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 Dakota. Pick another state for the same tag.
Against expectation — 2025
South Dakota cites F578 more often than its own record predicts
Versus expected share1.42×
1.42 times the share F578 takes of citations nationally.
Share of South Dakota citations1.34%
Of every deficiency written in South Dakota in 2025, this is the portion that was F578.
South Dakota1.34%
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 Dakota surveyors wrote
F578 findings written in South Dakota, 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, isolatedNovember 26, 2024
Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI) review, interview, and document review, the provider failed to ensure one of one resident's (1) right to refuse a vaccination was honored. Failure to do so resulted in the resident receiving the vaccine and voicing feelings of frustration as she was not able to make her own decision. This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident.
Findings include:
1. …
E · No harm, potential for more than minimal, patternAugust 20, 2026
Based on record review, interview, and policy review, the provider failed to ensure the advanced directive (a document that expresses a person's health care wishes if they become unable to speak for themselves) for three of twelve sampled residents (1, 20, and 28) was documented in the residents' electronic medical records (EMR) to inform staff members what the resident wanted in the situation that they stopped breathing or if their heart stopped beating. Findings included:
1. Review of resident 1's EMR revealed she admitted to the facility on [DATE]. Her [DATE] Brief Interview for Mental Status (BIMS) assessment score was 3, which indicated her cognition was severely impaired. …
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