CMS F-tag

F699: Quality of life & care

Provide care or services that was trauma informed and/or culturally competent. Cited 962 times at 899 nursing homes in the last three inspection cycles.

#81 of 242 tags2% caused harm45 statesLatest survey Jan 20, 2026

How F699 shows up in inspections

#81 of 242 tagsOccasionally cited

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

How serious it usually is

Immediate jeopardyJ · K0.3%3
Actual harmG · H1.8%17
No actual harmD · E · F97.8%941
Minimal harmC0.1%1

2% of F699 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

962Citations
899Facilities cited6% of rated nursing homes

Citations by survey year

20225
2023228
2024392
2025335
20262

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

Where F699 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 F699 citation.

States by share of facilities cited

Pennsylvania19% of homes135 citations · 124 of 653 facilities
Massachusetts28% of homes111 citations · 94 of 338 facilities
California5% of homes60 citations · 57 of 1,154 facilities
Missouri12% of homes60 citations · 58 of 479 facilities
Ohio5% of homes51 citations · 50 of 911 facilities
Minnesota12% of homes49 citations · 42 of 337 facilities
Washington19% of homes42 citations · 36 of 192 facilities
Michigan9% of homes40 citations · 36 of 420 facilities
Texas3% of homes37 citations · 35 of 1,167 facilities
Kansas11% of homes33 citations · 31 of 294 facilities

Top 10 of 45 states. Every state page lists its most-cited tags.

Facilities cited most often

Landmark Care and RehabilitationYakima, WA · Report card3 F699No harm
West Roxbury Health & Rehabilitation CenterWest Roxbury, MA · Report card3 F699No harm
Adviniacare Newton WellesleyWellesley, MA · Report card2 F6991 with harm
Holton Health Care CenterHolton, KS · Report card2 F6991 with harm
Aspen Hill Rehabiliation & Healthcare CenterHaverhill, MA · Report card2 F699No harm
Avamere Crestview of PortlandPortland, OR · Report card2 F699No harm
Ayer Valley Rehab and NursingAyer, MA · Report card2 F699No harm
Arcadia Medical Resort of ParksideUnion Gap, WA · Report card2 F699No harm
Avir at WinnsboroWinnsboro, TX · Report card2 F699No harm
Beaver Valley Rehabilitation and Healthcare CenterBeaver Falls, PA · Report card2 F699No harm
Belleview Valley Nursing HomeBelleview, MO · Report card2 F699No harm
Broad Mountain Health and Rehabilitation CenterFrackville, PA · Report card2 F699No harm
Brooke Knoll VillageAvon, IN · Report card2 F699No harm
Brookmont Healthcare and Rehabilitation CenterEffort, PA · Report card2 F699No harm
Burgh Care CenterPittsburgh, PA · Report card2 F699No harm

What to ask a facility about a F699 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 20, 2026. Counts are citations unless labeled facilities.

What is F699 in a nursing home inspection?

F699 is the CMS F-tag for the requirement "Provide care or services that was trauma informed and/or culturally competent." (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 F699?

F699 was cited 962 times at 899 facilities (6% of rated nursing homes) in the last three inspection cycles, ranking #81 of 242 tags. 20 of those citations involved actual harm or immediate jeopardy.

Does a F699 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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