CMS F-tag

F554: Resident rights

Allow residents to self-administer drugs if determined clinically appropriate. Cited 2,234 times at 1,913 nursing homes in the last three inspection cycles.

#48 of 242 tags0% caused harm52 statesLatest survey Jan 27, 2026

How F554 shows up in inspections

F-TAGF554#48 of 242 tagsOften cited

How serious it usually is

  • Immediate jeopardyK0%1
  • Actual harmG0.1%2
  • No actual harmD · E · F99.5%2,223
  • Minimal harmB0.4%8

0% of F554 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 2,234Citations
  • 1,913Facilities cited13% of rated nursing homes

Citations by survey year

  • 201820
  • 201953
  • 202023
  • 202185
  • 2022257
  • 2023539
  • 2024670
  • 2025580
  • 20267

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

Where F554 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 F554 citation.

States by share of facilities cited

  • California21% of homes284 citations · 239 of 1,154 facilities
  • Indiana25% of homes186 citations · 128 of 504 facilities
  • Minnesota42% of homes184 citations · 143 of 337 facilities
  • Illinois18% of homes133 citations · 117 of 665 facilities
  • Florida14% of homes117 citations · 94 of 689 facilities
  • Georgia27% of homes104 citations · 94 of 354 facilities
  • Pennsylvania12% of homes93 citations · 79 of 653 facilities
  • North Carolina20% of homes91 citations · 83 of 417 facilities
  • Michigan15% of homes76 citations · 64 of 420 facilities
  • Missouri13% of homes74 citations · 61 of 479 facilities

Top 10 of 52 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Casa of HobartHobart, IN · Report card5 F554No harm
  2. Highland Chateau Health and Rehabilitation CenterSaint Paul, MN · Report card4 F554No harm
  3. Rochester Restorative Care CenterRochester, MN · Report card4 F554No harm
  4. The Villas at New BrightonNew Brighton, MN · Report card4 F554No harm
  5. Waters of Hobart Skilled Nursing Facility, theHobart, IN · Report card4 F554No harm
  6. American VillageIndianapolis, IN · Report card3 F554No harm
  7. Aperion Care Arbors Michigan CityMichigan City, IN · Report card3 F554No harm
  8. Atherton Park Post-AcuteMenlo Park, CA · Report card3 F554No harm
  9. Augusta Nursing & Rehab CenterFishersville, VA · Report card3 F554No harm
  10. Brighton Rehabilitation and Wellness CenterBeaver, PA · Report card3 F554No harm
  11. Crown Point Health CampusCrown Point, IN · Report card3 F554No harm
  12. Citrus Post-AcuteSanta Ana, CA · Report card3 F554No harm
  13. Dyer Nursing and Rehabilitation CenterDyer, IN · Report card3 F554No harm
  14. Edenbrook of EdinaMinneapolis, MN · Report card3 F554No harm
  15. Freedom Village Healthcare CenterLake Forest, CA · Report card3 F554No harm

What to ask a facility about a F554 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 27, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F554 in a nursing home inspection?
F554 is the CMS F-tag for the requirement "Allow residents to self-administer drugs if determined clinically appropriate." (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 F554?
F554 was cited 2,234 times at 1,913 facilities (13% of rated nursing homes) in the last three inspection cycles, ranking #48 of 242 tags. 3 of those citations involved actual harm or immediate jeopardy.
Does a F554 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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