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 North Dakota. Pick another state for the same tag.
Against expectation — 2025
North Dakota cites F578 more often than its own record predicts
Versus expected share1.46×
1.46 times the share F578 takes of citations nationally.
Share of North Dakota citations1.38%
Of every deficiency written in North Dakota in 2025, this is the portion that was F578.
North Dakota1.38%
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 North Dakota surveyors wrote
F578 findings written in North Dakota, 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.
G · Actual harm, isolatedNovember 7, 2022
Based on information provided by the complainant, record review, policy review, and staff interview, the facility failed to ensure the resident's right to request, refuse, and/or discontinue treatment for 2 of 9 sampled residents (Resident #1 and Resident #3) and 1 closed record resident (Resident #4) reviewed for advanced directives. Failure to ensure all methods of communication and/or documentation of code status accurately reflected the resident/resident representative wishes has the potential to limit his/her access to life-sustaining services or unwanted treatment, and did result in unwanted treatment for Resident #4. …
D · No harm, potential for more than minimal, isolatedJune 3, 2026
Based on record review and staff interview, the facility failed to ensure the residents' right to request, refuse, and/or discontinue treatment for 1 of 12 sampled residents (Resident #6) reviewed for advanced directives. Failure to ensure the medical record accurately reflected each resident's code status limited the facilities ability to communicate to direct care staff and emergency personnel the residents' choice in the event of a medical emergency.Findings include:Review of facility policy titled Advance Directives Policy occurred on 06/03/26. This policy, dated June 2017, stated, Policy: It is the resident's right to formulate an Advance Directive, and to accept or refuse medical or surgical treatment. …
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