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 Kentucky. Pick another state for the same tag.
Against expectation — 2025
Kentucky cites F578 more often than its own record predicts
Versus expected share1.03×
1.03 times the share F578 takes of citations nationally.
Share of Kentucky citations0.98%
Of every deficiency written in Kentucky in 2025, this is the portion that was F578.
Kentucky0.98%
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 Kentucky surveyors wrote
F578 findings written in Kentucky, 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, isolatedAugust 16, 2024
Based on interview, record review, and review of the facility's policy, the facility failed to ensure a residents' right to formulate an advance directive were honored for one of four residents reviewed for advance directives out of 35 sampled residents (Resident (R) 85). R85 who was his own decision maker, requested and signed to be a full code status (life saving measures) upon admission to the facility; however, the facility inadvertently entered a Do Not Resuscitate (DNR) order which contradicted the resident's decision. Additionally, the facility allowed the resident's Power of Attorney (POA) to sign DNR documents instead of the resident signing his own code status forms. …
E · No harm, potential for more than minimal, patternApril 10, 2026
Based on interview, record review, and review of facility policy, the facility failed to inform the resident or resident representative and/or provide written information to all residents regarding the right to accept or refuse medical or surgical treatment and, at the resident's option, formulate an advance directive. This affected 6 of 29 sampled residents, Resident (R)8, R22, R45, R63, R110, and R123. The findings include:Review of the facility policy titled, Advance Directives, last revised [DATE], revealed the facility would ensure each resident had the right to request, refuse and/or discontinue treatment; participate in or refuse to participate in experimental research; and formulate an advance directive. …
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