F553: Allow resident to participate in the development and implementation of his or her person-centered plan of care
F553 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Allow resident to participate in the development and implementation of his or her person-centered plan of care.
It sits in CMS's resident rights 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). 30.5% of F553 citations came from a complaint visit rather than a routine inspection.
By letter: B 8, C 2, D 589, E 127, F 10, G 2.
What inspectors wrote
Three recent F553 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 review of facility policy, clinical records and staff interviews, it was determined that the facility failed to conduct care plan conferences and failed to ensure a resident or resident representative was notified in advance of care conference meetings for three of three residents (Resident R26, R39, and R91).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, August 5, 2026, scope and severity DBased on record review, observation and interviews, the facility failed to include Resident (R) 45 or his representative in the development and planning of the resident's care plan when they failed to notify and invite them to the care plan meetings.
North Point Skilled Nursing Center, Paola, KS
Inspectors wrote, July 29, 2026, scope and severity DBased on record review and interview, the facility failed to ensure 1 resident (#12), out of 1 resident reviewed for care planning, was afforded the opportunity to participate in the development and implementation of his/her person-centered plan of care. This failed practice deprived the resident of the opportunity to participate in care planning and provide input regarding his/her needs, goals, choices, and preferences.
Utuqqanaat Inaat, Kotzebue, AK
Most recent F553 citations at the harm or jeopardy level
Newest first, all 2 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| April 25, 2025 | Heritage Care Center | Saint Louis, MO | G | Complaint |
| March 14, 2025 | Heritage Care Center | Saint Louis, MO | G | Complaint |
Most recent F553 citations
F553 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.
By inspection year: 2018 5, 2019 15, 2020 7, 2021 10, 2022 55, 2023 123, 2024 226, 2025 201, 2026 96.
Common questions
- What is F553 in a nursing home inspection?
- F553 is the federal requirement to "allow resident to participate in the development and implementation of his or her person-centered plan of care". CMS files it under resident rights. A home cited under F553 did not meet that requirement at the inspection.
- How often is F553 cited?
- The CMS files as of September 1, 2026 list 738 F553 citations at 696 nursing homes, 140 of them in the 12 months to that date. 0.3% were rated as actual harm or immediate jeopardy.
- Is a F553 citation serious?
- It depends on the letter. Most F553 citations (98.4%) 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