Resident Rights in US Nursing Homes

Updated 30 October 2026 · Educational resource

Nursing home residents in facilities that participate in Medicare or Medicaid have specific rights under the federal Nursing Home Reform Act. These rights are designed to protect dignity, autonomy, and quality of life. Facilities must inform residents of their rights in a language they understand and must not retaliate for exercising them.

Core resident rights

• The right to be treated with dignity and respect
• The right to participate in care planning and to refuse treatment
• The right to privacy and confidentiality
• The right to voice grievances without fear of retaliation
• The right to manage personal finances or designate someone to do so
• The right to visitors and to communicate freely
• Protection from abuse, neglect, and involuntary seclusion

State laws may provide additional protections. Each facility must post resident rights and have a process for addressing complaints. Residents or their representatives can also contact the state long-term care ombudsman program for free advocacy and assistance with concerns.

Disclaimer: This is a general summary of common rights. Specific protections can vary by state and facility type. Contact your state ombudsman or health department for current details.

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