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F847: Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse

F847 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. It sits in CMS's administration category.

585citations in the CMS files
561homes cited at least once
124in 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). 3.2% of F847 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)532 (90.9%)
  • Potential for minimal harm (A, B, C)53 (9.1%)

By letter: B 18, C 35, D 276, E 191, F 65.

What inspectors wrote

Three recent F847 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, July 31, 2026, scope and severity DBased on interview and document review the facility failed to ensure the binding arbitration agreement was fully explained in a manner they or their representatives understood, including their right to not sign the agreement, for 3 of 4 residents (R31, R6, R40) reviewed for arbitration.

Good Samaritan Society - Jackson, Jackson, MN

Inspectors wrote, July 16, 2026, scope and severity DBased on interview and record review, the facility failed to explain terms of and ensure the validity of understanding/consent to enter into the agreement for an Alternate Dispute Resolution Agreement (ADR)- a legally binding contract that specifies the use of an ADR process - such as arbitration instead of going to court) for 2 (Resident # 32 and Resident #94) of 3 residents reviewed for arbitration agreements resulting in Resident #32 and Resident #94 signing ADR agreements when they did not wish to.

Medilodge of Westwood, Kalamazoo, MI

Inspectors wrote, July 13, 2026, scope and severity EBased on interview and record review the facility failed to ensure residents were fully informed and understood the binding arbitration agreement for 3 of 3 sampled residents (#s 2, 33, and 53) reviewed for arbitration. This placed residents at risk for being uninformed regarding their legal rights.

Windsor Health and Rehabilitation, Salem, OR

Most recent F847 citations

InspectionHomeTownLetter
July 31, 2026Good Samaritan Society - JacksonJackson, MN D
July 29, 2026Aurora Brule Nursing Home IncWhite Lake, SD B
July 16, 2026Villa Del RioBell Gardens, CA D
July 16, 2026Woodbury Health Care CenterWoodbury, MN F
July 16, 2026Medilodge of WestwoodKalamazoo, MI D
July 13, 2026Windsor Health and RehabilitationSalem, OR E
July 10, 2026Fir Lane CareShelton, WA E
July 9, 2026Rossmoor Post AcuteWalnut Creek, CA D
July 2, 2026Centennial Healthcare and Rehabilitation CenterPhiladelphia, PA D
June 30, 2026Good Shepherd VillageSpringfield, OH D
June 30, 2026Magnolia Haven Health and Rehabilitation CenterTuskegee, AL D
June 25, 2026Sullivan Park Care CenterSpokane, WA D
June 25, 2026Manor House Care CenterSigourney, IA B
June 25, 2026White Point Care CenterSan Pedro, CA D
June 24, 2026Lacombe Nursing CentreLacombe, LA E
June 22, 2026Northwood Skilled Nursing and RehabilitationSpringfield, OH D
June 18, 2026Montesano Health-Rehab CenterMontesano, WA D
June 18, 2026St. Anthony Health & RehabilitationSt. Anthony, MN D
June 10, 2026New Albany Health & Rehab CenterNew Albany, MS E
June 10, 2026King Nursing & Rehabilitation CommunityHoughton Lake, MI D
June 10, 2026Thrive of Lake CountyMundelein, IL E
June 5, 2026St. AndrewsLos Angeles, CA D
June 4, 2026Frasier Meadows Health Care CenterBoulder, CO E
June 4, 2026Sequoia VistaVisalia, CA E
June 3, 2026Maple Woods ManorClio, MI D

F847 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
California112
Florida48
Pennsylvania42
Washington40
Ohio37
Illinois35
Michigan30
Missouri19
Oklahoma18
Oregon17
Massachusetts13
New Jersey12
New York12
West Virginia12
North Carolina11
Texas11
Minnesota10
Arkansas9
Colorado8
South Carolina7
Georgia6
Indiana6
Louisiana6
Virginia6
Wisconsin6
Hawaii5
Maryland5
Delaware4
Iowa4
South Dakota4
Idaho3
Kentucky3
Maine3
Nevada3
Alabama2
Mississippi2
Montana2
Tennessee2
Arizona1
District of Columbia1
Kansas1
Nebraska1
New Hampshire1
New Mexico1
Rhode Island1
Utah1
Vermont1
Wyoming1

By inspection year: 2022 12, 2023 114, 2024 200, 2025 160, 2026 99.

Common questions

What is F847 in a nursing home inspection?
F847 is the federal requirement to "inform resident or representatives choice to enter into binding arbitration agreement and right to refuse". CMS files it under administration. A home cited under F847 did not meet that requirement at the inspection.
How often is F847 cited?
The CMS files as of September 1, 2026 list 585 F847 citations at 561 nursing homes, 124 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
Is a F847 citation serious?
It depends on the letter. Most F847 citations (90.9%) 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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