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 Idaho. Pick another state for the same tag.
Against expectation — 2025
Idaho cites F578 more often than its own record predicts
Versus expected share2.28×
2.28 times the share F578 takes of citations nationally.
Share of Idaho citations2.16%
Of every deficiency written in Idaho in 2025, this is the portion that was F578.
Idaho2.16%
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 Idaho surveyors wrote
F578 findings written in Idaho, 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.
G · Actual harm, isolatedJanuary 10, 2025
Based on policy review, record review, and staff interview, it was determined the facility failed to honor residents' Do Not Resuscitate (DNR) and Do Not Intubate (DNI) orders, and to ensure residents and their representatives received assistance to exercise their right to formulate an advanced directive. This was true for 1 of 18 residents (#24) whose records were reviewed for advanced directives. This deficient practice caused actual harm with the potential for more than minimal harm or adverse outcomes if residents' wishes were not followed or documented. …
D · No harm, potential for more than minimal, isolatedSeptember 3, 2026
Based on record review and staff interview, it was determined the facility failed to ensure residents were offered the opportunity to implement their advance directive. This was true for 3 of 12 residents (#27, #37, and #38) whose records were reviewed for resident rights. This failure created the potential for poor outcomes if residents did not make their wishes known and were unable to communicate. Findings include:1. Resident #27 was admitted to the facility on [DATE], with multiple diagnoses including acute kidney failure, repeated falls, hearing loss, and depression.Resident #27's record did not include an advanced directive for healthcare.Resident #27's record did not include documentation of resources offered for assistance with formulating an advanced healthcare directive.2. …
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