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 Hawaii. Pick another state for the same tag.
Against expectation — 2025
Hawaii cites F578 less often than its own record predicts
Versus expected share0.72×
0.72 times the national share — cited less often here than elsewhere.
Share of Hawaii citations0.68%
Of every deficiency written in Hawaii in 2025, this is the portion that was F578.
Hawaii0.68%
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 Hawaii surveyors wrote
F578 findings written in Hawaii, 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.
D · No harm, potential for more than minimal, isolatedMay 1, 2026
Based on interview and record review, the facility failed to ensure residents were informed of their right to formulate an Advanced Health Care Directive (AHCD) for three of seven residents (Resident (R) 17, R170, and R153) reviewed for AHCD. This failure placed R17, R170, and R153 at risk of not having their health care preferences known or honored, potentially resulting in care that is not consistent with their wishes. Findings Include: 1) Review of R17's Electronic Health Record (EHR) revealed that on 04/14/25, the facility discussed AHCD information with the resident. Documentation indicated that R17 did not have an AHCD at that time and requested a blank AHCD form. …
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