CMS F-tag

F565: Resident rights

Honor the resident's right to organize and participate in resident/family groups in the facility. Cited 1,233 times at 1,121 nursing homes in the last three inspection cycles.

#69 of 242 tags0% caused harm48 statesLatest survey Dec 30, 2025

How F565 shows up in inspections

F-TAGF565#69 of 242 tagsOccasionally cited

How serious it usually is

  • Immediate jeopardyJ–L0%0
  • Actual harmG–I0%0
  • No actual harmD · E · F96.4%1,189
  • Minimal harmB · C3.6%44

0% of F565 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 1,233Citations
  • 1,121Facilities cited8% of rated nursing homes

Citations by survey year

  • 201823
  • 201942
  • 202017
  • 202170
  • 2022134
  • 2023295
  • 2024380
  • 2025272

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

Where F565 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 F565 citation.

States by share of facilities cited

  • Texas8% of homes97 citations · 91 of 1,167 facilities
  • Pennsylvania11% of homes90 citations · 74 of 653 facilities
  • Ohio8% of homes79 citations · 71 of 911 facilities
  • North Carolina16% of homes75 citations · 66 of 417 facilities
  • California6% of homes69 citations · 66 of 1,154 facilities
  • Florida8% of homes59 citations · 57 of 689 facilities
  • Indiana9% of homes55 citations · 44 of 504 facilities
  • Massachusetts14% of homes55 citations · 48 of 338 facilities
  • Michigan11% of homes54 citations · 47 of 420 facilities
  • Missouri10% of homes54 citations · 47 of 479 facilities

Top 10 of 48 states. Every state page lists its most-cited tags.

Facilities cited most often

  1. Avir at Johnson CityJohnson City, TX · Report card3 F565No harm
  2. Embassy of ScrantonScranton, PA · Report card3 F565No harm
  3. Embassy of TunkhannockTunkhannock, PA · Report card3 F565No harm
  4. Life Care Center of WestminsterWestminster, CO · Report card3 F565No harm
  5. Lincoln County Nursing & RehabTroy, MO · Report card3 F565No harm
  6. Pines Nursing and RehabEaston, MD · Report card3 F565No harm
  7. Southshore Health Care CenterRockland, MA · Report card3 F565No harm
  8. St Elizabeth Healthcare CenterDelphi, IN · Report card3 F565No harm
  9. St Peters Rehab and Healthcare CenterSaint Peters, MO · Report card3 F565No harm
  10. The Villa at ParkridgeYpsilanti, MI · Report card3 F565No harm
  11. Wedgewood Healthcare CenterClarksville, IN · Report card3 F565No harm
  12. Westside Retirement VillageIndianapolis, IN · Report card3 F565No harm
  13. Allen View Healthcare CenterSpringfield, OH · Report card2 F565No harm
  14. Alpha Home - a Waters CommunityIndianapolis, IN · Report card2 F565No harm
  15. Arcadia Care MortonMorton, IL · Report card2 F565No harm

What to ask a facility about a F565 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 30, 2025. Counts are citations unless labeled facilities.

Frequently asked questions

What is F565 in a nursing home inspection?
F565 is the CMS F-tag for the requirement "Honor the resident's right to organize and participate in resident/family groups in the facility." (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 F565?
F565 was cited 1,233 times at 1,121 facilities (8% of rated nursing homes) in the last three inspection cycles, ranking #69 of 242 tags. 0 of those citations involved actual harm or immediate jeopardy.
Does a F565 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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