F555: Honor the resident's right to choose his or her attending physician
F555 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 choose his or her attending physician.
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). 78.6% of F555 citations came from a complaint visit rather than a routine inspection.
By letter: B 1, C 1, D 35, E 14, F 5.
What inspectors wrote
Three recent F555 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, July 16, 2026, scope and severity FBased on record review and interview, it was determined that the facility failed to allow residents the right to choose their attending physician. This was evident for thirteen (Residents #2, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #21, and #24) of the fourteen residents interviewed regarding this change.
Elkton Nursing and Rehabilitation Center, Elkton, MD
Inspectors wrote, July 10, 2026, scope and severity EBased on interview and record review, the facility failed to respect the rights of five of eight sampled residents (Residents 1, 2, 3, 4, and 5) by:1. Failing to ensure Resident 1 and Resident 2's rights to choose their own attending physician (AP) were followed.2. Failing to ensure Residents 3, 4, and 5 were given an option to choose their own AP while at the facility. These failures violated the rights of Residents 1, 2, 3, 4, and 5 in choosing their own AP while at the facility.
The Gardens Healthcare Center, Northridge, CA
Inspectors wrote, June 29, 2026, scope and severity DBased on observations, interviews, and record review, the facility failed to honor the residents' rights to choose their attending physician for 1 (#57) of 23 sampled residents. This deficient practice affected all residents wanting to choose their primary physician and resulted in resident #57 feeling she could not use her primary physician she had built a relationship with and was comfortable using.
Libby Care Center, Libby, MT
Most recent F555 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| July 16, 2026 | Elkton Nursing and Rehabilitation Center | Elkton, MD | F |
| July 10, 2026 | The Gardens Healthcare Center | Northridge, CA | E |
| June 29, 2026 | Libby Care Center | Libby, MT | D |
| June 22, 2026 | Rancho Bellagio Post Acute | Moreno Valley, CA | E |
| June 18, 2026 | Chatsworth Park Health Care Center | Chatsworth, CA | D |
| May 28, 2026 | Grand Manor Health Care Center | Saint Louis, MO | D |
| April 30, 2026 | Pinnacle Point Wellness & Rehabilitation | Riverside, MO | E |
| April 24, 2026 | Hillside Health Care Center | Saint Louis, MO | D |
| April 22, 2026 | Rio Grande Rehabilitation and Healthcare Center | La Jara, CO | E |
| April 16, 2026 | Heritage Care Center | Saint Louis, MO | E |
| April 8, 2026 | Bernard Care Center | Saint Louis, MO | E |
| April 6, 2026 | Spring River Rehabilitation and Care Center | Roswell, NM | D |
| March 27, 2026 | Westview Healthcare Center | Auburn, CA | D |
| March 5, 2026 | Santa Anita Convalescent Hospital | Temple City, CA | D |
| January 13, 2026 | Temple City Healthcare | Temple City, CA | D |
| December 11, 2025 | Rancho Bellagio Post Acute | Moreno Valley, CA | D |
| December 6, 2025 | Sunset Rehabilitation and Health Care | Canton, IL | D |
| November 21, 2025 | Country Care Manor | La Vernia, TX | D |
| November 12, 2025 | Meadville Convalescent Home | Meadville, MS | E |
| November 3, 2025 | Forest Hills Center | Columbus, OH | D |
| August 18, 2025 | Adviniacare Newport, LLC | Newport, RI | E |
| August 6, 2025 | Careone at Moorestown | Moorestown, NJ | D |
| June 26, 2025 | Rehabilitation and Nursing Center of the Rockies | Fort Collins, CO | D |
| June 13, 2025 | West Hills Health and Rehabilitation Center | Canoga Park, CA | D |
| June 11, 2025 | Kinnic Health and Rehabilitation Center | River Falls, WI | D |
F555 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 1, 2021 1, 2022 1, 2023 2, 2024 22, 2025 14, 2026 15.
Common questions
- What is F555 in a nursing home inspection?
- F555 is the federal requirement to "honor the resident's right to choose his or her attending physician". CMS files it under resident rights. A home cited under F555 did not meet that requirement at the inspection.
- How often is F555 cited?
- The CMS files as of September 1, 2026 list 56 F555 citations at 55 nursing homes, 20 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F555 citation serious?
- It depends on the letter. Most F555 citations (96.4%) 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