F848: Provide a neutral and fair arbitration process and agree to arbitrator and venue
F848 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Provide a neutral and fair arbitration process and agree to arbitrator and venue.
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). 5.8% of F848 citations came from a complaint visit rather than a routine inspection.
By letter: B 10, C 14, D 40, E 72, F 36.
What inspectors wrote
Three recent F848 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, June 26, 2026, scope and severity EBased on the review of the Facility's Arbitration agreement, CMS SOM Appendix PP, and staff interview, it was determined the facility failed to ensure the facility's arbitration agreement provided the selection of a venue that is convenient to both parties. This was true for all residents who reside in the facility who signed an Arbitration Agreement. This failure created the potential for residents to be inconvenienced or the inability to participate during the arbitration process.
Royal Plaza Health and Rehabilitation of Cascadia, Lewiston, ID
Inspectors wrote, June 12, 2026, scope and severity DBased on review of the facility's arbitration agreement and staff interview, it was determined that the facility failed to ensure a neutral and fair arbitration process by ensuring both the resident and/or resident representative and facility agree on the selection of an arbitrator and venue.
Avalon Care Center, New Castle, PA
Inspectors wrote, June 1, 2026, scope and severity FBased on record review and interview, the facility did not ensure the Binding Arbitration Agreement provides for the selection of a neutral arbitrator agreed upon by both parties and the agreement provides for the selection of a venue that is convenient to both parties. This was evident in three (3) (Residents #17, #57, and #117) of 28 total sampled residents. Specifically, the Binding Arbitration Agreement signed by Residents #17, #57, and #117 had no documented evidence the agreement addresses the selection of a neutral arbitrator agreed upon by both parties and the selection of a venue that is convenient to both parties.
Little Neck Care Center, Little Neck, NY
Most recent F848 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| June 26, 2026 | Royal Plaza Health and Rehabilitation of Cascadia | Lewiston, ID | E |
| June 12, 2026 | Avalon Care Center | New Castle, PA | D |
| June 1, 2026 | Little Neck Care Center | Little Neck, NY | F |
| May 7, 2026 | Gulf Coast Village | Cape Coral, FL | E |
| April 29, 2026 | Grand Lake Villa | Grove, OK | E |
| April 16, 2026 | Totally Kids Rehabilitation Hospital - D/P SNF | Loma Linda, CA | E |
| March 27, 2026 | Springcreek Rehabilitation and Nursing Center | Adrian, MI | D |
| March 26, 2026 | Sunny Village Care Center | Alhambra, CA | E |
| March 25, 2026 | Covenant Skilled Nursing and Rehabilitation at Wel | Saginaw, MI | D |
| March 12, 2026 | Hopkins Restorative Care Center | Hopkins, MN | E |
| March 12, 2026 | Inspire Rehabilitation and Health Center LLC | Washington, DC | D |
| March 5, 2026 | Presbyterian Home of Sc - Foothills | Easley, SC | F |
| February 26, 2026 | Desoto Health and Rehab | Arcadia, FL | F |
| February 24, 2026 | Vancouver Specialty and Rehab Care | Vancouver, WA | E |
| February 20, 2026 | Weiser Care of Cascadia | Weiser, ID | D |
| February 19, 2026 | August Healthcare at Richmond | Richmond, VA | E |
| February 13, 2026 | Plymouth Harborside Healthcare | Plymouth, MA | E |
| February 12, 2026 | Blythe Post Acute LLC | Blythe, CA | E |
| February 12, 2026 | Senior Suites Healthcare | Broken Arrow, OK | E |
| February 5, 2026 | Gold Crest Care Center | Bronx, NY | C |
| January 30, 2026 | Embassy of Wyoming Valley | Wilkes Barre, PA | D |
| January 29, 2026 | Southwind at Spearville | Spearville, KS | F |
| January 9, 2026 | Powder Springs Center for Nursing & Healing | Powder Springs, GA | C |
| December 19, 2025 | Nursing and Rehabilitation at the Mansion | Sunbury, PA | E |
| December 5, 2025 | Cascadia of Nampa | Nampa, ID | F |
F848 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.
By inspection year: 2022 2, 2023 44, 2024 61, 2025 42, 2026 23.
Common questions
- What is F848 in a nursing home inspection?
- F848 is the federal requirement to "provide a neutral and fair arbitration process and agree to arbitrator and venue". CMS files it under administration. A home cited under F848 did not meet that requirement at the inspection.
- How often is F848 cited?
- The CMS files as of September 1, 2026 list 172 F848 citations at 170 nursing homes, 30 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F848 citation serious?
- It depends on the letter. Most F848 citations (86.0%) 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