Conduct 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 emergencies.

Cited 932 times across 10+ facilities in 53 states.

932

Total citations

10+

Facilities

States

Immediate Jeopardy

What F838 requires

F838 corresponds to the federal standard: Conduct 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 emergencies.. 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 4 — Immediate jeopardy 4
Level 3 — Actual harm 3
Level 2 — No actual harm, potential for more than minimal 773
Level 1 — Potential for minimal harm 152

States with the most F838 citations

State	F838 citations
California	116
Missouri	73
Ohio	54
New York	50
Maryland	49
Massachusetts	45
Pennsylvania	42
Texas	32
Minnesota	30
Washington	26

Facilities with the most F838 citations

Facility	Location	F838 citations
Brier Oak On Sunset	LOS ANGELES, CA	3
Quiburi Mission Nursing & Rehabilitation	BENSON, AZ	2
Twin Lakes Therapy And Living	FLIPPIN, AR	2
Los Banos Post Acute	LOS BANOS, CA	2
Fountain View Subacute And Nursing Center	LOS ANGELES, CA	2
Providence St Elizabeth Care Center	NORTH HOLLYWOOD, CA	2
Sherman Oaks Health & Rehab	SHERMAN OAKS, CA	2
Winding Trails Post Acute	BOULDER, CO	2
Trinidad Rehabilitation And Healthcare Center	TRINIDAD, CO	2
Capitol City Rehab And Healthcare Center	WASHINGTON, DC	2

Methodology F838 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 F838 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.

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