Based on interview, and record review, licensed nurses failed to initiate Cardiopulmonary Resuscitation (CPR) to a resident with a Full Code status found unresponsive for 1 of 9 residents reviewed for advance directives, (#1).On [DATE] at approximately 11:20 PM, resident #1 was observed unresponsive in his bed. Registered Nurse (RN) B checked his vitals and notified Licensed Practical Nurse (LPN) C to call 911, Emergency Medical Services (EMS). RN B again checked resident's vitals and found resident #1 to have no pulse and no respirations but did not initiate CPR. …
F678 citations in Florida
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
Florida cites F678 more often than its own record predicts
1.26 times the share F678 takes of citations nationally.
Of every deficiency written in Florida 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 Florida surveyors wrote
F678 findings written in Florida, 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 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. …
Based on record review, interviews, and review of facility policy, the facility failed to ensure staff administered CPR (Cardiopulmonary Resuscitation) in accordance with professional standards of practice and the facility's CPR policy, for one resident (#1) of two residents reviewed. The facility staff did not call a Code Blue, did not activate EMS (Emergency Medical Service), did not utilize the crash cart or emergency equipment, and did not provide CPR continuously as required for a resident with a full code status. Findings Included: On [DATE] at 10:56 AM, a phone interview was conducted with Staff A, Licensed Practical Nurse (LPN). Staff A stated on [DATE], Staff B, Certified Nursing Assistant (CNA), advised them Resident #1 was not breathing. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.12% | 0.62× |
| 2024 | 0.33% | 1.57× |
| 2025 | 0.23% | 1.26× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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