F558: Reasonably accommodate the needs and preferences of each resident
F558 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Reasonably accommodate the needs and preferences of each resident.
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). 30.4% of F558 citations came from a complaint visit rather than a routine inspection.
By letter: B 21, C 4, D 3,697, E 877, F 13, G 17.
What inspectors wrote
Three recent F558 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 DBased on review of facility policy and documents, resident and staff interviews, it was determined that the facility staff failed to provide services in the facility with reasonable accommodation of resident needs and preferences for enabler bars for one of five residents (Resident R105).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, August 5, 2026, scope and severity EBased on observation, staff interview, record review, and policy review, it was determined the facility failed to ensure a resident's call light was within reach for 5 of 18 Residents (#29, #50, #51, #56, and #57) reviewed for residents' rights. This deficient practice had the potential to cause harm if the resident could not call for assistance when needed or experienced an adverse medical event that required attention.
Mini-Cassia Care Center, Burley, ID
Inspectors wrote, July 30, 2026, scope and severity DBased on observation, interview, and document review, the facility failed to assess ability to independently activate the call light and provide a reasonable accommodation for 1 of 1 resident (R29), such as an adaptive call light, after staff became aware of ongoing difficulty using the standard call system, resulting in the potential for delayed access to assistance for toileting and other care needs.
Kittson Healthcare, Hallock, MN
Most recent F558 citations at the harm or jeopardy level
Newest first, all 17 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| June 1, 2026 | Staunton Health and Rehab Ctr | Staunton, IL | G | Complaint |
| January 6, 2026 | Arcadia Care Kewanee | Kewanee, IL | G | Complaint |
| January 6, 2026 | Arcadia Care Morton | Morton, IL | G | Complaint |
| December 14, 2025 | Evercare of Jerseyville | Jerseyville, IL | G | Standard |
| August 19, 2025 | Marigold Rehabilitation and Health Care Center | Galesburg, IL | G | Complaint |
| July 25, 2025 | Edgemont Healthcare | Cynthiana, KY | G | Complaint |
| November 22, 2024 | Sunnyside Healthcare Center | Sunnyside, WA | G | Standard |
| September 18, 2024 | Aspire Senior Living Moberly | Moberly, MO | G | Standard |
| August 23, 2024 | Maple City Rehabilitation and Nursing Center | Hornell, NY | G | Standard |
| February 27, 2024 | Crystal Lake Rehabilitation and Care Center | Pascoag, RI | G | Complaint |
| November 27, 2023 | Berkley East Healthcare Center | Santa Monica, CA | G | Standard |
| November 12, 2023 | Ascension Resurrection Life | Chicago, IL | G | Complaint |
| September 13, 2023 | Hilltop Health and Rehabilitation | Rutherfordton, NC | G | Standard |
| May 26, 2023 | Eagle Pointe Healthcare Center | Parkersburg, WV | G | Standard |
| April 20, 2023 | Life Care Center of Brookfield | Brookfield, MO | G | Standard |
| January 11, 2023 | La Bella of Alton | Alton, IL | G | Standard |
| April 3, 2021 | Seneca Place | Louisville, KY | G | Standard |
Most recent F558 citations
F558 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.
| State | Citations |
|---|---|
| California | 1,060 |
| Texas | 640 |
| Illinois | 406 |
| Ohio | 355 |
| Pennsylvania | 168 |
| Michigan | 165 |
| Maryland | 135 |
| Florida | 122 |
| Virginia | 120 |
| Missouri | 115 |
| New Jersey | 107 |
| Indiana | 97 |
| Kansas | 90 |
| Louisiana | 88 |
| Massachusetts | 63 |
| Minnesota | 62 |
| Mississippi | 61 |
| Georgia | 59 |
| New York | 57 |
| North Carolina | 54 |
| West Virginia | 49 |
| Wisconsin | 48 |
| Arkansas | 47 |
| Washington | 47 |
| Oregon | 38 |
| Iowa | 37 |
| Oklahoma | 37 |
| Maine | 30 |
| New Mexico | 25 |
| Tennessee | 25 |
| Colorado | 24 |
| Kentucky | 22 |
| Idaho | 20 |
| Connecticut | 16 |
| Hawaii | 16 |
| South Carolina | 16 |
| Arizona | 14 |
| Delaware | 13 |
| Utah | 12 |
| Alabama | 11 |
| North Dakota | 9 |
| Nevada | 9 |
| Montana | 6 |
| District of Columbia | 5 |
| Rhode Island | 5 |
| Vermont | 5 |
| Puerto Rico | 4 |
| South Dakota | 4 |
| Alaska | 3 |
| Nebraska | 3 |
| Wyoming | 3 |
| Guam | 1 |
| New Hampshire | 1 |
By inspection year: 2017 1, 2018 17, 2019 86, 2020 43, 2021 134, 2022 267, 2023 769, 2024 1,400, 2025 1,200, 2026 712.
Common questions
- What is F558 in a nursing home inspection?
- F558 is the federal requirement to "reasonably accommodate the needs and preferences of each resident". CMS files it under resident rights. A home cited under F558 did not meet that requirement at the inspection.
- How often is F558 cited?
- The CMS files as of September 1, 2026 list 4,629 F558 citations at 3,437 nursing homes, 974 of them in the 12 months to that date. 0.4% were rated as actual harm or immediate jeopardy.
- Is a F558 citation serious?
- It depends on the letter. Most F558 citations (99.1%) 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