CMS F-tag

F924: Environment & safety

Put firmly secured handrails on each side of hallways. Cited 186 times at 182 nursing homes in the last three inspection cycles.

#145 of 242 tags0% caused harm33 statesLatest survey Dec 19, 2025

How F924 shows up in inspections

F-TAGF924#145 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E · F100%186
  • Minimal harmA–C0%0

0% of F924 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 186Citations
  • 182Facilities cited1% of rated nursing homes

Citations by survey year

  • 20184
  • 20197
  • 20204
  • 202115
  • 202222
  • 202353
  • 202452
  • 202529

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

Where F924 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 F924 citation.

States by share of facilities cited

  • Maryland9% of homes20 citations · 19 of 219 facilities
  • Missouri4% of homes19 citations · 19 of 479 facilities
  • California1% of homes16 citations · 16 of 1,154 facilities
  • Illinois2% of homes15 citations · 14 of 665 facilities
  • New York2% of homes10 citations · 10 of 593 facilities
  • New Jersey3% of homes9 citations · 9 of 344 facilities
  • Florida1% of homes9 citations · 9 of 689 facilities
  • Texas1% of homes7 citations · 7 of 1,167 facilities
  • Ohio1% of homes7 citations · 7 of 911 facilities
  • Georgia2% of homes7 citations · 7 of 354 facilities

Top 10 of 33 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. All American Vlge Nrsg & RhbChicago, IL · Report card2 F924No harm
  2. Autumn Lake Healthcare at OverleaBaltimore, MD · Report card2 F924No harm
  3. Chapel ManorPhiladelphia, PA · Report card2 F924No harm
  4. Ryder Memorial Hospital INCHumacao, PR · Report card2 F924No harm
  5. Adelphi Nursing and Rehabilitation CenterAdelphi, MD · Report card1 F924No harm
  6. Advena Living of CherryvaleCherryvale, KS · Report card1 F924No harm
  7. Ahmc Seton Medical CenterDaly City, CA · Report card1 F924No harm
  8. Alaris Health at the ChateauRochelle Park, NJ · Report card1 F924No harm
  9. Alpine Breeze Health and WellnessRaytown, MO · Report card1 F924No harm
  10. Alta Rehab at FairmontChicago, IL · Report card1 F924No harm
  11. Amaya Springs Health Care CenterSpring Valley, CA · Report card1 F924No harm
  12. Ansted CenterAnsted, WV · Report card1 F924No harm
  13. Aperion Care LakeshoreChicago, IL · Report card1 F924No harm
  14. Arbor View Nursing and RehabilitationCedar Hill, MO · Report card1 F924No harm
  15. Aristacare at WhitingWhiting, NJ · Report card1 F924No harm

What to ask a facility about a F924 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 F924 in a nursing home inspection?
F924 is the CMS F-tag for the requirement "Put firmly secured handrails on each side of hallways." (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 F924?
F924 was cited 186 times at 182 facilities (1% of rated nursing homes) in the last three inspection cycles, ranking #145 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F924 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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