F585: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances
F585 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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). 40.9% of F585 citations came from a complaint visit rather than a routine inspection.
By letter: B 29, C 37, D 1,590, E 712, F 134, G 2, J 1, K 1.
What inspectors wrote
Three recent F585 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 FBased on observation, interview, and record review, the facility failed to provide information to residents and their representatives on their rights related to filing grievances or concerns for 7 of 15 confidential residents. The facility failed to ensure 7 of 15 confidential residents were provided, through postings in prominent locations; the Grievance Procedure, access to the Grievance form, information regarding who the facility grievance officer was, their contact information, and how to file an anonymous grievance. This failure could place the residents at risk of unresolved grievances and decreased quality of life.
Munday Nursing Center, Munday, TX
Inspectors wrote, August 6, 2026, scope and severity DBased on the review of facility policy and facility documents, observations and resident and staff interviews, it was determined that the facility failed to make certain grievance forms can be filed anonymously in one of four locations where grievance information is available. (Willow Unit).
Asbury Health Center, Pittsburgh, PA
Inspectors wrote, July 30, 2026, scope and severity DBased on interview and record review, the facility failed to ensure a resident' concern regarding false statement by a staff member was filed as a grievance and investigated for 1 of 3 reviewed residents (Resident #8).
Aviata at Arbor Springs, Ocala, FL
Most recent F585 citations at the harm or jeopardy level
Newest first, all 4 in the current files. Each home's page shows the citation in full context, with its correction status.
| Inspection | Home | Town | Letter | Visit |
|---|---|---|---|---|
| March 30, 2026 | Anadarko Nursing & Rehab | Anadarko, OK | G | Complaint |
| August 15, 2024 | The Care Center of Honolulu | Honolulu, HI | G | Standard |
| March 27, 2024 | Surry Community Health Center by Harborview | Mount Airy, NC | K | Standard |
| February 6, 2019 | Salyersville Nursing and Rehabilitation Center | Salyersville, KY | J | Standard |
Most recent F585 citations
F585 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 2, 2019 30, 2020 17, 2021 58, 2022 118, 2023 419, 2024 766, 2025 695, 2026 401.
Common questions
- What is F585 in a nursing home inspection?
- F585 is the federal requirement to "honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances". CMS files it under resident rights. A home cited under F585 did not meet that requirement at the inspection.
- How often is F585 cited?
- The CMS files as of September 1, 2026 list 2,506 F585 citations at 2,116 nursing homes, 562 of them in the 12 months to that date. 0.2% were rated as actual harm or immediate jeopardy.
- Is a F585 citation serious?
- It depends on the letter. Most F585 citations (97.2%) were rated as potential for more than minimal harm, D to F. 2 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