Based on interview and review of pertinent facility documents, it was determined that the facility failed to ensure the code status for a resident (Resident # 61) was accurately documented in the electronic medical record (EMR) that correctly identified their wishes in the event of a medical emergency. This deficient practice was identified for 1 out of 37 residents (Resident # 61). Resident # 61 wished to be a Do Not Resuscitate (DNR; do not perform cardiopulmonary resuscitation (CPR) if a person's heart stops or they cease breathing). A review of the resident's EMR revealed that Resident # 61's code status was documented as DNR/Full Code (all resuscitation procedures will be provided when a person stops breathing or their heart stops beating). …
F578 citations in New Jersey
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
New Jersey cites F578 less often than its own record predicts
0.78 times the national share — cited less often here than elsewhere.
Of every deficiency written in New Jersey 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 New Jersey surveyors wrote
F578 findings written in New Jersey, 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, interviews, and facility policy review, the facility failed to inform and provide written information for 13 out of 19 residents (Residents (R ) 9 R10, R11, R15, R17, R19, R36, R92, R99, R117, R121, R140 and R142 concerning the right to accept or refuse medical or surgical treatment and, at the resident's or family's or legal representative's option, to formulate and advance directive. This failure had the potential to affect the residents' and their legal representatives' right to participate in and be informed of his or her treatment. …
Based on observation, interview and record review, it was determined that the facility failed to ensure that three residents were offered the opportunity to formulate an Advanced Directive. This deficient practice was identified for 3 of 36 residents reviewed for advanced directive planning (Resident #26, #64, and #155), and was evidenced by the following: 1. On 11/08/18 at 9:14 AM, the surveyor observed Resident #26 sitting upright in a wheelchair in his/her room. The surveyor interviewed the resident who stated that he/she had lived at the facility for about a year. The resident further stated that he/she had been in contact with a few different social workers while residing at the facility. …
The short window
Recent years
| Year | Share of New Jersey citations | vs expected |
|---|---|---|
| 2023 | 0.74% | 0.69× |
| 2024 | 0.45% | 0.46× |
| 2025 | 0.73% | 0.78× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else New Jersey surveyors cite →
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