Deficiency Index

F656 · Comprehensive care plan

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations in 20253,730

Every F656 citation surveyors wrote nationally that year.

Facilities cited3,235

Distinct nursing homes with at least one F656 finding.

The harm level

How severely F656 is cited

3.2% 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.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ1691.1%K570.4%L20.0%
Actual harmG2631.7%H80.1%I—
No harm, potential for more than minimalD11,83276.7%E2,96819.2%F510.3%
No harm, potential for minimalA—B760.5%C90.1%
Every recorded F656 citation, by the harm level and scope the surveyor assigned.

In the surveyor’s words

What an F656 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.

K · Immediate jeopardy, patternMay 18, 2026

Based on record review and interview, the facility failed to ensure elopement prevention interventions were implemented on the care plan for 1 (#1) of 3 sampled residents reviewed for elopement.A wandering and elopement risk assessment for Resident #1, dated 05/28/25, showed the resident was at risk for wandering and elopement.An incident report form, dated 11/06/25, showed Resident #1's family member informed the facility the resident had walked to their home. The report showed the resident had a small abrasion to their forehead.Resident #1's care plan did not show wandering and elopement incidents/interventions prior to 11/06/25.The administrator identified 21 residents in the facility at risk for elopement.On 05/13/26, an Immediate Jeopardy (IJ) situation was determined to exist related… …

Antlers Manor · Oklahoma

G · Actual harm, isolatedAugust 25, 2026

Based on interviews, record review, and facility policy review, the facility failed to implement a comprehensive person-centered care plan by failing to provide the care-planned assistance of two staff members during a resident transfer for one (1) of five (5) residents reviewed for transfers. (Resident #1).Findings include: A review of the facility's policy titled, Using the Care Plan, revised August 2006, revealed, Policy Statement: The care plan shall be used in developing the resident's daily care routines and will be available to staff personnel who have responsibility for providing care or services to the resident .A record review of Resident #1's admission Record revealed the facility admitted the resident on 06/03/26, with an initial admission date of 10/15/24, with diagnoses… …

Pearl River Co Nursing Home · Mississippi

D · No harm, potential for more than minimal, isolatedSeptember 12, 2026

Based on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that included measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for 1 of 8 residents (Resident #20) reviewed for care plans.The facility failed to ensure Resident #20's comprehensive care plan was updated to reflect that resident had an indwelling urinary catheter.These failures could place residents at risk for not having their needs met.The findings were:A record review of Resident #20's Face Sheet, dated 09/10/2026, revealed the resident was a [AGE] year-old male, initially admitted to the facility… …

Avir at Camp Wood · Texas

B · No harm, potential for minimal, patternAugust 13, 2026

Based on observations, interviews and record reviews, the facility failed to develop and implement a comprehensive assessment for residents, consistent with the resident rights that included measurable objectives and timeframes to meet a resident's medical and psychological needs that were identified in the comprehensive for 1 (Resident #46) of 8 residents reviewed for care plans. The facility failed to ensure Resident #46 had a care plan for his anti-anxiety medication, ordered on 08/10/2026.These failures could place the residents at risk of not receiving the necessary care and services.Findings included: Record review of Resident #46's Face Sheet, dated 08/13/2026, reflected an [AGE] year-old male admitted to the facility on [DATE]. …

Wylie Oaks Healthcare and Rehabilitation · Texas

By state — 2025

Where F656 is cited more, and less, than expected

Each state is measured against its own expected share, not against other states.

Magenta is cited more often than expected, blue less often.

Co-occurrence

Cited alongside F656

Of the 2025 surveys that cited F656, these tags appeared in the same inspection more often than chance would predict.

Cited in the same inspection, not caused by one another.

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