Deficiency Index

F911

Environmental Deficiencies

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

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

Citations in 202548

Every F911 citation surveyors wrote nationally that year.

Facilities cited48

Distinct nursing homes with at least one F911 finding.

The harm level

How severely F911 is cited

0.0% 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 jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD106.0%E116.6%F10.6%
No harm, potential for minimalA—B14285.5%C21.2%
Every recorded F911 citation, by the harm level and scope the surveyor assigned.

In the surveyor’s words

What an F911 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.

D · No harm, potential for more than minimal, isolatedAugust 13, 2026

Based on observation, interview and record review, the facility failed to ensure a residents room did not accommodate no more than four residents per room for two of eight Resident rooms (rooms [ROOM NUMBERS]).This deficient practice had the potential to result in inadequate useable living space for the residents and working space for the healthcare providers.Findings: During a review of the facility Room Waiver letter, dated 8/11/2026, submitted by the Facility Administrator (FA), the facility room waiver letter indicated that resident rooms [ROOM NUMBERS] have six beds per room. …

Sunset Park Healthcare · California

B · No harm, potential for minimal, patternAugust 14, 2026

Based on observation, interview, and record review, the facility failed to meet the requirement for no more than four residents per room for two (2) out of 60 resident rooms (room [ROOM NUMBER] and room [ROOM NUMBER]). This failure had the potential to adversely affect the delivery of care, quality of life, safety, and violate the resident's rights for privacy. Findings During the entrance conference interview with the Director of Nursing (DON) on 8/10/2026 at 8:03 AM, the DON stated that two rooms in the facility were occupied by more than four residents in each room, but the facility had a waiver (a permit approved by Centers for Medicare & Medicaid Services for rooms that did not meet the regulation requirement) in place and would like to request a continuing waiver this year. …

West Hills Health and Rehabilitation Center · California

By state — 2025

Where F911 is cited more, and less, than expected

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

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