CMS F-tag

F911: Environment & safety

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Cited 168 times at 67 nursing homes in the last three inspection cycles.

#151 of 242 tags0% caused harm3 statesLatest survey Dec 4, 2025

How F911 shows up in inspections

F-TAGF911#151 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E14.9%25
  • Minimal harmB · C85.1%143

0% of F911 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 168Citations
  • 67Facilities cited0% of rated nursing homes

Citations by survey year

  • 20181
  • 201911
  • 20202
  • 202120
  • 202218
  • 202326
  • 202451
  • 202539

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

Where F911 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 F911 citation.

States by share of facilities cited

  • California6% of homes164 citations · 65 of 1,154 facilities
  • Alabama0% of homes3 citations · 1 of 223 facilities
  • New York0% of homes1 citations · 1 of 593 facilities

Facilities cited most often

  1. North Pointe Care CenterSacramento, CA · Report card4 F911No harm
  2. Alcott Rehabilitation HospitalLos Angeles, CA · Report card3 F911No harm
  3. Alhambra Healthcare & Wellness Centre, LPAlhambra, CA · Report card3 F911No harm
  4. Bradley CourtEl Cajon, CA · Report card3 F911No harm
  5. Brighton Place San DiegoSan Diego, CA · Report card3 F911No harm
  6. Broadway Healthcare CenterSan Gabriel, CA · Report card3 F911No harm
  7. Brookside Skilled Nursing HospitalSan Mateo, CA · Report card3 F911No harm
  8. Camden Postacute Care, INCCampbell, CA · Report card3 F911No harm
  9. Colonial Gardens Nursing HomePico Rivera, CA · Report card3 F911No harm
  10. Countryside Care CenterFresno, CA · Report card3 F911No harm
  11. Del Mar Convalescent HospitalRosemead, CA · Report card3 F911No harm
  12. Father Purcell Memorial Exceptional Children's CtrMontgomery, AL · Report card3 F911No harm
  13. Folsom Care CenterFolsom, CA · Report card3 F911No harm
  14. Grace Healthcare CenterFresno, CA · Report card3 F911No harm
  15. Grant Cuesta Sub-Acute and Rehabilitation CenterMountain View, CA · Report card3 F911No harm

What to ask a facility about a F911 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 4, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F911 in a nursing home inspection?
F911 is the CMS F-tag for the requirement "Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents." (Environment & safety). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F911?
F911 was cited 168 times at 67 facilities (0% of rated nursing homes) in the last three inspection cycles, ranking #151 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F911 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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