Based on interview, record review, and document review, the facility failed to document a Nurse Practitioner license number on a Provider Order for Life-Sustaining Treatment (POLST) form for 1 of 29 residents (Resident 65). The deficient practice had the potential to result in uncertainty regarding the validity of the POLST and the resident's end of life treatment preferences. Findings include:Resident 65 (R65) was admitted [DATE], with diagnosis including chronic obstructive pulmonary disease, anxiety disorder, and nausea with vomiting.R65's electronic medical record documented Do Not Resuscitate (DNR) POLST, Medical Interventions Comfort-Focused Treatment, No Hospitalizations.A review of R65's POLST form revealed it was signed by a Nurse Practitioner (NP) on 04/20/2025 and the signature… …
F578 citations in Nevada
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
Nevada cites F578 less often than its own record predicts
0.69 times the national share — cited less often here than elsewhere.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F578 findings written in Nevada, 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, record review and document review, the facility failed to provide information regarding formulating an advance directive for 5 of 5 sampled residents (Resident #1, #2, #3, #4, and #5). Findings include: The facility's Advance Directives Policy, undated, documented the following: -Upon admission of a resident to the facility, the admission coordinator or designee would provide information to the resident concerning his/her rights to make decisions with medical care to include the right to accept or refuse medical or surgical treatment, and the right to formulate an advance directive. -Upon admission, the admission coordinator or designee would inquire from the resident/family members about the existence of any written advance directives previously executed. …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 0.35× |
| 2024 | 0.64% | 0.65× |
| 2025 | 0.65% | 0.69× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada 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