Deficiency Index

F578 citations in Oregon

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.

F578 in Oregon. Pick another state for the same tag.

Against expectation — 2025

Oregon cites F578 less often than its own record predicts

Versus expected share1.00×

1.00 times the national share — cited less often here than elsewhere.

Share of Oregon citations0.94%

Of every deficiency written in Oregon 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 Oregon surveyors wrote

F578 findings written in Oregon, 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.

J · Immediate jeopardy, isolatedJuly 30, 2019

Based on interview and record review it was determined the facility failed to ensure the right to refuse end of life treatment was honored for 1 of 3 sampled residents (#5) reviewed for respiratory services. This caused Resident 5 to receive CPR (cardiopulmonary resuscitation) when Resident 5 had a documented end of life wish to be DNR (do not resuscitate) status. Findings include: Resident 5 admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. Resident 5's POLST (Physician order [REDACTED]. The [DATE] at 9:20 AM Progress Note revealed Resident 5 was unresponsive at 7:40 AM. An RN and two CNAs placed Resident 5 on her/his bed. The RN did a sternal rub (direct pressure on sternum to arouse resident) with no response. …

Avamere Transitional Care at Sunnyside

D · No harm, potential for more than minimal, isolatedAugust 7, 2026

Based on interview and record review it was determined the facility failed to ensure a current copy of residents' advance directive was obtained and retained in the medical record for 1 of 5 sampled residents (#6) reviewed for advance directives. This placed residents at risk for not having health care decisions honored. Findings include: The facility's 8/1/24 Advance Directives policy and procedure revealed the facility should identify if the resident has an advance directive during the admission process. …

Ashland Post Acute

The short window

Recent years

YearShare of Oregon citationsvs expected
20232.02%1.89×
20241.13%1.16×
20250.94%1.00×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Oregon surveyors cite →

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