CMS F-tag

F585: Resident rights

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Cited 2,496 times at 2,096 nursing homes in the last three inspection cycles.

#42 of 242 tags0% caused harm51 statesLatest survey Jan 7, 2026

How F585 shows up in inspections

F-TAGF585#42 of 242 tagsOften cited

How serious it usually is

  • Immediate jeopardyJ · K0.1%2
  • Actual harmG0.1%2
  • No actual harmD · E · F97%2,422
  • Minimal harmB · C2.8%70

0% of F585 citations involved actual harm or immediate jeopardy. Nationally, about 5% of all citations do.

By the numbers

  • 2,496Citations
  • 2,096Facilities cited14% of rated nursing homes

Citations by survey year

  • 20187
  • 201948
  • 202024
  • 202191
  • 2022218
  • 2023674
  • 2024775
  • 2025658
  • 20261

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

Where F585 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 F585 citation.

States by share of facilities cited

  • California15% of homes214 citations · 176 of 1,154 facilities
  • Pennsylvania25% of homes212 citations · 163 of 653 facilities
  • Texas13% of homes177 citations · 154 of 1,167 facilities
  • Florida20% of homes170 citations · 139 of 689 facilities
  • Wisconsin30% of homes135 citations · 95 of 321 facilities
  • Washington45% of homes115 citations · 86 of 192 facilities
  • Michigan20% of homes108 citations · 85 of 420 facilities
  • Illinois11% of homes92 citations · 76 of 665 facilities
  • Massachusetts22% of homes85 citations · 74 of 338 facilities
  • Missouri15% of homes82 citations · 73 of 479 facilities

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

Facilities cited most often

  1. Bradley Estates Nursing and Rehab LLCMilwaukee, WI · Report card6 F585No harm
  2. Rio Hondo Subacute & Nursing CenterMontebello, CA · Report card6 F585No harm
  3. Mirage Post AcuteLancaster, CA · Report card5 F585No harm
  4. Squirrel Hill Wellness and Rehabilitation CenterPittsburgh, PA · Report card5 F585No harm
  5. Complete Care at Maple Grove LLCMadison, WI · Report card4 F585No harm
  6. Dade City Health and Rehabilitation CenterDade City, FL · Report card4 F585No harm
  7. Maple Heights Health & Rehab Center, LLCEbensburg, PA · Report card4 F585No harm
  8. North Auburn Rehab & Health CenterAuburn, WA · Report card4 F585No harm
  9. Optalis Health and Rehabilitation of TroyTroy, MI · Report card4 F585No harm
  10. Aria of BrookfieldBrookfield, WI · Report card3 F585No harm
  11. Autumn Lake Healthcare at Ballenger CreekFrederick, MD · Report card3 F585No harm
  12. Avamere Rehabilitation of IssaquahIssaquah, WA · Report card3 F585No harm
  13. Avantara of ElginElgin, IL · Report card3 F585No harm
  14. Aventura at ProspectProspect Park, PA · Report card3 F585No harm
  15. Aventura at Terrace ViewPeckville, PA · Report card3 F585No harm

What to ask a facility about a F585 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 7, 2026. Counts are citations unless labeled facilities.

Frequently asked questions

What is F585 in a nursing home inspection?
F585 is the CMS F-tag for the requirement "Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances." (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 F585?
F585 was cited 2,496 times at 2,096 facilities (14% of rated nursing homes) in the last three inspection cycles, ranking #42 of 242 tags. 4 of those citations involved actual harm or immediate jeopardy.
Does a F585 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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