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 Iowa. Pick another state for the same tag.
Against expectation — 2025
Iowa cites F578 less often than its own record predicts
Versus expected share0.98×
0.98 times the national share — cited less often here than elsewhere.
Share of Iowa citations0.93%
Of every deficiency written in Iowa in 2025, this is the portion that was F578.
Iowa0.93%
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 Iowa surveyors wrote
F578 findings written in Iowa, 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.
J · Immediate jeopardy, isolatedMarch 30, 2023
Based on interviews, review of record and facility policy, the facility failed to re-evaluate and update one resident's (Resident (R)1) out of two sampled residents for advance directives, code status wishes. The facility's deficient practice increased R1's risk of inconsistent (wishes/desires) code status treatment.
On [DATE] at 5:06 PM, the Administrator and the Director of Nursing (DON) were notified of immediate jeopardy (IJ) at F578- Advance Directives. The Immediate Jeopardy began on [DATE] when the team identified the facility failed to re-evaluate one resident's (R1) wishes for her code status.
The facility provided an acceptable removal plan for the Immediate Jeopardy at F578 on [DATE] at 7:36 PM. …
D · No harm, potential for more than minimal, isolatedJuly 23, 2026
Based on record review and interview, the facility failed to ensure staff obtained a completed and signed Iowa Physician Orders for Scope of Treatment (IPOST) (end-of-life care order) from a physician for 1 of 8 residents (Resident #4) reviewed for advance directives. The facility reported a census of 39 residents. Findings include: Resident #4's Minimum Data Set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 8, indicating moderately impaired cognition. Resident #4's Minimum Data Set (MDS) assessment dated [DATE] documented a BIMS score of 12, indicating moderately impaired cognition. …
B · No harm, potential for minimal, patternJanuary 9, 2020
Based on record review and staff interview the facility failed to ensure code status kept in the Electronic Health Record and the residents' hard chart was identified for 1 of 16 Resident charts reviewed. (Resident #23) The facility reported a census of 45 residents.
Findings include:
A record review on [DATE], for resident #23 revealed a Do Not Resuscitate (DNR) on the Cardiopulmonary Resuscitation (CPR)/DNR Form signed on [DATE]. The Electronic Health information lacked information on the Face Page and the Physician order [REDACTED].#23.
During an interview on [DATE] at 9:11 a.m., the Director of Nursing (DON) stated to check the advance directive status of a resident she would utilize the Electronic Health Record or access the Iowa Physician order [REDACTED]. …
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