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 Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F578 more often than its own record predicts
Versus expected share1.67×
1.67 times the share F578 takes of citations nationally.
Share of Maryland citations1.58%
Of every deficiency written in Maryland in 2025, this is the portion that was F578.
Maryland1.58%
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 Maryland surveyors wrote
F578 findings written in Maryland, 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, isolatedApril 7, 2021
Based on medical record review, the review of pertinent records from a local hospital and emergency services provider, interviews with current and former staff, and interview with residents' attending physician, it was determined that the facility failed to: 1.) Ensure the expressed wishes of Resident #1 were clearly communicated to emergency services personnel on [DATE], the day the resident became unresponsive and unable to communicate said wishes; and 2.) Ensure residents' expressed wishes for life sustaining treatment were obtained and documented in a manner that involved the resident or the resident's representative. This was evidence for 3 of 21 resident reviewed during the revisit survey (Residents #1, #3, and #14). …
Based on medical record review and staff interview, it was determined the facility failed to 1.) to have a process in place to ensure that the resident's wishes for resuscitation were communicated to staff so that the staff would know immediately what action to take during an emergency. This resulted in harm to Resident #96, who had a do not resuscitate (DNR) order, receiving cardiopulmonary resuscitation (CPR). The resident was resuscitated, remained at the hospital for 8 days, and returned to the facility with a chest tube inserted in each lung; 2.) reveal evidence that the resident was informed of their right to formulate an advanced directives by failing to document discussions regarding advanced directives and the outcome of the discussion in the resident's medical record and failed… …
D · No harm, potential for more than minimal, isolatedJuly 23, 2026
Based on record reviews and staff interviews, it was determined that the facility failed to ensure that residents were informed of their right to formulate an advance directive. This was evident in 1 (Resident #6) of 2 residents reviewed for advance directives during the survey. The findings include:An advance directive is a legal statement of a person's wishes regarding medical treatment, often including a living will, made to ensure those wishes are carried out should the person be unable to communicate them to a doctor because of illness or incapacity. The Minimum Data Set (MDS) assessment is a federally mandated assessment tool that nursing home staff use to gather information about each Resident's strengths and needs. The information collected informs Resident care planning decisions. …
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