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.
On [DATE], an Immediate Jeopardy (IJ) situation was determined to exist due to the failure of the facility to honor a resident's advanced directive for a do not resuscitate (DNR) and failure to follow their policy for advanced directives.
Resident #168 had signed an Oklahoma Do-Not-Resuscitate (DNR) consent form on [DATE] and was admitted to the facility on [DATE]. On [DATE], the nursing staff found the resident unresponsive, not breathing and started CPR. The nursing staff stopped CPR when emergency medical services arrived. …
E · No harm, potential for more than minimal, patternAugust 27, 2026
Based on record review and interview, the facility failed to offer residents a choice to formulate an advance directive for 3 (#18, 36 and #37) of 3 sampled residents reviewed for advance directive acknowledgements. The administrator identified 35 residents resided at the facility. Findings:
A policy titled Advance Directives, dated 11/2022, read in part, 1. The resident has the right to formulate an advance directive, including the right to accept or refuse medical or surgical treatment. 2. Prior to or upon admission of a resident, the social services director or designee inquires of the resident, his/her family members and/or his or her legal representative, about the existence of any written advance directives. …
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