CMS F-tag

F849: Administration

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. Cited 1,232 times at 1,141 nursing homes in the last three inspection cycles.

#70 of 242 tags1% caused harm47 statesLatest survey Jan 7, 2026

How F849 shows up in inspections

F-TAGF849#70 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ · K0.6%7
  • Actual harmG0.2%2
  • No actual harmD · E · F98.5%1,213
  • Minimal harmB · C0.8%10

1% of F849 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,232Citations
  • 1,141Facilities cited8% of rated nursing homes

Citations by survey year

  • 20171
  • 20189
  • 201944
  • 202016
  • 202155
  • 2022148
  • 2023306
  • 2024376
  • 2025276
  • 20261

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

Where F849 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 F849 citation.

States by share of facilities cited

  • California14% of homes178 citations · 159 of 1,154 facilities
  • Texas10% of homes125 citations · 115 of 1,167 facilities
  • Kansas29% of homes97 citations · 85 of 294 facilities
  • Pennsylvania13% of homes90 citations · 83 of 653 facilities
  • Ohio6% of homes59 citations · 56 of 911 facilities
  • Michigan12% of homes56 citations · 52 of 420 facilities
  • Massachusetts14% of homes51 citations · 48 of 338 facilities
  • Florida7% of homes49 citations · 48 of 689 facilities
  • Colorado20% of homes48 citations · 41 of 208 facilities
  • Wisconsin12% of homes45 citations · 39 of 321 facilities

Top 10 of 47 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Sunny Springs Nursing & RehabSulphur Springs, TX · Report card4 F849No harm
  2. Aria of BrookfieldBrookfield, WI · Report card3 F849No harm
  3. Kaw River Care and RehabEdwardsville, KS · Report card3 F849No harm
  4. Kiowa Hills Rehabilitation and Nursing, LLCColorado Springs, CO · Report card3 F849No harm
  5. Newport Subacute Healthcare CenterCosta Mesa, CA · Report card3 F849No harm
  6. Valley Village Care CenterNorth Hollywood, CA · Report card3 F849No harm
  7. Valley View Manor HccLamberton, MN · Report card3 F849No harm
  8. Affinity HealthcareBraintree, MA · Report card2 F849No harm
  9. Alamitos West Health & RehabilitationLos Alamitos, CA · Report card2 F849No harm
  10. Alta Skilled Nursing and Rehabilitation CenterReno, NV · Report card2 F849No harm
  11. Aperion Care VincennesVincennes, IN · Report card2 F849No harm
  12. Aspen Health and WellnessOverland Park, KS · Report card2 F849No harm
  13. Aurora Valley CareSpokane, WA · Report card2 F849No harm
  14. Avalon Health & Rehabilitation Center - PascoPasco, WA · Report card2 F849No harm
  15. Avir at GonzalesGonzales, TX · Report card2 F849No harm

What to ask a facility about a F849 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 7, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F849 in a nursing home inspection?
F849 is the CMS F-tag for the requirement "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." (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 F849?
F849 was cited 1,232 times at 1,141 facilities (8% of rated nursing homes) in the last three inspection cycles, ranking #70 of 242 tags. 9 of those citations involved actual harm or immediate jeopardy.
Does a F849 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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