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F779: Keep signed and dated reports of x-rays and other diagnostic services in the residents record

F779 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Keep signed and dated reports of x-rays and other diagnostic services in the residents record. It sits in CMS's administration category.

25citations in the CMS files
23homes cited at least once
5in the 12 months to September 2026
0.0%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). 24.0% of F779 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)0 (0.0%)
  • Actual harm (G, H, I)0 (0.0%)
  • Potential for more than minimal harm (D, E, F)25 (100.0%)
  • Potential for minimal harm (A, B, C)0 (0.0%)

By letter: D 24, E 1.

What inspectors wrote

Three recent F779 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, June 25, 2026, scope and severity DBased on interview and record review, the facility did not file in the resident's medical record signed and dated reports of radiological services. Specifically, for 1 out of 40 sample residents, a resident's Electrocardiogram (EKG) report was not located in the medical record. Resident identifier: 99.

Monument Healthcare Stonecreek, Bountiful, UT

Inspectors wrote, October 7, 2025, scope and severity EBased on record review and interview, the facility failed to file in the resident's clinical record of radiologic and other diagnostic services for 2 of 8 (Residents #3, #4) residents reviewed for clinical records. -Resident #3's blood test result ordered on 9/14/2025 was not in his medical records reviewed on 10/08/2025.-Resident #4's blood test results ordered on 2/8/2025, 3/16/2025, 3/18/2025 and 4/11/2025 were not in his medical records reviewed on 10/08/2025. This failure puts residents at risk of not having a complete picture of their current health status in their records.

Holly Hall, Houston, TX

Inspectors wrote, July 2, 2025, scope and severity DBased on review of a complaint, medical record review, and interview, it was determined the facility failed to file in the resident's medical record a signed and dated EKG. This was evident for 1 (Resident #34) of 57 residents reviewed during a complaint survey.

Elkton Nursing and Rehabilitation Center, Elkton, MD

Most recent F779 citations

InspectionHomeTownLetter
June 25, 2026Monument Healthcare StonecreekBountiful, UT D
April 27, 2026Crestwood Rehabilitation and NursingOgden, UT D
December 15, 2025Msm Brigham City LLCBrigham City, UT D
November 20, 2025Monument Healthcare MillcreekSalt Lake City, UT D
October 7, 2025Holly HallHouston, TX E
July 2, 2025Elkton Nursing and Rehabilitation CenterElkton, MD D
May 21, 2025Care One at LowellLowell, MA D
April 16, 2025Sandy Health and RehabSandy, UT D
December 18, 2024Monument Healthcare BountifulBountiful, UT D
December 13, 2024Somerset Healthcare & Rehabilitation CenterSomerset, PA D
October 3, 2024Pine Creek Rehabilitation and NursingSalt Lake City, UT D
September 18, 2024The Pines at Rutland Center for Nursing & RehabiliRutland, VT D
August 14, 2024Mountain View Health ServicesOgden, UT D
May 14, 2024Paramount Health and RehabilitationSalt Lake City, UT D
April 17, 2024Bethany at PacificEverett, WA D
February 7, 2024Millard County Care and RehabilitationDelta, UT D
January 29, 2024Crestwood Rehabilitation and NursingOgden, UT D
January 11, 2024Spring Creek Healthcare CenterSalt Lake City, UT D
October 25, 2023The Village at MissionPrairie Village, KS D
July 13, 2023Cedar Health and RehabilitationCedar City, UT D
May 22, 2023Legacy at HeringtonHerington, KS D
February 14, 2023Mt. Olympus Rehabilitation CenterSalt Lake City, UT D
June 13, 2022Rocky Mountain Care - Cottage on VineMurray, UT D
April 13, 2022Spring Creek Healthcare CenterSalt Lake City, UT D
April 22, 2021Newport Post AcuteNewport News, VA D

F779 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
Utah16
Kansas2
Massachusetts1
Maryland1
Pennsylvania1
Texas1
Virginia1
Vermont1
Washington1

By inspection year: 2021 1, 2022 2, 2023 4, 2024 10, 2025 6, 2026 2.

Common questions

What is F779 in a nursing home inspection?
F779 is the federal requirement to "keep signed and dated reports of x-rays and other diagnostic services in the residents record". CMS files it under administration. A home cited under F779 did not meet that requirement at the inspection.
How often is F779 cited?
The CMS files as of September 1, 2026 list 25 F779 citations at 23 nursing homes, 5 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
Is a F779 citation serious?
It depends on the letter. Most F779 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

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