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 New York. Pick another state for the same tag.
Against expectation — 2025
New York cites F578 less often than its own record predicts
Versus expected share0.58×
0.58 times the national share — cited less often here than elsewhere.
Share of New York citations0.55%
Of every deficiency written in New York in 2025, this is the portion that was F578.
New York0.55%
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 New York surveyors wrote
F578 findings written in New York, 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.
K · Immediate jeopardy, patternFebruary 25, 2026
Based on record review and interviews during a survey, the facility failed to ensure residents were afforded the right to formulate advanced directives including having a physician's order related to their code status (the level of medical interventions a person wishes to have started if their breathing stopped such as cardiopulmonary resuscitation or do not resuscitate), and establishing mechanisms for documentation and communicating the residents' choices to the staff responsible for their care, which had the likelihood to result in serious harm or death for nine (9) (Residents #6, 7, 8, 9, 10, 11, 12, 13, and 14) of 53 residents reviewed for advanced directives. …
Based on observation, record review, and interview during the abbreviated survey (NY 895) conducted on [DATE], the facility did not ensure the right to request, refuse, and/or discontinue treatment and to formulate an advance directive for 1 of 4 residents reviewed (Resident #1). Specifically, Resident #1 had a Do Not Resuscitate (DNR, allow natural death) order and received cardio-pulmonary resuscitation (CPR, chest compression's and artificial breathing) when they became unresponsive. CPR was initiated by certified nurse aide (CNA) #5 who was not trained or certified in CPR. After receiving CPR, the resident experienced pain that required medication for relief. This resulted in actual harm to Resident #1 that was not immediate jeopardy. …
D · No harm, potential for more than minimal, isolatedApril 10, 2026
Based on record reviews and interviews conducted during a survey, the facility failed to ensure residents were afforded the right to formulate advanced directives including having a physician order related to their code status (level of medical interventions a person wishes to have started if their breathing stopped such as cardiopulmonary resuscitation or do not resuscitate), and establishing mechanisms for documentation and communicating the residents' choices to staff responsible for their care for one (1) (Resident #1) of three (3) residents reviewed. Specifically, when the resident no longer wanted cardiopulmonary resuscitation on [DATE], there was no physician order for the change in code status and advance directive until [DATE]. …
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