Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F678 in Maryland. Pick another state for the same tag.
Against expectation — 2025
Maryland cites F678 less often than its own record predicts
Versus expected share0.54×
0.54 times the national share — cited less often here than elsewhere.
Share of Maryland citations0.10%
Of every deficiency written in Maryland in 2025, this is the portion that was F678.
Maryland0.10%
National0.18%
Share of all citations that were F678.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Maryland surveyors wrote
F678 findings written in Maryland, 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.
J · Immediate jeopardy, isolatedDecember 10, 2025
Based on record review and interview it was determined that the facility failed to have a process in place to ensure that residents' choice to not have cardiopulmonary resuscitation (CPR) was honored. This was evident for 2 (#8 and #7) of 2 residents reviewed for advanced directives. As a result of these findings, a state of immediate jeopardy (IJ) was declared on [DATE] at 3:20 PM and an IJ summary tool was provided to the facility at that time. The facility submitted the first draft of their plan to remove the immediacy on [DATE] at 4:43 PM and it was not accepted. The facility submitted a second draft at 5:35 PM, and it was not accepted. …
Based on reviews of a facility-reported incident, a closed medical record and all pertinent information and staff interview, it was determined that the facility staff failed to identify a newly admitted Resident who was admitted without clear physician's order for end-of-life care and failed to follow the facility policy to initiate Cardiopulmonary Resuscitation (CPR). This was evident for 1 (Resident #902) of 11 facility-reported incidents reviewed during an annual recertification survey.
The facility implemented effective and thorough corrective measures following this incident and prior to the start of this survey. …
D · No harm, potential for more than minimal, isolatedApril 22, 2026
Based on record reviews and interviews, it was determined that the facility failed to have an effective system in place to ensure residents only had one active Maryland Order for Life-Sustaining Treatment (MOLST). This was evident for 1 (Resident #6) of 5 residents reviewed for advanced directives. The findings include:The Maryland Orders for Life-Sustaining Treatment (MOLST) form is a portable and enduring medical order form covering options for cardiopulmonary resuscitation and other life-sustaining treatments. It was designed to ensure that healthcare providers throughout Maryland have a uniform system of communicating a resident's end-of-life wishes in the event of cardiac or respiratory arrest. …
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