F625: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave
F625 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
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). 13.9% of F625 citations came from a complaint visit rather than a routine inspection.
By letter: B 204, C 86, D 1,494, E 404, F 21.
What inspectors wrote
Three recent F625 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 Bed Hold Notice 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 7, 2025, scope and severity DBased on staff interview, clinical record review, and facility document review, the facility staff failed to provide residents and/or resident's representative with a facility bed hold policy upon transfer for one (1) of thirty (30) sampled residents, (Resident #65)
Holston Health & Rehabilitation, Wytheville, VA
Inspectors wrote, May 2, 2025, scope and severity DBased on record review and interview, the facility failed to ensure the resident's representative or resident received a written notice of the bed hold policy at the time of transfer for 2 of 3 residents reviewed for hospitalizations. (Resident 31 and 52)
Aperion Care Marion LLC, Marion, IN
Most recent F625 citations
F625 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.
| State | Citations |
|---|---|
| Missouri | 220 |
| Ohio | 199 |
| Maryland | 138 |
| Virginia | 134 |
| California | 125 |
| Pennsylvania | 122 |
| Washington | 117 |
| Kansas | 102 |
| Illinois | 96 |
| Indiana | 70 |
| New York | 67 |
| Wisconsin | 63 |
| Iowa | 57 |
| Michigan | 54 |
| Massachusetts | 49 |
| Georgia | 41 |
| West Virginia | 41 |
| Florida | 38 |
| Minnesota | 32 |
| New Mexico | 28 |
| New Jersey | 26 |
| Maine | 25 |
| Idaho | 24 |
| Mississippi | 22 |
| North Carolina | 22 |
| Oregon | 21 |
| Nebraska | 20 |
| District of Columbia | 19 |
| Hawaii | 18 |
| South Carolina | 18 |
| Arizona | 17 |
| Connecticut | 17 |
| South Dakota | 17 |
| Kentucky | 16 |
| Arkansas | 15 |
| Colorado | 14 |
| North Dakota | 14 |
| Oklahoma | 14 |
| Texas | 11 |
| Tennessee | 10 |
| Delaware | 9 |
| Alabama | 7 |
| Rhode Island | 7 |
| Wyoming | 7 |
| Montana | 6 |
| Vermont | 5 |
| New Hampshire | 4 |
| Alaska | 3 |
| Louisiana | 2 |
| Nevada | 2 |
| Utah | 2 |
| Guam | 1 |
| Puerto Rico | 1 |
By inspection year: 2018 28, 2019 170, 2020 41, 2021 99, 2022 255, 2023 463, 2024 842, 2025 311.
Common questions
- What is F625 in a nursing home inspection?
- F625 is the federal requirement to "notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave". CMS files it under resident rights. A home cited under F625 did not meet that requirement at the inspection.
- How often is F625 cited?
- The CMS files as of September 1, 2026 list 2,209 F625 citations at 1,979 nursing homes, 0 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F625 citation serious?
- It depends on the letter. Most F625 citations (86.9%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy 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