How F804 shows up in inspections

F-TAGF804#29 of 242 tagsOften 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–L0%0
  • Actual harmG · H0.1%5
  • No actual harmD · E · F99.1%3,883
  • Minimal harmB · C0.8%32

0% of F804 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 3,920Citations
  • 3,062Facilities cited21% of rated nursing homes

Citations by survey year

  • 20172
  • 201834
  • 2019145
  • 202053
  • 2021170
  • 2022455
  • 2023966
  • 20241,170
  • 2025920
  • 20265

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

Where F804 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 F804 citation.

States by share of facilities cited

  • California32% of homes470 citations · 371 of 1,154 facilities
  • Ohio25% of homes309 citations · 229 of 911 facilities
  • Texas19% of homes281 citations · 225 of 1,167 facilities
  • Pennsylvania26% of homes266 citations · 172 of 653 facilities
  • Missouri35% of homes245 citations · 166 of 479 facilities
  • Illinois23% of homes213 citations · 155 of 665 facilities
  • New York21% of homes172 citations · 122 of 593 facilities
  • Michigan27% of homes144 citations · 112 of 420 facilities
  • Indiana22% of homes132 citations · 109 of 504 facilities
  • Iowa23% of homes111 citations · 90 of 388 facilities

Top 10 of 53 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Grandview Nursing and RehabilitationDanville, PA · Report card6 F804No harm
  2. St Peters Rehab and Healthcare CenterSaint Peters, MO · Report card6 F804No harm
  3. Aventura at Terrace ViewPeckville, PA · Report card5 F804No harm
  4. Beeghly Oaks Center for Rehabilitation & HealingYoungstown, OH · Report card5 F804No harm
  5. Bria of BellevilleBelleville, IL · Report card5 F804No harm
  6. Carmel Hills Wellness & RehabilitationIndependence, MO · Report card5 F804No harm
  7. The Terrace at Crystal LLCCrystal, MN · Report card5 F804No harm
  8. Yorkview Nursing and RehabilitationYork, PA · Report card5 F804No harm
  9. Pearl of Elk Grove, theElk Grove Village, IL · Report card4 F8041 with harm
  10. Ashland Nursing and RehabilitationAshland, VA · Report card4 F804No harm
  11. Avenir at Maple GroveLouisiana, MO · Report card4 F804No harm
  12. Chandler Therapy & Living Center LLCChandler, OK · Report card4 F804No harm
  13. Continuing Healthcare of Cuyahoga FallsCuyahoga Falls, OH · Report card4 F804No harm
  14. Corvallis ManorCorvallis, OR · Report card4 F804No harm
  15. Embassy of ScrantonScranton, PA · Report card4 F804No harm

What to ask a facility about a F804 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 F804 in a nursing home inspection?
F804 is the CMS F-tag for the requirement "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature." (Nutrition & dietary). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F804?
F804 was cited 3,920 times at 3,062 facilities (21% of rated nursing homes) in the last three inspection cycles, ranking #29 of 242 tags. 5 of those citations involved actual harm or immediate jeopardy.
Does a F804 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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