F775: Keep complete, dated laboratory records in the resident's record
F775 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Keep complete, dated laboratory records in the resident's record.
It sits in CMS's administration category.
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). 25.4% of F775 citations came from a complaint visit rather than a routine inspection.
By letter: D 58, E 13.
What inspectors wrote
Three recent F775 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, July 31, 2026, scope and severity DBased on interview and document review the facility failed to ensure laboratory reports were filed in the clinical record for 1 of 1 resident (R4) reviewed for edema monitoring.
Mayo Clinic Health System - Lake City, Lake City, MN
Inspectors wrote, July 14, 2026, scope and severity DBased on record review and interview it was determined that the facility failed to ensure abnormal laboratory results were uploaded into the resident's electronic medical record in a timely manner. This was evident for 1 resident (Resident # 48) of 1 resident reviewed for pressure ulcer care during the annual survey.
Complete Care at Hagerstown, Hagerstown, MD
Inspectors wrote, June 25, 2026, scope and severity EBased on interview and record review, the facility did not file in the resident's clinical record the laboratory reports that were dated and contained the name and address of the testing laboratory. Specifically, for 3 out of 40 sampled residents, laboratory results were not located in the medical record. Resident identifiers: 4, 46, and 99.
Monument Healthcare Stonecreek, Bountiful, UT
Most recent F775 citations
F775 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.
| State | Citations |
|---|---|
| Utah | 33 |
| Virginia | 8 |
| Maryland | 7 |
| Kansas | 5 |
| Pennsylvania | 3 |
| Delaware | 2 |
| Michigan | 2 |
| Minnesota | 2 |
| California | 1 |
| Connecticut | 1 |
| Florida | 1 |
| Oklahoma | 1 |
| Oregon | 1 |
| Texas | 1 |
| Washington | 1 |
| West Virginia | 1 |
| Wyoming | 1 |
By inspection year: 2018 1, 2019 1, 2020 1, 2021 3, 2022 7, 2023 8, 2024 18, 2025 22, 2026 10.
Common questions
- What is F775 in a nursing home inspection?
- F775 is the federal requirement to "keep complete, dated laboratory records in the resident's record". CMS files it under administration. A home cited under F775 did not meet that requirement at the inspection.
- How often is F775 cited?
- The CMS files as of September 1, 2026 list 71 F775 citations at 64 nursing homes, 17 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F775 citation serious?
- It depends on the letter. Most F775 citations (100.0%) 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