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 Montana. Pick another state for the same tag.
Against expectation — 2025
Montana cites F578 more often than its own record predicts
Versus expected share1.16×
1.16 times the share F578 takes of citations nationally.
Share of Montana citations1.10%
Of every deficiency written in Montana in 2025, this is the portion that was F578.
Montana1.10%
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 Montana surveyors wrote
F578 findings written in Montana, 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.
L · Immediate jeopardy, widespreadMarch 18, 2021
Based on interview and record review, the facility initiated Cardio [MEDICAL CONDITION] Resuscitation on one of four sampled residents, (resident #1) who had elected a DNR (do not resuscitate) status on a POLST (physician's orders [REDACTED]. This deficient practice did not follow resident #1's end-of-life directives when an emergent situation arose, and placed all 76 residents on census at the facility in a position to not have their end-of-life directives followed when emergent situations arise. …
D · No harm, potential for more than minimal, isolatedAugust 26, 2026
Based on interview and record review, the facility failed to ensure a resident's code status was readily available to staff when the resident was found unresponsive, resulting in staff being unable to promptly determine the resident's documented code status during an emergency for 1 (#7) of 16 sampled residents. The deficient practice occurred on [DATE] and was corrected prior to the current survey through the facility's implementation of a performance improvement project; due to this past non-compliance was cited. Findings include:During an interview on [DATE] at 8:48 a.m., staff member D said a Provider's Order for Life Sustaining Treatment (POLST) was completed with the resident or the resident's power of attorney upon admission. …
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