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F627: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge

F627 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. It sits in CMS's resident rights category.

699citations in the CMS files
656homes cited at least once
513in the 12 months to September 2026
7.7%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). 81.5% of F627 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)28 (4.0%)
  • Actual harm (G, H, I)26 (3.7%)
  • Potential for more than minimal harm (D, E, F)644 (92.1%)
  • Potential for minimal harm (A, B, C)1 (0.1%)

By letter: C 1, D 614, E 28, F 2, G 24, H 2, J 28.

What inspectors wrote

Three recent F627 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 30, 2026, scope and severity DBased on interview and record review, the facility failed to allow one of two sampled resident (Resident 1) to return to the facility following hospitalization at General Acute Care Hospital 1 (GACH 1) on 7/21/2026 according to the facility's policy and procedure (P&P) titled, Bed-holds and Returns. This failure had the potential to result in Resident 1 remaining in GACH 1 since 7/19/2026 and had the potential to cause psychosocial harm.

Imperial Care Center, Studio City, CA

Inspectors wrote, July 30, 2026, scope and severity DBased on facility policy review, medical record review, and interview, the facility failed to provide notification of involuntary discharge to exercise appeal rights for 1 of 3 (Resident #29) residents reviewed for admission, transfer, and discharge.

Reelfoot Manor Health and Rehab, Tiptonville, TN

Inspectors wrote, July 30, 2026, scope and severity DBased on record review and staff interview, the facility failed to ensure Resident #86 was discharged appropriately. This affected one resident (Resident #86) of three residents reviewed for discharge. The census was 76.

Dublin Post Acute, Dublin, OH

Most recent F627 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 27, 2026Accel at Longmont Health and Rehab, LLCLongmont, CO JComplaint
June 30, 2026Optalis Health and Rehabilitation of Three RiversThree Rivers, MI GComplaint
June 11, 2026Medilodge of KalamazooKalamazoo, MI GComplaint
May 28, 2026Cumberland Healthcare CenterCumberland, MD JComplaint
May 16, 2026Smith VillageChicago, IL GComplaint
May 12, 2026White Blossom Care CenterSan Jose, CA GComplaint
May 12, 2026Axiom Healthcare of West FrankfortWest Frankfort, IL GComplaint
May 11, 2026River Run Healthcare of PortsmouthPortsmouth, OH JComplaint
May 8, 2026Avir at HoustonHouston, TX JComplaint
May 5, 2026Azria Health Park PlaceDes Moines, IA JComplaint
April 24, 2026Complete Care at Laurelton, LLCBrick, NJ JComplaint
April 16, 2026Aviata at Arbor SpringsOcala, FL GComplaint
April 13, 2026Eden Rehabilitation and Healthcare CenterEden, NC JComplaint
April 11, 2026The Bartlett Skilled Nursing and Assisted LivingEl Paso, TX GComplaint
April 9, 2026Christian Park Health Care CenterEscanaba, MI GComplaint
April 2, 2026West Suburban Medical CtrOak Park, IL GComplaint
April 2, 2026Eagleridge Health and Rehabilitation CenterFort Myers, FL GComplaint
March 27, 2026Brandon Woods of New BedfordNew Bedford, MA GStandard
March 25, 2026Manahawkin Health and Rehabilitation CenterManahawkin, NJ JComplaint
March 24, 2026Willow Haven Health and Rehab, LLCLas Vegas, NV GComplaint
March 13, 2026Northern Riverview Health Care, IncHaverstraw, NY GStandard
March 12, 2026Medilodge of WestwoodKalamazoo, MI GComplaint
February 25, 2026Johns Island Post AcuteJohns Island, SC JStandard
February 24, 2026Bay Terrace Rehabilitation and Health CenterDover, DE JComplaint
February 6, 2026Southampton Rehabilitation and Healthcare CenterRichmond, VA JComplaint
February 6, 2026Vermont Healthcare CenterTorrance, CA JComplaint
December 29, 2025Hillsboro Health and Rehab LLCHillsboro, OH JComplaint
December 24, 2025Centennial Post AcuteAnchorage, AK GComplaint
December 17, 2025Giddings Nursing and RehabilitationGiddings, TX JComplaint
December 5, 2025Morgan Hill Healthcare CenterMorgan Hill, CA GComplaint
November 20, 2025College Oak Nursing and Rehabilitation CenterSacramento, CA JComplaint
November 12, 2025Mountain View Health ServicesOgden, UT GComplaint
November 5, 2025The Grand Rehabilitation and Nursing at RomeRome, NY JComplaint
October 30, 2025Forest Park Nursing & RehabilitationDallas, TX JComplaint
October 24, 2025Medilodge of GtcTraverse City, MI GComplaint
October 20, 2025Arlington Gardens Care CenterRiverside, CA JComplaint
October 9, 2025Integrity Hc of CarbondaleCarbondale, IL HComplaint
October 8, 2025Optalis Health and Rehabilitation of Three RiversThree Rivers, MI GComplaint
September 22, 2025Sapphire Rehabilitation and Care CenterColumbus, OH JComplaint
September 19, 2025Five Points at Lake Highlands Nursing and RehabDallas, TX JComplaint

Most recent F627 citations

InspectionHomeTownLetter
July 30, 2026Imperial Care CenterStudio City, CA D
July 30, 2026Morgantown Heights of JourneyMorgantown, WV D
July 30, 2026Reelfoot Manor Health and RehabTiptonville, TN D
July 30, 2026Dublin Post AcuteDublin, OH D
July 30, 2026Cridersville Nursing and RehabCridersville, OH D
July 30, 2026South Lyon Medical CenterYerington, NV D
July 30, 2026San Francisco Health CareSan Francisco, CA D
July 29, 2026Camden Postacute Care, IncCampbell, CA D
July 29, 2026Forest City Nursing and Rehab CenterForest City, PA D
July 29, 2026Blue Oak Post-AcuteSanta Rosa, CA D
July 29, 2026Royal Palms Post AcuteGlendale, CA D
July 29, 2026Utuqqanaat InaatKotzebue, AK D
July 27, 2026Spring Creek Post-Acute Rehabilitation CenterMurray, KY D
July 27, 2026Accel at Longmont Health and Rehab, LLCLongmont, CO J
July 24, 2026Franklin County Transitional CarePreston, ID D
July 23, 2026Brookside Care CenterStockton, CA D
July 22, 2026Majestic Care of Cedar Village.Mason, OH D
July 22, 2026La Mesa Healthcare CenterLa Mesa, CA D
July 20, 2026Westmoreland PlaceChillicothe, OH D
July 20, 2026Princeton Manor Healthcare Center, LLCOakland, CA D
July 17, 2026Highland Rehabilitation & Health Care CenterKansas City, MO E
July 17, 2026Danville Centre for Health & RehabilitationDanville, KY D
July 16, 2026Benbrook Nursing & Rehabilitation CenterBenbrook, TX D
July 16, 2026Gold Country Health CenterPlacerville, CA D
July 16, 2026Pacific Post AcuteSanta Monica, CA D

F627 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
California173
Texas57
Ohio48
Illinois37
Pennsylvania37
Michigan32
Missouri30
Washington21
North Carolina20
Iowa17
Florida15
Maryland15
Indiana12
Minnesota12
New York12
Oregon12
Louisiana10
Nevada9
Wisconsin9
Georgia8
Connecticut7
Montana7
New Jersey7
New Mexico7
Virginia7
West Virginia7
Colorado6
Kansas6
Massachusetts6
Wyoming6
Alaska4
Delaware4
Idaho4
Rhode Island4
Utah4
Hawaii3
Nebraska3
Oklahoma3
Arkansas2
Arizona2
District of Columbia2
Kentucky2
North Dakota2
Tennessee2
Maine1
Mississippi1
New Hampshire1
South Carolina1
South Dakota1
Vermont1

By inspection year: 2025 337, 2026 362.

Common questions

What is F627 in a nursing home inspection?
F627 is the federal requirement to "ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge". CMS files it under resident rights. A home cited under F627 did not meet that requirement at the inspection.
How often is F627 cited?
The CMS files as of September 1, 2026 list 699 F627 citations at 656 nursing homes, 513 of them in the 12 months to that date. 7.7% were rated as actual harm or immediate jeopardy.
Is a F627 citation serious?
It depends on the letter. Most F627 citations (92.1%) were rated as potential for more than minimal harm, D to F. 28 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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