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F628: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies

F628 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. It sits in CMS's resident rights category.

2,161citations in the CMS files
2,018homes cited at least once
1,558in the 12 months to September 2026
0.5%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). 31.6% of F628 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)6 (0.3%)
  • Actual harm (G, H, I)4 (0.2%)
  • Potential for more than minimal harm (D, E, F)2,001 (92.6%)
  • Potential for minimal harm (A, B, C)150 (6.9%)

By letter: B 102, C 48, D 1,594, E 387, F 20, G 3, H 1, J 6.

What inspectors wrote

Three recent F628 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 14, 2026, scope and severity DBased on record review and interview, the facility failed to ensure appropriate information was provided to a receiving health care institution or provider during a transfer for 1 resident (#40), out of 1 resident transfer reviewed. [...]

Maple Springs of Palmer, Palmer, AK

Inspectors wrote, August 13, 2026, scope and severity DBased on interview and document review, the facility failed to ensure written transfer notices were provided as soon as practicable for 1 of 1 resident (R79) reviewed for hospitalization.

St. Anthony Park Home Inc, Saint Paul, MN

Inspectors wrote, July 31, 2026, scope and severity DComplaint #: 3131839Based on observation, interview and record review, it was determined that the facility failed to; a.) notify the resident's physician to ensure that there was a physician order to discharge a resident and b.) notify the resident's legal guardian (LG) about discharge planning to ensure sufficient preparation for a safe and orderly discharge from the facility. This deficient practice was identified for 1 of 3 residents, (Resident #2) reviewed for discharge process. The deficient practice was evidenced by the following: A review of the admission Record (AR) revealed that the resident was admitted to the facility with diagnosis which included but not limited to: [...]

Adroit Care Rehabilitation and Nursing Center, Rahway, NJ

Most recent F628 citations at the harm or jeopardy level

Newest first, all 10 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
May 20, 2026Fondulac Rehabilitation and Health Care CenterEast Peoria, IL JComplaint
April 10, 2026Yazoo City Rehabilitation and Healthcare CenterYazoo City, MS JComplaint
December 17, 2025Giddings Nursing and RehabilitationGiddings, TX JComplaint
November 28, 2025Riverview Healthcare CommunityCoventry, RI JComplaint
October 2, 2025Northampton County-GracedaleNazareth, PA JComplaint
August 25, 2025Carolina Rehab Center of BurkeConnelly Spring, NC JComplaint
July 17, 2025La Bella of AuroraAurora, IL GComplaint
June 4, 2025Stephenson Nursing CenterFreeport, IL GComplaint
May 27, 2025Good Samaritan Society - Waconia and Westview AcreWaconia, MN GComplaint
May 7, 2025Avenues at Quad CitiesSilvis, IL HComplaint

Most recent F628 citations

InspectionHomeTownLetter
August 14, 2026Maple Springs of PalmerPalmer, AK D
August 13, 2026St. Anthony Park Home IncSaint Paul, MN D
August 12, 2026Good Samaritan Society - Mountain LakeMountain Lake, MN D
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA E
August 6, 2026Asbury Health CenterPittsburgh, PA B
August 6, 2026St. Benedicts Care CenterSaint Cloud, MN D
July 31, 2026Adroit Care Rehabilitation and Nursing CenterRahway, NJ D
July 31, 2026Heritage ManorChisholm, MN D
July 31, 2026Integrity Hc of AnnaAnna, IL D
July 31, 2026The Orchard - Post Acute CareWhittier, CA D
July 30, 2026Imperial Care CenterStudio City, CA D
July 30, 2026Alta Gardens Care CenterGarden Grove, CA D
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY D
July 30, 2026Morgantown Heights of JourneyMorgantown, WV D
July 30, 2026Life Care Center of RichlandRichland, WA E
July 30, 2026Saint Anne HomeGreensburg, PA D
July 30, 2026Dublin Post AcuteDublin, OH D
July 30, 2026Chowan River Nursing and Rehabilitation CenterEdenton, NC B
July 30, 2026South Lyon Medical CenterYerington, NV D
July 30, 2026Yellowstone River Nursing and RehabilitationBillings, MT D
July 30, 2026Glen Oaks Nursing CenterLucedale, MS D
July 30, 2026Friendship Home AssociationAudubon, IA E
July 30, 2026Timbercreek Rehab and Health Care CenterPekin, IL D
July 30, 2026Downey Post AcuteDowney, CA D
July 29, 2026Aventura at PembrookeWest Chester, PA E

F628 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
California235
Pennsylvania212
Ohio114
Texas105
Wisconsin96
Kansas95
Washington92
Maryland91
Indiana89
Missouri78
Illinois71
Michigan66
Minnesota65
Iowa61
Nebraska47
Louisiana43
New Jersey39
Georgia38
West Virginia34
Connecticut33
North Carolina31
Florida30
Oregon29
Idaho28
Virginia24
Arizona22
Oklahoma22
Maine21
Montana21
Massachusetts20
Mississippi19
New York18
Kentucky17
New Mexico17
Utah16
South Carolina14
Colorado13
Arkansas11
Nevada10
Wyoming10
Hawaii9
North Dakota7
South Dakota7
Vermont7
New Hampshire6
Rhode Island6
Tennessee6
Alaska5
Alabama4
District of Columbia4
Delaware3

By inspection year: 2025 1,008, 2026 1,153.

Common questions

What is F628 in a nursing home inspection?
F628 is the federal requirement to "provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies". CMS files it under resident rights. A home cited under F628 did not meet that requirement at the inspection.
How often is F628 cited?
The CMS files as of September 1, 2026 list 2,161 F628 citations at 2,018 nursing homes, 1,558 of them in the 12 months to that date. 0.5% were rated as actual harm or immediate jeopardy.
Is a F628 citation serious?
It depends on the letter. Most F628 citations (92.6%) were rated as potential for more than minimal harm, D to F. 6 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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