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Survey citations · California

California nursing home survey citations, by F-tag

State surveyors inspected 1,073 of California's 1,165 nursing homes in the 12 months from August 2025 through July 2026 and cited 15,330 health deficiencies, according to CMS's nursing home health citation file, processed September 1, 2026. The most cited was F880, which CMS words as “provide and implement an infection prevention and control program”, at 680 of those buildings (63%). 63 of the citations were immediate jeopardy, the most serious level CMS has.

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1,073
of 1,165 buildings inspected
15,330
health citations
63
immediate jeopardy citations
F880
most cited tag

California, the 12 months from August 2025 through July 2026, from CMS's nursing home health citation file.

What surveyors cited

Every F-tag California surveyors cited, most cited first

August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.

RankTagCitationsBuildings citedU.S. rankRank a year earlierImmediate jeopardyActual harm
1F880Provide and implement an infection prevention and control program857680 (63%)#1#131
2F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured756529 (49%)#5#314
3F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents707505 (47%)#2#213108
4F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards646612 (57%)#3#420
5F684Provide appropriate treatment and care according to orders, resident’s preferences and goals622440 (41%)#4#5532
6F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist590474 (44%)#10#602
7F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards524370 (34%)#9#800
8F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs455437 (41%)#6#700
9F658Ensure services provided by the nursing facility meet professional standards of quality378306 (29%)#17#1004
10F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities337261 (24%)#8#1201
11F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights335283 (26%)#14#900
12F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody312204 (19%)#7#11645
13F686Provide appropriate pressure ulcer care and prevent new ulcers from developing283239 (22%)#15#14119
14F695Provide safe and appropriate respiratory care for a resident when needed280253 (24%)#13#1330
15F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals270237 (22%)#16#2000
16F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function266255 (24%)#24#6711
17F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident252209 (19%)#20#2114
18F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely251224 (21%)#12#1600
19F558Reasonably accommodate the needs and preferences of each resident240214 (20%)#25#1500
20F641Ensure each resident receives an accurate assessment239226 (21%)#18#1700
21F552Ensure that residents are fully informed and understand their health status, care and treatments224204 (19%)#31#3000
22F759Ensure medication error rates are not 5 percent or greater188185 (17%)#27#1810
23F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies188173 (16%)#19#7700
24F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive184180 (17%)#29#2500
25F677Provide care and assistance to perform activities of daily living for any resident who is unable184163 (15%)#11#2400
Every other tag cited (143)
RankTagCitationsBuildings citedU.S. rankRank a year earlierImmediate jeopardyActual harm
26F760Ensure that residents are free from significant medication errors176149 (14%)#22#2236
27F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections174163 (15%)#23#2701
28F692Provide enough food/fluids to maintain a resident's health161154 (14%)#26#3309
29F697Provide safe, appropriate pain management for a resident who requires such services160147 (14%)#33#2804
30F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being154141 (13%)#50#2624
31F757Ensure each resident’s drug regimen must be free from unnecessary drugs153151 (14%)#32#3401
32F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube142139 (13%)#35#3102
33F698Provide safe, appropriate dialysis care/services for a resident who requires such services141135 (13%)#36#3621
34F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge141127 (12%)#48#9443
35F814Dispose of garbage and refuse properly137135 (13%)#51#3500
36F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident131130 (12%)#42#2900
37F583Keep residents' personal and medical records private and confidential126119 (11%)#38#4300
38F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms117116 (11%)#95#2300
39F919Make sure that a working call system is available in each resident's bathroom and bathing area116109 (10%)#52#4100
40F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason115113 (11%)#37#3204
41F908Keep all essential equipment working safely113113 (11%)#55#4000
42F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature110106 (10%)#28#3900
43F610Respond appropriately to all alleged violations11097 (9%)#21#4501
44F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures108107 (10%)#34#3800
45F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public107100 (9%)#30#3700
46F645PASARR screening for Mental disorders or Intellectual Disabilities9998 (9%)#45#4200
47F881Implement a program that monitors antibiotic use9490 (8%)#58#4600
48F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment9084 (8%)#61#5521
49F694Provide for the safe, appropriate administration of IV fluids for a resident when needed8482 (8%)#66#5001
50F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options8380 (7%)#63#4400
51F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason7777 (7%)#68#4700
52F813Have a policy regarding use and storage of foods brought to residents by family and other visitors7676 (7%)#93#5800
53F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs7574 (7%)#64#6120
54F732Post nurse staffing information every day7371 (7%)#40#4800
55F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status7271 (7%)#54#7800
56F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted7267 (6%)#46#5900
57F607Develop and implement policies and procedures to prevent abuse, neglect, and theft7164 (6%)#41#6020
58F554Allow residents to self-administer drugs if determined clinically appropriate7067 (6%)#49#4900
59F883Develop and implement policies and procedures for flu and pneumonia vaccinations6767 (6%)#47#6400
60F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail6362 (6%)#67#5100
61F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions6259 (5%)#77#5301
62F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed6161 (6%)#43#5200
63F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service6161 (6%)#96#5700
64F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests6159 (5%)#56#6200
65F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift5851 (5%)#39#5601
66F730Observe each nurse aide's job performance and give regular training5050 (5%)#65#8000
67F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances4945 (4%)#44#6500
68F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services4544 (4%)#69#7400
69F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician4442 (4%)#79#7000
70F685Assist a resident in gaining access to vision and hearing services4342 (4%)#80#7300
71F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered4341 (4%)#59#8800
72F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records4240 (4%)#114#8100
73F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months4040 (4%)#76#7500
74F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment4040 (4%)#74#6800
75F679Provide activities to meet all resident's needs4039 (4%)#53#6900
76F745Provide medically-related social services to help each resident achieve the highest possible quality of life4038 (4%)#92#6300
77F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law3938 (4%)#99#8200
78F865Have a plan that describes the process for conducting QAPI and QAA activities3837 (3%)#82#8900
79F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies3636 (3%)#81#10300
80F911Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents3636 (3%)#151#7100
81F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse3434 (3%)#103#8600
82F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis3231 (3%)#60#7900
83F637Assess the resident when there is a significant change in condition3131 (3%)#86#9000
84F790Provide routine and 24-hour emergency dental care for each resident3030 (3%)#106#9200
85F602Protect each resident from the wrongful use of the resident's belongings or money2826 (2%)#57#9304
86F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards2824 (2%)#124#11600
87F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice2727 (3%)#62#9500
88F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services2624 (2%)#83#8701
89F699Provide care or services that was trauma informed and/or culturally competent2323 (2%)#73#9700
90F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives2322 (2%)#88#10992
91F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit2222 (2%)#102#10400
92F825Provide or get specialized rehabilitative services as required for a resident2222 (2%)#101#8300
93F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action2222 (2%)#75#6601
94F687Provide appropriate foot care2121 (2%)#90#8401
95F712Ensure that the resident and his/her doctor meet face-to-face at all required visits2020 (2%)#116#11300
96F770Provide timely, quality laboratory services/tests to meet the needs of residents2020 (2%)#87#9600
97F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs2020 (2%)#111#11000
98F553Allow resident to participate in the development and implementation of his or her person-centered plan of care2019 (2%)#98#9800
99F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made1919 (2%)#110#10800
100F551Give the resident's representative the ability to exercise the resident's rights1818 (2%)#117#11400
101F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies1818 (2%)#84#9100
102F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data1818 (2%)#89#12200
103F565Honor the resident's right to organize and participate in resident/family groups in the facility1717 (2%)#72#11500
104F638Assure that each resident’s assessment is updated at least once every 3 months1717 (2%)#100#9900
105F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results1716 (1%)#104#12500
106F791Provide or obtain dental services for each resident1716 (1%)#71#10500
107F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder1616 (1%)#112#13100
108F810Provide special eating equipment and utensils for residents who need them and appropriate assistance1616 (1%)#107#11100
109F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility1414 (1%)#128#10600
110F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame1414 (1%)#119#10200
111F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home1313 (1%)#97#10700
112F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention1313 (1%)#78#11700
113F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly1212 (1%)#85#11900
114F809Ensure 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 times1111 (1%)#94#12300
115F940Develop, implement, and/or maintain an effective training program for all new and existing staff members1111 (1%)#118#12700
116F576Ensure residents have reasonable access to and privacy in their use of communication methods1010 (1%)#109#12100
117F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft1010 (1%)#136#13900
118F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia1010 (1%)#91#11200
119F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation108 (1%)#120#13300
120F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care99 (1%)#130#14000
121F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration99 (1%)#125#12800
122F826Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor99 (1%)#163#14600
123F839Employ staff that are licensed, certified, or registered in accordance with state laws99 (1%)#135#13200
124F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted88 (1%)#133#14700
125F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition88 (1%)#129#14800
126F675Honor each resident's preferences, choices, values and beliefs88 (1%)#147#12600
127F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training88 (1%)#123#15200
128F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results88 (1%)#156#15700
129F835Administer the facility in a manner that enables it to use its resources effectively and efficiently88 (1%)#70#11800
130F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility88 (1%)#153#14900
131F926Have policies on smoking88 (1%)#121#12400
132F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide77 (1%)#149#15800
133F555Honor the resident's right to choose his or her attending physician76 (1%)#159#14100
134F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents76 (1%)#155#13500
135F567Honor the resident's right to manage his or her financial affairs66 (1%)#108#13600
136F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services66 (1%)#122#12900
137F914Provide bedrooms that don't allow residents to see each other when privacy is needed66 (1%)#137#15900
138F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel65 (0%)#160not cited00
139F563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing55 (0%)#158#16000
140F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home55 (0%)#113#15300
141F572Give residents a notice of rights, rules, services and charges55 (0%)#142#14200
142F774Help the resident with transportation to and from laboratory services outside of the facility55 (0%)#162#13700
143F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them55 (0%)#143#13400
144F848Provide a neutral and fair arbitration process and agree to arbitrator and venue55 (0%)#152#13000
145F850Hire a qualified full-time social worker in a facility with more than 120 beds55 (0%)#127#13800
146F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death44 (0%)#105#15400
147F924Put firmly secured handrails on each side of hallways44 (0%)#141#16100
148F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid33 (0%)#166#17400
149F574The resident has the right to receive notices in a format and a language he or she understands33 (0%)#154#14300
150F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining33 (0%)#150#15000
151F778Help the resident make transportation arrangements to and from radiology services33 (0%)#170#17500
152F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service33 (0%)#146#14400
153F917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space33 (0%)#165not cited00
154F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency22 (0%)#132#16900
155F603Protect each resident from separation (from other residents, his/her room, or confinement to his/her room)22 (0%)#140#16200
156F907Provide enough space and equipment to meet each resident's needs22 (0%)#187#15100
157F910Ensure resident rooms meet each resident's needs22 (0%)#173not cited00
158F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members22 (0%)#134#16300
159F564Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges11 (0%)#179not cited00
160F621Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source11 (0%)#180not cited00
161F659Provide care by qualified persons according to each resident's written plan of care11 (0%)#145#16400
162F713Provide or arrange emergency care by a doctor 24 hours a day11 (0%)#172#16500
163F811Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised11 (0%)#171#17000
164F895Have a Compliance and Ethics Program11 (0%)#168#17600
165F906Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers11 (0%)#183#17700
166F922Have enough backup water supply for essential areas of the nursing home11 (0%)#174not cited00
167F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents11 (0%)#148#16600
168F949Provide behavior health training consistent with the requirements and as determined by a facility assessment11 (0%)#126#15500

A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.

About this data
What is the most cited F-tag in California?
F880: “Provide and implement an infection prevention and control program.” California surveyors cited it 857 times at 680 of the 1,073 nursing homes they inspected in the 12 months from August 2025 through July 2026 (63%).
How many California nursing homes were cited for infection control?
680 of the 1,073 inspected in the 12 months from August 2025 through July 2026 (63%) were cited for F880, infection prevention and control.
How many immediate jeopardy citations did California nursing homes get?
63 in the 12 months from August 2025 through July 2026, out of 15,330 health citations, according to CMS's nursing home health citation file.
Source: CMS's nursing home health citation file.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.