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 Nebraska. Pick another state for the same tag.
Against expectation — 2025
Nebraska cites F678 more often than its own record predicts
Versus expected share1.61×
1.61 times the share F678 takes of citations nationally.
Share of Nebraska citations0.29%
Of every deficiency written in Nebraska in 2025, this is the portion that was F678.
Nebraska0.29%
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 Nebraska surveyors wrote
F678 findings written in Nebraska, 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, isolatedJanuary 29, 2026
Licensure Reference Number 175 NAC 12-006.09Based on record review and interview the facility failed to ensure that the resident choice for Cardiopulmonary Resuscitation (CPR) (a lifesaving attempt combination of rescue breathing and chest compressions when someone's heart has stopped) matched the physician signed advanced directive for 2 of 24 residents reviewed (Residents 47 and 71). This had the potential for the facility to not follow the resident preference for CPR in the event of cardiac arrest. The facility census was 74. The facility Administrator was notified on [DATE] at 5:15PM of an Immediate Jeopardy (IJ) which began on [DATE]. The IJ was removed on [DATE], as confirmed by surveyor onsite verification. …
D · No harm, potential for more than minimal, isolatedMarch 3, 2025
Based on record review and interview, the facility failed to ensure a signed Advance Directive Code Status Form was completed to confirm resident's directives for Cardiopulmonary Resuscitation (CPR, an emergency lifesaving procedure performed when the heart stops beating) for 1 [Resident 1] of 6 sampled residents. The facility had a total census of 63 residents.
Findings are:
A record review of Resident 1's Admission Record revealed Resident 1 was admitted to the facility on [DATE]. Resident 1's Admission Record identified the following diagnoses: Type 2 Diabetes Mellitus, congestive heart failure [weakened heart muscle that cannot pump blood effectively], and chronic obstructive pulmonary disease [lung disease causing restricted airflow and breathing problems]. …
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