F622: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged
F622 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
It sits in CMS's resident rights category.
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). 44.2% of F622 citations came from a complaint visit rather than a routine inspection.
By letter: B 11, C 2, D 726, E 112, F 4, G 18, H 1, J 8.
What inspectors wrote
Three recent F622 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, April 30, 2025, scope and severity DBased on interview and record review, the facility failed to ensure one of three sampled residents (Resident 1) was provided with a detailed discharge summary. This failure had the potential for Resident 1 to be unaware of how to care for his wounds and the potential for the wounds to worsen.
River Walk Care Center, Porterville, CA
Inspectors wrote, April 30, 2025, scope and severity DBased on interview and record review, for 1 out of 36 sampled residents, the facility did not ensure that the transfer was documented in the resident's medical record and that the appropriate information was communicated to the receiving provider. Specifically, the documentation did not include contact information of the practitioner responsible for the care of the resident; resident representative contact information; Advanced Directive information; all special instructions or precautions for ongoing care; comprehensive care plan goals; a copy of the discharge summary; and all other necessary information to ensure a safe and effective transition of care. Resident identifier: 6.
Midtown Manor, Salt Lake City, UT
Inspectors wrote, April 28, 2025, scope and severity DBased on record review and staff interview, it was determined that the facility failed to include the resident comprehensive care plan goals with the required documentation during a transfer. This was evident for 1 (Resident #86) of 2 residents reviewed for hospitalization.
Autumn Lake Healthcare at Chevy Chase, Chevy Chase, MD
Most recent F622 citations at the harm or jeopardy level
Newest first, all 27 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| May 1, 2025 | Trinity Regional Rehab Center | Trinity, FL | G | Complaint |
| April 11, 2025 | Crenshaw Nursing Home | Los Angeles, CA | J | Complaint |
| April 4, 2025 | Mont Marie Rehabilitation & Healthcare Center | Holyoke, MA | G | Standard |
| March 17, 2025 | North County Center for Nursing and Rehabilitation | Collinsville, OK | J | Complaint |
| January 8, 2025 | Waters of Wakarusa Skilled Nursing Facility, the | Wakarusa, IN | J | Complaint |
| September 23, 2024 | Integrity Hc of Herrin | Herrin, IL | G | Standard |
| September 18, 2024 | Eagle Lake Nursing and Rehab Care Center | Saint Petersburg, FL | G | Complaint |
| August 23, 2024 | Brookside Care Strategies | Muncie, IN | J | Complaint |
| July 16, 2024 | City Scape Rehabilitation & Care Center LLC | Denver, CO | G | Complaint |
| July 2, 2024 | Karcher Post Acute | Nampa, ID | G | Complaint |
| July 2, 2024 | Mountain View Healthcare Center | Mountain View, CA | H | Complaint |
| May 1, 2024 | Artesia Palms Care Center | Artesia, CA | J | Complaint |
| April 26, 2024 | Emerald Coast Center | Fort Walton Beach, FL | G | Complaint |
| April 18, 2024 | Marietta Heights Post Acute | Marietta, OH | G | Complaint |
| April 5, 2024 | Aviata at Palm Bay | Palm Bay, FL | G | Complaint |
| April 2, 2024 | Cambridge Care Center | Lakewood, CO | G | Complaint |
| March 27, 2024 | Avamere Rehabilitation of Burien | Burien, WA | G | Complaint |
| February 14, 2024 | Avenues at Royal Oak | Kewanee, IL | J | Complaint |
| January 17, 2024 | Effingham Healthcare & Senior Living | Effingham, IL | G | Complaint |
| December 5, 2023 | Bishop Rehabilitation and Nursing Center | Syracuse, NY | G | Complaint |
| November 20, 2023 | Correctionville Specialty Care | Correctionville, IA | J | Complaint |
| October 13, 2023 | Warsaw Meadows | Warsaw, IN | G | Complaint |
| September 28, 2023 | University Nursing Center | Upland, IN | G | Complaint |
| September 26, 2023 | Eden Valley Care Center | Soledad, CA | G | Complaint |
| September 24, 2023 | The Sarah Roberts French Home | San Antonio, TX | J | Complaint |
| March 24, 2023 | Village at Hillside | McMinnville, OR | G | Standard |
| June 14, 2021 | Canyon Springs Post-Acute | San Jose, CA | G | Standard |
Most recent F622 citations
F622 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.
By inspection year: 2018 9, 2019 68, 2020 12, 2021 49, 2022 68, 2023 161, 2024 389, 2025 126.
Common questions
- What is F622 in a nursing home inspection?
- F622 is the federal requirement to "not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged". CMS files it under resident rights. A home cited under F622 did not meet that requirement at the inspection.
- How often is F622 cited?
- The CMS files as of September 1, 2026 list 882 F622 citations at 807 nursing homes, 0 of them in the 12 months to that date. 3.1% were rated as actual harm or immediate jeopardy.
- Is a F622 citation serious?
- It depends on the letter. Most F622 citations (95.5%) were rated as potential for more than minimal harm, D to F. 8 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