CMS F-tag

F676: Quality of life & care

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Cited 1,592 times at 1,414 nursing homes in the last three inspection cycles.

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

How F676 shows up in inspections

F-TAGF676#59 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ0.1%1
  • Actual harmG · H1.1%17
  • No actual harmD · E · F98.8%1,573
  • Minimal harmB0.1%1

1% of F676 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,592Citations
  • 1,414Facilities cited10% of rated nursing homes

Citations by survey year

  • 20171
  • 201828
  • 201988
  • 202029
  • 2021106
  • 2022184
  • 2023396
  • 2024447
  • 2025312
  • 20261

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

Where F676 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 F676 citation.

States by share of facilities cited

  • California27% of homes385 citations · 306 of 1,154 facilities
  • Ohio14% of homes131 citations · 123 of 911 facilities
  • Pennsylvania12% of homes89 citations · 78 of 653 facilities
  • Florida11% of homes84 citations · 78 of 689 facilities
  • Minnesota18% of homes71 citations · 59 of 337 facilities
  • Illinois9% of homes68 citations · 61 of 665 facilities
  • Colorado25% of homes56 citations · 51 of 208 facilities
  • Michigan11% of homes52 citations · 48 of 420 facilities
  • Kansas16% of homes51 citations · 48 of 294 facilities
  • New York8% of homes49 citations · 46 of 593 facilities

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

Facilities cited most often

  1. Huntington Drive Health and Rehabilitation CenterArcadia, CA · Report card4 F676No harm
  2. Santa Anita Convalescent HospitalTemple City, CA · Report card4 F676No harm
  3. Bywood East Health CareMinneapolis, MN · Report card3 F676No harm
  4. California Post-Acute CareLynwood, CA · Report card3 F676No harm
  5. Carroll Park HealthcareBaltimore, MD · Report card3 F676No harm
  6. Elevate Care Chicago NorthChicago, IL · Report card3 F676No harm
  7. Highland Chateau Health and Rehabilitation CenterSaint Paul, MN · Report card3 F676No harm
  8. Inland Valley Care and Rehabilitation CenterPomona, CA · Report card3 F676No harm
  9. Ivy Creek Healthcare & Wellness CentreSan Gabriel, CA · Report card3 F676No harm
  10. Las Colinas Post AcuteOntario, CA · Report card3 F676No harm
  11. Life Care Center of Mount VernonMount Vernon, WA · Report card3 F676No harm
  12. Meadow Creek Post-AcuteParamount, CA · Report card3 F676No harm
  13. Mountain View Conv HospSylmar, CA · Report card3 F676No harm
  14. Pine Grove Healthcare & Wellness Centre, LPSan Gabriel, CA · Report card3 F676No harm
  15. Ross ManorBangor, ME · Report card3 F676No harm

What to ask a facility about a F676 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 F676 in a nursing home inspection?
F676 is the CMS F-tag for the requirement "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason." (Quality of life & care). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F676?
F676 was cited 1,592 times at 1,414 facilities (10% of rated nursing homes) in the last three inspection cycles, ranking #59 of 242 tags. 18 of those citations involved actual harm or immediate jeopardy.
Does a F676 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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