Based on interview, record review, and facility policy review, the facility failed to employ a Registered Nurse (RN) ensuring the minimum requirement of having an RN providing services at least eight consecutive hours a day, seven days a week and failed to employ an RN who was designated to serve as the Director of Nursing (DON) on a full-time basis. These failures caused the facility's nursing staff department to have no oversight of Licensed Practical Nurses (LPNs) and non-licensed personnel (Certified Medication Aide/Medication Technician [CMA/MTs]) who administered medications which placed all residents at risk of not being able to attain or maintain their highest practical physical, mental, and psychosocial well-being. …
F727 · Registered nurse coverage
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F727 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F727 finding.
The harm level
How severely F727 is cited
0.3% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J10.0% | K— | L50.2% |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D31514.6% | E52324.2% | F1,28659.5% |
| No harm, potential for minimal | A— | B20.1% | C311.4% |
In the surveyor’s words
What an F727 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.
Based on interview and document review, the facility failed to ensure a registered nurse (RN) was scheduled a minimum of eight consecutive hours each day. This had the potential to affect all 36 residents who resided at the facility.Findings include:The Facility's Payroll Based Journal (PBJ) Staffing Data Report dated 9/4/26, submitted for Quarter 3 of 2026 (April 1 to June 30), identified no RN hours for the following dates: 5/10/26, 5/16/26, 5/17/26, 5/24/26, 5/25/26, 5/31/26, and 6/7/26.Staffing schedules, timecard data and/or payroll verification were requested for these dates but not provided.During an interview on 9/10/26 at 12:53 p.m., the administrator stated dates of no RN coverage, the former director of nursing (DON) or herself would come in until an RN was on-site to relieve. …
Based on review of the daily posted staffing information, review of staff time cards, interview, and policy review, the facility failed to ensure a Registered Nurse (RN) was present for eight consecutive hours in the facility. This had the potential to affect all residents. The facility census was 76. Findings include:Review of the daily posted staffing information dated 06/06/26 revealed one Registered Nurse (RN) was scheduled to work 5.25 hours. A second RN with administrative duties was scheduled to work 7.5 hours. Review of the employee timecard dated 06/06/26 for RN #354 revealed a start time of 6:40 A.M. and an ending time of 12:12 P.M. Review of the handwritten and unsigned employee timecard dated 06/06/26 for the former RN#513 revealed a start time of 1:00 A.M. …
By state — 2025
Where F727 is cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
- Missouri2.97× · 48 citations
- Illinois2.06× · 59 citations
- Texas1.43× · 59 citations
- Ohio0.94× · 26 citations
- California0.65× · 44 citations
Co-occurrence
Cited alongside F727
Of the 2025 surveys that cited F727, these tags appeared in the same inspection more often than chance would predict.
- F8516.7% of F727 surveys · 7.4× chance
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F73213.5% of F727 surveys · 5.2× chance
Post nurse staffing information every day.
- F8819.2% of F727 surveys · 4.6× chance
Implement a program that monitors antibiotic use.
- F72513.5% of F727 surveys · 4.2× chance
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F6559.5% of F727 surveys · 3.5× chance
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Cited in the same inspection, not caused by one another.
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