Based on interview, record review, and document review, the facility failed to ensure 1 of 50 residents (Resident 205) with a Full Code status was provided basic life support (BLS) after being found unresponsive. Facility staff did not initiate cardiopulmonary resuscitation (CPR) as required. This deficient practice deprived the R205 of required life saving measures, specifically CPR, which may have potentially increased the resident's chance of recovery and survival. Findings include:Resident 205 (R205) admitted on [DATE] with diagnoses including acute respiratory failure.A nursing progress note dated [DATE], documented at approximately 8:15 AM when the Registered Nurse (RN) was doing rounds the patient was found unresponsive to verbal and tactile stimuli, no heartbeat noted, no pulse, no… …
F678 citations in Nevada
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
Nevada cites F678 more often than its own record predicts
2.70 times the share F678 takes of citations nationally.
Of every deficiency written in Nevada 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 Nevada surveyors wrote
F678 findings written in Nevada, 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 personnel record review, document review, and interview, the facility failed to ensure 2 of 20 sampled employees (Employee #4 and #17) had current cardiopulmonary resuscitation (CPR) training. This deficient practice placed residents at risk from an employee not having completed all employment eligibility requirements.Findings include:Employee #4Employee #4 was hired at the facility on [DATE], as an Assistant Director of Nursing.Employee #17Employee #17 was hired at the facility on [DATE], as a Registered Nurse.Employee #4 and #17 lacked documented evidence of a current CPR and first aid certification.On [DATE] at 2:46 PM, the Human Resources Coordinator (HRC) explained all licensed nurses were required to have a current CPR and first aid certification upon hire and expiration of… …
The short window
Recent years
| Year | Share of Nevada citations | vs expected |
|---|---|---|
| 2023 | 0.37% | 1.98× |
| 2024 | 0.64% | 3.04× |
| 2025 | 0.49% | 2.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Nevada surveyors cite →
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