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F656 Nursing Home Citation: A Complete Care Plan

14,656
Citation count
8,407
Cited homes
468
Harm or danger found
213
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 a complete care plan is cited by inspectors as F656. It is filed under resident assessment and care planning by CMS.

At 8,407 homes, inspectors cited F656 14,656 times, according to data CMS now releases. Of those citations, 468 found that residents were harmed or faced immediate danger.

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F656 Citations by Seriousness

What the inspectors foundCitations
Minimal risk to residents81
Risk of harm, no one found hurt14,107
Residents were harmed255
Immediate danger to residents213

F656: States With the Most Citations

StateCitations
California2,654
Texas1,829
Pennsylvania656
Ohio629
New York581

F656 Citations at the Harm Level in Flagged Homes

These listings cover homes that CMS marks for abuse or as Special Focus homes, with an F656 citation that found residents harmed or in danger.

HomeStarsCitationsHarm or dangerFines
Woodway Nursing & Rehab, HoustonSpecial Focus FacilityNot rated (Special Focus)5520$295,783
Salyersville Nursing and Rehabilitation Center, SalyersvilleSpecial Focus candidate · Abuse icon1 of 54018$447,485
Springfield Health & Rehab, SpringfieldSpecial Focus Facility · Abuse iconNot rated (Special Focus)7918$354,247
Coral Rehabilitation and Nursing of Austin, AustinSpecial Focus Facility · Abuse iconNot rated (Special Focus)8918$307,704
Archer Heights Healthcare, ChicagoAbuse icon1 of 511617$596,515
Van Duyn Center for Rehabilitation and Nursing, SyracuseSpecial Focus Facility · Abuse iconNot rated (Special Focus)8716$513,413
Edgewood Health & Rehabilitation, ByramSpecial Focus candidate · Abuse icon1 of 54916$148,438
Harmony Care at Beaumont, BeaumontSpecial Focus Facility · Abuse iconNot rated (Special Focus)7715$373,869
Sunplex Sub-Acute Center, Ocean SpringsSpecial Focus candidate · Abuse icon1 of 53915$143,156
Dfw Nursing & Rehab, Fort WorthSpecial Focus candidate · Abuse icon1 of 56113$317,302
Yazoo City Rehabilitation and Healthcare Center, Yazoo CitySpecial Focus candidate1 of 53913$257,376
Terra Bella Health and Wellness Suites, HoustonSpecial Focus candidate2 of 54412$179,684
Avir at Arden Wood, HoustonSpecial Focus candidate2 of 53212$130,388
Bedford Care Center of Picayune, PicayuneSpecial Focus candidate · Abuse icon1 of 52612$28,621
Crystal Lake Healthcare and Rehabilitation, BayvilleSpecial Focus FacilityNot rated (Special Focus)5311$465,589
Pinewood Health and Rehabilitation, WhighamSpecial Focus candidate · Abuse icon1 of 53411$210,094
Pine Forest Health and Rehabilitation, JacksonAbuse icon1 of 54311$136,799
Bourbon Heights Nursing Home, ParisSpecial Focus candidate1 of 52911$57,841
Stanford Crossing, StanfordSpecial Focus candidate1 of 52211$26,685
Bentleys Extended Care, OverlandAbuse icon1 of 56710$116,689
Courtyard Health and Rehabilitation, McCombSpecial Focus candidate · Abuse icon1 of 53010$26,939
Brandon Woods of New Bedford, New BedfordSpecial Focus candidate1 of 5739$528,970
Plymouth Harborside Healthcare, PlymouthSpecial Focus candidate · Abuse icon1 of 5599$290,784
Skyline Heights Nursing and Rehabilitation, BillingsSpecial Focus candidate1 of 5648$413,752
Normandy Terrace Nursing & Rehabilitation Center, San AntonioSpecial Focus candidate1 of 5568$349,006

These counts come from the CMS health deficiencies file, updated monthly.