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 Guam. Pick another state for the same tag.
Against expectation — 2025
Guam cites F578 more often than its own record predicts
Versus expected share5.87×
5.87 times the share F578 takes of citations nationally.
Share of Guam citations5.56%
Of every deficiency written in Guam in 2025, this is the portion that was F578.
Guam5.56%
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 Guam surveyors wrote
F578 findings written in Guam, 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, patternAugust 22, 2025
Based on interview and record review, the facility failed to ensure 5 of 5 residents (Resident[R]1, 5, 7, 13, 15) reviewed for advance directives were provided with information about advance directives. In addition, the facility failed to obtain and maintain a copy of the advance directive in the medical record so that it was readily retrievable by any facility staff. The facility did not develop policy and procedure to implement advance directives.This failure put the resident at risk for not having his wishes for treatment known and had the potential for the resident's decision regarding his healthcare and treatment options not being honored. …
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