F846: Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully
F846 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully.
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). 66.7% of F846 citations came from a complaint visit rather than a routine inspection.
By letter: C 3, E 1, F 2.
What inspectors wrote
Three recent F846 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, May 27, 2026, scope and severity FBased on interview, document review, and policy review, the facility failed to submit the appropriate closure plan procedures to the State Agency regarding the temporary closure of the facility and failed to notify the Ombudsman's office prior to the relocation of the residents. This affected all residents previously residing in the facility. The facility census was zero.
Atrium Nursing and Rehabilitation, Xenia, OH
Inspectors wrote, June 20, 2024, scope and severity EBased on a review of facility policies and procedures and staff interview, it was determined that the facility failed to have a policy and procedure in place to address facility closure or termination of the facility's Medicare and/or Medicaid Provider Agreement.
Valley View Rehab and Nursing Center, Montoursville, PA
Inspectors wrote, July 31, 2023, scope and severity FBased on interview and record review, it was determined the facility failed to have policies and procedures in place in the event of a facility closure for 1 of 1 sampled facility. This placed residents at risk for displacement.
Dallas Retirement Village Health Center, Dallas, OR
Most recent F846 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| May 27, 2026 | Atrium Nursing and Rehabilitation | Xenia, OH | F |
| April 13, 2026 | Courage Kenny Rehabilitation Institutes Trp | Golden Valley, MN | C |
| July 31, 2025 | Mn Veterans Home-Mpls | Minneapolis, MN | C |
| March 27, 2025 | Fond Du Lac Lutheran Home | Fond Du Lac, WI | C |
| June 20, 2024 | Valley View Rehab and Nursing Center | Montoursville, PA | E |
| July 31, 2023 | Dallas Retirement Village Health Center | Dallas, OR | F |
F846 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 |
|---|---|
| Minnesota | 2 |
| Ohio | 1 |
| Oregon | 1 |
| Pennsylvania | 1 |
| Wisconsin | 1 |
By inspection year: 2023 1, 2024 1, 2025 2, 2026 2.
Common questions
- What is F846 in a nursing home inspection?
- F846 is the federal requirement to "have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully". CMS files it under administration. A home cited under F846 did not meet that requirement at the inspection.
- How often is F846 cited?
- The CMS files as of September 1, 2026 list 6 F846 citations at 6 nursing homes, 2 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F846 citation serious?
- It depends on the letter. Most F846 citations (50.0%) 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