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F620: Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide

F620 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. It sits in CMS's resident rights category.

124citations in the CMS files
120homes cited at least once
33in the 12 months to September 2026
0.8%rated actual harm or immediate jeopardy

CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.

How seriously inspectors rate it

Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 57.3% of F620 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)1 (0.8%)
  • Actual harm (G, H, I)0 (0.0%)
  • Potential for more than minimal harm (D, E, F)114 (91.9%)
  • Potential for minimal harm (A, B, C)9 (7.3%)

By letter: B 2, C 7, D 79, E 18, F 17, J 1.

What inspectors wrote

Three recent F620 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 22, 2026, scope and severity DBased on interview and record review the facility failed to implement an admissions policy that did not request or require residents to waive potential facility liability for loss of personal property for 2 of 2 residents (Resident's #1 and #2) reviewed for loss of personal property. The facility failed to ensure the admission agreement did not request or require residents to waive potential facility liability for losses of personal property. This could place residents at risk of misappropriation of their personal property.

The Stayton at Museum Way, Fort Worth, TX

Inspectors wrote, July 22, 2026, scope and severity DBased on interview, record review, and facility policy review, the facility failed to properly prepare for the arrival of a resident who had been pre-screened and approved for placement, resulting in a resident being returned to the hospital for one resident (Resident (R)2) of three residents reviewed for admissions. This failure caused a disruption of the resident's continuum of care and could have triggered negative consequences.

Aria of Brookfield, Brookfield, WI

Inspectors wrote, July 10, 2026, scope and severity DBased on interview, record review, and review of the facility's policy, the facility failed to implement their admissions policy for 1 of 5 residents sampled for admissions, Resident (R) 93.

The Willows at Hamburg, Lexington, KY

Most recent F620 citations at the harm or jeopardy level

Newest first, all 1 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
December 13, 2023Crown Haven Health and RehabilitationCharlotte, NC JComplaint

Most recent F620 citations

InspectionHomeTownLetter
July 23, 2026Lake Balboa Care CenterVan Nuys, CA E
July 22, 2026The Stayton at Museum WayFort Worth, TX D
July 22, 2026Aria of BrookfieldBrookfield, WI D
July 15, 2026Orchard Park Health Care & Rehab CenterTacoma, WA E
July 15, 2026Sunset Manor Conv HospEl Monte, CA D
July 10, 2026The Willows at HamburgLexington, KY D
June 24, 2026Care & Rehab - Ladysmith 1Ladysmith, WI D
June 17, 2026Goldwater Care Peoria HeightsPeoria Heights, IL D
June 10, 2026Forest Hills CenterColumbus, OH D
June 3, 2026Vista Grande Rehabilitation and Healthcare CenterCortez, CO D
May 20, 2026Puyallup Post AcutePuyallup, WA E
May 1, 2026Heritage ManorMonterey Park, CA E
April 22, 2026Fair View Health Care CenterSedalia, MO F
April 21, 2026South Hampton Rehabilitation & Health Care CenterColumbia, MO D
April 10, 2026Burgh Care CenterPittsburgh, PA D
March 27, 2026Third Avenue Health & Rehab CenterKingston, PA D
March 4, 2026Hearthstone Nursing & Rehabilitation CenterMedford, OR D
February 26, 2026King David Nursing and Rehabilitation CenterBaltimore, MD C
February 12, 2026Fountains Rehabilitation at Mill CoveJacksonville, FL D
January 30, 2026Lawrence Rehabilitation HospitalLawrenceville, NJ D
January 29, 2026Kirkwood Wellness & RehabilitationKirkwood, MO F
January 23, 2026Northwest Healthcare CenterBaltimore, MD D
January 14, 2026Nortonville Health Care CenterNortonville, KS F
January 12, 2026Hyde Park Healthcare CenterLos Angeles, CA D
January 8, 2026Wheat State ManorWhitewater, KS F

F620 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
Missouri19
Pennsylvania19
California15
Texas11
Ohio10
Illinois5
Kansas5
Washington5
Wisconsin5
Colorado3
Florida3
Indiana3
Maryland3
Connecticut2
New Jersey2
New York2
Oklahoma2
District of Columbia1
Delaware1
Kentucky1
Massachusetts1
Michigan1
North Carolina1
Nebraska1
Oregon1
Puerto Rico1
Virginia1

By inspection year: 2019 2, 2020 2, 2021 3, 2022 5, 2023 9, 2024 44, 2025 34, 2026 25.

Common questions

What is F620 in a nursing home inspection?
F620 is the federal requirement to "not require residents to give up medicare or medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide". CMS files it under resident rights. A home cited under F620 did not meet that requirement at the inspection.
How often is F620 cited?
The CMS files as of September 1, 2026 list 124 F620 citations at 120 nursing homes, 33 of them in the 12 months to that date. 0.8% were rated as actual harm or immediate jeopardy.
Is a F620 citation serious?
It depends on the letter. Most F620 citations (91.9%) were rated as potential for more than minimal harm, D to F. 1 were immediate jeopardy, the most serious level.

The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology

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