F0742
Often seriousProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
F0742 is one of the tags that most often involves real harm. 16.1% of these citations were classified as actual harm or immediate jeopardy, including 42 immediate-jeopardy findings — CMS's most serious category. Seeing this tag on a facility's record is worth a direct conversation about what happened and what changed.
How severe are F0742 citations?
CMS grades every citation on a scope-and-severity grid from A to L. The letter matters far more than the tag number.
Serious injury, harm, or death has occurred or is likely to occur imminently.
A resident was actually harmed, though not in immediate danger.
No harm occurred, but the problem could cause more than minimal harm.
A deficiency with minimal potential for harm — often a paperwork or process issue.
98.6% of F0742citations reached an accepted correction date in the federal file — so a citation on a facility's record is almost always a problem that was closed out, not one still running. That is exactly why the letter matters more than the count. The number worth noticing is the other end: 0.8% of F0742 citations show no plan of correction at all.
Where F0742 is cited most
Raw counts follow state size and how aggressively each state's survey agency inspects — they are not a ranking of care quality.
What to ask if a facility has this citation
- What specifically happened, and when? Ask for the survey date and the finding itself, not a summary.
- What severity letter was it? A D is a different conversation than a G or a J.
- What changed afterward? Ask for the plan of correction and who is accountable for it.
- Has this tag come up in more than one survey year? A repeat is the real signal.
- Can I speak to the administrator or director of nursing about it? Reluctance is itself an answer.
Common questions
What does F0742 mean in a nursing home inspection?
F0742 is the federal deficiency tag for: Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. It falls under the Quality of Life and Care Deficiencies and is cited when an inspector finds a facility out of compliance with that requirement.
How serious is an F0742 citation?
Of 498 F0742 citations nationally, 42 were immediate jeopardy (the most serious band), 38 involved actual harm, 418 were potential-for-harm, and 0 were no-harm findings. 16.1% involved actual harm or worse.
How common is F0742?
F0742 has been cited 498 times across 468 nursing homes, which is 0.1% of all health-inspection citations in the current federal file. 40.4% of these citations came from a complaint investigation rather than a routine annual survey.
Should I rule out a facility with an F0742 citation?
Not on the tag alone. Read the actual finding, the severity letter, whether it was corrected, and whether the same problem repeats across survey years. A single corrected citation at a facility that otherwise rates well is very different from a pattern. Ask the administrator directly — they are required to discuss their inspection record with you.
Trying to judge a specific facility?
Compare up to four side by side — citations, staffing, abuse flags, and cost — then use the results to prepare written questions for each community. Confirm current price, availability, and care acceptance directly with the community.