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 Florida. Pick another state for the same tag.
Against expectation — 2025
Florida cites F578 less often than its own record predicts
Versus expected share0.69×
0.69 times the national share — cited less often here than elsewhere.
Share of Florida citations0.65%
Of every deficiency written in Florida in 2025, this is the portion that was F578.
Florida0.65%
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 Florida surveyors wrote
F578 findings written in Florida, 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.
J · Immediate jeopardy, isolatedAugust 19, 2026
Based on interview, and record review, the facility failed to honor a resident's documented wishes for Do Not Resuscitate (DNR) status, as elected by the resident's healthcare surrogate, by failing to ensure the resident's executed Florida Do Not Resuscitate Order (DNRO) was readily accessible and available during a medical emergency for 1 of 10 residents reviewed for advance directives, (#1), of a total sample of 10 residents. This failure resulted in resident #1 receiving cardiopulmonary resuscitation (CPR) efforts contrary to the resident's documented wish for a natural and dignified death.On [DATE] at approximately 8:11 PM, resident #1 had a change in condition related to low blood pressure. …
Based on observations, interviews, and record review, the facility failed to ensure the right to formulate an advance directive was honored for two residents (#109 and #212) out of three residents sampled for Advanced Directives related to a resident receiving CPR (cardiopulmonary resuscitation) for 3 minutes when they had wished to not be resuscitated and a resident without an advance directive order who wished to have one.
Findings Included:
1) Resident #109 was admitted to the facility on [DATE] for rehabilitation services after a hospitalization , with diagnoses including chronic kidney disease Stage 3B, acute respiratory failure with hypoxia, and chronic diastolic Congestive Heart Failure. …
D · No harm, potential for more than minimal, isolatedAugust 28, 2026
Based on interview and record review, the facility failed to ensure the resident's formulation of a Do Not Resuscitate (DNR) directive was accurately maintained for 1 of 3 residents, Resident #49, reviewed for advanced directives. Findings include: Review of Resident #49's physician orders documented Resident #49 had a DNR [do not resuscitate] order dated 07/23/2026 with an end date of 08/10/2026. Review of Resident #49's State of Florida Do Not Resuscitate Order form was dated 12/20/2012 and was signed by Resident #49 and the physician. Review of Resident #49's care plan dated 05/26/2026 read, [Resident #49's name] has an established DNR (DO NOT RESUSCITATE) order in place. Review of Resident #49's hospital record documented the resident returned to the facility on [DATE]. …
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