Based on record reviews and interviews; the facility staff failed to ensure the desired code status was documented consistently and correctly throughout the record for 7 (Resident 53, 31, 21, 51, 1, 34, and 309) residents of 30 sampled residents. The findings are: Review of the Policy and Procedure for Code Status Listing dated ,[DATE] revealed a complete list of residents with code status will be kept in a covered paper binder at each nurse's station. A.Record review of Resident 53's medical record revealed an Advanced Directives/Medical Treatment Decisions form dated [DATE] documenting Resident 53's desire to be a DNR (Do Not Resuscitate). Record review of Resident 53's electronic medical record revealed no information regarding Resident 53's code status. …
F578 citations in Nebraska
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
Nebraska cites F578 less often than its own record predicts
0.31 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nebraska 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 Nebraska surveyors wrote
F578 findings written in Nebraska, 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 interview and record review the facility staff failed to obtain a signed code status prior to changing the code status in the electronic health record for 1 (Resident 16) of 32 sampled residents. The facility identified a census of 120. Findings are:A.Record Review of the facility's undated policy titled Cardiopulmonary Resuscitation Directive revealed the following: Policy:Patients admitted to Hillcrest Care & Rehabilitation Center shall indicate in writing their preference regarding resuscitation. The facility will follow the pre-admission advance directive of the resident. …
The short window
Recent years
| Year | Share of Nebraska citations | vs expected |
|---|---|---|
| 2023 | 0.42% | 0.40× |
| 2024 | 0.27% | 0.28× |
| 2025 | 0.29% | 0.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nebraska surveyors cite →
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