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 Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F578 more often than its own record predicts
Versus expected share1.32×
1.32 times the share F578 takes of citations nationally.
Share of Michigan citations1.25%
Of every deficiency written in Michigan in 2025, this is the portion that was F578.
Michigan1.25%
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 Michigan surveyors wrote
F578 findings written in Michigan, 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, isolatedMay 20, 2026
This citation pertains to Intake Number 299655.Based on interviews and record review, the facility failed to ensure that wishes for no life-sustaining treatment (Do-Not-Resuscitate) were followed for one resident (Resident #101) of 4 sampled residents reviewed for advance directives, resulting in an unwanted resuscitation and prolonged suffering.Immediate Jeopardy:The Immediate Jeopardy (IJ) began on [DATE].The Immediate Jeopardy (IJ) was identified on [DATE].The Administrator was notified of the Immediate Jeopardy (IJ) on [DATE] at 3:10 PM. …
This citation pertains to Intake 2718302.Based on interview and record review the facility failed to obtain and put into place an advance directive (legal documents that provide instructions for medical care to ensure healthcare preferences are honored) in a timely manner and failed to honor the residents do not resuscitate (DNR) order for 1 (Resident #1) of 8 residents reviewed for advanced directives resulting in a resident who did not want life sustaining services to endure painful lifesaving activities that included cardiopulmonary resuscitation (CPR), receiving automated external defibrillation (AED; delivers electric shock to attempt to restore normal heart rhythm), and insertion of an intraosseous venous access (inserting a specialize needle into the bone marrow cavity to provide… …
D · No harm, potential for more than minimal, isolatedAugust 26, 2026
Based on interview and record review, the facility failed to ensure follow-up on one resident (R3) out of 7 reviewed after the resident was deemed incompetent and failed to provided resident with a guardian/Medical Durable Power of Attorney. Findings include: Resident #3 (R3)Review of a Resident Face Sheet reflected R3 admitted to the facility on [DATE] and currently readmitted on [DATE] with diagnoses that included Acute on chronic diastolic (congestive) heart failure, Type 2 diabetes mellitus with diabetic chronic kidney disease stage 4 (severe), Sepsis, Dementia, Cognitive communication deficit and Multiple Sclerosis. …
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