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F550: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights

F550 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. It sits in CMS's resident rights category.

9,026citations in the CMS files
6,314homes cited at least once
1,955in the 12 months to September 2026
1.5%rated actual harm or immediate jeopardy

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). 33.8% of F550 citations came from a complaint visit rather than a routine inspection.

  • Immediate jeopardy (J, K, L)11 (0.1%)
  • Actual harm (G, H, I)128 (1.4%)
  • Potential for more than minimal harm (D, E, F)8,832 (97.9%)
  • Potential for minimal harm (A, B, C)55 (0.6%)

By letter: B 43, C 12, D 6,926, E 1,877, F 29, G 120, H 7, I 1, J 8, K 2, L 1.

What inspectors wrote

Three recent F550 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.

Inspectors wrote, August 7, 2026, scope and severity EBased on facility policy, review of clinical records, observations and staff interviews, it was determined that the facility failed to ensure that care was provided in a manner which maintained resident dignity for three of four residents (Resident R26, R178, and R179) and failed to provide the right to a dignified dining experience for one of two lunches observed (2B Nurse unit Lunch).

Providence Health & Rehab Center, Beaver Falls, PA

Inspectors wrote, August 5, 2026, scope and severity DBased on record review, interview, and observation, the facility failed to provide care for Resident (R) 4 and R1 in a manner that protected and promoted their dignity.

Edwardsville Care and Rehab, Edwardsville, KS

Inspectors wrote, August 5, 2026, scope and severity EBased on observation, policy review, resident, and staff interview, it was determined the facility failed to ensure residents were treated with dignity and respect. This was true for 4 of 8 residents (#4, #13, #19, and #44) reviewed for respect and dignity. This deficient practice placed residents at risk of embarrassment and diminished sense of worth.

Mini-Cassia Care Center, Burley, ID

Most recent F550 citations at the harm or jeopardy level

Newest first, the latest 40 in the current files. Each home's page shows the citation in full context, with its correction status.

InspectionHomeTownLetterVisit
July 20, 2026Mason City Area Nursing HomeMason City, IL GComplaint
July 1, 2026Lexington Health Care CenterLexington, NC GStandard
June 25, 2026The Greens at GastoniaGastonia, NC GComplaint
June 21, 2026Nexus at AltonAlton, IL GComplaint
June 6, 2026Quincy Healthcare & Sr LivingQuincy, IL GComplaint
June 3, 2026Arcadia Care BloomingtonBloomington, IL GComplaint
May 14, 2026Rocky Mountain Care- ClearfieldClearfield, UT GComplaint
April 30, 2026Chariton Park Health Care CenterSalisbury, MO GStandard
April 29, 2026Goldwater Care Peoria HeightsPeoria Heights, IL GStandard
April 13, 2026The Woodlands Nursing and Rehabilitation CenterThe Woodlands, TX GComplaint
April 6, 2026Grenada Rehabilitation and Healthcare CenterGrenada, MS GComplaint
April 1, 2026Loft Rehab & Nursing of NormalNormal, IL GComplaint
March 26, 2026Stonehenge of Cedar CityCedar City, UT GStandard
March 18, 2026Liberty Commons Rehabilitation CenterWilmington, NC GComplaint
March 3, 2026Madisonville Care CenterMadisonville, TX HComplaint
February 13, 2026Bethany LifeStory City, IA GComplaint
February 13, 2026Goldwater Care Peoria HeightsPeoria Heights, IL GComplaint
January 8, 2026Sinking Spring Skilled Nursing and RehabilitationSinking Spring, PA GComplaint
December 30, 2025Tishomingo ManorIuka, MS GComplaint
December 8, 2025KirkhavenRochester, NY GComplaint
December 1, 2025Divine Rehabilitation and Nursing at ToledoToledo, OH GComplaint
December 1, 2025Arcadia Care AledoAledo, IL GComplaint
December 1, 2025Loft Rehab & Nursing of NormalNormal, IL GComplaint
November 19, 2025Sunset HomeQuincy, IL GComplaint
November 17, 2025Metropolis Rehab & HCCMetropolis, IL GComplaint
September 24, 2025Centralia ManorCentralia, IL GComplaint
September 3, 2025Robinson Rehab and NursingRobinson, IL GComplaint
August 15, 2025Avir at CommonsAthens, TX GComplaint
July 30, 2025Baptist Nursing Home-Calhoun, IncCalhoun City, MS JComplaint
July 7, 2025Nexus at MascoutahMascoutah, IL GComplaint
June 18, 2025Texoma Healthcare CenterSherman, TX JComplaint
June 18, 2025Bella Terra Morton GroveMorton Grove, IL GComplaint
June 9, 2025Integrity Hc of AnnaAnna, IL GComplaint
May 8, 2025Richland Nursing & RehabOlney, IL GComplaint
April 28, 2025Evercare at StearnsGranite City, IL GStandard
April 26, 2025Quincy Healthcare & Sr LivingQuincy, IL GComplaint
April 24, 2025Nexus at ColumbiaColumbia, IL GComplaint
April 18, 2025Van Duyn Center for Rehabilitation and NursingSyracuse, NY HComplaint
March 28, 2025North Valley Nursing CenterTujunga, CA JStandard
March 13, 2025Regency CareSpringfield, IL GStandard

Most recent F550 citations

InspectionHomeTownLetter
August 7, 2026Providence Health & Rehab CenterBeaver Falls, PA E
August 6, 2026Asbury Health CenterPittsburgh, PA D
August 5, 2026Edwardsville Care and RehabEdwardsville, KS D
August 5, 2026Mini-Cassia Care CenterBurley, ID E
July 31, 2026Heritage ManorChisholm, MN E
July 31, 2026Autumn Lake Healthcare at ParkvilleBaltimore, MD D
July 31, 2026Vermont Healthcare CenterTorrance, CA E
July 31, 2026The Californian Pasadena HealthcarePasadena, CA E
July 30, 2026Ussery Roan Texas State Veterans HomeAmarillo, TX D
July 30, 2026Shepherd of the Valley Rehabilitation and WellnessCasper, WY D
July 30, 2026Park View Care CenterFort Worth, TX D
July 30, 2026South Lyon Medical CenterYerington, NV D
July 30, 2026Ocean Grove Post AcuteMillsboro, DE D
July 29, 2026Lakeview Health Care & Rehabilitation CenterBoonville, MO D
July 28, 2026Hayward Health ServicesHayward, WI D
July 28, 2026Westy Community Care HomeWestmoreland, KS D
July 28, 2026Burlington Convalescent HospitalLos Angeles, CA D
July 27, 2026Texoma Healthcare CenterSherman, TX D
July 25, 2026Hallmark Healthcare of PekinPekin, IL D
July 25, 2026Macomb Post Acute Care CenterMacomb, IL E
July 24, 2026Oak Park Nursing and Rehabilitation CenterSan Antonio, TX D
July 24, 2026Albuquerque Heights Healthcare and RehabilitationAlbuquerque, NM D
July 24, 2026Franklin County Transitional CarePreston, ID D
July 24, 2026Huntington Drive Health and Rehabilitation CenterArcadia, CA D
July 24, 2026Splendido at Rancho VistosoTucson, AZ E

F550 citations by state

Counts depend on how many homes a state has and how often its inspectors visit, so a larger number is not by itself a worse record.

StateCitations
California1,368
Texas695
Illinois694
Ohio546
Michigan402
Pennsylvania332
Missouri330
New York319
Iowa317
Florida304
Indiana255
Maryland250
Kansas219
Massachusetts203
Minnesota182
Virginia180
Connecticut163
North Carolina154
New Jersey149
Mississippi139
Tennessee138
Washington135
West Virginia130
Colorado114
Arkansas112
Georgia111
Louisiana105
Kentucky87
Wisconsin80
Oklahoma68
New Mexico62
Oregon62
South Carolina60
Hawaii57
Maine57
Alabama46
Idaho44
Arizona43
Nebraska41
Utah36
South Dakota33
Delaware31
Nevada31
Montana28
Vermont28
North Dakota22
Rhode Island21
Alaska16
District of Columbia15
Puerto Rico5
Wyoming4
New Hampshire2
Guam1

By inspection year: 2018 42, 2019 284, 2020 105, 2021 257, 2022 488, 2023 1,432, 2024 2,665, 2025 2,310, 2026 1,443.

Common questions

What is F550 in a nursing home inspection?
F550 is the federal requirement to "honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights". CMS files it under resident rights. A home cited under F550 did not meet that requirement at the inspection.
How often is F550 cited?
The CMS files as of September 1, 2026 list 9,026 F550 citations at 6,314 nursing homes, 1,955 of them in the 12 months to that date. 1.5% were rated as actual harm or immediate jeopardy.
Is a F550 citation serious?
It depends on the letter. Most F550 citations (97.9%) were rated as potential for more than minimal harm, D to F. 11 were immediate jeopardy, the most serious 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

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