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F626: Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy

F626 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. It sits in CMS's resident rights category.

312citations in the CMS files
301homes cited at least once
0in the 12 months to September 2026
5.8%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). 88.5% of F626 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)4 (1.3%)
  • Actual harm (G, H, I)14 (4.5%)
  • Potential for more than minimal harm (D, E, F)294 (94.2%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 281, E 12, F 1, G 14, J 4.

What inspectors wrote

Three recent F626 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, April 25, 2025, scope and severity DBased on record review and interviews, the facility failed permit a resident to return after a hospitalization or therapeutic leave for one (#212) of three residents out of 31 sample residents. Specifically, the facility failed to reassess Resident #212's status at the time the resident sought to return to the facility after a transfer to the hospital, and did not allow the resident to return to the facility, based upon her status at the time of her transfer to the hospital.

Westwood Post Acute, Denver, CO

Inspectors wrote, April 17, 2025, scope and severity DBased on review of clinical records, facility policy provided to residents upon transfer from the facility, and interview with facility staff revealed the facility failed to demonstrate the implementation of specifically delineated procedures for Medicaid payor source bed holds and the provision of notices of the facility's bed hold policy in an understandable language that allow a resident to return to the facility after a transfer to the emergency room for one resident out of five reviewed. (Resident 1).

Kadima Rehabilitation & Nursing at Luzerne, Drums, PA

Inspectors wrote, April 11, 2025, scope and severity DBased on facility policy review, medical record review, hospital documentation review, and interview, the facility failed to permit 1 of 3 sampled residents (Resident #4) reviewed for discharges to return to the facility after hospitalization.

Signature Health of Portland Rehab & Wellness Cent, Portland, TN

Most recent F626 citations at the harm or jeopardy level

Newest first, all 18 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
March 5, 2025Great Plains Post AcuteWichita, KS JComplaint
February 21, 2025Caremeridian LLC, Dba NeurorestorativeReno, NV GComplaint
February 7, 2025Providence Mount St. VincentSeattle, WA GComplaint
February 6, 2025Emerald Nursing & Rehab OmahaOmaha, NE GComplaint
February 4, 2025Willow Ridge of NcRutherfordton, NC GComplaint
December 10, 2024Gardens Healthcare & Rehabilitation CenterDaytona Beach, FL GComplaint
September 18, 2024Eagle Lake Nursing and Rehab Care CenterSaint Petersburg, FL GComplaint
August 23, 2024Brookside Care StrategiesMuncie, IN JComplaint
June 13, 2024Crestview Health & RehabilitationMooresville, NC GComplaint
May 10, 2024Vivo Healthcare West OrangeOcoee, FL GComplaint
April 13, 2024Lincolnton Rehabilitation CenterLincolnton, NC GComplaint
November 28, 2023Beckley Healthcare CenterBeckley, WV GComplaint
November 8, 2023Snohomish Health and Rehabilitation of CascadiaSnohomish, WA GComplaint
October 25, 2023Heartwood Extended HealthcareTacoma, WA GComplaint
September 20, 2023North Dade Nursing and Rehabilitation CenterNorth Miami, FL GComplaint
September 7, 2023La Bella of RochelleRochelle, IL JComplaint
February 9, 2023Liberty Commons Nursing and Rehabilitation CenterSanford, NC GStandard
August 28, 2019Autumn Lake Healthcare at ArcolaSilver Spring, MD JStandard

Most recent F626 citations

InspectionHomeTownLetter
April 25, 2025Westwood Post AcuteDenver, CO D
April 17, 2025Kadima Rehabilitation & Nursing at LuzerneDrums, PA D
April 14, 2025Mulder Health Care FacilityWest Salem, WI D
April 11, 2025Signature Health of Portland Rehab & Wellness CentPortland, TN D
April 11, 2025Greenfield Care Center of FairfieldFairfield, CA D
April 10, 2025Complete Care at Laplata LLCLaplata, MD D
April 9, 2025Royal Wood Mill CenterLawrence, MA D
April 7, 2025Wesley Enhanced Living Pennypack ParkPhiladelphia, PA D
April 4, 2025Hanford Post AcuteHanford, CA D
March 27, 2025Parkview ManorWellman, IA D
March 24, 2025Troy Rehabilitation and Healthcare CenterTroy, OH D
March 20, 2025Westminster Village Health & RehabTerre Haute, IN D
March 20, 2025Visalia Post AcuteVisalia, CA D
March 17, 2025Golfview Nursing CenterSaint Petersburg, FL D
March 13, 2025Forest Health & Rehab CenterLynchburg, VA D
March 13, 2025Chandler Therapy & Living Center LLCChandler, OK D
March 13, 2025North Long Beach Post AcuteLong Beach, CA D
March 12, 2025Chapel ManorPhiladelphia, PA D
March 11, 2025Spring Creek Rehabilitation & Nursing Care CenterBrooklyn, NY D
March 6, 2025River View Rehab CenterElgin, IL D
March 6, 2025Delaware Veterans HomeMilford, DE D
March 5, 2025Great Plains Post AcuteWichita, KS J
March 5, 2025Havencare at Valerie ManorTorrington, CT D
March 4, 2025Guardian Care and Rehabilitation CenterManteca, CA D
February 28, 2025Peak Resources - Brookshire, IncHillsborough, NC D

F626 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
California93
Texas20
Illinois18
Ohio18
North Carolina17
Pennsylvania16
Michigan14
Colorado11
Missouri10
Maryland8
Oklahoma8
Florida7
Connecticut6
Georgia6
Washington6
Massachusetts5
Wisconsin5
Indiana4
New York4
Virginia4
Delaware3
Maine3
New Jersey3
West Virginia3
Alabama2
Minnesota2
Nebraska2
Tennessee2
Vermont2
Arizona1
Hawaii1
Iowa1
Kansas1
Louisiana1
Montana1
Nevada1
Oregon1
Puerto Rico1
Rhode Island1

By inspection year: 2019 3, 2021 1, 2022 8, 2023 74, 2024 165, 2025 61.

Common questions

What is F626 in a nursing home inspection?
F626 is the federal requirement to "permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy". CMS files it under resident rights. A home cited under F626 did not meet that requirement at the inspection.
How often is F626 cited?
The CMS files as of September 1, 2026 list 312 F626 citations at 301 nursing homes, 0 of them in the 12 months to that date. 5.8% were rated as actual harm or immediate jeopardy.
Is a F626 citation serious?
It depends on the letter. Most F626 citations (94.2%) were rated as potential for more than minimal harm, D to F. 4 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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