F849: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services
F849 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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). 17.1% of F849 citations came from a complaint visit rather than a routine inspection.
By letter: B 3, C 4, D 1,089, E 138, F 8, G 1, J 5, K 1.
What inspectors wrote
Three recent F849 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 5, 2026, scope and severity DBased on observation, record review, and interview, the facility failed to ensure a coordinated plan of care, which coordinated care and services provided by the facility with the care and services provided by hospice, was developed and available for Resident (R)47 and R27.
Edwardsville Care and Rehab, Edwardsville, KS
Inspectors wrote, July 24, 2026, scope and severity DBased on interview and record review it was determined the facility failed to ensure there was a designated staff member responsible for collaborating and communicating with hospice representatives, and that the care plan included the hospice plan of care for 1 of 1 sampled resident(#2) reviewed for hospice. This placed residents at risk for uncoordinated and unmet hospice care needs.
Salem Transitional Care, Salem, OR
Inspectors wrote, July 22, 2026, scope and severity DBased on facility policy review, facility contract review, medical record review, and interviews, the facility failed to ensure communication between the facility and hospice services for 1 resident (Resident #16) of 3 residents reviewed for hospice services.
Greystone Health Care Center, Blountville, TN
Most recent F849 citations at the harm or jeopardy level
Newest first, all 7 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| May 5, 2025 | Mountain View Health & Rehabilitation | El Paso, TX | J | Complaint |
| May 5, 2025 | The Emeralds at St. Paul LLC | Saint Paul, MN | J | Complaint |
| April 28, 2024 | Mystic Park Nursing and Rehabilitation Center | San Antonio, TX | K | Complaint |
| March 28, 2024 | Naples Health and Rehabilitation Center | Naples, FL | G | Complaint |
| March 27, 2024 | Alden Estates of Countryside, Inc | Jefferson, WI | J | Standard |
| November 9, 2023 | Dunlap Specialty Care | Dunlap, IA | J | Complaint |
| September 11, 2023 | Cleveland Community Care Center | Cleveland, MS | J | Complaint |
Most recent F849 citations
F849 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: 2018 2, 2019 29, 2020 9, 2021 26, 2022 91, 2023 223, 2024 371, 2025 294, 2026 204.
Common questions
- What is F849 in a nursing home inspection?
- F849 is the federal requirement to "arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services". CMS files it under administration. A home cited under F849 did not meet that requirement at the inspection.
- How often is F849 cited?
- The CMS files as of September 1, 2026 list 1,249 F849 citations at 1,146 nursing homes, 278 of them in the 12 months to that date. 0.6% were rated as actual harm or immediate jeopardy.
- Is a F849 citation serious?
- It depends on the letter. Most F849 citations (98.9%) were rated as potential for more than minimal harm, D to F. 6 were immediate jeopardy, the most serious 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