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F578 Nursing Home Citation: The Right to Refuse Treatment
- 4,306
- Citation count
- 3,609
- Cited homes
- 110
- Harm or danger found
- 94
- Immediate danger
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
A nursing home that does not meet federal rules on the right to refuse treatment is cited by inspectors as F578. It is filed under resident rights by CMS.
At 3,609 homes, inspectors cited F578 4,306 times, according to data CMS now releases. Of those citations, 110 found that residents were harmed or faced immediate danger.
Was a loved one hurt in a home that was cited for this?
Call 1-833-892-8135Calls go to a law firm that advertises on Nursing Home Violations.F578 Citations by Seriousness
| What the inspectors found | Citations |
|---|---|
| Minimal risk to residents | 26 |
| Risk of harm, no one found hurt | 4,170 |
| Residents were harmed | 16 |
| Immediate danger to residents | 94 |
F578: States With the Most Citations
| State | Citations |
|---|---|
| California | 778 |
| Ohio | 329 |
| Texas | 241 |
| Illinois | 194 |
| Michigan | 186 |
F578 Citations at the Harm Level in Flagged Homes
These listings cover homes that CMS marks for abuse or as Special Focus homes, with an F578 citation that found residents harmed or in danger.
| Home | Stars | Citations | Harm or danger | Fines |
|---|---|---|---|---|
| Goldwater Care Peoria Heights, Peoria HeightsSpecial Focus candidate | 1 of 5 | 117 | 16 | $703,747 |
| La Bella of Cahokia, CahokiaAbuse icon | 1 of 5 | 63 | 15 | $714,107 |
| Falkville Rehabilitation and Healthcare Center, FalkvilleSpecial Focus candidate | 1 of 5 | 33 | 14 | $146,615 |
| The Medical Suites at Oak Creek, Oak CreekSpecial Focus Facility | Not rated (Special Focus) | 125 | 12 | $199,227 |
| Villa at Beecher Place, FlintSpecial Focus candidate · Abuse icon | 1 of 5 | 102 | 11 | $210,026 |
| The Terrace at Crystal, CrystalSpecial Focus Facility | Not rated (Special Focus) | 147 | 11 | $80,370 |
| Evercare of Swansea, SwanseaAbuse icon | 1 of 5 | 61 | 8 | $193,396 |
| Eagle Crest Rapid Recovery, HoustonAbuse icon | 1 of 5 | 29 | 8 | $48,675 |
| Meadow Brook Rehabilitation and Nursing, Salt Lake CityAbuse icon | 2 of 5 | 59 | 8 | $31,331 |
| Jewish Home and Care Center, MilwaukeeSpecial Focus candidate | 1 of 5 | 36 | 7 | $322,329 |
| Dade City Health and Rehabilitation Center, Dade CitySpecial Focus candidate · Abuse icon | 1 of 5 | 54 | 7 | $84,812 |
| Casa Mora Rehabilitation and Extended Care, BradentonSpecial Focus candidate · Abuse icon | 1 of 5 | 26 | 7 | $73,220 |
| Aztec Healthcare, AztecAbuse icon | 2 of 5 | 37 | 6 | $312,178 |
| Villas at Bryn Mawr, MinneapolisSpecial Focus candidate · Abuse icon | 1 of 5 | 57 | 6 | $105,505 |
| Paradigm at Woodwind Lakes, HoustonSpecial Focus Facility | Not rated (Special Focus) | 39 | 5 | $89,541 |
| Gulf Coast Village, Cape CoralSpecial Focus Facility | Not rated (Special Focus) | 21 | 5 | $37,092 |
| Achieve Rehabilitation and Nursing Center, AndersonSpecial Focus candidate | 1 of 5 | 33 | 4 | $73,538 |
| Birmingham Nursing and Rehabilitation Center, BirminghamAbuse icon | 1 of 5 | 20 | 4 | $68,647 |
| Aviata at Bryan Dairy, LargoSpecial Focus candidate · Abuse icon | 1 of 5 | 41 | 4 | $45,660 |
| Crest View Lutheran Home, Columbia HeightsAbuse icon | 1 of 5 | 47 | 4 | $16,720 |
| Southside Care Center, MinneapolisSpecial Focus candidate | 1 of 5 | 84 | 4 | No federal fine |
| Springs at Boca Ciega Bay, South PasadenaAbuse icon | 2 of 5 | 28 | 4 | No federal fine |
| Rosewood Rehabilitation and Nursing Center, RensselaerSpecial Focus candidate | 1 of 5 | 45 | 3 | $175,867 |
| Bastrop Lost Pines Nursing and Rehabilitation Center, BastropAbuse icon | 1 of 5 | 26 | 3 | $92,460 |
| Bayside Manor, GaylordAbuse icon | 2 of 5 | 34 | 3 | $16,982 |
These counts come from the CMS health deficiencies file, updated monthly.