Based on interviews, record review, and facility policy review, the facility failed to honor a resident's right to refuse treatment when Resident #1, who was a hospice patient and had a signed Do Not Resuscitate (DNR) Physician's Order, received cardiopulmonary resuscitation (CPR) by facility staff for one (1) of four (4) residents reviewed. Resident #1 Resident #1's medical record had conflicting information regarding the code status of the resident and caused Resident #1 to receive CPR by facility staff for 25 minutes, which was against his wishes and the Physician's Order. The situation was determined to be an Immediate Jeopardy (IJ) which began on [DATE] when the facility received a signed DNR Physician's Order. …
F578 citations in Mississippi
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
Mississippi cites F578 more often than its own record predicts
1.12 times the share F578 takes of citations nationally.
Of every deficiency written in Mississippi 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 Mississippi surveyors wrote
F578 findings written in Mississippi, 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 review, staff interviews, and facility policy review, the facility failed to ensure residents' advance directives were maintained in their medical records and readily accessible to staff for two (2) of 20 sampled residents. Resident #5 and Resident #46. Staff interviews confirmed that advance directives for some residents were maintained in admission packets in the business office rather than in the medical record, limiting staff access. Findings include: A record of the facility policy, Residents' Rights Regarding Treatment and Advance Directives, dated 9/25, reveals, Policy: It is the policy of this facility to support and facilitate a resident's right to request, refuse and/or discontinue medical or surgical treatment and to formulate an advance directive .Policy… …
The short window
Recent years
| Year | Share of Mississippi citations | vs expected |
|---|---|---|
| 2023 | 1.35% | 1.26× |
| 2024 | 1.92% | 1.95× |
| 2025 | 1.06% | 1.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Mississippi surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction