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F623: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights

F623 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. It sits in CMS's resident rights category.

3,147citations in the CMS files
2,764homes cited at least once
0in the 12 months to September 2026
0.1%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). 17.6% of F623 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)1 (0.0%)
  • Actual harm (G, H, I)3 (0.1%)
  • Potential for more than minimal harm (D, E, F)2,616 (83.1%)
  • Potential for minimal harm (A, B, C)527 (16.7%)

By letter: B 351, C 176, D 2,000, E 575, F 41, G 3, K 1.

What inspectors wrote

Three recent F623 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, May 8, 2025, scope and severity DBased on medical record review and staff interview, the facility failed to provide evidence that a resident/resident's representative was provided with a written Notice of Transfer/Discharge for an acute hospital transfer. This was true for one (1) of three (3) residents reviewed for hospitalizations during the long-term care survey process. Resident identifier: #8. Facility census: 90.

Hillcrest Healthcare Center, Danville, WV

Inspectors wrote, May 8, 2025, scope and severity DBased on staff interviews, record review, and review of the facility policy titled, Admission, Transfer, and Discharge, the facility failed to provide a written notification of transfer to the hospital to the resident and resident representative for one resident (R) (R26) reviewed for hospital transfer. This deficient practice had the potential to affect the resident and their representative by not having the knowledge of where and why a resident was transferred and/or how to appeal the transfer, if desired.

Green Acres Care Center LLC, Lagrange, GA

Inspectors wrote, May 6, 2025, scope and severity DBased on interview and record review the facility failed to provide notification of a resident's discharge to ensure that appropriate information is communicated to the Office of the State Long-Term Care Ombudsman for 1 or 6 residents (Resident #2 ) reviewed for transfer or discharge. The facility failed to ensure that: 1. Resident #2's discharge notification was sent to the Office of the State Long-Term Care Ombudsman. This deficient practice could affect resident's safe discharge planning by missed notification to the proper authorities.

Focused Care at Midland, Midland, TX

Most recent F623 citations at the harm or jeopardy level

Newest first, all 4 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
December 10, 2024Gardens Healthcare & Rehabilitation CenterDaytona Beach, FL GComplaint
September 20, 2024Signature Healthcare at Summerfield Rehab & WellneLouisville, KY KComplaint
August 29, 2024Briar Place NursingIndian Head Park, IL GComplaint
April 26, 2024Emerald Coast CenterFort Walton Beach, FL GComplaint

Most recent F623 citations

InspectionHomeTownLetter
June 4, 2025Sedgewood CommonsFalmouth, ME B
May 8, 2025Hillcrest Healthcare CenterDanville, WV D
May 8, 2025Green Acres Care Center LLCLagrange, GA D
May 7, 2025Holston Health & RehabilitationWytheville, VA D
May 6, 2025Focused Care at MidlandMidland, TX D
May 5, 2025Woodland ManorElkhart, IN D
May 2, 2025McCormick Post AcuteMcCormick, SC D
May 2, 2025Hillcrest CenterWyncote, PA E
May 2, 2025Aperion Care Marion LLCMarion, IN D
May 2, 2025Brickyard Healthcare - Muncie Care CenterMuncie, IN D
May 1, 2025Maplewood CenterWest Allis, WI E
May 1, 2025Rock Hill Health & RehabilitationBellingham, WA D
May 1, 2025Edenbrook of YeadonYeadon, PA D
May 1, 2025Roland Park PlaceBaltimore, MD D
April 30, 2025Edenbrook SheboyganSheboygan, WI D
April 30, 2025New Iberia Manor SouthNew Iberia, LA D
April 30, 2025Reserve at Fort Gaines of Journey LLC, theFort Gaines, GA D
April 28, 2025Parham Health Care & Rehab CenterRichmond, VA D
April 28, 2025Autumn Lake Healthcare at Chevy ChaseChevy Chase, MD D
April 25, 2025Southwestern Veterans CenterPittsburgh, PA E
April 25, 2025Estates of Spanish Lake, theSaint Louis, MO E
April 25, 2025Heritage Care CenterSaint Louis, MO D
April 25, 2025Brickyard Healthcare - Bloomington Care CenterBloomington, IN D
April 24, 2025Kern River Transitional CareBakersfield, CA D
April 24, 2025Spokane Health & RehabilitationSpokane, WA F

F623 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
Missouri260
Ohio259
California234
Pennsylvania225
Maryland199
Virginia167
Washington126
Kansas113
Wisconsin107
Illinois102
Indiana94
New York80
North Carolina74
Michigan72
Iowa71
Florida68
Texas68
Massachusetts63
West Virginia62
New Jersey53
Mississippi47
Connecticut43
Georgia42
Minnesota41
Arizona40
Nebraska36
New Mexico32
Arkansas30
Hawaii29
Maine28
Oklahoma28
Kentucky27
South Carolina23
Delaware22
Oregon19
Louisiana18
Idaho17
North Dakota15
District of Columbia13
Tennessee13
Colorado12
Wyoming12
Montana11
Alabama10
Alaska8
New Hampshire6
Nevada6
South Dakota6
Rhode Island5
Utah5
Vermont4
Guam1
Puerto Rico1

By inspection year: 2018 39, 2019 245, 2020 46, 2021 145, 2022 337, 2023 656, 2024 1,237, 2025 442.

Common questions

What is F623 in a nursing home inspection?
F623 is the federal requirement to "provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights". CMS files it under resident rights. A home cited under F623 did not meet that requirement at the inspection.
How often is F623 cited?
The CMS files as of September 1, 2026 list 3,147 F623 citations at 2,764 nursing homes, 0 of them in the 12 months to that date. 0.1% were rated as actual harm or immediate jeopardy.
Is a F623 citation serious?
It depends on the letter. Most F623 citations (83.1%) 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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