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.
F578 in South Carolina. Pick another state for the same tag.
Against expectation — 2025
South Carolina cites F578 more often than its own record predicts
Versus expected share1.35×
1.35 times the share F578 takes of citations nationally.
Share of South Carolina citations1.28%
Of every deficiency written in South Carolina in 2025, this is the portion that was F578.
South Carolina1.28%
National0.95%
Share of all citations that were F578.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What South Carolina surveyors wrote
F578 findings written in South Carolina, 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, isolatedMay 15, 2025
28306
Based on observation, interview, and record review, the facility failed to ensure the residents' code status documented in the electronic medical record and facility code status binder accurately reflected the residents' end of life wishes for three residents (R)328, R82, and R23) reviewed for code status.
R328 who wished to have a Do Not Resuscitate (DNR) status was listed as having a Full code status in the electronic medical records. R82 and R23 were listed as having a DNR status in the EMR but were listed as having a full code and DNR in the facility code status binder.
These failures placed all residents who were admitted and/or readmitted to the facility at risk for their end-of-life code status wishes not to be honored. …
D · No harm, potential for more than minimal, isolatedJuly 22, 2026
Based on review of facility policy, record review, and interview, the facility failed to ensure Resident (R)8 and R28 were afforded the right to formulate an Advance Directive, to include their wishes for medical or surgical treatment, for 2 of 3 residents reviewed for Advance Directives. Findings include:
Review of the facility policy titled, Residents' Rights Regarding, Treatment and Advance Directives, implemented on 01/06/2026 states, It is the policy of this facility to support and facilitate a resident's right to request, refuse and/or discontinue medical or surgical treatment and to formulate an advance directive . …
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