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F661: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge

F661 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. It sits in CMS's resident assessment and care planning category.

695citations in the CMS files
666homes cited at least once
0in the 12 months to September 2026
1.0%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). 25.8% of F661 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)5 (0.7%)
  • Actual harm (G, H, I)2 (0.3%)
  • Potential for more than minimal harm (D, E, F)675 (97.1%)
  • Potential for minimal harm (A, B, C)13 (1.9%)

By letter: B 10, C 3, D 636, E 38, F 1, G 2, J 5.

What inspectors wrote

Three recent F661 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, May 12, 2025, scope and severity DBased on interview and record review, the facility failed to ensure a resident received a discharge summary at the time of discharge for 1 of 3 residents reviewed for discharge. (Resident B)

Hamilton Trace of Fishers, Fishers, IN

Inspectors wrote, May 7, 2025, scope and severity DBased on interview, record review and document review, the facility failed to ensure a discharge summary was completed for 1 of 4 sampled residents (Resident 2). The deficient practice had the potential for the facility failing to provide the necessary information to continuing care providers pertaining to the course of treatment while the resident was at the facility and the resident's plan of care after discharge.

Green Valley Health and Wellness Suites, Henderson, NV

Inspectors wrote, April 25, 2025, scope and severity DBased on interview and record review the facility failed to ensure one of three sampled residents (Resident A) received a post-discharge plan of care, which contained the necessary information for the continuation of care after discharge. This failure resulted in Resident A ' s family calling the facility for advice and sending Resident A to the emergency room, within 24 hours of his discharge from the facility.

Woodcrest Post Acute & Rehabilitation, Riverside, CA

Most recent F661 citations at the harm or jeopardy level

Newest first, all 7 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
May 8, 2025Methodist Transitional Care Center-Desoto LLCDesoto, TX JComplaint
November 25, 2024Lincolnwood Rehabilitation and Healthcare CenterNorth Providence, RI JComplaint
July 30, 2024The Creston Health & RehabilitationPortland, OR GComplaint
July 16, 2024Casa RealSanta Fe, NM GStandard
March 11, 2024Adviniacare Summit Commons, LLCProvidence, RI JComplaint
March 1, 2024Coventry Operations Ri LLC Dba Respiratory and RehCoventry, RI JComplaint
October 17, 2023Cabarrus Health and Rehabilitation CenterConcord, NC JComplaint

Most recent F661 citations

InspectionHomeTownLetter
May 12, 2025Hamilton Trace of FishersFishers, IN D
May 8, 2025Methodist Transitional Care Center-Desoto LLCDesoto, TX J
May 7, 2025Green Valley Health and Wellness SuitesHenderson, NV D
May 2, 2025Aperion Care Marion LLCMarion, IN D
April 25, 2025Heritage Care CenterSaint Louis, MO D
April 25, 2025Woodcrest Post Acute & RehabilitationRiverside, CA D
April 21, 2025Kimball County ManorKimball, NE D
April 17, 2025Glasgow GardensGlasgow, MO B
April 17, 2025Bay Bluffs-Emmet County Medical Care FacilityHarbor Springs, MI D
April 16, 2025Montgomery Village Care CenterGaithersburg, MD D
April 16, 2025Fairland CenterSilver Spring, MD D
April 16, 2025Lincoln County Care CenterShoshone, ID D
April 10, 2025Delmar Gardens of ChesterfieldChesterfield, MO D
April 10, 2025Garden View Care CenterShenandoah, IA D
April 9, 2025Orinda Care Center, LLCOrinda, CA D
April 8, 2025Mountain Laurel Rehabilitation and NursingRural Retreat, VA D
April 2, 2025Bothell Health CareBothell, WA D
April 1, 2025Olympia Transitional Care and RehabilitationOlympia, WA D
March 29, 2025Terrell Healthcare CenterTerrell, TX D
March 27, 2025River's Bend Health & Rehab CenterHarrisburg, PA D
March 27, 2025Brooke Knoll VillageAvon, IN D
March 20, 2025Lindan Park Care CenterRichardson, TX D
March 20, 2025Canfield Healthcare CenterYoungstown, OH D
March 20, 2025Riverview EstatesMarquette, KS D
March 19, 2025The Courtyards at PasadenaPasadena, TX D

F661 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
Missouri62
Ohio53
Kansas48
Oklahoma46
California41
Pennsylvania36
Texas32
Maryland29
Illinois24
Virginia22
Washington18
Nebraska16
Wisconsin16
Indiana15
New Jersey15
North Carolina14
Oregon14
Georgia13
Iowa13
Florida12
New Mexico12
Massachusetts11
Arkansas10
Connecticut10
Michigan10
Colorado9
Minnesota9
New York9
West Virginia8
Rhode Island7
Tennessee7
Alabama6
Utah6
Arizona5
Hawaii5
Nevada5
Louisiana4
Wyoming4
Delaware3
Idaho3
Kentucky3
Maine3
New Hampshire2
South Dakota2
Alaska1
Montana1
South Carolina1

By inspection year: 2018 7, 2019 36, 2020 6, 2021 38, 2022 71, 2023 190, 2024 278, 2025 69.

Common questions

What is F661 in a nursing home inspection?
F661 is the federal requirement to "ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge". CMS files it under resident assessment and care planning. A home cited under F661 did not meet that requirement at the inspection.
How often is F661 cited?
The CMS files as of September 1, 2026 list 695 F661 citations at 666 nursing homes, 0 of them in the 12 months to that date. 1.0% were rated as actual harm or immediate jeopardy.
Is a F661 citation serious?
It depends on the letter. Most F661 citations (97.1%) were rated as potential for more than minimal harm, D to F. 5 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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