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F777: Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results

F777 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. It sits in CMS's administration category.

107citations in the CMS files
106homes cited at least once
28in the 12 months to September 2026
17.8%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). 69.2% of F777 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)9 (8.4%)
  • Actual harm (G, H, I)10 (9.3%)
  • Potential for more than minimal harm (D, E, F)88 (82.2%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 83, E 5, G 10, J 5, K 4.

What inspectors wrote

Three recent F777 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 interview and record review, the facility failed to ensure an electrocardiogram (EKG- a test that measures the electrical activity of the heart) that was ordered by a physician on 6/20/2026 was completed for one of three sampled residents (Resident 1). This deficient practice resulted in the delay of necessary care and services for Resident 1.

Stoney Point Healthcare Center, Chatsworth, CA

Inspectors wrote, May 11, 2026, scope and severity DBased on interview, record review and review of other facility documentation, it was determined that for one (R9) out of four residents reviewed for change in condition, the facility failed to ensure that a stat (at once) ordered chest x-ray was completed until 31 hours after it was ordered. In addition, the facility failed to ensure that R9's STAT chest x-ray result was reported to the physician in a timely manner.

Wilmington Nursing & Rehabilitation Center, Wilmington, DE

Inspectors wrote, April 27, 2026, scope and severity DBased on record review and interview the facility failed to obtain a physician ordered MRI (Magnetic Resonance Imaging) for one of seven residents (R1) reviewed for pain in the sample of seven.

Arcadia Care Havana, Havana, IL

Most recent F777 citations at the harm or jeopardy level

Newest first, all 19 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
May 22, 2026Avir at Arden WoodHouston, TX GStandard
April 22, 2026Avir at Emerald HillsNorth Richland Hills, TX GComplaint
June 27, 2025Cabarrus Health and Rehabilitation CenterConcord, NC GStandard
June 24, 2025Deer Park Health and RehabilitationNebo, NC GStandard
June 13, 2025River Bend Health and RehabilitationAsheville, NC GStandard
April 24, 2025Interlochen Health and Rehabilitation CenterArlington, TX KComplaint
April 14, 2025The Highlands Guest Care CenterDallas, TX KComplaint
April 8, 2025Mountain Laurel Rehabilitation and NursingRural Retreat, VA GComplaint
November 7, 2024Elevate Care South HollandSouth Holland, IL GComplaint
September 20, 2024Avir at River RidgeCorpus Christi, TX JComplaint
June 17, 2024Focused Care at HumbleHumble, TX KComplaint
June 6, 2024Lake Lodge Nursing & RehabilitationLake Worth, TX JComplaint
April 25, 2024Park Manor of McKinneyMcKinney, TX KStandard
April 18, 2024Woodlands Place Rehabilitation SuitesDenison, TX JComplaint
October 18, 2023Rivaya Care of Des PlainesDes Plaines, IL GComplaint
September 18, 2023Ignite Medical Resort Fort Worth, LLCFort Worth, TX GComplaint
September 2, 2023Sunrise Point Health and Rehabilitation CenterRockledge, FL JComplaint
September 1, 2023Park Manor of WestchaseHouston, TX GComplaint
May 12, 2023Willow Ridge Wellness & RehabilitationFort Worth, TX JStandard

Most recent F777 citations

InspectionHomeTownLetter
July 30, 2026Stoney Point Healthcare CenterChatsworth, CA D
July 22, 2026The MerrimanAkron, OH D
July 9, 2026Santa Paula Post Acute CenterSanta Paula, CA D
May 27, 2026Ocean Park HealthcareSanta Monica, CA D
May 26, 2026Magnolia Gardens Convalescent HospitalGranada Hills, CA D
May 22, 2026Avir at Arden WoodHouston, TX G
May 22, 2026Western Convalescent HospitalLos Angeles, CA D
May 11, 2026Wilmington Nursing & Rehabilitation CenterWilmington, DE D
May 5, 2026Norwood HealthcareNorwood, MA D
April 27, 2026Arcadia Care HavanaHavana, IL D
April 22, 2026Avir at Emerald HillsNorth Richland Hills, TX G
April 17, 2026Warren Barr Oak LawnOak Lawn, IL D
March 19, 2026Suburban Woods Health & RehaNorristown, PA D
March 19, 2026Ayden Healthcare of WatervilleWaterville, OH D
March 10, 2026Scioto Rehabilitation & Care CenterColumbus, OH D
March 4, 2026Hearthstone Health CampusBloomington, IN D
February 13, 2026Goldwater Care Peoria HeightsPeoria Heights, IL D
January 21, 2026Victoria Haven Nursing FacilityNorwood, MA D
January 15, 2026Alden Debes Rehab & HCCRockford, IL D
January 13, 2026Autumn Lake Healthcare at HomewoodBaltimore, MD D
January 13, 2026West Hills Health and Rehabilitation CenterCanoga Park, CA D
January 12, 2026Hebrew Center for Health and RehabilitationWest Hartford, CT D
January 6, 2026Wedgemere HealthcareTaunton, MA D
January 2, 2026Chestnut Ridge Post Acute LLCGlendale, CA E
December 18, 2025Civita Care Center at MilfordMilford, CT D

F777 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
Texas18
California17
Illinois13
Ohio8
North Carolina6
Florida5
Massachusetts5
Michigan4
Utah4
Connecticut3
Indiana3
Virginia3
Maryland2
New York2
Oregon2
Pennsylvania2
District of Columbia1
Delaware1
Hawaii1
Minnesota1
Missouri1
New Hampshire1
New Jersey1
New Mexico1
Rhode Island1
Wisconsin1

By inspection year: 2019 2, 2020 1, 2021 1, 2022 2, 2023 16, 2024 34, 2025 27, 2026 24.

Common questions

What is F777 in a nursing home inspection?
F777 is the federal requirement to "provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results". CMS files it under administration. A home cited under F777 did not meet that requirement at the inspection.
How often is F777 cited?
The CMS files as of September 1, 2026 list 107 F777 citations at 106 nursing homes, 28 of them in the 12 months to that date. 17.8% were rated as actual harm or immediate jeopardy.
Is a F777 citation serious?
It depends on the letter. Most F777 citations (82.2%) were rated as potential for more than minimal harm, D to F. 9 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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