of F607 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025714
Every F607 citation surveyors wrote nationally that year.
Facilities cited672
Distinct nursing homes with at least one F607 finding.
The harm level
How severely F607 is cited
8.7% 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
J1364.3%
K822.6%
L110.4%
Actual harm
G351.1%
H70.2%
I—
No harm, potential for more than minimal
D1,92761.6%
E72323.1%
F1254.0%
No harm, potential for minimal
A—
B90.3%
C752.4%
Every recorded F607 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F607 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 28, 2026
Based on interview and record review, the facility failed to implement and follow their Abuse Prevention Policy and Procedures by failing to protect a resident (R1) from physical and verbal abuse, failed to immediately report allegations of abuse to the state agency, failed to initiate a timely investigation, and failed to take immediate actions to ensure resident safety. These failures resulted in psychosocial harm of R1 who is fearful and scared of another altercation with V5 and fearful he will be abused again. Failure of the facility not following their abuse policy puts all 147 residents at risk of being abused.The Immediate Jeopardy began on 07/05/2026 when R1 and V5 were involved in a physical altercation in the facility. …
Based on interview and record review, the facility failed to implement and follow its Abuse Prevention Policy and Procedures by failing to protect a resident (R4) from physical and verbal abuse, failed to protect a resident from misappropriation of property (R6), and failed to take immediate actions to ensure resident's safety. These failures resulted in psychological harm for R4 who feared for his life when a staff he accused of physically abusing him came back to his room a day or two later, and R6 who lost a family heirloom that she intended to pass on to another family member.Findings include:1.) R4 was admitted to the facility on [DATE], face sheet listed the following past medical history in part: Chronic inflammatory demyelinating polyneuritis, primary osteoarthritis, type 2… …
D · No harm, potential for more than minimal, isolatedSeptember 4, 2026
Based on interview and record review, the facility failed to implement its abuse prevention policies and procedures. Specifically, the facility failed to recognize allegations made by Resident (R)12, one of three residents sampled for abuse, involving a family member/legal representative related to financial abuse should trigger implementation of their policy and ensure reporting and investigating protections were in place. This deficient practice placed R12 at risk for continued financial exploitation and misappropriation of resident property.Cross Reference F609 and F610.Findings include: Review of the facility's abuse policy titled, Abuse, Neglect, Exploitation and Misappropriation Prevention Program, revised 05/2026, revealed the facility's abuse prevention program was intended to… …
C · No harm, potential for minimal, widespreadAugust 28, 2026
. Based on record review and interview, the facility failed to ensure its written policies and procedures for abuse, neglect, exploitation, and misappropriation of resident property included all required components for all residents (based on a census of 39).Specifically, the Resident Abuse, Neglect or Misappropriation of Property policy contained procedures related to employee background screening, staff orientation, investigation, resident protection, and reporting; however, the facility's written procedures, considered together, did not establish comprehensive procedures for:1) directing staff training on injuries of unknown source and resident behavioral symptoms that increase the risk for abuse or neglect;2) preventing situations in which abuse, neglect, exploitation, or… …
Protect each resident from the wrongful use of the resident's belongings or money.
Cited in the same inspection, not caused by one another.
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