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Resident Rights42 CFR §483.10(e)
F0558 — Reasonable Accommodations of Needs/Preferences
F0558 requires the facility to reasonably accommodate individual resident needs and preferences, except where doing so would endanger the health or safety of the resident or others.
Common Deficiency Examples
- Documented resident preference (schedule, routine, personal item) not accommodated without clinical justification
- Requests for reasonable accommodation not tracked or followed up on
- Facility practice defaulting to convenience over documented resident preference
- No process for residents to communicate ongoing preference changes
What Your Plan of Correction Needs
F0558 PoCs should show a specific accommodation was addressed and a process exists to catch future requests:
Gap identifiedspecific preference/accommodation not honored
Immediate actionaccommodation implemented or clinical rationale documented
Systemic fixpreference tracking as part of care planning
Monitoring planperiodic resident preference review, tied to care plan updates
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