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 Louisiana. Pick another state for the same tag.
Against expectation — 2025
Louisiana cites F578 more often than its own record predicts
Versus expected share1.05×
1.05 times the share F578 takes of citations nationally.
Share of Louisiana citations0.99%
Of every deficiency written in Louisiana in 2025, this is the portion that was F578.
Louisiana0.99%
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 Louisiana surveyors wrote
F578 findings written in Louisiana, 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, isolatedNovember 14, 2024
Based on record review and interviews, the facility failed to follow its policy regarding advance directives by failing to ensure all medical records consistently reflected the resident's current wishes for code status for 1 (#27) of 32 residents reviewed for advanced directives.
This deficient practice resulted in an Immediate Jeopardy situation on [DATE], when Resident #27's Advance Directive consent form was signed to indicate the resident wished to have a code status of DNR and the facility inaccurately entered a status of Cardiopulmonary Resuscitation (CPR) into the resident's clinical records. On [DATE], Resident #27 verbalized she wished to have a code status of DNR. …
D · No harm, potential for more than minimal, isolatedJune 24, 2026
Based on record review and interview the facility failed to ensure resident's medical records reflected the resident's advance directive wishes for 1 (#92) of 1 resident reviewed for advance directives. The facility failed to ensure resident #92's medical records were consistent with the resident's wishes. Findings:Review of resident #92's records revealed an admit date to this facility 05/05/2026.Review of resident #92's records revealed diagnoses that include unspecified fracture of left femur, subsequent encounter for closed fracture with routine healing, unspecified pain, muscle wasting and atrophy, not elsewhere classified, multiple sites, and unspecified heart failure.Review of resident #92's Physician Orders revealed an order dated 05/05/2026 for a Full Code.Review of resident #92's… …
B · No harm, potential for minimal, patternMarch 9, 2022
Based on record review and interview, the facility failed to ensure a copy of resident's advanced directives was in the medical record for 1 (#87) of 1 (#87) residents reviewed for advanced directives out of a total sample of 32 records reviewed.
Findings:
A review of Resident # 87's medical records revealed an admitted [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] .
A further review of Resident #87's medical record revealed no advanced directive information was located in the electronic medical record nor in the paper medical record.
On 03/08/2022 at 09:32AM an interview conducted with S2ADON (Assistant Director of Nursing) revealed there was not a physician order [MEDICAL RECORD OR PHYSICIAN ORDER] . …
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