CMS F-tag

F622: Resident rights

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Cited 1,087 times at 969 nursing homes in the last three inspection cycles.

#75 of 242 tags3% caused harm48 statesLatest survey May 1, 2025

How F622 shows up in inspections

F-TAGF622#75 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ0.8%9
  • Actual harmG · H2.7%29
  • No actual harmD · E · F95.2%1,035
  • Minimal harmB · C1.3%14

3% of F622 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,087Citations
  • 969Facilities cited7% of rated nursing homes

Citations by survey year

  • 201813
  • 201983
  • 202016
  • 202161
  • 202299
  • 2023298
  • 2024391
  • 2025126

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F622 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F622 citation.

States by share of facilities cited

  • Virginia38% of homes149 citations · 108 of 285 facilities
  • California10% of homes128 citations · 111 of 1,154 facilities
  • Pennsylvania11% of homes76 citations · 69 of 653 facilities
  • Texas5% of homes59 citations · 58 of 1,167 facilities
  • Maryland22% of homes56 citations · 48 of 219 facilities
  • Indiana9% of homes56 citations · 47 of 504 facilities
  • Illinois7% of homes55 citations · 48 of 665 facilities
  • Ohio5% of homes49 citations · 49 of 911 facilities
  • Missouri7% of homes41 citations · 33 of 479 facilities
  • Michigan9% of homes39 citations · 36 of 420 facilities

Top 10 of 48 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Arlington Place Health CampusIndianapolis, IN · Report card3 F622No harm
  2. Athene Nursing and RehabilitationTown and Country, MO · Report card3 F622No harm
  3. Colonial Health & Rehab Center, LLCVirginia Beach, VA · Report card3 F622No harm
  4. El Paso Health Care CenterEl Paso, IL · Report card3 F622No harm
  5. Loudoun Rehabilitation and Nursing CenterLeesburg, VA · Report card3 F622No harm
  6. Northgate Postacute CareSan Rafael, CA · Report card3 F622No harm
  7. Rose Hill Health and RehabBerryville, VA · Report card3 F622No harm
  8. The Laurels of University ParkRichmond, VA · Report card3 F622No harm
  9. Westport Rehabilitation and Nursing CenterRichmond, VA · Report card3 F622No harm
  10. Woodstock Valley Health and RehabilitationWoodstock, VA · Report card3 F622No harm
  11. Bishop Rehabilitation and Nursing CenterSyracuse, NY · Report card2 F6221 with harm
  12. Envive of IndianapolisIndianapolis, IN · Report card2 F6221 with harm
  13. Karcher Post AcuteNampa, ID · Report card2 F6221 with harm
  14. LA Brea Rehabilitation CenterLos Angeles, CA · Report card2 F6221 with harm
  15. Mountain View Healthcare CenterMountain View, CA · Report card2 F6221 with harm

What to ask a facility about a F622 citation

  1. What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
  2. What was the plan of correction, and was it accepted by the state on the first submission?
  3. Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
  4. If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey May 1, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F622 in a nursing home inspection?
F622 is the CMS F-tag for the requirement "Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged." (Resident rights). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F622?
F622 was cited 1,087 times at 969 facilities (7% of rated nursing homes) in the last three inspection cycles, ranking #75 of 242 tags. 38 of those citations involved actual harm or immediate jeopardy.
Does a F622 citation mean the facility is unsafe?
Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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