CMS F-tag

F658: Assessment & care planning

Care must meet professional standards of quality. Cited 6,903 times at 4,177 nursing homes in the last three inspection cycles.

#17 of 242 tags2% caused harm50 statesLatest survey Jan 15, 2026

How F658 shows up in inspections

#17 of 242 tagsVery often cited

Rarely cited
Occasionally cited
Often cited
Very often cited
Among the most cited

How serious it usually is

Immediate jeopardyJ · K · L0.6%44
Actual harmG · H · I1.6%107
No actual harmD · E · F97.7%6,743
Minimal harmB · C0.1%9

2% of F658 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

6,903Citations
4,177Facilities cited29% of rated nursing homes

Citations by survey year

201713
201894
2019281
2020120
2021318
2022575
20231,679
20242,008
20251,808
20267

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

Where F658 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 F658 citation.

States by share of facilities cited

California59% of homes1,360 citations · 676 of 1,154 facilities
Missouri69% of homes646 citations · 332 of 479 facilities
Massachusetts73% of homes468 citations · 248 of 338 facilities
New Jersey76% of homes431 citations · 262 of 344 facilities
Iowa59% of homes407 citations · 229 of 388 facilities
Virginia69% of homes362 citations · 197 of 285 facilities
Michigan48% of homes337 citations · 200 of 420 facilities
Pennsylvania24% of homes233 citations · 156 of 653 facilities
Washington63% of homes217 citations · 120 of 192 facilities
Connecticut65% of homes204 citations · 124 of 190 facilities

Top 10 of 50 states. Every state page lists its most-cited tags.

Facilities cited most often

Heritage Hills Nursing & Rehabilitation CenterSmithfield, RI · Report card10 F658No harm
Kern River Transitional CareBakersfield, CA · Report card9 F658No harm
Santa Cruz Post AcuteSanta Cruz, CA · Report card9 F658No harm
Care One at RandolphRandolph, MA · Report card8 F658No harm
Vasona Creek Healthcare CenterLos Gatos, CA · Report card8 F658No harm
Beloved Health and Rehabilitation CenterHannibal, MO · Report card7 F6582 with harm
Berkshire PlaceProvidence, RI · Report card7 F6581 with harm
Heritage Specialty CareCedar Rapids, IA · Report card7 F6581 with harm
Aspen Point Health and RehabilitationSaint Charles, MO · Report card7 F658No harm
Bakersfield Post AcuteBakersfield, CA · Report card7 F658No harm
Orchard Post AcuteFresno, CA · Report card7 F658No harm
Oakland Grove Health Care CenterWoonsocket, RI · Report card7 F658No harm
River City Living CommunityJefferson City, MO · Report card7 F658No harm
Roseville Point Health & Wellness CenterRoseville, CA · Report card7 F658No harm
St Peters Rehab and Healthcare CenterSaint Peters, MO · Report card7 F658No harm

What to ask a facility about a F658 citation

What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
What was the plan of correction, and was it accepted by the state on the first submission?
Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
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.

What is F658 in a nursing home inspection?

F658 is the CMS F-tag for the requirement "Ensure services provided by the nursing facility meet professional standards of quality." (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 F658?

F658 was cited 6,903 times at 4,177 facilities (29% of rated nursing homes) in the last three inspection cycles, ranking #17 of 242 tags. 151 of those citations involved actual harm or immediate jeopardy.

Does a F658 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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