CMS F-tag

F919: Environment & safety

Resident call systems must work from every bed and bathroom. Cited 1,736 times at 1,501 nursing homes in the last three inspection cycles.

#56 of 242 tags1% caused harm50 statesLatest survey Jan 7, 2026

How F919 shows up in inspections

F-TAGF919#56 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ · K · L1.3%22
  • Actual harmG · H0.1%2
  • No actual harmD · E · F98.4%1,708
  • Minimal harmB0.2%4

1% of F919 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,736Citations
  • 1,501Facilities cited10% of rated nursing homes

Citations by survey year

  • 201812
  • 201942
  • 202018
  • 202156
  • 2022167
  • 2023448
  • 2024541
  • 2025450
  • 20262

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

Where F919 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 F919 citation.

States by share of facilities cited

  • California26% of homes377 citations · 298 of 1,154 facilities
  • Texas15% of homes195 citations · 171 of 1,167 facilities
  • Ohio11% of homes112 citations · 97 of 911 facilities
  • Illinois13% of homes100 citations · 87 of 665 facilities
  • Missouri15% of homes90 citations · 71 of 479 facilities
  • Pennsylvania9% of homes80 citations · 61 of 653 facilities
  • Florida8% of homes59 citations · 57 of 689 facilities
  • Michigan12% of homes58 citations · 49 of 420 facilities
  • Maryland23% of homes58 citations · 51 of 219 facilities
  • New York9% of homes55 citations · 51 of 593 facilities

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

Facilities cited most often

  1. The Terrace at Crystal LLCCrystal, MN · Report card6 F919No harm
  2. Fairview Rehab and Care CenterPhiladelphia, PA · Report card5 F919No harm
  3. Paradigm at KatyKaty, TX · Report card4 F9191 with harm
  4. Abundant Acres Care and RehabSavannah, MO · Report card4 F919No harm
  5. California TerraceChicago, IL · Report card4 F919No harm
  6. Elk Grove Post AcuteElk Grove, CA · Report card4 F919No harm
  7. Golden Rose Care CenterPasadena, CA · Report card4 F919No harm
  8. Grandview Nursing and RehabilitationDanville, PA · Report card4 F919No harm
  9. Mid-Town Oaks Post-AcuteSacramento, CA · Report card4 F919No harm
  10. Pines Nursing and RehabEaston, MD · Report card4 F919No harm
  11. The Chateau at Mountain Crest Nursing & Rehab CtrCincinnati, OH · Report card4 F919No harm
  12. Beckley Healthcare CenterBeckley, WV · Report card3 F919No harm
  13. Beverly Hills Rehabilitation CentreLos Angeles, CA · Report card3 F919No harm
  14. Capitol City Rehab and Healthcare CenterWashington, DC · Report card3 F919No harm
  15. Culver West Health CenterLos Angeles, CA · Report card3 F919No harm

What to ask a facility about a F919 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 7, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F919 in a nursing home inspection?
F919 is the CMS F-tag for the requirement "Make sure that a working call system is available in each resident's bathroom and bathing area." (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 F919?
F919 was cited 1,736 times at 1,501 facilities (10% of rated nursing homes) in the last three inspection cycles, ranking #56 of 242 tags. 24 of those citations involved actual harm or immediate jeopardy.
Does a F919 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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