CMS F-tag

F923: Environment & safety

Have enough outside ventilation via a window or mechanical ventilation, or both. Cited 127 times at 121 nursing homes in the last three inspection cycles.

#158 of 242 tags0% caused harm19 statesLatest survey Dec 19, 2025

How F923 shows up in inspections

F-TAGF923#158 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E · F98.4%125
  • Minimal harmB · C1.6%2

0% of F923 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 127Citations
  • 121Facilities cited1% of rated nursing homes

Citations by survey year

  • 20172
  • 20182
  • 20197
  • 20206
  • 20216
  • 202215
  • 202332
  • 202427
  • 202530

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

Where F923 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 F923 citation.

States by share of facilities cited

  • Nebraska16% of homes32 citations · 29 of 178 facilities
  • Missouri4% of homes18 citations · 18 of 479 facilities
  • Maryland7% of homes17 citations · 16 of 219 facilities
  • Michigan4% of homes16 citations · 16 of 420 facilities
  • Colorado5% of homes11 citations · 10 of 208 facilities
  • Utah8% of homes9 citations · 8 of 96 facilities
  • Georgia1% of homes4 citations · 4 of 354 facilities
  • New York1% of homes4 citations · 4 of 593 facilities
  • California0% of homes2 citations · 2 of 1,154 facilities
  • Florida0% of homes2 citations · 2 of 689 facilities

Top 10 of 19 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Arbor Care Centers - Ord, LLCOrd, NE · Report card2 F923No harm
  2. Berkley Manor Care CenterDenver, CO · Report card2 F923No harm
  3. Largo Nursing and Rehabiliation CenterGlenarden, MD · Report card2 F923No harm
  4. Life Care Center of ElkhornElkhorn, NE · Report card2 F923No harm
  5. Mountain View Health ServicesOgden, UT · Report card2 F923No harm
  6. Old Mill RehabilitationOmaha, NE · Report card2 F923No harm
  7. Advanced Care CenterClearwater, FL · Report card1 F923No harm
  8. Alpine Breeze Health and WellnessRaytown, MO · Report card1 F923No harm
  9. Ansley Park Health and RehabilitationNewnan, GA · Report card1 F923No harm
  10. Archer Heights HealthcareChicago, IL · Report card1 F923No harm
  11. Ascension Living Via Christi Village McLeanWichita, KS · Report card1 F923No harm
  12. Aspire Senior Living Excelsior SpringsExcelsior Springs, MO · Report card1 F923No harm
  13. Autumn Lake Healthcare at Baltimore WashingtonGlen Burnie, MD · Report card1 F923No harm
  14. Autumn Lake Healthcare at Birch ManorSykesville, MD · Report card1 F923No harm
  15. Autumn Lake Healthcare at ParkvilleBaltimore, MD · Report card1 F923No harm

What to ask a facility about a F923 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 19, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F923 in a nursing home inspection?
F923 is the CMS F-tag for the requirement "Have enough outside ventilation via a window or mechanical ventilation, or both." (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 F923?
F923 was cited 127 times at 121 facilities (1% of rated nursing homes) in the last three inspection cycles, ranking #158 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F923 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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