Find a nursing home

Home / F-tags / F843

F843: Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care

F843 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. It sits in CMS's administration category.

55citations in the CMS files
55homes cited at least once
11in 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). 34.5% of F843 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)42 (76.4%)
  • Potential for minimal harm (A, B, C)13 (23.6%)

By letter: B 1, C 12, D 7, E 5, F 30.

What inspectors wrote

Three recent F843 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 16, 2026, scope and severity DBased on interviews and record reviews the facility staff failed to have patient transportation agreements with outside agencies and dialysis centers. The facility staff identified a census of 46.

Prestige Care Center of Nebraska City, Nebraska City, NE

Inspectors wrote, April 17, 2026, scope and severity FBased on record review and interview, the facility failed to have a current transfer agreement with an area hospital. This had the potential to affect all residents residing in the facility. The facility census was 83.

Community Skilled Healthcare, Warren, OH

Inspectors wrote, February 13, 2026, scope and severity DBased on facility document review, policy review, and staff interview, the facility failed to maintain and provide a written transfer agreement policy to ensure appropriate transfer arrangements with a hospital.

Bickford Health Care Center, Windsor Locks, CT

Most recent F843 citations

InspectionHomeTownLetter
July 16, 2026Prestige Care Center of Nebraska CityNebraska City, NE D
June 9, 2026Emerald Nursing & Rehab Legacy Pointe LLCOmaha, NE F
May 26, 2026Good Samaritan Society - MillardOmaha, NE F
April 17, 2026Community Skilled HealthcareWarren, OH F
February 19, 2026Ellicott City Healthcare CenterEllicott City, MD C
February 13, 2026Bickford Health Care CenterWindsor Locks, CT D
January 22, 2026Westminster at Lake RidgeLake Ridge, VA F
January 12, 2026Encore at West Meadow L.L.C.Newark, DE D
September 26, 2025Woodstock Valley Health and RehabilitationWoodstock, VA F
September 15, 2025Aurora Valley CareSpokane, WA F
September 10, 2025Majestic Care of KentKent, OH F
August 29, 2025Aviata at Santa BarbaraCape Coral, FL F
August 27, 2025Northwestern Healthcare CenterBerea, OH C
August 20, 2025Mission at Alpine Rehabilitation CenterPleasant Grove, UT F
April 24, 2025Spokane Health & RehabilitationSpokane, WA F
March 31, 2025Glen Meadows Retirement Com.Glen Arm, MD C
March 13, 2025Ayer Valley Rehab and NursingAyer, MA C
March 13, 2025Greenfield Care Center of FairfieldFairfield, CA B
March 10, 2025Fox Chase HealthcareSilver Spring, MD D
February 28, 2025Nathan Richard Health Care CenterNevada, MO F
February 27, 2025Highline Post AcuteDenver, CO F
February 26, 2025Valley View Care CenterCanon City, CO F
February 10, 2025Clinton Healthcare and Rehabilitation CenterClinton, MO F
January 28, 2025Alleghany Health and RehabClifton Forge, VA F
January 17, 2025Hadley Pointe Nursing Rehab & CareHadley, MA F

F843 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
Virginia6
Maryland5
Colorado4
Missouri4
Ohio4
Washington4
Florida3
Massachusetts3
Minnesota3
Nebraska3
California2
Delaware2
Iowa2
North Carolina2
New Jersey2
Utah2
Connecticut1
Maine1
Oregon1
Vermont1

By inspection year: 2020 1, 2021 1, 2022 1, 2023 6, 2024 21, 2025 17, 2026 8.

Common questions

What is F843 in a nursing home inspection?
F843 is the federal requirement to "have an agreement with at least one or more hospitals certified by medicare or medicaid to make sure residents can be moved quickly to the hospital when they need medical care". CMS files it under administration. A home cited under F843 did not meet that requirement at the inspection.
How often is F843 cited?
The CMS files as of September 1, 2026 list 55 F843 citations at 55 nursing homes, 11 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
Is a F843 citation serious?
It depends on the letter. Most F843 citations (76.4%) 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

Find a nursing home Read an inspection