F574: The resident has the right to receive notices in a format and a language he or she understands
F574 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: The resident has the right to receive notices in a format and a language he or she understands.
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). 12.7% of F574 citations came from a complaint visit rather than a routine inspection.
By letter: B 12, C 43, D 53, E 78, F 18.
What inspectors wrote
Three recent F574 citations from different states, quoted from the inspectors' statements of deficiencies (CMS form 2567). Names are removed by CMS.
Inspectors wrote, May 14, 2026, scope and severity EBased on observation and interview the facility failed to post in a location available for all residents, contact information including telephone numbers of the Long-Term Care Ombudsman program for the facility's postings for 53 residents reviewed for resident rights. The facility's single Ombudsman Program sign was posted on a posterboard on a sticker with small print in the hallway that led to the 200 hall and was not viewable to residents. This failure could place residents at risk of not having access to signs informing them of their rights and resident advocacy groups.
Avir at Pecos, Pecos, TX
Inspectors wrote, May 6, 2026, scope and severity FBased on observation and interview, the facility failed to ensure contact information for filing a complaint with the State Agency was available to the residents. The facility manager identified 37 residents resided in the facility.
First Shamrock Care Center, Kingfisher, OK
Inspectors wrote, April 28, 2026, scope and severity DBased on information obtained during the resident group meeting, and a review of facility documents, the facility staff failed to ensure that 5 of 5 residents in the group meeting knew the location of the list of contact names, addresses, and phone numbers of the State agencies, ombudsman and adult protective services.
Thalia Gardens Rehabilitation and Nursing, Virginia Beach, VA
Most recent F574 citations
| Inspection | Home | Town | Letter |
|---|---|---|---|
| June 8, 2026 | Astoria Skilled Nursing and Rehabilitation | Canton, OH | B |
| June 4, 2026 | Good Samaritan Society - Specialty Care Community | Robbinsdale, MN | C |
| May 14, 2026 | Avir at Pecos | Pecos, TX | E |
| May 7, 2026 | Monarch Springs Wellness & Rehabilitation | University City, MO | C |
| May 6, 2026 | First Shamrock Care Center | Kingfisher, OK | F |
| April 28, 2026 | Thalia Gardens Rehabilitation and Nursing | Virginia Beach, VA | D |
| April 17, 2026 | Community Skilled Healthcare | Warren, OH | F |
| April 9, 2026 | The Boulevard Post Acute | Fairfax, VA | D |
| April 8, 2026 | Florence Health Services | Florence, WI | E |
| March 24, 2026 | Great Lakes Healthcare Center | Dyer, IN | C |
| March 19, 2026 | Aventura at Prospect | Prospect Park, PA | E |
| March 18, 2026 | Belvoir Woods Health Care Center at the Fairfax | Fort Belvoir, VA | E |
| March 11, 2026 | Mainplace Post Acute | Orange, CA | B |
| March 11, 2026 | Lindside Healthcare Center | Lindside, WV | D |
| January 29, 2026 | Tonganoxie Terrace | Tonganoxie, KS | F |
| January 14, 2026 | Logan Square Rehabilitation and Healthcare Center | Philadelphia, PA | E |
| December 5, 2025 | Tiffany Heights | Mound City, MO | E |
| December 4, 2025 | The Chesapeake | Newport News, VA | E |
| December 4, 2025 | Wilmington Nursing & Rehabilitation Center | Wilmington, DE | C |
| December 3, 2025 | Independence Rehab and Nursing | Philadelphia, PA | E |
| November 26, 2025 | Freedom Village Healthcare Center | Lake Forest, CA | B |
| November 20, 2025 | The Grove at Valhalla Rehab and Nursing Center | Valhalla, NY | E |
| November 5, 2025 | Pocahontas Center | Marlinton, WV | E |
| October 17, 2025 | Clara Manor Nursing Home | Kansas City, MO | D |
| October 2, 2025 | 24th Place | Norman, OK | F |
F574 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, 2019 3, 2020 3, 2021 14, 2022 19, 2023 42, 2024 64, 2025 42, 2026 16.
Common questions
- What is F574 in a nursing home inspection?
- F574 is the federal requirement to "the resident has the right to receive notices in a format and a language he or she understands". CMS files it under resident rights. A home cited under F574 did not meet that requirement at the inspection.
- How often is F574 cited?
- The CMS files as of September 1, 2026 list 204 F574 citations at 198 nursing homes, 28 of them in the 12 months to that date. 0.0% were rated as actual harm or immediate jeopardy.
- Is a F574 citation serious?
- It depends on the letter. Most F574 citations (73.0%) 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