Based on observation, interview and record review, the facility failed to accept resident refusal of a room change resulting in psychological distress for 1 resident, (#90), out of a total of 22 sampled residents. Findings include: Resident #90 was admitted to the facility in 1/2018 with [DIAGNOSES REDACTED]. Review of Resident #90's most recent Minimum Data Set, (MDS), dated [DATE], indicated that he/she requires assistance with bathing, dressing and ambulation. Additionally the MDS indicated that Resident #90 scored 12 out of 15 on the Brief Interview for Mental Status, indicating moderate cognitive impairment. During interview with Resident #90 on 2/22/18 at 10:19 A.M., he/she said that he/she would like to return to his/her old room on the subacute unit. …
F560
Resident Rights Deficiencies
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Every F560 citation surveyors wrote nationally that year.
Distinct nursing homes with at least one F560 finding.
The harm level
How severely F560 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2080.0% | E28.0% | F312.0% |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F560 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 select facility policy, a review of clinical records, and resident and staff interviews, it was determined the facility failed to afford residents the right to refuse a resident's room change for two residents out of 31 residents reviewed (Residents 133 and 148). Findings include: A review of the facility policy entitled Room Change Policy, last reviewed by the facility on January 29, 2026, revealed it is the facility policy to ensure that all residents have the most comfortable and pleasant stay, that room changes can be an inconvenience, and that the facility will therefore try to avoid making unnecessary changes whenever possible. …
Based on review of clinical records and staff interview it was revealed that the facility failed to ensure that a resident's room change was not completed solely for the purpose of staff convenience for one resident out of four sampled (Resident 1) Findings include: A review of the clinical record revealed that Resident 1 was admitted to the facility on (MONTH) 21, (YEAR). The resident was admitted to a room on the facility's first floor next door to her sister, who also resided at the facility. A review of the resident's interdisciplinary progress notes conducted at the time of the survey ending (MONTH) 19, (YEAR), revealed that the resident enjoyed visiting with her sister. …
Stroudsburg Post Acute Nursing & Rehabilitationllc · Pennsylvania
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