Based on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that advance directives were completed and maintained for one sampled resident (#11). The deficient practice could result in residents not receiving proper care according to their preferences or potential harm to the resident's life. Findings include:Resident #11 was admitted to the facility on [DATE], with a diagnosis that included Lymphocytic colitis, abnormalities of gait and mobility, and dementia.An active physician's order dated February 17, 2026, indicated the resident's Code Status as Do Not Resuscitate (DNR) without a hold or end date.A quarterly Minimum Data Set (MDS) assessment dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 03, which… …
F578 citations in Arizona
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
Arizona cites F578 more often than its own record predicts
1.35 times the share F578 takes of citations nationally.
Of every deficiency written in Arizona 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 Arizona surveyors wrote
F578 findings written in Arizona, 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.
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 1.04% | 0.97× |
| 2024 | 0.92% | 0.94× |
| 2025 | 1.28% | 1.35× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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