How F791 shows up in inspections

F-TAGF791#68 of 242 tagsOccasionally cited
  1. Rarely cited
  2. Occasionally cited
  3. Often cited
  4. Very often cited
  5. Among the most cited

How serious it usually is

  • Immediate jeopardyJ · K0.2%3
  • Actual harmG1.6%20
  • No actual harmD · E98.1%1,212
  • Minimal harmA–C0%0

2% of F791 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,235Citations
  • 1,147Facilities cited8% of rated nursing homes

Citations by survey year

  • 20171
  • 201821
  • 201976
  • 202025
  • 202148
  • 2022170
  • 2023277
  • 2024346
  • 2025271

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

Where F791 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 F791 citation.

States by share of facilities cited

  • Ohio16% of homes150 citations · 142 of 911 facilities
  • Pennsylvania13% of homes88 citations · 82 of 653 facilities
  • Washington31% of homes77 citations · 59 of 192 facilities
  • Maryland31% of homes74 citations · 68 of 219 facilities
  • California6% of homes68 citations · 65 of 1,154 facilities
  • Massachusetts17% of homes64 citations · 56 of 338 facilities
  • Indiana10% of homes58 citations · 50 of 504 facilities
  • Florida7% of homes53 citations · 51 of 689 facilities
  • Texas4% of homes49 citations · 48 of 1,167 facilities
  • Michigan9% of homes42 citations · 38 of 420 facilities

Top 10 of 50 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Aurora Valley CareSpokane, WA · Report card3 F7911 with harm
  2. Cedar CrossingsPortland, OR · Report card3 F791No harm
  3. Cottesmore of Life CareGig Harbor, WA · Report card3 F791No harm
  4. Polaris Healthcare and Rehabilitation CenterMilford, DE · Report card3 F791No harm
  5. Renton Health & RehabilitationRenton, WA · Report card3 F791No harm
  6. West Newton HealthcareWest Newton, MA · Report card3 F791No harm
  7. Agility Health and RehabilitationUniversity Place, WA · Report card2 F791No harm
  8. Alaska Gardens Health and RehabilitationTacoma, WA · Report card2 F791No harm
  9. Ashford Place Health CampusShelbyville, IN · Report card2 F791No harm
  10. Autumn Lake Healthcare at BridgeparkBaltimore, MD · Report card2 F791No harm
  11. Avalon Healthcare - TacomaTacoma, WA · Report card2 F791No harm
  12. Avamere at Pacific RidgeTacoma, WA · Report card2 F791No harm
  13. Avamere Rehabilitation of Coos BayCoos Bay, OR · Report card2 F791No harm
  14. Bay Terrace Rehabilitation and Health CenterDover, DE · Report card2 F791No harm
  15. Baywood Crossing Rehabilitation & Healthcare CentePasadena, TX · Report card2 F791No harm

What to ask a facility about a F791 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 Dec 5, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F791 in a nursing home inspection?
F791 is the CMS F-tag for the requirement "Provide or obtain dental services for each resident." (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 F791?
F791 was cited 1,235 times at 1,147 facilities (8% of rated nursing homes) in the last three inspection cycles, ranking #68 of 242 tags. 23 of those citations involved actual harm or immediate jeopardy.
Does a F791 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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