Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F578 in Alabama. Pick another state for the same tag.
Against expectation — 2025
Alabama cites F578 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F578 takes of citations nationally.
Share of Alabama citations0.99%
Of every deficiency written in Alabama in 2025, this is the portion that was F578.
Alabama0.99%
National0.95%
Share of all citations that were F578.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alabama surveyors wrote
F578 findings written in Alabama, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
J · Immediate jeopardy, isolatedOctober 29, 2025
Based on observation, interviews, record review, review of a facility policy titled MEDICATION ADMINISTRATION - GENERAL GUIDELINES, review of the RESIDENT BILL OF RIGHTS and review of a Facility Reported Incident (FRI) received by the State Agency, the facility failed to protect Resident Identifier (RI) #1's right to refuse care and treatment on 09/19/2025 when Licensed Practical Nurse (LPN) #5 administered medication to RI #1 and placed his hand over RI #1's mouth and pinched RI #1's nose to prevent RI #1 from spitting out the medication, which was physically and mentally abusive to RI #1. …
D · No harm, potential for more than minimal, isolatedJune 30, 2026
Based on record review, interview, and a policy titled, . Advance Directives and Refusal of Treatment the facility failed to ensure documentation regarding advance directives was complete and accurate. Specifically, the facility failed to maintain documentation that advance directives were discussed with Resident Identifier (RI) #81 and failed to ensure the advance directive documentation for RI #7 accurately reflected the resident's status. These failures had the potential to affect residents by preventing the facility from accurately identifying and honoring residents' advance directive decisions for 2 of 7 residents reviewed. Findings Include: A facility policy titled, . …
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