CMS F-tag

F657: Assessment & care planning

Care plans must be reviewed and revised by the care team, including the resident. Cited 8,745 times at 6,131 nursing homes in the last three inspection cycles.

#12 of 242 tags1% caused harm53 statesLatest survey Jan 15, 2026

How F657 shows up in inspections

F-TAGF657#12 of 242 tagsVery often cited

How serious it usually is

  • Immediate jeopardyJ · K0.3%24
  • Actual harmG · H0.6%52
  • No actual harmD · E · F97.9%8,563
  • Minimal harmB · C1.2%106

1% of F657 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 8,745Citations
  • 6,131Facilities cited42% of rated nursing homes

Citations by survey year

  • 20179
  • 2018179
  • 2019539
  • 2020157
  • 2021423
  • 20221,068
  • 20232,113
  • 20242,352
  • 20251,900
  • 20265

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

Where F657 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 F657 citation.

States by share of facilities cited

  • California51% of homes878 citations · 587 of 1,154 facilities
  • Ohio46% of homes584 citations · 421 of 911 facilities
  • Texas32% of homes450 citations · 379 of 1,167 facilities
  • Pennsylvania40% of homes426 citations · 261 of 653 facilities
  • Maryland91% of homes399 citations · 200 of 219 facilities
  • Virginia75% of homes397 citations · 213 of 285 facilities
  • New York42% of homes349 citations · 252 of 593 facilities
  • Kansas71% of homes303 citations · 210 of 294 facilities
  • Indiana42% of homes297 citations · 210 of 504 facilities
  • Michigan48% of homes295 citations · 201 of 420 facilities

Top 10 of 53 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Casa de Oro CenterLas Cruces, NM · Report card7 F657No harm
  2. Lakewood Healthcare CenterDowney, CA · Report card7 F657No harm
  3. Glenburnie Rehab & Nursing CenterRichmond, VA · Report card6 F657No harm
  4. Santa Anita Convalescent HospitalTemple City, CA · Report card6 F657No harm
  5. Santa Fe Heights Healthcare Center, LLCCompton, CA · Report card6 F657No harm
  6. Seven Hills Rehabilitation and NursingLynchburg, VA · Report card6 F657No harm
  7. Sharon Care CenterLos Angeles, CA · Report card6 F657No harm
  8. Westport Rehabilitation and Nursing CenterRichmond, VA · Report card6 F657No harm
  9. Aria Nursing and RehabilitationLansing, MI · Report card5 F657No harm
  10. Berkley East Healthcare CenterSanta Monica, CA · Report card5 F657No harm
  11. Capitol City Rehab and Healthcare CenterWashington, DC · Report card5 F657No harm
  12. Casselman Healthcare and Rehabilitation CenterMeyersdale, PA · Report card5 F657No harm
  13. Coral Cove Post AcuteLong Beach, CA · Report card5 F657No harm
  14. Citrus Post-AcuteSanta Ana, CA · Report card5 F657No harm
  15. Denton Nursing and RehabDenton, MD · Report card5 F657No harm

What to ask a facility about a F657 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 15, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F657 in a nursing home inspection?
F657 is the CMS F-tag for the requirement "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals." (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 F657?
F657 was cited 8,745 times at 6,131 facilities (42% of rated nursing homes) in the last three inspection cycles, ranking #12 of 242 tags. 76 of those citations involved actual harm or immediate jeopardy.
Does a F657 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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