CMS F-tag

F680: Quality of life & care

Ensure the activities program is directed by a qualified professional. Cited 319 times at 302 nursing homes in the last three inspection cycles.

#124 of 242 tags0% caused harm40 statesLatest survey Dec 22, 2025

How F680 shows up in inspections

#124 of 242 tagsRarely cited

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

How serious it usually is

Immediate jeopardyJ–L0%0
Actual harmG–I0%0
No actual harmD · E · F85.6%273
Minimal harmB · C14.4%46

0% of F680 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

319Citations
302Facilities cited2% of rated nursing homes

Citations by survey year

20193
20202
202117
202235
202397
202494
202571

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

Where F680 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 F680 citation.

States by share of facilities cited

Texas3% of homes42 citations · 40 of 1,167 facilities
Ohio4% of homes35 citations · 34 of 911 facilities
Missouri7% of homes33 citations · 32 of 479 facilities
Pennsylvania4% of homes33 citations · 25 of 653 facilities
Michigan4% of homes16 citations · 16 of 420 facilities
Arizona11% of homes15 citations · 15 of 139 facilities
Florida2% of homes13 citations · 12 of 689 facilities
California1% of homes12 citations · 11 of 1,154 facilities
Virginia4% of homes11 citations · 10 of 285 facilities
Colorado5% of homes10 citations · 10 of 208 facilities

Top 10 of 40 states. Every state page lists its most-cited tags.

Facilities cited most often

Squirrel Hill Wellness and Rehabilitation CenterPittsburgh, PA · Report card3 F680No harm
Ashland Nursing and RehabilitationAshland, VA · Report card2 F680No harm
Aspire at EvansFort Myers, FL · Report card2 F680No harm
Avir at KerrvilleKerrville, TX · Report card2 F680No harm
Garden Court Nursing and Rehabilitation CenterDayton, OH · Report card2 F680No harm
Gold Country Health CenterPlacerville, CA · Report card2 F680No harm
Greenwood Center for Rehabilitation and NursingLewistown, PA · Report card2 F680No harm
Harmony Care at FloresvilleFloresville, TX · Report card2 F680No harm
Kadima Rehabilitation & Nursing at IrwinNorth Huntingdon, PA · Report card2 F680No harm
Kadima Rehabilitation & Nursing at LakesideDallas, PA · Report card2 F680No harm
Lyndon CrossingLouisville, KY · Report card2 F680No harm
Magnolia Wellness CenterSaint Louis, MO · Report card2 F680No harm
Mountain View Health ServicesOgden, UT · Report card2 F680No harm
Southwestern Nursing and Rehabilitation CenterPittsburgh, PA · Report card2 F680No harm
Wecare at South Hills Rehabilitation and Nrsg CtrCanonsburg, PA · Report card2 F680No harm

What to ask a facility about a F680 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 Dec 22, 2025. Counts are citations unless labeled facilities.

What is F680 in a nursing home inspection?

F680 is the CMS F-tag for the requirement "Ensure the activities program is directed by a qualified professional." (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 F680?

F680 was cited 319 times at 302 facilities (2% of rated nursing homes) in the last three inspection cycles, ranking #124 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.

Does a F680 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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