F571: Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid
F571 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
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). 52.4% of F571 citations came from a complaint visit rather than a routine inspection.
By letter: D 31, E 9, F 2.
What inspectors wrote
Three recent F571 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, June 18, 2026, scope and severity EBased on interview and record review the facility failed to provide the choice of routine personal hair hygiene services, free simple haircuts and trims by a facility employee or a professional haircut by a licensed barber or beautician at a cost for 7 of 8 residents (Resident 2, 3, 4, 5, 6, 7 & 8) reviewed for services covered under Medicaid. Failure of the facility to ensure charges were not imposed against personal funds without documenting the residents' choice, including if the residents knew they had the right to simple haircuts and trims included in their room and board costs, and that they chose to have and pay for a professional service, violated residents' rights.
Birch Creek Post Acute & Rehabilitation, Tacoma, WA
Inspectors wrote, May 13, 2026, scope and severity DBased on interview and record review, the facility billed for a personal room telephone which was not present for one Resident (#25) of one resident reviewed for billed services.
Bay Bluffs-Emmet County Medical Care Facility, Harbor Springs, MI
Inspectors wrote, April 24, 2026, scope and severity EBased on interview and record review, the facility failed to ensure the personal funds for four of five residents reviewed (Resident 7, 10, 11, and 12) were not charged for services covered by their Medi-Cal (California need-based program covering long-term room, board, and nursing care for eligible residents who meet specific income/asset limits) healthcare benefits. This failure resulted in an improper reduction of Residents 7, 10, 11, and 12 personal funds.
Riverside Postacute Care, Riverside, CA
Most recent F571 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| June 18, 2026 | Birch Creek Post Acute & Rehabilitation | Tacoma, WA | E |
| May 13, 2026 | Bay Bluffs-Emmet County Medical Care Facility | Harbor Springs, MI | D |
| April 24, 2026 | Riverside Postacute Care | Riverside, CA | E |
| February 25, 2026 | Camelot Nursing and Rehabilitation Center | Farmington, MO | D |
| February 5, 2026 | Walnut Creek Skilled Nursing & Rehabilitation Cent | Walnut Creek, CA | D |
| February 3, 2026 | Monument Healthcare Taylorsville | Salt Lake City, UT | D |
| January 29, 2026 | Katherine and Charles Hover Green Houses | Longmont, CO | D |
| December 11, 2025 | Pruitthealth - Southwood | Tallahassee, FL | D |
| November 19, 2025 | Gem Tcu | Pasadena, CA | D |
| September 25, 2025 | Wentworth Rehab & HCC | Chicago, IL | D |
| September 19, 2025 | Gardens at Orangeville, the | Orangeville, PA | D |
| September 11, 2025 | Wellsprings Care Center | Englewood, CO | E |
| August 8, 2025 | Sweden Valley Manor | Coudersport, PA | D |
| June 26, 2025 | Eliseo | Tacoma, WA | D |
| May 6, 2025 | Willow Wood at Woldenberg Village | New Orleans, LA | D |
| April 23, 2025 | Marigold Rehabilitation and Health Care Center | Galesburg, IL | D |
| April 3, 2025 | Thrive of Lake County | Mundelein, IL | D |
| March 20, 2025 | The Neighborhood in Rio Rancho | Rio Rancho, NM | E |
| March 5, 2025 | Westview of Derby Rehabilitation & Health Care Cen | Derby, KS | D |
| January 17, 2025 | Pavilion of Logan Square, the | Chicago, IL | E |
| January 15, 2025 | Tomahawk Health Services | Tomahawk, WI | D |
| October 2, 2024 | Centro De Cuidado Prolongado San Lucas | Rio Piedras, PR | F |
| September 18, 2024 | Poway Healthcare Center | Poway, CA | D |
| September 12, 2024 | Hospital De La Concepcion Inc | San German, PR | F |
| August 30, 2024 | Continental Nursing & Rehab Center | Chicago, IL | D |
F571 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 |
|---|---|
| Illinois | 7 |
| California | 5 |
| Missouri | 4 |
| Florida | 3 |
| Washington | 3 |
| Colorado | 2 |
| Louisiana | 2 |
| Ohio | 2 |
| Oklahoma | 2 |
| Pennsylvania | 2 |
| Puerto Rico | 2 |
| Virginia | 2 |
| Kansas | 1 |
| Michigan | 1 |
| New Mexico | 1 |
| Tennessee | 1 |
| Utah | 1 |
| Wisconsin | 1 |
By inspection year: 2018 1, 2022 3, 2023 9, 2024 8, 2025 14, 2026 7.
Common questions
- What is F571 in a nursing home inspection?
- F571 is the federal requirement to "limit the charges against residents' personal funds for items or services for which payment is made under medicare or medicaid". CMS files it under resident rights. A home cited under F571 did not meet that requirement at the inspection.
- How often is F571 cited?
- The CMS files as of September 1, 2026 list 42 F571 citations at 42 nursing homes, 12 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F571 citation serious?
- It depends on the letter. Most F571 citations (100.0%) 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