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 North Carolina. Pick another state for the same tag.
Against expectation — 2025
North Carolina cites F678 less often than its own record predicts
Versus expected share0.27×
0.27 times the national share — cited less often here than elsewhere.
Share of North Carolina citations0.05%
Of every deficiency written in North Carolina in 2025, this is the portion that was F678.
North Carolina0.05%
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 North Carolina surveyors wrote
F678 findings written in North Carolina, 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, isolatedJune 8, 2026
Based on observation, record review, and interviews with staff, Emergency Medical Services (EMS) staff, Nurse Practitioner, and Medical Director, the facility failed to ensure basic lifesaving support was provided effectively when there was a delay in initiating Cardio Pulmonary Resuscitation (CPR) to a resident who had no signs of life and was a full code (an official directive to perform all necessary life-sustaining measures, including CPR and defibrillation, if a person stops breathing or their heart stops). …
D · No harm, potential for more than minimal, isolatedMarch 5, 2026
Based on observations, record review, and staff and Medical Director interviews, the facility failed to utilize an Automatic External Defibrillator (AED) during the provision of Cardiopulmonary Resuscitation (CPR) when an AED was available and Nurse #1 became aware that Resident #11, who was a full code, did not have a pulse and was not breathing, and failed to maintain documentation of current, valid CPR certification for Nurse #1 on file. This deficient practice occurred for 1 of 3 residents (Resident #11) reviewed for CPR, and 1 of 8 staff (Nurse #1) whose CPR certifications were reviewed.Findings included:The facility's policy titled Cardiopulmonary Resuscitation dated 8/2012 revealed in part This facility provides the HeartSaver level of CPR as defined by the American Heart… …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction