CMS F-tag

F661: Assessment & care planning

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Cited 900 times at 853 nursing homes in the last three inspection cycles.

#85 of 242 tags1% caused harm48 statesLatest survey May 12, 2025

How F661 shows up in inspections

F-TAGF661#85 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ0.9%8
  • Actual harmG0.2%2
  • No actual harmD · E · F96.2%866
  • Minimal harmB · C2.7%24

1% of F661 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 900Citations
  • 853Facilities cited6% of rated nursing homes

Citations by survey year

  • 201817
  • 201959
  • 202015
  • 202161
  • 2022132
  • 2023266
  • 2024281
  • 202569

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

Where F661 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 F661 citation.

States by share of facilities cited

  • Missouri14% of homes76 citations · 67 of 479 facilities
  • Ohio8% of homes74 citations · 71 of 911 facilities
  • California4% of homes57 citations · 51 of 1,154 facilities
  • Oklahoma19% of homes56 citations · 53 of 282 facilities
  • Kansas17% of homes54 citations · 50 of 294 facilities
  • Pennsylvania6% of homes43 citations · 40 of 653 facilities
  • Texas3% of homes42 citations · 40 of 1,167 facilities
  • Maryland14% of homes32 citations · 31 of 219 facilities
  • Illinois5% of homes31 citations · 30 of 665 facilities
  • Virginia9% of homes25 citations · 25 of 285 facilities

Top 10 of 48 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Advena Living at FountainviewRose Hill, KS · Report card2 F661No harm
  2. Aegis Health and RehabilitationWildwood, MO · Report card2 F661No harm
  3. Aspire Senior Living Pleasant HillPleasant Hill, MO · Report card2 F661No harm
  4. Avalon Place KirbyvilleKirbyville, TX · Report card2 F661No harm
  5. Avina on 32ndKenosha, WI · Report card2 F661No harm
  6. Bonner Springs Nursing & Rehab CenterBonner Springs, KS · Report card2 F661No harm
  7. Brandon Woods of New BedfordNew Bedford, MA · Report card2 F661No harm
  8. Burbank Healthcare & RehabBurbank, CA · Report card2 F661No harm
  9. Chatsworth Park Health Care CenterChatsworth, CA · Report card2 F661No harm
  10. Cheney Care CenterCheney, WA · Report card2 F661No harm
  11. City View Post AcuteSan Francisco, CA · Report card2 F661No harm
  12. Clearwater Nursing & Rehabilitation CenterClearwater, KS · Report card2 F661No harm
  13. Continuing Care at Maris GroveGlen Mills, PA · Report card2 F661No harm
  14. Country Club Center IDover, OH · Report card2 F661No harm
  15. Country Lane Gardens Rehab & Nursing CtrPleasantville, OH · Report card2 F661No harm

What to ask a facility about a F661 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 May 12, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F661 in a nursing home inspection?
F661 is the CMS F-tag for the requirement "Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge." (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 F661?
F661 was cited 900 times at 853 facilities (6% of rated nursing homes) in the last three inspection cycles, ranking #85 of 242 tags. 10 of those citations involved actual harm or immediate jeopardy.
Does a F661 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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