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. …
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.
Against expectation — 2025
Oregon cites F578 less often than its own record predicts
1.00 times the national share — cited less often here than elsewhere.
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.
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. …
The short window
Recent years
| Year | Share of Oregon citations | vs expected |
|---|---|---|
| 2023 | 2.02% | 1.89× |
| 2024 | 1.13% | 1.16× |
| 2025 | 0.94% | 1.00× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Oregon surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction