CMS F-tag

F559: Resident rights

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Cited 402 times at 392 nursing homes in the last three inspection cycles.

#117 of 242 tags0% caused harm47 statesLatest survey Dec 17, 2025

How F559 shows up in inspections

F-TAGF559#117 of 242 tagsRarely cited

How serious it usually is

  • Immediate jeopardyK0.2%1
  • Actual harmG–I0%0
  • No actual harmD · E · F96%386
  • Minimal harmB · C3.7%15

0% of F559 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 402Citations
  • 392Facilities cited3% of rated nursing homes

Citations by survey year

  • 201817
  • 201911
  • 20214
  • 202230
  • 202399
  • 2024124
  • 2025117

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

Where F559 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 F559 citation.

States by share of facilities cited

  • California5% of homes66 citations · 63 of 1,154 facilities
  • Pennsylvania6% of homes40 citations · 39 of 653 facilities
  • Illinois4% of homes27 citations · 25 of 665 facilities
  • Maryland12% of homes26 citations · 26 of 219 facilities
  • Ohio2% of homes22 citations · 22 of 911 facilities
  • Texas2% of homes19 citations · 19 of 1,167 facilities
  • Virginia6% of homes19 citations · 18 of 285 facilities
  • Michigan5% of homes19 citations · 19 of 420 facilities
  • Wisconsin4% of homes14 citations · 13 of 321 facilities
  • Washington7% of homes13 citations · 13 of 192 facilities

Top 10 of 47 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Alden Lakeland Rehab & HccChicago, IL · Report card2 F559No harm
  2. Aliya of CrestwoodCrestwood, IL · Report card2 F559No harm
  3. Arbor Post AcuteChico, CA · Report card2 F559No harm
  4. Cartersville Center for Nursing and HealingCartersville, GA · Report card2 F559No harm
  5. Cherrydale Health & Rehabilitation CenterArlington, VA · Report card2 F559No harm
  6. Rosemont CenterRosemont, PA · Report card2 F559No harm
  7. Rock River Nursing & RehabFort Atkinson, WI · Report card2 F559No harm
  8. San Rafael Healthcare & Wellness Center, LPSan Rafael, CA · Report card2 F559No harm
  9. Solano Post AcuteVallejo, CA · Report card2 F559No harm
  10. Village Health Care CenterBroken Arrow, OK · Report card2 F559No harm
  11. Ridgeway Nursing & Rehabilitation FacilityOwingsville, KY · Report card1 F5591 with harm
  12. Accolade Healthcare of SavoySavoy, IL · Report card1 F559No harm
  13. Agawam South Rehab and NursingAgawam, MA · Report card1 F559No harm
  14. Alhambra Healthcare & Rehabilitation CenterSaint Petersburg, FL · Report card1 F559No harm
  15. Aliya of Oak LawnOak Lawn, IL · Report card1 F559No harm

What to ask a facility about a F559 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 Dec 17, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F559 in a nursing home inspection?
F559 is the CMS F-tag for the requirement "Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made." (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 F559?
F559 was cited 402 times at 392 facilities (3% of rated nursing homes) in the last three inspection cycles, ranking #117 of 242 tags. 1 of those citations involved actual harm or immediate jeopardy.
Does a F559 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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