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 Arkansas. Pick another state for the same tag.
Against expectation — 2025
Arkansas cites F578 less often than its own record predicts
Versus expected share0.77×
0.77 times the national share — cited less often here than elsewhere.
Share of Arkansas citations0.72%
Of every deficiency written in Arkansas in 2025, this is the portion that was F578.
Arkansas0.72%
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 Arkansas surveyors wrote
F578 findings written in Arkansas, 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.
D · No harm, potential for more than minimal, isolatedMarch 6, 2026
Number of residents sampled:
Number of residents cited:
Based on record review, interviews, and facility policy review, the facility failed to ensure the residents' orders and other electronic health records accurately and consistently reflected the resident's advanced directive decision that documented the resident did not want Cardiopulmonary Resuscitation (CPR) for one (Resident #17) of eight residents whose clinical records were reviewed for advanced directive information.
The findings include:
Review of a quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of [DATE], revealed Resident #17 had diagnoses which included non-Alzheimer's dementia, anxiety, and depression. …
B · No harm, potential for minimal, patternJuly 7, 2022
Based on interview and record review, the facility failed ensure an advance directive was available in the medical record for 2 (Resident #43 and #1) of 15 (Res #1, #2, #9, #10, #14, #15, #17, #20, #21, #30, #31, #33, #43, #48, and #251) sampled residents whose records were reviewed for an advance directive. The findings are:
1. Res #43 was admitted on [DATE] with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . A Quarterly Minimum Data (MDS) with an Assessment Reference Date (ARD) of 6/1/22 documented the resident scored 04 (00-07 indicates severely impaired) on the Brief Interview for Mental Status, required limited one-persons physical assist with bed mobility, and extensive one-person physical assistance with transfers.
a. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction