F583: Keep residents' personal and medical records private and confidential
F583 is one of the federal requirements every Medicare and Medicaid certified nursing home must meet. CMS describes it as: Keep residents' personal and medical records private and confidential.
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). 28.3% of F583 citations came from a complaint visit rather than a routine inspection.
By letter: B 38, C 6, D 2,010, E 451, F 52, G 6, J 3.
What inspectors wrote
Three recent F583 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, observations, and staff interview it was determined that the facility failed to maintain the confidentiality of residents' medical information on one of five medication carts (2B Medication Cart).
Providence Health & Rehab Center, Beaver Falls, PA
Inspectors wrote, July 30, 2026, scope and severity DBased on observation, interview, and record review, the facility failed to allow residents privacy of communications sent to the facility by a postal service for 2 of 25 residents reviewed for resident rights (Resident #35 and Resident #108). The facility failed to allow Resident #35 and Resident #108 to receive unopened mail at the facility. This failure could place residents at risk of decreased quality of life, hinder autonomy, and increase symptoms of depression. Findings Included:Resident #35Record review of Resident #35's face sheet, dated 07/28/2026, revealed a [AGE] year-old male, admitted to the facility on [DATE] and readmitted on [DATE]. [...]
Ussery Roan Texas State Veterans Home, Amarillo, TX
Inspectors wrote, July 30, 2026, scope and severity DBased on record review and staff interviews, the facility failed to protect the privacy of Resident # 131 when a medication prescribed for Resident # 131 was sent home with Resident # 127. This practice had the potential to affect 1 of 1 resident reviewed for privacy.
Wilson Pines Nursing and Rehabilitation Center, Wilson, NC
Most recent F583 citations at the harm or jeopardy level
Newest first, all 9 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| June 12, 2026 | Pruitthealth-Durham | Durham, NC | G | Complaint |
| February 27, 2025 | Aspen Point Health and Rehabilitation | Saint Charles, MO | G | Standard |
| December 11, 2024 | St. Mary's Alzheimer's Center | Columbiana, OH | J | Complaint |
| December 11, 2024 | Copperfield Health & Rehabilitation | Concord, NC | J | Standard |
| December 6, 2024 | Avir at the Meadow | Dallas, TX | G | Complaint |
| June 18, 2024 | Layhill Nursing and Rehabilitation Center | Silver Spring, MD | G | Complaint |
| May 24, 2024 | Focused Care at Mount Pleasant | Mount Pleasant, TX | J | Standard |
| March 7, 2024 | The Stewart Health Center | Charlotte, NC | G | Standard |
| August 2, 2023 | Wesley Woods Health & Rehabilitation | Waco, TX | G | Standard |
Most recent F583 citations
F583 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 |
|---|---|
| Texas | 428 |
| California | 392 |
| Ohio | 144 |
| Pennsylvania | 142 |
| Illinois | 138 |
| Florida | 92 |
| Virginia | 76 |
| Indiana | 65 |
| Maryland | 65 |
| Missouri | 64 |
| North Carolina | 60 |
| New York | 59 |
| Michigan | 53 |
| Minnesota | 51 |
| West Virginia | 51 |
| Arkansas | 48 |
| Massachusetts | 45 |
| Wisconsin | 44 |
| Louisiana | 35 |
| Oklahoma | 34 |
| Mississippi | 32 |
| New Jersey | 31 |
| Alabama | 30 |
| Washington | 30 |
| Tennessee | 28 |
| Kansas | 27 |
| Kentucky | 27 |
| New Mexico | 24 |
| Arizona | 22 |
| Colorado | 21 |
| Georgia | 21 |
| South Dakota | 17 |
| Connecticut | 16 |
| Oregon | 16 |
| Iowa | 14 |
| Montana | 14 |
| South Carolina | 13 |
| North Dakota | 11 |
| Utah | 11 |
| Hawaii | 10 |
| Maine | 10 |
| Idaho | 8 |
| Nebraska | 8 |
| Nevada | 8 |
| Rhode Island | 8 |
| Puerto Rico | 5 |
| Delaware | 4 |
| New Hampshire | 4 |
| Vermont | 4 |
| District of Columbia | 3 |
| Wyoming | 3 |
By inspection year: 2018 32, 2019 82, 2020 22, 2021 63, 2022 127, 2023 376, 2024 717, 2025 664, 2026 483.
Common questions
- What is F583 in a nursing home inspection?
- F583 is the federal requirement to "keep residents' personal and medical records private and confidential". CMS files it under resident rights. A home cited under F583 did not meet that requirement at the inspection.
- How often is F583 cited?
- The CMS files as of September 1, 2026 list 2,566 F583 citations at 2,250 nursing homes, 649 of them in the 12 months to that date. 0.4% were rated as actual harm or immediate jeopardy.
- Is a F583 citation serious?
- It depends on the letter. Most F583 citations (97.9%) were rated as potential for more than minimal harm, D to F. 3 were immediate jeopardy, the most serious 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