Deficiency Index

F578 citations in Pennsylvania

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.

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

Against expectation — 2025

Pennsylvania cites F578 less often than its own record predicts

Versus expected share0.72×

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

Share of Pennsylvania citations0.68%

Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote

F578 findings written in Pennsylvania, 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, isolatedJanuary 9, 2025

Based on clinical record review and staff interview, it was determined that the facility failed to establish clear and consistent resident wishes regarding advance directives for one of six residents reviewed resulting in actual harm (Resident CR1). Findings include: Closed clinical record review for Resident CR1 revealed Durable Health Care Power of Attorney and Health Care Treatment Instructions (Living Will) for the resident dated [DATE], in which the resident appointed a sister as his health care agent to make decisions on his behalf per terms and conditions described in the document. …

Lock Haven Rehabilitation and Senior Living

D · No harm, potential for more than minimal, isolatedSeptember 3, 2026

Based on review of clinical records, and staff interview, it was determined that the facility failed to provide documentation that residents or resident representatives were given the opportunity to formulate an advance directive (a written instruction such as a living will or durable power of attorney for health care for when the individual is incapacitated) for one of 11 residents reviewed (Resident 7). Findings include: Clinical record review for Resident 7 revealed an admission date of July 7, 2026. Resident 7 had no active physician's order indicating their code status (whether or not the patient wishes to receive all possible life-saving interventions if their heart stops or they stop breathing). …

Haven Place Rehabilitation and Nursing Center

C · No harm, potential for minimal, widespreadMarch 14, 2019

Based on review of facility policies and clinical records and staff interview, it was determined that the facilty failed to make certain that the physician order regarding the resident's wishes regarding life sustaining treatments were on the medical records for 23 of 25 records reviewed. (R2, R9, R13, R16, R27, R30, R31, R32, R33, R42, 45, R51,R56, R62, R64, R65, R69, R70, R72, R74, R84, R136, R236). Findings include: The facility policy Advanced Directives-Nursing last reviewed [DATE] indicated that the facility nursing staff will abide by resident advance directives, if known, and if those directives are not in conflict with Federal and State regulations. …

Armstrong Rehabilitation and Nursing Center

The short window

Recent years

YearShare of Pennsylvania citationsvs expected
20230.57%0.53×
20240.79%0.81×
20250.68%0.72×

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

What else Pennsylvania surveyors cite →

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