Complaint # NJ00176157 Based on observation, interview, record review, and review of pertinent facility documents on 8/15/2024, it was determined that the facility failed to ensure that 1 of 1 Justice Involved Individual (JII) Resident #6 was afforded the right to retain personal possessions and to have a homelike environment. This failure to treat Resident #6 respectfully and in a dignified manner had the likelihood to cause serious injury and psychological harm. This was cited as an isolated incident that immediately jeopardizes the health and safety of the JII which resulted in an immediate jeopardy ( IJ) situation. …
F557
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F557 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F557 finding.
The harm level
How severely F557 is cited
1.4% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J40.4% | K10.1% | L— |
| Actual harm | G80.8% | H20.2% | I— |
| No harm, potential for more than minimal | D89483.9% | E13112.3% | F121.1% |
| No harm, potential for minimal | A— | B121.1% | C20.2% |
In the surveyor’s words
What an F557 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on interview and record review the facility failed to reasonably accommodate a resident's request to electronically monitor her own room for one resident (R1) and the facility failed to allow one resident (R3) to electronically monitor his own room of two residents reviewed who had requested electronically monitor their rooms. The State of Illinois Ombudsman Program Booklet documents You have a right to purchase and use an electronic monitoring device after providing notice to the facility using the Electronic Monitoring Notification Consent Form.1.R1's Medical Record documents that she was admitted on [DATE] with diagnosis to include but not limited to hemiplegia and hemiparesis following a cerebral infarction, anxiety and restless leg syndrome. …
Based on clinical record reviews, review of facility documentation, facility policies, and interviews for two (2) of two (2) sampled residents (Residents #1 and #2) who were reviewed for dignity and respect, the facility failed to ensure a staff member refrained from making a disrespectful comment to Resident #1 and Resident #2 while the residents were viewing a movie in Resident #1's room. The findings include: *Resident #2's diagnosis included autistic disorder, depression, attention deficit hyperactivity disorder, history of a traumatic brain injury, and unspecified intellectual disabilities. The annual Minimum Data Set assessment dated [DATE] identified Resident #2 had some orientation and memory recall deficits. …
Laurel Ridge Center for Health & Rehabilitation · Connecticut
Based on observation, interview and record review, the facility failed to provide eating assistance in a manner that promoted resident respect and dignity for 1 of 9 residents (Resident 14) reviewed for dining. This failure place residents at risk for diminished self-worth, embarrassment, and a deceased quality of life. Findings included. Review of the facility's policy, titled Dignity, dated 09/12/2025, documented, Each resident has the right to be treated with dignity and respect. Interactions and activities with residents by staff, temporary agency staff, or volunteers must focus on maintaining and enhancing the resident's self-esteem, self-worth, and incorporating the resident's goals, preferences, and choices. …
By state — 2025
Where F557 is cited more, and less, than expected
Each state is measured against its own expected share, not against other states.
- California2.04× · 76 citations
Co-occurrence
Cited alongside F557
Of the 2025 surveys that cited F557, these tags appeared in the same inspection more often than chance would predict.
- F55812.5% of F557 surveys · 2.7× chance
Reasonably accommodate the needs and preferences of each resident.
- F75911.8% of F557 surveys · 2.6× chance
Ensure medication error rates are not 5 percent or greater.
- F67720.4% of F557 surveys · 2.2× chance
Provide care and assistance to perform activities of daily living for any resident who is unable.
- F65812.5% of F557 surveys · 1.7× chance
Ensure services provided by the nursing facility meet professional standards of quality.
- F58414.5% of F557 surveys · 1.7× chance
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Cited in the same inspection, not caused by one another.
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