F565: Honor the resident's right to organize and participate in resident/family groups in the facility
F565 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 organize and participate in resident/family groups in the facility.
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). 17.6% of F565 citations came from a complaint visit rather than a routine inspection.
By letter: B 19, C 20, D 306, E 869, F 37.
What inspectors wrote
Three recent F565 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, August 13, 2026, scope and severity EBased on observation, interview, and record review, the facility failed to provide a private meeting space for residents' monthly council meetings for 7 of 15 confidential residents who were reviewed for resident rights. The facility failed to provide a private space for resident council meetings. This failure could place residents at risk of not being able to voice concerns due to a lack of privacy.
Munday Nursing Center, Munday, TX
Inspectors wrote, August 7, 2026, scope and severity DBased on review of facility policy, resident family interviews and documentation, and staff interviews it was determined that the facility failed to assist a resident family with forming a family group for three of three resident families (Resident Family Representatives FR116, FR121, and Resident Family Representative FR300).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, July 30, 2026, scope and severity EBased on interview, document review, and policy review, the provider failed to ensure that the resident's grievances were addressed, and documentation reflecting the staff's efforts to resolve those grievances was communicated to the residents and approved as effective resolutions for eight of eight sampled residents (16, 30, 31, 63, 79, 81, 108, and 109) who attended the resident council meeting on 7/29/26 that reported concerns in grievance resolution.
Firesteel Healthcare Center, Mitchell, SD
Most recent F565 citations
F565 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 10, 2019 34, 2020 9, 2021 38, 2022 76, 2023 228, 2024 374, 2025 291, 2026 191.
Common questions
- What is F565 in a nursing home inspection?
- F565 is the federal requirement to "honor the resident's right to organize and participate in resident/family groups in the facility". CMS files it under resident rights. A home cited under F565 did not meet that requirement at the inspection.
- How often is F565 cited?
- The CMS files as of September 1, 2026 list 1,251 F565 citations at 1,132 nursing homes, 265 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F565 citation serious?
- It depends on the letter. Most F565 citations (96.9%) 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