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 Wyoming. Pick another state for the same tag.
Against expectation — 2025
Wyoming cites F578 more often than its own record predicts
Versus expected share1.77×
1.77 times the share F578 takes of citations nationally.
Share of Wyoming citations1.68%
Of every deficiency written in Wyoming in 2025, this is the portion that was F578.
Wyoming1.68%
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 Wyoming surveyors wrote
F578 findings written in Wyoming, 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.
D · No harm, potential for more than minimal, isolatedAugust 27, 2025
Based on medical record review, staff interview, and policy and procedure review, the facility failed to ensure the advanced directive was formulated and accurate for 2 of 28 sample residents (#84, #93) reviewed. The findings were: 1. Review of the electronic medical record (EMR) showed resident #84 was listed as do not resuscitate (DNR). Further review of the medical record showed no evidence the resident had signed and dated an advance directive. Interview with the interim DON and MDS coordinator on [DATE] at 5:37 PM confirmed there was no evidence the resident had elected a DNR status.
2. Review of the EMR showed resident #93 was listed as a full code status. …
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