K921 is the Life Safety Code tag for testing and maintenance of patient care electrical equipment. The requirement is national, but enforcement isn't. From September 2023 to August 2026, the share of nursing homes cited under K921 ranged from 76.2% in Washington to zero in 17 states.
Share of Nursing Homes Cited Under K921, by State
| State | Nursing homes | Cited under K921 | Share |
|---|---|---|---|
| Washington | 193 | 147 | 76.2% |
| Nevada | 66 | 40 | 60.6% |
| Nebraska | 180 | 99 | 55.0% |
| Montana | 61 | 33 | 54.1% |
| Indiana | 507 | 201 | 39.6% |
| Iowa | 387 | 138 | 35.7% |
| West Virginia | 123 | 42 | 34.1% |
| New Jersey | 348 | 99 | 28.4% |
| Kentucky | 267 | 70 | 26.2% |
| Utah | 97 | 24 | 24.7% |
| New York | 593 | 124 | 20.9% |
| North Dakota | 72 | 12 | 16.7% |
| Alaska | 20 | 3 | 15.0% |
| Maryland | 221 | 33 | 14.9% |
| Minnesota | 338 | 43 | 12.7% |
| Arizona | 140 | 14 | 10.0% |
| Connecticut | 191 | 19 | 9.9% |
| Wyoming | 36 | 3 | 8.3% |
| Tennessee | 303 | 24 | 7.9% |
| Florida | 694 | 50 | 7.2% |
| Kansas | 296 | 19 | 6.4% |
| Missouri | 487 | 31 | 6.4% |
| Hawaii | 43 | 2 | 4.7% |
| California | 1,165 | 45 | 3.9% |
| Virginia | 289 | 10 | 3.5% |
| Louisiana | 265 | 4 | 1.5% |
| Maine | 78 | 1 | 1.3% |
| North Carolina | 419 | 3 | 0.7% |
| Arkansas | 221 | 1 | 0.5% |
| Michigan | 422 | 2 | 0.5% |
| Pennsylvania | 656 | 2 | 0.3% |
| Wisconsin | 323 | 1 | 0.3% |
| Ohio | 922 | 1 | 0.1% |
| Alabama | 224 | 0 | 0.0% |
| Colorado | 210 | 0 | 0.0% |
| Delaware | 44 | 0 | 0.0% |
| Georgia | 356 | 0 | 0.0% |
| Idaho | 80 | 0 | 0.0% |
| Illinois | 666 | 0 | 0.0% |
| Massachusetts | 341 | 0 | 0.0% |
| Mississippi | 202 | 0 | 0.0% |
| New Hampshire | 73 | 0 | 0.0% |
| New Mexico | 68 | 0 | 0.0% |
| Oklahoma | 283 | 0 | 0.0% |
| Oregon | 128 | 0 | 0.0% |
| Rhode Island | 72 | 0 | 0.0% |
| South Carolina | 187 | 0 | 0.0% |
| South Dakota | 96 | 0 | 0.0% |
| Texas | 1,177 | 0 | 0.0% |
| Vermont | 33 | 0 | 0.0% |
Zero K921 Citations Doesn't Mean Zero Risk
States with no K921 citations aren't necessarily states where every facility tests perfectly. Some state survey agencies record equipment problems under other tags, such as K919 (use of electrical equipment) or K911 (electrical systems). Some have survey backlogs (see overdue surveys by state). And survey teams change: a new surveyor can start asking for PCREE records in a state where no one has before.
If You're in a High-K921 State
In Washington, Nevada, Nebraska, Montana and Indiana, surveyors clearly ask for PCREE test records. Expect them to request your inventory and device-level report, and to pick a device and ask for its record. See what a complete report looks like.
Check your building: look up your facility to see its electrical citations and estimated next survey window.
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Source: PCREETest.com analysis of the CMS Provider Data Catalog, Nursing Homes: Fire Safety Deficiencies and Provider Information (processed September 2026). Unless noted, figures cover survey dates from September 2023 to August 2026.
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About the Author
PCREE Test Editorial Team
Content reviewed by biomedical professionals with experience in patient care electrical equipment testing, NFPA 99 compliance, and CMS Life Safety survey preparation for skilled nursing facilities.