F280: Allow residents the right to participate in the planning or revision of care and treatment
F280 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Allow residents the right to participate in the planning or revision of care and treatment.
It sits in CMS's resident assessment and care planning category.
CMS Health Deficiencies file, data as of September 1, 2026. The files hold each home's last three standard inspections and three years of complaint visits.
How seriously inspectors rate it
Every citation gets a letter for how much harm inspectors found and how many residents it touched (how to read the letters). 0.0% of F280 citations came from a complaint visit rather than a routine inspection.
By letter: D 4.
What inspectors wrote
Three recent F280 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, November 9, 2017, scope and severity DBased on resident interview, staff interviews, facility documentation review and clinical record review the facility staff failed to update a care plan give a resident the opportunity to participate in her care plan meeting for 2 of 29 residents (Resident #2 and #14) in the survey sample. 1. The facility staff failed to revise Resident #2's comprehensive care plan to include a fall that occurred on 09/04/17 and 09/14/17. 2. The facility staff failed to give Resident #14 the opportunity to participate in her care plan meeting.
Nassawadox Rehabilitation and Nursing, Nassawadox, VA
Inspectors wrote, August 17, 2017, scope and severity DBased on observation, record review and interviews, the facility failed to ensure Resident Identifier (RI) #8's Care Guide was updated to reflect the need for 3/4 (three quarter) side rails up times two per the resident assessment. This affected one of 17 residents for whom care plans were reviewed.
Northside Health Care, Gadsden, AL
Most recent F280 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| November 9, 2017 | Nassawadox Rehabilitation and Nursing | Nassawadox, VA | D |
| September 21, 2017 | Albertville Nursing Home | Albertville, AL | D |
| September 8, 2017 | Chesapeake Health and Rehabilitation Center | Chesapeake, VA | D |
| August 17, 2017 | Northside Health Care | Gadsden, AL | D |
Common questions
- What is F280 in a nursing home inspection?
- F280 is the federal requirement to "allow residents the right to participate in the planning or revision of care and treatment". CMS files it under resident assessment and care planning. A home cited under F280 did not meet that requirement at the inspection.
- How often is F280 cited?
- The CMS files as of September 1, 2026 list 4 F280 citations at 4 nursing homes, 0 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F280 citation serious?
- It depends on the letter. Most F280 citations (100.0%) were rated as potential for more than minimal harm, D to F. None in the current files is at the immediate jeopardy level.
The interpretive guidance inspectors use for each F-tag is CMS's State Operations Manual, Appendix PP. NursingHomeClear reports the citations as CMS records them and is not affiliated with CMS. All F-tags · Methodology