HomeCMSCG F-tag ReferenceAdmission, Transfer and Discharge F620-F628

Admission, Transfer and Discharge F620-F628

483.15 — Admission, Transfer & Discharge (F620–F628)

The Admission, Transfer, and Discharge regulatory group establishes CMS requirements for how facilities manage the admission process, ensure nondiscriminatory practices, and support safe, compliant transitions out of the facility. These regulations define what facilities may and may not require at admission, establish strong protections against inappropriate discharges, and set expectations for a person-centered discharge planning process. F628 (Discharge Process) is an emerging regional citation trend — appearing in the top 10 in several CMS regions in 2026.

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Admission, Transfer & Discharge — F-Tag Analysis

F620

Admissions Policy

Facilities must have written admission policies that comply with federal requirements — including what they may and may not require of residents as a condition of admission, and the prohibition on requiring third-party guarantees. Admission agreement language is a frequent survey focus area.

F621

Equal Practices Regardless of Payment Source

Facilities must provide equal access to quality care regardless of a resident's payment source — and may not require, request, or coerce residents to waive their rights to Medicare or Medicaid. Differential treatment based on payor status is a serious violation.

F627

Inappropriate Discharges (3-Part Series)

One of the most consequential tags in this group — covering the specific circumstances under which a facility may transfer or discharge a resident, the notice requirements, the right to appeal, and the documentation required for every transfer or discharge. Improper discharge is among the most serious resident rights violations a facility can commit.

F628

Transfer and Discharge Process (3-Part Series)

Requirements for the transfer and discharge process — including notice requirements, bed-hold policies, readmission rights, and discharge summary requirements. F628 has emerged as a regional citation pressure point in 2026, appearing in the top 10 in Regions VII, VIII, and X.


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