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F641 Nursing Home Citation: Accurate Resident Assessments
- 7,490
- Citation count
- 5,507
- Cited homes
- 5
- Harm or danger found
- 2
- Immediate danger
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
A nursing home that does not meet federal rules on accurate resident assessments is cited by inspectors as F641. It is filed under resident assessment and care planning by CMS.
At 5,507 homes, inspectors cited F641 7,490 times, according to data CMS now releases. Of those citations, five found that residents were harmed or faced immediate danger.
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| What the inspectors found | Citations |
|---|---|
| Minimal risk to residents | 484 |
| Risk of harm, no one found hurt | 7,001 |
| Residents were harmed | 3 |
| Immediate danger to residents | 2 |
F641: States With the Most Citations
| State | Citations |
|---|---|
| California | 911 |
| Texas | 709 |
| Pennsylvania | 486 |
| Ohio | 372 |
| North Carolina | 334 |
F641 Citations at the Harm Level in Flagged Homes
These listings cover homes that CMS marks for abuse or as Special Focus homes, with an F641 citation that found residents harmed or in danger.
| Home | Stars | Citations | Harm or danger | Fines |
|---|---|---|---|---|
| Archer Heights Healthcare, ChicagoAbuse icon | 1 of 5 | 116 | 17 | $596,515 |
These counts come from the CMS health deficiencies file, updated monthly.