

How F655 shows up in inspections

F-TAGF655#35 of 242 tagsOften cited

How serious it usually is

  • Immediate jeopardyJ0.6%19
  • Actual harmG · H0.6%19
  • No actual harmD · E · F96.9%3,103
  • Minimal harmB · C1.9%62

1% of F655 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 3,203Citations
  • 2,764Facilities cited19% of rated nursing homes

Citations by survey year

  • 20172
  • 201857
  • 2019197
  • 202057
  • 2021172
  • 2022418
  • 2023788
  • 2024845
  • 2025663
  • 20264

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

Where F655 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 F655 citation.

States by share of facilities cited

  • California27% of homes375 citations · 316 of 1,154 facilities
  • Texas27% of homes366 citations · 311 of 1,167 facilities
  • Pennsylvania24% of homes197 citations · 158 of 653 facilities
  • Ohio16% of homes159 citations · 149 of 911 facilities
  • Virginia41% of homes155 citations · 117 of 285 facilities
  • Maryland55% of homes151 citations · 120 of 219 facilities
  • Missouri23% of homes120 citations · 112 of 479 facilities
  • New York19% of homes116 citations · 112 of 593 facilities
  • Massachusetts29% of homes111 citations · 97 of 338 facilities
  • Washington36% of homes88 citations · 69 of 192 facilities

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

Facilities cited most often

  1. Ignite Medical Resort San Antonio, LLCSan Antonio, TX · Report card5 F655No harm
  2. Canterbury Rehabilitation and Healthcare CenterRichmond, VA · Report card4 F655No harm
  3. Casa Arena Healthcare LLCAlamogordo, NM · Report card4 F655No harm
  4. Evan Terrace Post AcuteMcMinnville, OR · Report card4 F655No harm
  5. Glenburnie Rehab & Nursing CenterRichmond, VA · Report card4 F655No harm
  6. Westport Rehabilitation and Nursing CenterRichmond, VA · Report card4 F655No harm
  7. Woodstock Valley Health and RehabilitationWoodstock, VA · Report card4 F655No harm
  8. St. Johnsbury Health & RehabSaint Johnsbury, VT · Report card3 F6551 with harm
  9. Albemarle Health & Rehabilitation CenterCharlottesville, VA · Report card3 F655No harm
  10. Aliya on 87thChicago, IL · Report card3 F655No harm
  11. Aristacare at East FallsPhiladelphia, PA · Report card3 F655No harm
  12. Atlee Hill Health and Rehab CenterWestminster, MD · Report card3 F655No harm
  13. Avir at JeffersonJefferson, TX · Report card3 F655No harm
  14. Adira Medical ResortBossier City, LA · Report card3 F655No harm
  15. Alta Healthcare Center of CamarilloCamarillo, CA · Report card3 F655No harm

What to ask a facility about a F655 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 F655 in a nursing home inspection?
F655 is the CMS F-tag for the requirement "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted" (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 F655?
F655 was cited 3,203 times at 2,764 facilities (19% of rated nursing homes) in the last three inspection cycles, ranking #35 of 242 tags. 38 of those citations involved actual harm or immediate jeopardy.
Does a F655 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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