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 Michigan. Pick another state for the same tag.
Against expectation — 2025
Michigan cites F678 more often than its own record predicts
Versus expected share1.46×
1.46 times the share F678 takes of citations nationally.
Share of Michigan citations0.27%
Of every deficiency written in Michigan in 2025, this is the portion that was F678.
Michigan0.27%
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 Michigan surveyors wrote
F678 findings written in Michigan, 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, isolatedJuly 1, 2026
This citation pertains to intake 3052819.Based on interview and record review the facility failed to initiate cardiopulmonary resuscitation (CPR) and emergency medical services (EMS) for in 1 of 4 residents (R100) reviewed for acute change of condition, resulting in an Immediate Jeopardy, when on [DATE] R100 who was a full code, was found unresponsive and facility staff did not active EMS or initiate CPR. R100 subsequently was pronounce dead on [DATE] at 6:00am. Findings include:The facility failed to initiate CPR and EMS response for R100 who was a full code when found unresponsive on [DATE] at 5:50 AM. R100 was last seen on [DATE] at 4:45 AM when a breathing treatment was started and left during treatment. …
Based on interview and record review, the facility failed to ensure staff had proper certification for Cardiopulmonary Resuscitation (CPR- medical interventions used to restore circulatory and/or respiratory function that has ceased), including 2 (Nurses K and I) of 6 reviewed for CPR certification, resulting in the likelihood of residents not receiving adequate life sustaining treatments in the event of a sudden change in condition, potentially affecting all residents choosing to receive CPR.
Review of the medical record reflected Resident #111 (R111) was admitted to the facility on [DATE], with diagnoses that included essential hypertension, Type 2 diabetes with diabetic neuropathy, sleep apnea, and acute respiratory failure. …
D · No harm, potential for more than minimal, isolatedApril 9, 2026
This citation pertains to intake Number 2743538.Based on interview and record review, the facility failed to ensure that licensed nursing staff possessed an active Cardiopulmonary Resuscitation (CPR) certification, resulting in the potential to not meet the needs of residents requiring CPR.Findings include:On [DATE] at 03:10PM, a list of staff that were terminated in the last 90 days was requested. On [DATE] at 08:45AM, the list of terminated staff was reviewed.On [DATE] at 08:46AM, the Cardiopulmonary Resuscitation (CPR) card was requested for Licensed Practical Nurse (LPN) F. On [DATE] at 12:16PM, the Executive Director (ED) A approached this surveyor and stated that they could not provide a copy of the CPR card for LPN F. …
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