CMS F-tag

F558: Resident rights

Reasonable accommodation of residents’ needs and preferences. Cited 4,626 times at 3,419 nursing homes in the last three inspection cycles.

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

How F558 shows up in inspections

F-TAGF558#25 of 242 tagsVery often cited

How serious it usually is

  • Immediate jeopardyJ0%1
  • Actual harmG0.3%15
  • No actual harmD · E · F99.1%4,583
  • Minimal harmB · C0.6%27

0% of F558 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 4,626Citations
  • 3,419Facilities cited23% of rated nursing homes

Citations by survey year

  • 201711
  • 201844
  • 2019146
  • 202056
  • 2021230
  • 2022468
  • 20231,129
  • 20241,414
  • 20251,122
  • 20266

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

Where F558 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 F558 citation.

States by share of facilities cited

  • California52% of homes1,107 citations · 598 of 1,154 facilities
  • Texas36% of homes570 citations · 417 of 1,167 facilities
  • Illinois39% of homes425 citations · 257 of 665 facilities
  • Ohio31% of homes352 citations · 280 of 911 facilities
  • Pennsylvania21% of homes176 citations · 140 of 653 facilities
  • Michigan31% of homes164 citations · 130 of 420 facilities
  • Maryland45% of homes126 citations · 99 of 219 facilities
  • Indiana21% of homes125 citations · 106 of 504 facilities
  • Florida16% of homes123 citations · 111 of 689 facilities
  • Virginia34% of homes119 citations · 96 of 285 facilities

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

Facilities cited most often

  1. California TerraceChicago, IL · Report card7 F558No harm
  2. Mirage Post AcuteLancaster, CA · Report card7 F558No harm
  3. Archer Heights HealthcareChicago, IL · Report card6 F558No harm
  4. Bakersfield Post AcuteBakersfield, CA · Report card6 F558No harm
  5. Inland Valley Care and Rehabilitation CenterPomona, CA · Report card6 F558No harm
  6. Laguna Hills Health and Rehabilitation CenterLaguna Hills, CA · Report card6 F558No harm
  7. Morgan Park HealthcareChicago, IL · Report card6 F558No harm
  8. Santa Monica Rehabilitation CenterSanta Monica, CA · Report card6 F558No harm
  9. Aperion Care LakeshoreChicago, IL · Report card5 F558No harm
  10. Bay Crest Care CenterTorrance, CA · Report card5 F558No harm
  11. Brighton Care CenterPasadena, CA · Report card5 F558No harm
  12. Belhaven Nursing & Rehab CenterChicago, IL · Report card5 F558No harm
  13. Crystal Creek Post-AcuteStockton, CA · Report card5 F558No harm
  14. Delta Oaks Post AcuteStockton, CA · Report card5 F558No harm
  15. Lakeview Post AcuteFlorissant, MO · Report card5 F558No harm

What to ask a facility about a F558 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 F558 in a nursing home inspection?
F558 is the CMS F-tag for the requirement "Reasonably accommodate the needs and preferences of each resident." (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 F558?
F558 was cited 4,626 times at 3,419 facilities (23% of rated nursing homes) in the last three inspection cycles, ranking #25 of 242 tags. 16 of those citations involved actual harm or immediate jeopardy.
Does a F558 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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