CMS F-tag

F777: Administration

Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Cited 113 times at 112 nursing homes in the last three inspection cycles.

#160 of 242 tags17% caused harm27 statesLatest survey Jan 2, 2026

How F777 shows up in inspections

F-TAGF777#160 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ · K9.7%11
  • Actual harmG7.1%8
  • No actual harmD · E83.2%94
  • Minimal harmA–C0%0

17% of F777 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 113Citations
  • 112Facilities cited1% of rated nursing homes

Citations by survey year

  • 20183
  • 20193
  • 20201
  • 20213
  • 20224
  • 202335
  • 202435
  • 202528
  • 20261

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

Where F777 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 F777 citation.

States by share of facilities cited

  • Texas2% of homes19 citations · 19 of 1,167 facilities
  • California1% of homes14 citations · 14 of 1,154 facilities
  • Illinois2% of homes11 citations · 10 of 665 facilities
  • North Carolina1% of homes6 citations · 6 of 417 facilities
  • Michigan1% of homes6 citations · 6 of 420 facilities
  • Ohio1% of homes6 citations · 6 of 911 facilities
  • Florida1% of homes5 citations · 5 of 689 facilities
  • Virginia1% of homes4 citations · 4 of 285 facilities
  • New York1% of homes4 citations · 4 of 593 facilities
  • Indiana1% of homes4 citations · 4 of 504 facilities

Top 10 of 27 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Bria of Elmwood ParkElmwood Park, IL · Report card2 F777No harm
  2. Avir at River RidgeCorpus Christi, TX · Report card1 F7771 with harm
  3. Cabarrus Health and Rehabilitation CenterConcord, NC · Report card1 F7771 with harm
  4. Deer Park Health and RehabilitationNebo, NC · Report card1 F7771 with harm
  5. Elevate Care South HollandSouth Holland, IL · Report card1 F7771 with harm
  6. Focused Care at HumbleHumble, TX · Report card1 F7771 with harm
  7. Ignite Medical Resort Fort Worth, LLCFort Worth, TX · Report card1 F7771 with harm
  8. Interlochen Health and Rehabilitation CenterArlington, TX · Report card1 F7771 with harm
  9. Lake Lodge Nursing & RehabilitationLake Worth, TX · Report card1 F7771 with harm
  10. Mountain Laurel Rehabilitation and NursingRural Retreat, VA · Report card1 F7771 with harm
  11. Park Manor of McKinneyMcKinney, TX · Report card1 F7771 with harm
  12. Park Manor of WestchaseHouston, TX · Report card1 F7771 with harm
  13. Rivaya Care of Des PlainesDes Plaines, IL · Report card1 F7771 with harm
  14. River Bend Health and RehabilitationAsheville, NC · Report card1 F7771 with harm
  15. Rosenberg Health & Rehabilitation CenterRosenberg, TX · Report card1 F7771 with harm

What to ask a facility about a F777 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 Jan 2, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F777 in a nursing home inspection?
F777 is the CMS F-tag for the requirement "Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results." (Administration). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F777?
F777 was cited 113 times at 112 facilities (1% of rated nursing homes) in the last three inspection cycles, ranking #160 of 242 tags. 19 of those citations involved actual harm or immediate jeopardy.
Does a F777 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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