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 Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F578 more often than its own record predicts
Versus expected share1.40×
1.40 times the share F578 takes of citations nationally.
Share of Washington citations1.33%
Of every deficiency written in Washington in 2025, this is the portion that was F578.
Washington1.33%
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 Washington surveyors wrote
F578 findings written in Washington, 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.
E · No harm, potential for more than minimal, patternAugust 31, 2026
Based on interview and record review, the facility failed to inform residents of their right to accept or refuse treatments for 2 of 3 residents (1 & 6) reviewed for consent. The facility failed to implement a system to ensure Advanced Directives (AD) were in place for 3 of 3 residents (1, 6, & 8) reviewed for AD. This failure placed residents at risk of losing their right to have their stated preferences/decisions honored regarding medical treatment and end-of-life care.Findings included.ConsentResident 1Resident 1 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus and a fracture to the lumbar vertebra. …
B · No harm, potential for minimal, patternJuly 19, 2019
Based on interview and record review, the facility failed to ensure a copy of the Power of Attorney (POA) paperwork was present in the medical record for two of eight sample residents (#4, 9), reviewed for advanced directives. In addition, the facility failed to ensure Resident #48's guardianship paperwork was on file in the resident's medical record. These failures placed the residents at risk of not having their preferences and choices honored. Findings included .
1. Per the 03/31/19 admission assessment, Resident #9 was moderately cognitively impaired for decision-making.
The Resident Face Sheet form showed Resident #9 had a family member listed as Power of Attorney (POA).
Further record review showed the resident's record did not contain a copy of the POA paperwork. …
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