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F776: Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them

F776 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. It sits in CMS's administration category.

186citations in the CMS files
183homes cited at least once
41in the 12 months to September 2026
8.1%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). 59.1% of F776 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)6 (3.2%)
  • Actual harm (G, H, I)9 (4.8%)
  • Potential for more than minimal harm (D, E, F)171 (91.9%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 165, E 5, F 1, G 9, J 4, K 2.

What inspectors wrote

Three recent F776 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 23, 2026, scope and severity DBased on clinical record review and resident and staff interview, it was determined that the facility failed to obtain diagnostic services to meet the needs of its residents and ensure those services are obtained promptly for one of one resident reviewed for a change in condition (Resident 4). Findings Include: Clinical record review for Resident 4 revealed a nursing progress note dated May 26, 2026, at 9:34 PM which noted the facility staff were alerted to the resident complaining of a swollen middle finger on the left hand. The note indicated upon assessment the finger was purple in color, swollen, and bruised. [...]

Embassy of Hearthside, State College, PA

Inspectors wrote, June 26, 2026, scope and severity DBased on interview and record review it was determined the facility failed to ensure x-rays were obtained as ordered for 1 of 2 sampled residents (#128) reviewed for change of condition. This placed residents at risk for delayed treatment.

Laurelhurst Post Acute & Rehabilitation, Portland, OR

Inspectors wrote, June 24, 2026, scope and severity DThis citation pertains to intake 3034793. Based on interview and record review the facility failed to ensure an X-Ray was completed in a timely manner for one resident (R504) of three residents reviewed for physician orders, resulting in radiology orders not being executed for R504 after a fall.

Riverside Commons Rehab and Nursing Center, LLC, Dearborn, MI

Most recent F776 citations at the harm or jeopardy level

Newest first, all 15 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
May 7, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA GComplaint
April 11, 2026Avir at LancasterLancaster, TX JComplaint
November 22, 2025Clifton HeightsLouisville, KY GComplaint
July 18, 2025Complete Care at Margate ParkChicago, IL GComplaint
April 8, 2025Mountain Laurel Rehabilitation and NursingRural Retreat, VA GStandard
September 24, 2024Parkway PlaceHouston, TX JComplaint
August 14, 2024Mountain View Health ServicesOgden, UT JStandard
July 22, 2024Avir at GainesvilleGainesville, TX KComplaint
May 17, 2024Aliya of Palos ParkPalos Park, IL GComplaint
February 28, 2024University Rehabilitation CenterDenton, TX JComplaint
February 1, 2024Premier Rehab and Healthcare at BerlinBarre, VT GComplaint
December 19, 2023Othello Post AcuteOthello, WA GComplaint
October 20, 2023San Mateo Medical Center D/P SNFSan Mateo, CA GComplaint
October 5, 2023Glenview Wellness & RehabilitationNorth Richland Hills, TX KComplaint
September 6, 2023Elevate Care North BranchNiles, IL GComplaint

Most recent F776 citations

InspectionHomeTownLetter
July 23, 2026Embassy of HearthsideState College, PA D
July 15, 2026West Covina Healthcare CenterWest Covina, CA E
July 8, 2026Springfield Skilled Care CenterSpringfield, MO D
June 26, 2026Laurelhurst Post Acute & RehabilitationPortland, OR D
June 24, 2026Riverside Commons Rehab and Nursing Center, LLCDearborn, MI D
June 4, 2026Rocky Mountain Care - the LodgeHeber City, UT D
June 3, 2026Davis PlaceDanielson, CT D
May 20, 2026Meadowbrook Care CenterFreeport, NY D
May 20, 2026Northridge Care CenterReseda, CA D
May 14, 2026Greenbriar Nursing CenterEaton, OH D
May 11, 2026West Chester Rehabilitation and Healthcare CenterWest Chester, PA D
May 7, 2026Pheasant Ridge Nursing and RehabilitationRoanoke, VA G
April 27, 2026Chateau Nrsg & Rehab CenterWillowbrook, IL D
April 18, 2026Avir at Veterans MemorialHouston, TX D
April 13, 2026Life Care Center of South Las VegasLas Vegas, NV D
April 11, 2026Avir at LancasterLancaster, TX J
April 9, 2026Sunset Villa Post AcuteLong Beach, CA D
April 3, 2026University Park Healthcare CenterLos Angeles, CA D
March 26, 2026Bella Terra BloomingdaleBloomingdale, IL D
March 13, 2026Royale Gardens Health & Rehabilitation CenterGrants Pass, OR D
March 3, 2026Regalcare at WakefieldWakefield, MA D
February 13, 2026Bickford Health Care CenterWindsor Locks, CT D
February 11, 2026Serenity Estates of LincolnshireLincolnshire, IL D
February 5, 2026River Bluff Nursing HomeRockford, IL D
February 4, 2026Oakwood SNF LLCMiddle River, MD D

F776 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
California28
Illinois22
Texas14
Virginia14
Indiana12
Michigan12
Ohio11
Pennsylvania11
Maryland9
New York7
Oklahoma5
Oregon5
Connecticut3
Massachusetts3
Minnesota3
Missouri3
Utah3
Florida2
North Carolina2
Rhode Island2
Vermont2
Washington2
Colorado1
District of Columbia1
Delaware1
Georgia1
Kentucky1
Louisiana1
Maine1
Nevada1
Puerto Rico1
West Virginia1
Wyoming1

By inspection year: 2018 1, 2019 3, 2021 2, 2022 8, 2023 32, 2024 69, 2025 41, 2026 30.

Common questions

What is F776 in a nursing home inspection?
F776 is the federal requirement to "provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them". CMS files it under administration. A home cited under F776 did not meet that requirement at the inspection.
How often is F776 cited?
The CMS files as of September 1, 2026 list 186 F776 citations at 183 nursing homes, 41 of them in the 12 months to that date. 8.1% were rated as actual harm or immediate jeopardy.
Is a F776 citation serious?
It depends on the letter. Most F776 citations (91.9%) 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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