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F657 Nursing Home Citation: Updating the Care Plan on Time
- 8,500
- Citation count
- 6,003
- Cited homes
- 60
- Harm or danger found
- 20
- 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 updating the care plan on time is cited by inspectors as F657. It is filed under resident assessment and care planning by CMS.
At 6,003 homes, inspectors cited F657 8,500 times, according to data CMS now releases. Of those citations, 60 found that residents were harmed or faced immediate danger.
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| What the inspectors found | Citations |
|---|---|
| Minimal risk to residents | 97 |
| Risk of harm, no one found hurt | 8,343 |
| Residents were harmed | 40 |
| Immediate danger to residents | 20 |
F657: States With the Most Citations
| State | Citations |
|---|---|
| California | 901 |
| Ohio | 581 |
| Texas | 455 |
| Pennsylvania | 418 |
| Virginia | 397 |
F657 Citations at the Harm Level in Flagged Homes
These listings cover homes that CMS marks for abuse or as Special Focus homes, with an F657 citation that found residents harmed or in danger.
| Home | Stars | Citations | Harm or danger | Fines |
|---|---|---|---|---|
| Edgewood Health & Rehabilitation, ByramSpecial Focus candidate · Abuse icon | 1 of 5 | 49 | 16 | $148,438 |
| Yazoo City Rehabilitation and Healthcare Center, Yazoo CitySpecial Focus candidate | 1 of 5 | 39 | 13 | $257,376 |
| Avir at Arden Wood, HoustonSpecial Focus candidate | 2 of 5 | 32 | 12 | $130,388 |
| Pine Forest Health and Rehabilitation, JacksonAbuse icon | 1 of 5 | 43 | 11 | $136,799 |
| Bourbon Heights Nursing Home, ParisSpecial Focus candidate | 1 of 5 | 29 | 11 | $57,841 |
| Grand Manor Nursing & Rehabilitation Center, BronxSpecial Focus Facility · Abuse icon | Not rated (Special Focus) | 63 | 9 | $563,175 |
| Trenton Gardens Rehabilitation and Nursing Center, TrentonSpecial Focus Facility | Not rated (Special Focus) | 47 | 7 | $603,214 |
| Diversicare of Oak Ridge, Oak RidgeSpecial Focus candidate | 1 of 5 | 35 | 7 | $205,329 |
| Waynesboro Post Acute & Rehabilitation, WaynesboroAbuse icon | 2 of 5 | 15 | 7 | $8,788 |
| Gettysburg Center, GettysburgAbuse icon | 1 of 5 | 36 | 6 | $12,735 |
| Community Health Care of Gore, GoreSpecial Focus candidate · Abuse icon | 1 of 5 | 50 | 5 | $23,879 |
| Woodstock Center for Nursing and Healing, WoodstockAbuse icon | 1 of 5 | 20 | 5 | No federal fine |
| Pioneer Trace Group, FlemingsburgAbuse icon | 1 of 5 | 12 | 3 | $160,626 |
| West Chicago Living and Rehab Center, West ChicagoAbuse icon | 1 of 5 | 44 | 3 | $143,375 |
| Center for Living & Rehabilitation, BenningtonAbuse icon | 2 of 5 | 36 | 3 | $134,672 |
| Pikes Peak Post Acute, Colorado SpringsAbuse icon | 1 of 5 | 47 | 3 | $39,917 |
These counts come from the CMS health deficiencies file, updated monthly.