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F624: Prepare residents for a safe transfer or discharge from the nursing home

F624 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Prepare residents for a safe transfer or discharge from the nursing home. It sits in CMS's resident rights category.

302citations in the CMS files
287homes cited at least once
0in the 12 months to September 2026
9.6%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). 71.9% of F624 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)19 (6.3%)
  • Actual harm (G, H, I)10 (3.3%)
  • Potential for more than minimal harm (D, E, F)272 (90.1%)
  • Potential for minimal harm (A, B, C)1 (0.3%)

By letter: B 1, D 253, E 17, F 2, G 10, J 18, K 1.

What inspectors wrote

Three recent F624 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, May 7, 2025, scope and severity DBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide and document sufficient preparation and orientation to the resident to ensure a safe and orderly transfer/discharge from the facility for (1) of (30) sampled residents, (Resident #65).

Holston Health & Rehabilitation, Wytheville, VA

Inspectors wrote, April 25, 2025, scope and severity DBased on observations, interviews, and record review, the facility failed to ensure a safe and orderly discharge from the facility for 1 of 1 residents (Resident 118) reviewed for transfers and discharges.

Brownsburg Meadows, Brownsburg, IN

Inspectors wrote, April 17, 2025, scope and severity DBased on interviews and records review, the facility failed to provide sufficient discharge planning for one of three sampled residents (Resident 1) when the facility did not ensure needed home health services were in place prior to Resident 1's discharge. This failure resulted in Resident 1 not being provided needed home services.

Channel Islands Post Acute, Santa Barbara, CA

Most recent F624 citations at the harm or jeopardy level

Newest first, all 29 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
May 19, 2025Astoria Place of CincinnatiCincinnati, OH JComplaint
April 4, 2025Cleveland Care and Rehab CenterCleveland, OK JComplaint
December 12, 2024Willow Rehab & NursingKilgore, TX KComplaint
November 6, 2024Costa Del Sol HealthcareLos Angeles, CA GComplaint
October 17, 2024Lake Mariam Health and Rehabilitation CenterWinter Haven, FL GComplaint
September 25, 2024Holiday Manor Care CenterCanoga Park, CA JComplaint
August 28, 2024Pearl of St. Charles, theSt. Charles, IL JComplaint
June 27, 2024Bradford Square Nursing and Rehabilitation CenterFrankfort, KY JComplaint
June 21, 2024Pruitthealth- DillonDillon, SC JStandard
June 14, 2024Magnolia Manor - SpartanburgSpartanburg, SC JStandard
May 17, 2024Lilac at Bayview, theSaint Augustine, FL GComplaint
May 1, 2024Mission Point Nursing & Physical Rehabilitation CeHancock, MI GComplaint
April 19, 2024McCormick Post AcuteMcCormick, SC JComplaint
April 13, 2024Lincolnton Rehabilitation CenterLincolnton, NC GComplaint
April 5, 2024Briarcliff Health CenterTyler, TX GComplaint
February 22, 2024Meadow Brook Rehabilitation and NursingSalt Lake City, UT GComplaint
February 15, 2024Lincolnton Rehabilitation CenterLincolnton, NC GComplaint
February 2, 2024Senior Care of MarionMarion, SC JComplaint
October 19, 2023Riverside Postacute CareRiverside, CA JComplaint
October 6, 2023Elevate Care Windsor ParkChicago, IL GComplaint
September 27, 2023Skyline Nursing CenterDallas, TX JComplaint
September 24, 2023The Sarah Roberts French HomeSan Antonio, TX JComplaint
September 15, 2023North Valley Nursing CenterTujunga, CA JComplaint
September 13, 2023Van Duyn Center for Rehabilitation and NursingSyracuse, NY JComplaint
September 5, 2023Calhoun Convalescent CenterSaint Matthews, SC JComplaint
April 10, 2023Harbor Healthcare of IrontonIronton, OH JStandard
March 30, 2023Pruitthealth- WalterboroWalterboro, SC JStandard
March 10, 2023Capitol City Rehab and Healthcare CenterWashington, DC JStandard
May 13, 2021Sarasota Memorial Nursing & Rehabilitation CenterSarasota, FL GStandard

Most recent F624 citations

InspectionHomeTownLetter
May 19, 2025Astoria Place of CincinnatiCincinnati, OH J
May 7, 2025Holston Health & RehabilitationWytheville, VA D
April 25, 2025Brownsburg MeadowsBrownsburg, IN D
April 23, 2025Barnert Subacute Rehabilitation Center, LLCPaterson, NJ D
April 17, 2025Channel Islands Post AcuteSanta Barbara, CA D
April 17, 2025Guilford Health Care CenterGreensboro, NC D
April 14, 2025Mulder Health Care FacilityWest Salem, WI D
April 10, 2025Avantara NortonSioux Falls, SD D
April 10, 2025Complete Care at Laplata LLCLaplata, MD D
April 8, 2025Blue Lake Post AcuteDeland, FL D
April 7, 2025Scenic Pointe Nursing and Rehab CtrMillersburg, OH D
April 4, 2025The Hillcrest of North DallasDallas, TX D
April 4, 2025Cleveland Care and Rehab CenterCleveland, OK J
April 4, 2025Westwood Post Acute CareLos Angeles, CA D
April 3, 2025Franciscan Care Ctr SylvaniaToledo, OH D
April 2, 2025Booker T. Washington Skilled Nursing and RehabilitShreveport, LA D
March 28, 2025Kadima Rehabilitation & Nursing at PottstownPottstown, PA D
March 27, 2025Casa RealSanta Fe, NM D
March 26, 2025Trellis ParadiseLas Vegas, NV D
March 26, 2025Meadowview Health & Rehab CenterMinden, LA D
March 26, 2025Pavilion on Pico Healthcare & Wellness Centre, LPLos Angeles, CA D
March 17, 2025Golfview Nursing CenterSaint Petersburg, FL D
March 14, 2025Miracle Mile Healthcare Center, LLCLos Angeles, CA D
March 14, 2025Signature Healthcare of Terre HauteTerre Haute, IN D
March 13, 2025Shady Grove Nursing and Rehabilitation CenterRockville, MD D

F624 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
California70
Maryland55
Ohio36
Texas23
Missouri10
North Carolina9
Illinois8
Washington8
Indiana7
Florida6
Pennsylvania6
South Carolina6
Michigan5
New Mexico5
Oregon5
Virginia5
West Virginia5
Connecticut4
Massachusetts3
Montana3
Nevada3
Wisconsin3
Colorado2
Louisiana2
New Jersey2
New York2
Utah2
District of Columbia1
Georgia1
Kentucky1
Minnesota1
Oklahoma1
Puerto Rico1
South Dakota1

By inspection year: 2018 5, 2019 16, 2020 3, 2021 10, 2022 10, 2023 61, 2024 144, 2025 53.

Common questions

What is F624 in a nursing home inspection?
F624 is the federal requirement to "prepare residents for a safe transfer or discharge from the nursing home". CMS files it under resident rights. A home cited under F624 did not meet that requirement at the inspection.
How often is F624 cited?
The CMS files as of September 1, 2026 list 302 F624 citations at 287 nursing homes, 0 of them in the 12 months to that date. 9.6% were rated as actual harm or immediate jeopardy.
Is a F624 citation serious?
It depends on the letter. Most F624 citations (90.1%) were rated as potential for more than minimal harm, D to F. 19 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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