CMS F-tag

F677: Quality of life & care

Residents who cannot care for themselves must get help with daily activities. Cited 10,325 times at 6,385 nursing homes in the last three inspection cycles.

#6 of 242 tags1% caused harm52 statesLatest survey Jan 28, 2026

How F677 shows up in inspections

#6 of 242 tagsAmong the most cited

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

How serious it usually is

Immediate jeopardyJ · K0.1%6
Actual harmG · H0.8%80
No actual harmD · E · F99.1%10,231
Minimal harmB · C0.1%8

1% of F677 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

10,325Citations
6,385Facilities cited44% of rated nursing homes

Citations by survey year

20171
201871
2019323
2020112
2021424
20221,242
20232,875
20242,964
20252,303
202610

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

Where F677 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 F677 citation.

States by share of facilities cited

Illinois64% of homes1,018 citations · 426 of 665 facilities
Ohio57% of homes891 citations · 516 of 911 facilities
Texas45% of homes864 citations · 530 of 1,167 facilities
California42% of homes741 citations · 483 of 1,154 facilities
Missouri56% of homes489 citations · 268 of 479 facilities
Michigan56% of homes426 citations · 237 of 420 facilities
Indiana46% of homes415 citations · 232 of 504 facilities
Florida39% of homes363 citations · 270 of 689 facilities
Pennsylvania34% of homes350 citations · 225 of 653 facilities
New York37% of homes323 citations · 220 of 593 facilities

Top 10 of 52 states. Every state page lists its most-cited tags.

Facilities cited most often

Bria of WestmontWestmont, IL · Report card13 F677No harm
Norridge GardensNorridge, IL · Report card12 F677No harm
Pearl PavilionFreeport, IL · Report card9 F6771 with harm
Divine Rehabilitation and Nursing at ToledoToledo, OH · Report card9 F677No harm
Pearl of Elk Grove, theElk Grove Village, IL · Report card9 F677No harm
Aperion Care InternationalChicago, IL · Report card8 F677No harm
Casa of HobartHobart, IN · Report card8 F677No harm
Franciscan Care Ctr SylvaniaToledo, OH · Report card8 F677No harm
Goldwater Care BloomingtonBloomington, IL · Report card8 F677No harm
Hillsboro Rehab & HccHillsboro, IL · Report card8 F677No harm
Williamsburg Village Healthcare CampusDesoto, TX · Report card8 F677No harm
Aspen Point Health and RehabilitationSaint Charles, MO · Report card7 F6771 with harm
Aliya of Oak LawnOak Lawn, IL · Report card7 F677No harm
Aperion Care Arbors Michigan CityMichigan City, IN · Report card7 F677No harm
Bethany Rehab & HccDekalb, IL · Report card7 F677No harm

What to ask a facility about a F677 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 28, 2026. Counts are citations unless labeled facilities.

What is F677 in a nursing home inspection?

F677 is the CMS F-tag for the requirement "Provide care and assistance to perform activities of daily living for any resident who is unable." (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 F677?

F677 was cited 10,325 times at 6,385 facilities (44% of rated nursing homes) in the last three inspection cycles, ranking #6 of 242 tags. 86 of those citations involved actual harm or immediate jeopardy.

Does a F677 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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