F778: Help the resident make transportation arrangements to and from radiology services
F778 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Help the resident make transportation arrangements to and from radiology services.
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). 57.7% of F778 citations came from a complaint visit rather than a routine inspection.
By letter: D 25, E 1.
What inspectors wrote
Three recent F778 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, June 30, 2026, scope and severity DBased on review of the medical record, review of the facility's resident appointment calendar, resident interview, and staff interview, the facility failed to ensure transportation was timely scheduled for an echocardiogram. This affected one (#7) of three residents reviewed for medical appointments and transportation. The facility census was 72.
Arbors at Sylvania, Toledo, OH
Inspectors wrote, February 6, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to assist a dependent resident with making transportation arrangements to scheduled appointments, failed to notify physician about missed appointments and failed to re-schedule the appointments. This failure affected one (R179) of 4 residents reviewed in a sample of 63.
Chicago Ridge SNF, Chicago Ridge, IL
Inspectors wrote, January 9, 2026, scope and severity DBased on interview, and record review, the facility failed to ensure an appointment was scheduled within 1 to 2 weeks after a hospitalization for 1 out of 44 sampled residents (Resident 161), when Resident 161's cardiology appointment was not scheduled as ordered. This failure resulted in Resident 161 missing a physician's appointment and a potential risk for causing a delay in care and treatment.
Arbor Rehabilitation & Nursing Center, Lodi, CA
Most recent F778 citations
F778 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 |
|---|---|
| California | 6 |
| Florida | 3 |
| Illinois | 3 |
| Indiana | 3 |
| Ohio | 3 |
| Virginia | 2 |
| Iowa | 1 |
| Massachusetts | 1 |
| New Hampshire | 1 |
| Pennsylvania | 1 |
| Tennessee | 1 |
| Texas | 1 |
By inspection year: 2023 3, 2024 10, 2025 9, 2026 4.
Common questions
- What is F778 in a nursing home inspection?
- F778 is the federal requirement to "help the resident make transportation arrangements to and from radiology services". CMS files it under administration. A home cited under F778 did not meet that requirement at the inspection.
- How often is F778 cited?
- The CMS files as of September 1, 2026 list 26 F778 citations at 24 nursing homes, 5 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F778 citation serious?
- It depends on the letter. Most F778 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