Based on interview and record review, the facility did not ensure that 1 of 40 sampled residents had the right to refuse medical treatment and formulate an advance directive. Specifically, one resident with an advanced health care directive received treatment that was documented as against the resident's wishes. This resulted in a finding of harm. Resident identifier: 39. Findings include: Resident 39 was admitted to the facility on [DATE] with diagnoses that included encephalopathy, interstitial pulmonary disease, acute and chronic respiratory failure, severe protein calorie malnutrition, pulmonary fibrosis, endocarditis, transient ischemic attack, end stage heart failure, atrial fibrillation, pulmonary hypertension, abnormal weight loss, delirium, benign prostatic hypertension,… …
F578 citations in Utah
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
Utah cites F578 less often than its own record predicts
0.47 times the national share — cited less often here than elsewhere.
Of every deficiency written in Utah 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 Utah surveyors wrote
F578 findings written in Utah, 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, for 1 of 43 sampled residents, the facility did not allow each resident the right to formulate an advance directive. Specifically, a resident did not have a Physician Order for Life Sustaining Treatment (POLST) form. Resident identifier: 76. Resident 76 was admitted to the facility on [DATE] with diagnoses which included moderate protein-calorie malnutrition, adult failure to thrive, and Alzheimer's disease.Resident 76's medical record was reviewed on 8/18/25 through 8/21/25.No orders related to a code status or a POLST form could be located in resident 76's medical records.On 8/19/25 at 10:46 AM, an interview was conducted with Registered Nurse (RN) 1, who stated that she was unable to locate any orders related to resident 76's code… …
The short window
Recent years
| Year | Share of Utah citations | vs expected |
|---|---|---|
| 2023 | 1.16% | 1.08× |
| 2024 | 0.69% | 0.70× |
| 2025 | 0.45% | 0.47× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Utah surveyors cite →
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