Based on record review and interview, the facility failed to ensure a resident's advanced directive were honored for 1 of 26 residents reviewed for advanced directives. The resident had persistent rib pain, anxiety, and negative emotions related to being revived when he had wanted to be a DNR. (Resident D) The immediate jeopardy began on [DATE], when the facility failed to follow a resident's advance directive of a do not resuscitate. The Executive and Director of Nursing Services were notified of the immediate jeopardy at 2:12 p.m., on [DATE]. …
F578 citations in Indiana
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
Indiana cites F578 less often than its own record predicts
0.98 times the national share — cited less often here than elsewhere.
Of every deficiency written in Indiana 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 Indiana surveyors wrote
F578 findings written in Indiana, 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.
Based on record review and interview, the facility failed to ensure documentation of a resident's chosen advanced directive was consistent across his medical record for 1 of 32 residents reviewed for accurate advanced directive documentation. (Resident 59)Findings include:On 12/8/26 at 12:29 p.m. Resident 59's medical record was reviewed. He was a rehab resident whose diagnoses included, but were not limited to, cerebral infarction (stroke) and hemiplegia (paralysis of one side of the body, often due to a stroke). …
The short window
Recent years
| Year | Share of Indiana citations | vs expected |
|---|---|---|
| 2023 | 0.71% | 0.66× |
| 2024 | 0.54% | 0.56× |
| 2025 | 0.93% | 0.98× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Indiana surveyors cite →
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