
CMS F-tag
F837: Administration
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Cited 275 times at 247 nursing homes in the last three inspection cycles.
#127 of 242 tags13% caused harm39 statesLatest survey Dec 23, 2025
How F837 shows up in inspections
- Rarely cited
- Occasionally cited
- Often cited
- Very often cited
- Among the most cited
How serious it usually is
- Immediate jeopardyJ · K · L11.3%31
- Actual harmG · H · I2.2%6
- No actual harmD · E · F81.8%225
- Minimal harmB · C4.7%13
13% of F837 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.
By the numbers
- 275Citations
- 247Facilities cited2% of rated nursing homes
Citations by survey year
- 20183
- 20205
- 20217
- 202211
- 202380
- 2024111
- 202558
Partial years reflect the rolling three-cycle window, not a change in enforcement.
Where F837 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 F837 citation.
States by share of facilities cited
- California4% of homes57 citations · 51 of 1,154 facilities
- Ohio3% of homes36 citations · 28 of 911 facilities
- Texas2% of homes23 citations · 21 of 1,167 facilities
- New York3% of homes17 citations · 15 of 593 facilities
- Kentucky4% of homes13 citations · 11 of 266 facilities
- Washington6% of homes12 citations · 11 of 192 facilities
- Wisconsin3% of homes11 citations · 10 of 321 facilities
- Illinois1% of homes10 citations · 9 of 665 facilities
- Massachusetts3% of homes9 citations · 9 of 338 facilities
- Tennessee3% of homes9 citations · 9 of 298 facilities
Top 10 of 39 states. Every state page lists its most-cited tags.
Facilities cited most often
- Astoria Place of BarnesvilleBarnesville, OH · Report card4 F837No harm
- Orchards at TulareTulare, CA · Report card4 F837No harm
- Astoria Place of CambridgeCambridge, OH · Report card3 F837No harm
- Guam Memorial Hospital AuthorityBarrigada, GU · Report card3 F837No harm
- Lyndon CrossingLouisville, KY · Report card3 F837No harm
- Waterview Heights Rehabilitation and Nursing CenteRochester, NY · Report card2 F8371 with harm
- Alderwood Post Acute & RehabilitationLynnwood, WA · Report card2 F837No harm
- Antelope Valley Care CenterLancaster, CA · Report card2 F837No harm
- Arbor Post AcuteChico, CA · Report card2 F837No harm
- Astoria Place of CincinnatiCincinnati, OH · Report card2 F837No harm
- Avantara NortonSioux Falls, SD · Report card2 F837No harm
- Capitol City Rehab and Healthcare CenterWashington, DC · Report card2 F837No harm
- Countryside Care CenterMacomb, IL · Report card2 F837No harm
- Early Memorial Nursing FacilityBlakely, GA · Report card2 F837No harm
- Kennedy Health & RehabLufkin, TX · Report card2 F837No harm
What to ask a facility about a F837 citation
- What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
- What was the plan of correction, and was it accepted by the state on the first submission?
- Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
- 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 Dec 23, 2025. Counts are citations unless labeled facilities.
Frequently asked questions
What is F837 in a nursing home inspection?
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Does a F837 citation mean the facility is unsafe?
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