F-Tag Reference · Care Planning
F646
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Cited 228 times across 10+ facilities in 34 states.
228
Total citations
10+
Facilities
34
States
0
Immediate Jeopardy
What F646 requires
F646 corresponds to the federal standard: Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.. When a surveyor finds that a facility is not meeting this standard, they cite the tag and assign a scope/severity letter (A–L) describing how widespread the issue is and how much harm it caused.
Severity distribution
- Level 2 — No actual harm, potential for more than minimal 225
- Level 1 — Potential for minimal harm 3
States with the most F646 citations
| State | F646 citations |
|---|---|
| Ohio | 66 |
| California | 30 |
| Massachusetts | 13 |
| North Carolina | 12 |
| Washington | 12 |
| Texas | 11 |
| Mississippi | 10 |
| Colorado | 5 |
| Connecticut | 5 |
| Illinois | 5 |
Facilities with the most F646 citations
| Facility | Location | F646 citations |
|---|---|---|
| Oak Knoll Rehabilitation And Healthcare Center | FRAMINGHAM, MA | 2 |
| Mt Airy Gardens Rehabilitation And Nursing Center | CINCINNATI, OH | 2 |
| Embassy Of Logan | LOGAN, OH | 2 |
| Allen View Healthcare Center | SPRINGFIELD, OH | 2 |
| S.e.m. Haven Health Care Center | MILFORD, OH | 2 |
| Belpre Landing Nursing And Rehabilitation | BELPRE, OH | 2 |
| Life Care Center Of Skagit Valley | SEDRO WOOLLEY, WA | 2 |
| Mountain View Manor | PRESCOTT, AZ | 1 |
| The Springs Of Texarkana | TEXARKANA, AR | 1 |
| The Beach Post-acute | LONG BEACH, CA | 1 |
Methodology F646 counts reflect publicly-filed deficiency findings from state survey teams working
under federal contract. A citation is not a court judgment or admission of wrongdoing.
Facilities may contest findings through Informal Dispute Resolution (IDR/IIDR).
Has a loved one been affected by a F646 violation?
An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.
- Consultation is free and confidential
- You pay nothing unless there is a recovery
- Your note is shared only with vetted plaintiff attorneys