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 Delaware. Pick another state for the same tag.
Against expectation — 2025
Delaware cites F578 less often than its own record predicts
Versus expected share0.90×
0.90 times the national share — cited less often here than elsewhere.
Share of Delaware citations0.85%
Of every deficiency written in Delaware in 2025, this is the portion that was F578.
Delaware0.85%
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 Delaware surveyors wrote
F578 findings written in Delaware, 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.
E · No harm, potential for more than minimal, patternMay 15, 2026
Based on interview, record review, and facility policy review, the facility failed to ensure residents either had an advanced directive in place or failed to provide the residents and/or their resident representatives (RR) written information of the right to accept or refuse medical or surgical treatment and/or formulate an advance directive for four of 13 residents (Resident (R) 9, R77, R6, and R161) reviewed for advanced directives out of a total sample of 55 residents. This failure created the potential the residents' wishes would not be followed if the residents were unable to speak for themselves. Findings include:1. …
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