Based on clinical record review, interviews, and facility documentation/policies, for one (1) of three (3) residents (Resident #1) reviewed for cardiopulmonary resuscitation (CPR), the facility failed to initiate CPR and activate Emergency Medical Services (EMS) for a resident identified as a Full Code after the resident was found pulseless and without respirations. The facility's failure to initiate life-saving measures resulted in Immediate Jeopardy. The findings included:Review of the hospital Discharge summary dated [DATE] identified Resident #1 was a Full Code (medical order directing staff to initiate all resuscitative measures, including CPR and advanced life support, if a resident has no pulse or respirations).Resident #1 was admitted to the facility on [DATE] with diagnoses which… …
F678 citations in Connecticut
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 — 2025
Connecticut cites F678 more often than its own record predicts
1.03 times the share F678 takes of citations nationally.
Of every deficiency written in Connecticut in 2025, 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 Connecticut surveyors wrote
F678 findings written in Connecticut, 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 clinical record review, facility documentation review, facility policy review, and interviews for one of three residents (Resident #1) reviewed for cardiopulmonary resuscitation (CPR), the facility failed to follow professional standards of practice to ensure CPR was provided on a hard, firm surface, and the facility failed to ensure staff performing CPR had current CPR certifications, and the facility policy failed to direct staff CPR certifications. The findings include: Resident #1's diagnoses included myotonic muscular dystrophy, hypertension, and muscle weakness. …
Based on review of employee records, facility documentation, and interviews, the facility failed to ensure sufficient licensed nursing staff who had current certification in Cardiopulmonary Resuscitation (CPR) were assigned per shift and in accordance with standards of nursing practice. The findings include:Review of the facility's licensed nursing staff roster identified a total of 19 licensed nurses on staff consisting of 7 Registered Nurses (RNs) and 12 Licensed Practical Nurses (LPNs). …
The short window
Recent years
| Year | Share of Connecticut citations | vs expected |
|---|---|---|
| 2023 | 0.50% | 2.69× |
| 2024 | 0.22% | 1.05× |
| 2025 | 0.19% | 1.03× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Connecticut surveyors cite →
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