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F840: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service

F840 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. It sits in CMS's administration category.

187citations in the CMS files
171homes cited at least once
40in the 12 months to September 2026
3.2%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). 40.1% of F840 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)0 (0.0%)
  • Actual harm (G, H, I)6 (3.2%)
  • Potential for more than minimal harm (D, E, F)179 (95.7%)
  • Potential for minimal harm (A, B, C)2 (1.1%)

By letter: C 2, D 146, E 25, F 8, G 5, H 1.

What inspectors wrote

Three recent F840 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, June 3, 2026, scope and severity DBased on interview and record review, the facility failed to follow the physician's order and ensure one of five sampled residents (Resident 1) was provided with a follow-up neurosurgery (the medical specialty focused on diagnosing and treating disorders of the nervous system) specialist appointment. This deficient practice had the potential to result in negative health outcomes.

Tarzana Health and Rehabilitation Center, Tarzana, CA

Inspectors wrote, May 6, 2026, scope and severity DBased on complaint, reviews of a clinical record and all pertinent documentation, and staff interview, it was determined that the facility failed to follow a physician's order to obtain a timely infectious disease and urology consult. This was evident for 1 (Resident #1) of 6 residents reviewed during a complaint survey.

Frederick Villa Healthcare, Catonsville, MD

Inspectors wrote, April 27, 2026, scope and severity DBased on interview and record review, for 1 of 40 sampled residents, the facility did not arrange timely services for outside resources that met professional standards and principles that applied to professional providing services. Specifically, a resident was not scheduled for a pain clinic appointment when pain was identified and the resident requested. Additionally, resident records were not secured, left unattended, and visible to any passerby. Resident identifier: 8.

Crestwood Rehabilitation and Nursing, Ogden, UT

Most recent F840 citations at the harm or jeopardy level

Newest first, all 6 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
March 16, 2026Provo Rehabilitation and NursingProvo, UT GComplaint
December 22, 2025Waterview Heights Rehabilitation and Nursing CenteRochester, NY GStandard
September 25, 2025Hurricane Health and RehabilitationHurricane, UT GStandard
April 10, 2025Avante at Melbourne IncMelbourne, FL GComplaint
October 31, 2022Mountain View Health ServicesOgden, UT GStandard
October 13, 2021Coalinga Regional Medical Ctr Dp/SNFCoalinga, CA HStandard

Most recent F840 citations

InspectionHomeTownLetter
June 3, 2026Tarzana Health and Rehabilitation CenterTarzana, CA D
May 6, 2026Frederick Villa HealthcareCatonsville, MD D
April 27, 2026Crestwood Rehabilitation and NursingOgden, UT D
April 23, 2026Saugus CenterSaugus, MA E
April 15, 2026Kingdom Care Senior LivingFulton, MO D
April 8, 2026Community Convalescent CenterPlant City, FL D
April 6, 2026Valley View Manor Nursing HomeNorwich, NY E
April 2, 2026Abbey Rehabilitation and Nursing CenterSaint Petersburg, FL D
March 20, 2026Woodland Post-AcuteWoodland, CA D
March 16, 2026Provo Rehabilitation and NursingProvo, UT G
March 12, 2026Presentation Rehab and Skilled Care CenterBoston, MA D
February 27, 2026Inglis HousePhiladelphia, PA D
February 21, 2026Fairway Oaks CenterTampa, FL D
February 3, 2026Monument Healthcare TaylorsvilleSalt Lake City, UT D
January 30, 2026Avir at New BraunfelsNew Braunfels, TX D
January 29, 2026M I Nursing & Restorative CenterLawrence, MA D
January 29, 2026Complete Care at HagerstownHagerstown, MD F
January 23, 2026Northwest Healthcare CenterBaltimore, MD D
January 21, 2026Victoria Haven Nursing FacilityNorwood, MA D
January 21, 2026Orchard Hill Rehabilitation and Healthcare CenterTowson, MD D
January 12, 2026Lynn Care CenterFront Royal, VA D
January 8, 2026Mallard Bay Nursing and RehabCambridge, MD D
January 7, 2026Envive of River CityEvansville, IN D
December 23, 2025Alwyn C Cashe State Veterans Nursing HomeOrlando, FL D
December 22, 2025Waterview Heights Rehabilitation and Nursing CenteRochester, NY G

F840 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
Maryland36
Virginia29
Pennsylvania21
New York16
California14
Utah11
Florida10
Texas10
Massachusetts9
Ohio8
Missouri6
Oregon4
Connecticut2
Minnesota2
Wisconsin2
Georgia1
Illinois1
Indiana1
Oklahoma1
Tennessee1
Vermont1
Washington1

By inspection year: 2018 1, 2019 6, 2020 2, 2021 13, 2022 7, 2023 21, 2024 58, 2025 56, 2026 23.

Common questions

What is F840 in a nursing home inspection?
F840 is the federal requirement to "employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service". CMS files it under administration. A home cited under F840 did not meet that requirement at the inspection.
How often is F840 cited?
The CMS files as of September 1, 2026 list 187 F840 citations at 171 nursing homes, 40 of them in the 12 months to that date. 3.2% were rated as actual harm or immediate jeopardy.
Is a F840 citation serious?
It depends on the letter. Most F840 citations (95.7%) 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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