.Based on record review and interview, the facility failed to ensure a resident's advance directive (AD) was obtained and maintained in the medical record and was readily accessible to staff for 1 resident (#47) of 12 sampled residents. Specifically, the facility did not obtain, verify, or properly file the resident's advance directive upon admission, resulting in staff being unaware of the resident's documented treatment preferences. This failure placed the resident at risk for receiving care or interventions inconsistent with the resident's expressed wishes and compromised the resident's right to request, refuse, and/or discontinue treatment Record review on 11/17-21/25 revealed Resident #47 was admitted to the facility on [DATE] with diagnoses that included anoxic brain damage (injury… …
F578 citations in Alaska
Advance directives · Resident Rights Deficiencies
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.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Alaska cites F578 less often than its own record predicts
0.56 times the national share — cited less often here than elsewhere.
Of every deficiency written in Alaska in 2025, this is the portion that was F578.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Alaska surveyors wrote
F578 findings written in Alaska, 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.
What else Alaska surveyors cite →
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