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 West Virginia. Pick another state for the same tag.
Against expectation — 2025
West Virginia cites F578 less often than its own record predicts
Versus expected share0.38×
0.38 times the national share — cited less often here than elsewhere.
Share of West Virginia citations0.36%
Of every deficiency written in West Virginia in 2025, this is the portion that was F578.
West Virginia0.36%
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 West Virginia surveyors wrote
F578 findings written in West Virginia, 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, isolatedJanuary 23, 2026
Based on record review and staff interview, the facility failed to ensure all code status documentation for Resident #20 and Resident #25, who both requested to be a Do Not Resuscitate (DNR) matched. This failure placed Resident #20 and Resident #25 in an immediate risk for serious harm and/or death. The state agency notified the facility of the immediate jeopardy situation on 01/22/26 at 1:37 PM. The state agency accepted the facility's plan of correction on 01/22/26 at 3:28 PM. After observation of the implementation of the plan of correction, the immediate jeopardy was abated at 9:00 AM on 01/23/26.Resident Identifiers: #20 and #25. …
D · No harm, potential for more than minimal, isolatedJune 25, 2026
Based upon record review and staff interview, the facility failed to obtain consent from the resident's representative on the POST form, instead it was signed by a resident who did not have capacity at the time of consent. This was found to be true for one (1) of three (3) residents reviewed for Advanced Directives during the long term care survey process. Resident identifier: #11. Facility census: 89. Findings included: Findings included: a) Resident #11 Medical Record Review (MRR) revealed Resident #11 had the following mental health diagnoses:-Vascular Dementia-Major Depressive Disorder-Hallucinations-Unspecified Mood Disorder-Anxiety A [NAME] Virginia Post Form was completed for the resident on [DATE]. …
B · No harm, potential for minimal, patternAugust 16, 2018
Based on interview and record review, the facility failed to inform and provide written information concerning the right to formulate an advanced directive. This affected three out of five sampled residents reviewed for advanced directives. Resident identifiers: #56, #17, #15. Facility census: 98.
Findings included:
a) Resident #56
Review of the clinical record, on 08/14/18 at 10:15 AM, for Resident #56 revealed an admission history form with an original admission date of [DATE] and a re-admission date of [DATE]. The quarterly minimum data set (MDS) assessment dated [DATE] documented a Brief Interview for Mental Status (BIMS) score of 13 which represented minimal memory impairment. …
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