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 California. Pick another state for the same tag.
Against expectation — 2025
California cites F578 more often than its own record predicts
Versus expected share1.34×
1.34 times the share F578 takes of citations nationally.
Share of California citations1.27%
Of every deficiency written in California in 2025, this is the portion that was F578.
California1.27%
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 California surveyors wrote
F578 findings written in California, 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.
G · Actual harm, isolatedAugust 12, 2022
Cross reference: F726
Based on observation, interview, and record review the facility failed to honor one of two sampled residents (Resident 1) decision for refusal of treatment in accordance with the facility policy and procedure.
This deficient practice violated Resident 1's and/or the representative's right to refuse cardio-pulmonary resuscitation (CPR, an emergency lifesaving procedure performed with chest compressions combined with artificial ventilation when the heart stops beating) and have resulted in Resident 1 experiencing chest pain on [DATE] and sustained right and left side rib fractures (when one of the bones in the rib cage breaks or cracks). …
D · No harm, potential for more than minimal, isolatedAugust 27, 2026
Based on interview, medical record review, and facility P&P review, the facility failed to ensure assistance in the formulation of an advance directive was offered for three of four final sampled residents (Residents 2, 9, and 37) reviewed for advance directives. * The facility failed to ensure assistance in the formulation of an advance directive was offered for Residents 2, 9, and 37. These failures had the potential for the residents' healthcare decisions and treatment preferences to be unknown, undocumented, and not honored. …
B · No harm, potential for minimal, patternJanuary 26, 2026
Based on interview, medical record review, and facility P&P review, the facility failed to ensure the resident's advanced directive was obtained and maintained in the medical record for one of 27 final sampled residents (Resident 3). * The facility failed to ensure the advanced directive copy for Resident 3 was available in the resident's medical record. This failure had the potential for the resident's decisions regarding their healthcare and treatment options to not be honored. Findings: Review of the facility's P&P titled Advance Directives revised 9/2022 showed the resident has the right to formulate an advance directive, including the right to accept or refuse medical or surgical treatment. Advance directives are honored in accordance with state law and facility policy. …
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