of F550 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 20252,311
Every F550 citation surveyors wrote nationally that year.
Facilities cited2,128
Distinct nursing homes with at least one F550 finding.
The harm level
How severely F550 is cited
1.6% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J80.1%
K20.0%
L10.0%
Actual harm
G1341.4%
H70.1%
I10.0%
No harm, potential for more than minimal
D7,24576.3%
E2,00621.1%
F300.3%
No harm, potential for minimal
A—
B460.5%
C130.1%
Every recorded F550 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F550 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedJuly 30, 2025
Based on resident interviews, staff interviews, record reviews, observations, policy and procedure reviews, local county sheriff's report and interview, and review of the social media video, the facility failed to ensure that the rights of Resident #1 to have respect and dignity were honored when two Certified Nursing Assistants (CNAs) taunted, threatened and abused Resident #1 and posted the videos to social media. Resident #1 was one (1) of three (3) residents that were reviewed for Resident Rights. The evening of 07/22/25 two (2) facility Certified Nursing Assistants (CNA)'s posted a video to social media in which they taunted, threatened and abused Resident #1. …
Based on observation, interview, and record review, the facility failed to keep a resident's private areas from being exposed for others to see in 1 of 3 residents (R5), when reviewed for resident rights in the sample of 9. Using a reasonable person approach, this failure, verified through interviews regarding R5, who is confused, would cause humiliation, and shame. Findings Include:On 8/12/26 at 7:25 AM, R5 was observed in her room on her mattress on the floor with her gown off, completely exposed with the door open, R5's catheter was on the floor, and she was yelling out help me. R5 is alert to self only. …
D · No harm, potential for more than minimal, isolatedSeptember 12, 2026
Based on observation, interview, and record review, the facility failed to treat each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life for 2 of 9 residents (Residents #17, #34) reviewed for dignity in 1 of 4 hallways and 1 of 1 dining room reviewed for resident rights. 1. The facility failed to promote Resident #17's dignity and privacy during lunch when staff checked his blood pressure and administered medications to him in the dining room around other residents on 09/08/2026.2. The facility failed to promote Resident #34's dignity when staff failed to respond in a timely manner to residents' request for incontinence care assistance on 09/08/2026. …
C · No harm, potential for minimal, widespreadJune 26, 2026
Based on observations and interviews, the facility failed to ensure each resident had the right to exercise their rights as a citizen or resident of the United States to include sending and receiving mail and to receive letters, packages, and other materials delivered to the facility for all 164 of 164 residents residing in the facility. Specifically, mail was not delivered to residents on Saturdays.Findings include: The facility policy Resident Rights, last reviewed 04/08/2024, documented the facility would assure all federal and state laws that guaranteed rights of the resident were followed. …
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Cited in the same inspection, not caused by one another.
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction