Based on resident and staff interviews, record review, and review of the facility's policy titled Advance Directives, the facility failed to provide two of three residents (R) (R49 and R58) written information with options regarding their right to accept or refuse medical or surgical treatment and failed to ensure a physician's order matching the resident's documented wishes was established and maintained in the medical record. This failure denied the residents the opportunity to have choices and preferences with their health care decisions and to formulate an Advance Directive, and placed the residents at risk for receiving or not receiving unwanted cardiopulmonary resuscitation in a medical emergency.Findings included: A review of the undated policy titled Advance Directives, under the… …
F578 citations in Georgia
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
Georgia cites F578 more often than its own record predicts
1.33 times the share F578 takes of citations nationally.
Of every deficiency written in Georgia 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 Georgia surveyors wrote
F578 findings written in Georgia, 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 Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.68% | 0.64× |
| 2024 | 1.21% | 1.23× |
| 2025 | 1.26% | 1.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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