Based on record reviews, staff interviews and reviews of facility policies and procedures, the facility failed to ensure that basic life support, including CPR (cardio-pulmonary resuscitation) in accordance to the advance directives for one resident (#1). The deficient practice resulted in actual harm to the resident and has the potential to result in advance directives not being followed for additional residents. As a result, the condition of Immediate Jeopardy (IJ) and Substandard Quality of Care was identified. Findings include: On [DATE] at 4:25 p.m., a condition of IJ was identified. The administrator and the director of nursing (DON) were informed of the facility's failure to ensure that CPR was provided for resident #1. …
F678 citations in Arizona
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Arizona cites F678 more often than its own record predicts
1.46 times the share F678 takes of citations nationally.
Of every deficiency written in Arizona in 2024, this is the portion that was F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Arizona surveyors wrote
F678 findings written in Arizona, 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 record reviews, staff interviews and reviews of facility policies and procedures, the facility failed to ensure that one resident (#1) was provided basic life support including CPR (cardio-pulmonary resuscitation) in accordance the resident's advance directives. The deficient practice resulted in actual harm to the resident and has the potential to result in advance directives not being followed for additional residents. Findings include: Resident #1 was admitted on [DATE] with diagnoses that included falls, chronic obstructive pulmonary disease with exacerbation, cognitive communication deficit, emphysema, and senile degeneration of brain. …
Based on personnel file review, staff interviews, facility policy review, the facility failed to ensure that two of ten sampled staff (Staff # 19 and #49) had current Cardio Pulmonary Resuscitation (CPR) certification. The deficient practice could result in staff not knowledgeable of how to provide emergency care to residents. Findings include: Review of the personnel file records for a Licensed Practical Nurse (LPN/ Staff #49) revealed a hire date of [DATE] with a valid CPR certification issued on [DATE], however, the CPR expired on [DATE]. Further review revealed no evidence of current CPR certification. …
The short window
Recent years
| Year | Share of Arizona citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.93× |
| 2024 | 0.31% | 1.46× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Arizona surveyors cite →
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