Based on facility policy review, record reviews, and interviews, the facility failed to ensure that resident(s) and/or resident representative(s) were provided with written information and/or follow-up, concerning the right to accept or refuse medical or surgical treatment and/or formulate an advanced directive, or appoint a surrogate for 3 of 10 residents reviewed for advanced directives (Resident 98 [R98], R36, and R6). Findings: Review of policy Advance Directives revised 3/25 states .The resident has the right to formulate an advance directive, including the right to accept or refuse medical or surgical treatment .Prior to or upon admission of a resident, the social services director or designee inquires of the resident, his/her family members and/or his or her legal representative,… …
F578 citations in Maine
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
Maine cites F578 more often than its own record predicts
2.62 times the share F578 takes of citations nationally.
Of every deficiency written in Maine 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 Maine surveyors wrote
F578 findings written in Maine, 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 reviews, and interviews, the facility failed to provide evidence to show Advance Directives were offered or reviewed with the resident and/or resident representatives or that the resident and/or resident representatives were provided with written information concerning the right to formulate an Advance Directive, for 4 of 14 residents reviewed for Advance Directives. (Resident#12, #18, #2 and #19) Findings: 1. Resident #12 was admitted to the facility in February 2025. A review of the residents electronic medical record and their paper medical record lacked evidence that the facility offered, reviewed, or provided written information concerning the right to formulate an advanced directive to the resident and/or resident representative. 2. …
The short window
Recent years
| Year | Share of Maine citations | vs expected |
|---|---|---|
| 2023 | 0.95% | 0.88× |
| 2024 | 1.97% | 2.01× |
| 2025 | 2.48% | 2.62× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Maine surveyors cite →
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