CMS F-tag

F847: Administration

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Cited 521 times at 503 nursing homes in the last three inspection cycles.

#107 of 242 tags0% caused harm45 statesLatest survey Dec 19, 2025

How F847 shows up in inspections

F-TAGF847#107 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E · F90.8%473
  • Minimal harmB · C9.2%48

0% of F847 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 521Citations
  • 503Facilities cited3% of rated nursing homes

Citations by survey year

  • 202215
  • 2023143
  • 2024207
  • 2025156

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

Where F847 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 F847 citation.

States by share of facilities cited

  • California7% of homes91 citations · 85 of 1,154 facilities
  • Florida6% of homes43 citations · 42 of 689 facilities
  • Pennsylvania6% of homes42 citations · 38 of 653 facilities
  • Illinois5% of homes36 citations · 34 of 665 facilities
  • Ohio3% of homes31 citations · 31 of 911 facilities
  • Washington16% of homes30 citations · 30 of 192 facilities
  • Michigan5% of homes21 citations · 21 of 420 facilities
  • Missouri4% of homes19 citations · 19 of 479 facilities
  • North Carolina4% of homes15 citations · 15 of 417 facilities
  • Oklahoma5% of homes15 citations · 14 of 282 facilities

Top 10 of 45 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Ansley Cove Healthcare and RehabilitationMaitland, FL · Report card2 F847No harm
  2. Arcadia Care ToulonToulon, IL · Report card2 F847No harm
  3. East End Health & Rehab CenterPittsburgh, PA · Report card2 F847No harm
  4. Glendora Grand, INCGlendora, CA · Report card2 F847No harm
  5. Good Samaritan Society - WindomWindom, MN · Report card2 F847No harm
  6. Hallmark Healthcare of PekinPekin, IL · Report card2 F847No harm
  7. Ivy Park Post AcutePittsburgh, PA · Report card2 F847No harm
  8. Memory Care Center at EmeraldClaremore, OK · Report card2 F847No harm
  9. Monterey Healthcare & Wellness Centre, LPRosemead, CA · Report card2 F847No harm
  10. Oxnard Manor Healthcare CenterOxnard, CA · Report card2 F847No harm
  11. Pacific Palms HealthcareLong Beach, CA · Report card2 F847No harm
  12. Riviera Healthcare CenterPico Rivera, CA · Report card2 F847No harm
  13. Saint Helens Post AcuteSaint Helens, OR · Report card2 F847No harm
  14. Seneca PlaceVerona, PA · Report card2 F847No harm
  15. St Monica Center for Rehabilitation & HealthcarePhiladelphia, PA · Report card2 F847No harm

What to ask a facility about a F847 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 Dec 19, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F847 in a nursing home inspection?
F847 is the CMS F-tag for the requirement "Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse." (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 F847?
F847 was cited 521 times at 503 facilities (3% of rated nursing homes) in the last three inspection cycles, ranking #107 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F847 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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