Based on medical record review, staff interview, and policy review, the facility failed to ensure advanced directives were accurately documented in the electronic medical record (EMR). This affected one (Resident #2) of five residents sampled for advanced directives. The facility census was 101.Findings include:Review of the medical record revealed Resident #2 was admitted to the facility on [DATE]. Diagnoses included candidal sepsis, moderate protein calorie malnutrition, Type II diabetes, generalized anxiety disorder, and unspecified mood disorder. Review of Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had moderately impaired cognition, had no behaviors, did not wander, and did not reject care. …
F578 citations in Ohio
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
Ohio cites F578 less often than its own record predicts
0.97 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F578 findings written in Ohio, 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.
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 1.45% | 1.35× |
| 2024 | 0.68% | 0.69× |
| 2025 | 0.92% | 0.97× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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