Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
of F678 citations were written at actual harm or above. The mark is the share across all tags, 5.4%.
Citations in 2025197
Every F678 citation surveyors wrote nationally that year.
Facilities cited195
Distinct nursing homes with at least one F678 finding.
The harm level
How severely F678 is cited
49.3% of citations found actual harm or worse (level G and above).
Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
J31939.2%
K485.9%
L162.0%
Actual harm
G182.2%
H—
I—
No harm, potential for more than minimal
D27633.9%
E12915.8%
F70.9%
No harm, potential for minimal
A—
B—
C10.1%
Every recorded F678 citation, by the harm level and scope the surveyor assigned.
In the surveyor’s words
What an F678 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
K · Immediate jeopardy, patternAugust 31, 2026
Based on medical record review, staff interview, observation, review of staff written statements, review of the facility investigation, review of hospital records, review of emergency medical service (EMS) records, review of facility guidance for emergency medical codes, review of the facility's policy for cardiopulmonary resuscitation (CPR), and review of the American Heart Association guidance, the facility failed to timely respond and appropriately perform CPR for one resident (Resident #49) found unresponsive, without a pulse or respirations, and who was identified as a full code status. …
Based on record review, interviews, and facility policy review, the facility failed to implement and continue Cardiopulmonary Resuscitation (CPR) for one (#1) of three residents reviewed. Findings included: Record review of the facility's policies and procedures, Advanced Directives, last revised on [DATE], revealed the following:Policy: The Center will abide by stated and federal laws regarding advance directives. The center will honor all properly executed advance directives that have been provided by the resident and/or resident representative. …
D · No harm, potential for more than minimal, isolatedSeptember 10, 2026
Based on a review of facility policy and records and staff interviews, it was determined that the facility failed to ensure that facility nursing personnel maintain current CPR (cardiopulmonary resuscitation) certification for Healthcare Providers through a CPR provider whose training includes a hands-on session either in a physical or virtual instructor-led setting in accordance with accepted national standards for two of fifteen Licensed Practical Nurses (LPN) (Employees E3 and E4).Findings include: Review of the facility policy, CPR dated [DATE], indicated Staff must maintain current CPR certification for Healthcare Providers through a CPR provider whose training includes a hands-on session either in a physical or virtual instructor-led setting in accordance with accepted national… …
C · No harm, potential for minimal, widespreadMay 9, 2025
Based on record review and interview, the facility failed to ensure 1 Certified Nurse Aide (CNA #1), out of 3 CNAs personnel file reviewed, had Cardiopulmonary Resuscitation (CPR) certificate before providing direct patient care. This failed practice had the potential to place all residents (based on a census of 53) at risk of not receiving CPR immediately during an emergency.
Findings:
Review of facility personnel files on [DATE] at 3:35 PM, revealed the Human Resources (HR) Manager stated CNA #1 was hired on [DATE]. Further review revealed CNA #1's personnel file did not contain a CPR certificate.
During an interview on [DATE] at 4:20 PM, the HR Manager confirmed that CNA #1 had no CPR certificate since hire. …
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Cited in the same inspection, not caused by one another.
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