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F774: Help the resident with transportation to and from laboratory services outside of the facility

F774 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Help the resident with transportation to and from laboratory services outside of the facility. It sits in CMS's administration category.

47citations in the CMS files
45homes cited at least once
18in the 12 months to September 2026
2.1%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). 85.1% of F774 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 (2.1%)
  • Potential for more than minimal harm (D, E, F)46 (97.9%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 44, E 2, G 1.

What inspectors wrote

Three recent F774 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 record review and interview, the facility failed to ensure staff scheduled and provided transportation for medical appointments for 1 of 3 resident (Resident #1) reviewed for medical services. This failure resulted in Resident #1 missing specialty medical appointments. The facility identified a census of 49 residents.

Cedar Falls Health Care Center, Cedar Falls, IA

Inspectors wrote, July 14, 2026, scope and severity DBased on record review, interview, and facility policy review, the facility failed to ensure physician appointments were attended. This affected one Resident (#27) of one resident reviewed for appointments. The facility census was 30.

Heritage Health Care Center, Oakwood Village, OH

Inspectors wrote, June 23, 2026, scope and severity DBased on interviews, observations, and record review, the facility failed to assist Resident (R) 1 in getting transportation set up to take R1 to her radiology appointment.

Kaw River Care and Rehab, Edwardsville, KS

Most recent F774 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 19, 2025Bonterra Transitional Care & RehabilitationEast Point, GA GComplaint

Most recent F774 citations

InspectionHomeTownLetter
July 30, 2026Cedar Falls Health Care CenterCedar Falls, IA D
July 14, 2026Heritage Health Care CenterOakwood Village, OH D
June 23, 2026Kaw River Care and RehabEdwardsville, KS D
June 8, 2026Long Beach Healthcare CenterLong Beach, CA D
May 18, 2026Watertown Health Care CenterWatertown, WI D
May 14, 2026The Rehabilitation Center of Los AngelesLos Angeles, CA D
March 27, 2026Crescent City Care CenterCrescent City, CA D
March 12, 2026Watertown Health Care CenterWatertown, WI D
March 9, 2026Pearl of Hillside,theHillside, IL D
March 3, 2026Delano District Skilled Nursing FacilityDelano, CA D
February 26, 2026Fort Dodge Health and RehabilitationFort Dodge, IA D
January 28, 2026Merit House LLCToledo, OH D
January 21, 2026O'Neill Healthcare Bay VillageBay Village, OH D
January 8, 2026Skies Healthcare & Rehabilitation CenterAlbuquerque, NM D
December 1, 2025Focused Care of GilmerGilmer, TX D
December 1, 2025St. Clare CommonsPerrysburg, OH D
November 24, 2025Tulare Healthcare & Wellness Center, LPTulare, CA D
October 9, 2025Elkton Nursing and Rehabilitation CenterElkton, MD D
July 31, 2025South Shore Nursing and RehabilitationSouth Shore, KY D
July 28, 2025View Park Convalescent CenterLos Angeles, CA D
July 11, 2025Claremont Care CenterPomona, CA D
July 2, 2025Pruitthealth - AustellAustell, GA D
June 17, 2025Stonebridge Health RehabAustin, TX D
June 17, 2025Evergreen Care CenterFresno, CA E
June 11, 2025Osage Rehab and Health Care CenterOsage, IA D

F774 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
California13
Ohio7
Iowa5
Colorado3
Illinois3
Texas3
Wisconsin3
Georgia2
Maryland2
New Mexico2
Arizona1
Kansas1
Kentucky1
Missouri1

By inspection year: 2023 6, 2024 9, 2025 18, 2026 14.

Common questions

What is F774 in a nursing home inspection?
F774 is the federal requirement to "help the resident with transportation to and from laboratory services outside of the facility". CMS files it under administration. A home cited under F774 did not meet that requirement at the inspection.
How often is F774 cited?
The CMS files as of September 1, 2026 list 47 F774 citations at 45 nursing homes, 18 of them in the 12 months to that date. 2.1% were rated as actual harm or immediate jeopardy.
Is a F774 citation serious?
It depends on the letter. Most F774 citations (97.9%) 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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