Based on staff interviews, record review, and review of facility policies titled Emergency Response Management and Cardiopulmonary Resuscitation (CPR), the facility failed to assess and implement life-sustaining measures for one of 11 sampled residents (R)(1). This failure resulted in CPR not being provided for R1, who was found unresponsive, and whose Advanced Directives specified attempting CPR. On [DATE], a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment, or death to residents. The facility's Administrator and Director of Nursing (DON) were informed of the Immediate Jeopardy (IJ) on [DATE], at 2:15 pm. …
F678 citations in Georgia
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
Georgia cites F678 less often than its own record predicts
0.31 times the national share — cited less often here than elsewhere.
Of every deficiency written in Georgia 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 Georgia surveyors wrote
F678 findings written in Georgia, 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 staff interview, record review, and review of the facility policy titled, Advance Directives, the facility failed to ensure one of 34 residents (Resident (R)25) had clear and consistent information available regarding whether to perform cardiopulmonary resuscitation (CPR). Specifically, R25's status changed to Do Not Resuscitate (DNR) following admission to hospice; this information was not consistently documented in the resident's record, creating the risk staff would not know whether to attempt to resuscitate him in the event he had no pulse or he stopped breathing. …
The short window
Recent years
| Year | Share of Georgia citations | vs expected |
|---|---|---|
| 2023 | 0.17% | 0.91× |
| 2024 | 0.13% | 0.64× |
| 2025 | 0.06% | 0.31× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Georgia surveyors cite →
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