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F713: Provide or arrange emergency care by a doctor 24 hours a day

F713 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide or arrange emergency care by a doctor 24 hours a day. It sits in CMS's nursing and physician services category.

30citations in the CMS files
29homes cited at least once
5in the 12 months to September 2026
3.3%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). 70.0% of F713 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)0 (0.0%)
  • Actual harm (G, H, I)1 (3.3%)
  • Potential for more than minimal harm (D, E, F)29 (96.7%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 26, E 1, F 2, G 1.

What inspectors wrote

Three recent F713 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 9, 2026, scope and severity DThis citation pertains to intake 3051101. Based on interview and record review, the facility failed to ensure emergency Physician services were provided in a timely manner for one resident (R101) of three residents reviewed for a change of condition.

Hartford Nursing & Rehabilitation Center, Detroit, MI

Inspectors wrote, March 19, 2026, scope and severity FBased on interview and document review, the facility failed to ensure the provision of 24-hour on-call physician services to respond to 1 of 1 resident (R2) needs, including non-emergent situations that did not require transfer to an alternative setting. This had the potential to affect all 47 residents residing in the facility.

Sauer Health Care, Winona, MN

Inspectors wrote, November 25, 2025, scope and severity DBased on observation, interview, and record review the facility failed to ensure a physician was overseeing the facility. This applies to all residents residing in the facility.

La Bella of Morrison, Morrison, IL

Most recent F713 citations at the harm or jeopardy level

Newest first, all 1 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
March 13, 2025Good Shepherd Health CenterMason City, IA GComplaint

Most recent F713 citations

InspectionHomeTownLetter
July 9, 2026Hartford Nursing & Rehabilitation CenterDetroit, MI D
March 19, 2026Sauer Health CareWinona, MN F
November 25, 2025La Bella of MorrisonMorrison, IL D
October 29, 2025Glenburnie Rehab & Nursing CenterRichmond, VA D
September 10, 2025Studebaker Healthcare CenterNorwalk, CA D
August 7, 2025Ft Washington Rehabilitation and Wellness CenterFort Washington, MD D
June 18, 2025Kulana MalamaEwa Beach, HI D
April 2, 2025Clearstream Rehabilitation and Nursing CenterHastings, MI D
March 27, 2025Parkview ManorWellman, IA D
March 25, 2025Axiom Healthcare of Mount VernonMount Vernon, IL F
March 13, 2025Good Shepherd Health CenterMason City, IA G
March 3, 2025Southfield Wellness CommunityWebster City, IA D
February 16, 2025Vista Del Sol Care CenterLos Angeles, CA D
January 31, 2025Victoria Care CenterVentura, CA D
January 27, 2025Sunny Acres Nursing HomePetersburg, IL D
January 16, 2025Crandall Nursing HomeSebring, OH D
November 6, 2024Ivy Park Post AcutePittsburgh, PA D
October 22, 2024Hennis Care Centre of DoverDover, OH D
October 21, 2024Maryland Masonic Homes LtdCockeysville, MD D
August 29, 2024Veterans Home of California - Yountville - SNFYountville, CA D
July 18, 2024Islands Skilled Nursing & RehabilitationHonolulu, HI D
June 28, 2024Linwood Nursing and Rehabilitation CenterScranton, PA E
October 11, 2023Ft Washington Rehabilitation and Wellness CenterFort Washington, MD D
October 6, 2023Aloha Nursing & Rehab CentreKaneohe, HI D
June 2, 2023Berea Health & Rehab CenterFredericksburg, VA D

F713 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
California4
Hawaii4
Maryland4
Iowa3
Illinois3
Ohio3
Pennsylvania3
Michigan2
Virginia2
Minnesota1
New York1

By inspection year: 2022 3, 2023 5, 2024 6, 2025 14, 2026 2.

Common questions

What is F713 in a nursing home inspection?
F713 is the federal requirement to "provide or arrange emergency care by a doctor 24 hours a day". CMS files it under nursing and physician services. A home cited under F713 did not meet that requirement at the inspection.
How often is F713 cited?
The CMS files as of September 1, 2026 list 30 F713 citations at 29 nursing homes, 5 of them in the 12 months to that date. 3.3% were rated as actual harm or immediate jeopardy.
Is a F713 citation serious?
It depends on the letter. Most F713 citations (96.7%) 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

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