CMS F-tag

F553: Resident rights

Allow resident to participate in the development and implementation of his or her person-centered plan of care. Cited 728 times at 687 nursing homes in the last three inspection cycles.

#95 of 242 tags0% caused harm51 statesLatest survey Jan 15, 2026

How F553 shows up in inspections

F-TAGF553#95 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG0.3%2
  • No actual harmD · E · F98.4%716
  • Minimal harmB · C1.4%10

0% of F553 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 728Citations
  • 687Facilities cited5% of rated nursing homes

Citations by survey year

  • 20171
  • 201812
  • 201923
  • 20208
  • 202120
  • 202277
  • 2023171
  • 2024228
  • 2025187
  • 20261

Partial years reflect the rolling three-cycle window, not a change in enforcement.

Where F553 is cited most

Survey agencies differ in what they emphasize, so compare a facility with its own state. Shares are the portion of each state’s rated nursing homes with at least one F553 citation.

States by share of facilities cited

  • California7% of homes88 citations · 80 of 1,154 facilities
  • Ohio6% of homes56 citations · 53 of 911 facilities
  • Texas4% of homes49 citations · 46 of 1,167 facilities
  • Pennsylvania7% of homes48 citations · 44 of 653 facilities
  • North Carolina10% of homes42 citations · 41 of 417 facilities
  • New York6% of homes36 citations · 35 of 593 facilities
  • Minnesota7% of homes27 citations · 25 of 337 facilities
  • Missouri5% of homes25 citations · 24 of 479 facilities
  • Michigan5% of homes24 citations · 23 of 420 facilities
  • Virginia7% of homes23 citations · 20 of 285 facilities

Top 10 of 51 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Olympic View Post AcutePort Angeles, WA · Report card3 F553No harm
  2. Seaview Rehabilitation & Wellness Center, LPEureka, CA · Report card3 F553No harm
  3. Thalia Gardens Rehabilitation and NursingVirginia Beach, VA · Report card3 F553No harm
  4. Unger Park Post AcuteBucyrus, OH · Report card3 F553No harm
  5. Heritage Care CenterSaint Louis, MO · Report card2 F5532 with harm
  6. Accela Rehab and Care Center at SpringfieldGlenside, PA · Report card2 F553No harm
  7. Arden Care CenterHamden, CT · Report card2 F553No harm
  8. Autumn Aegis Nursing HomeLorain, OH · Report card2 F553No harm
  9. Avamere Rehabilitation of Cascade ParkVancouver, WA · Report card2 F553No harm
  10. Avamere Riverpark of EugeneEugene, OR · Report card2 F553No harm
  11. Bradley Estates Nursing and Rehab LLCMilwaukee, WI · Report card2 F553No harm
  12. Broadway by the SeaLong Beach, CA · Report card2 F553No harm
  13. Brooklyn Ctr for Rehab and Residential Health CareBrooklyn, NY · Report card2 F553No harm
  14. Caring Heart Rehabilitation and Nursing CenterPhiladelphia, PA · Report card2 F553No harm
  15. Cedars Healthcare CenterLakewood, CO · Report card2 F553No harm

What to ask a facility about a F553 citation

  1. What exactly did the surveyor find, and on what date? The report card shows the date and the severity letter.
  2. What was the plan of correction, and was it accepted by the state on the first submission?
  3. Has the same tag been cited in more than one cycle? Repeat citations matter more than a single one.
  4. If the letter was G or higher: what happened to the resident, and what changed in staffing or process?

Source: CMS Provider Data Catalog, Nursing Home Health Citations, current three inspection cycles, most recent survey Jan 15, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F553 in a nursing home inspection?
F553 is the CMS F-tag for the requirement "Allow resident to participate in the development and implementation of his or her person-centered plan of care." (Resident rights). Surveyors cite it when a facility is found out of compliance with that regulation during a standard survey or complaint investigation.
How common is F553?
F553 was cited 728 times at 687 facilities (5% of rated nursing homes) in the last three inspection cycles, ranking #95 of 242 tags. 2 of those citations involved actual harm or immediate jeopardy.
Does a F553 citation mean the facility is unsafe?
Not on its own. Read the scope and severity letter: D through F means no actual harm was found, G through I means a resident was harmed, and J through L means immediate jeopardy. Ask the facility what was cited, what was corrected, and when.

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