Based on record review, information from the complainant, review of the facility reported incident investigation, review of facility policies, review of personnel records, and staff interview, the facility failed to immediately start Cardiopulmonary Resuscitation (CPR) on 1 of 1 closed resident record (Resident #1) who requested CPR in the event of absence of pulse or respirations. Failure to immediately start CPR contributed to Resident #1's death. During the complaint survey on [DATE], the survey team determined a potential Immediate Jeopardy (IJ) situation existed. …
F678 citations in North Dakota
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 — 2023
North Dakota cites F678 more often than its own record predicts
1.88 times the share F678 takes of citations nationally.
Of every deficiency written in North Dakota in 2023, 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 North Dakota surveyors wrote
F678 findings written in North Dakota, 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 record review, review of the facility reported incident investigation, review of facility policy and procedure, review of personnel records, and staff interview, the facility failed to immediately start Cardiopulmonary Resuscitation (CPR) on 1 of 1 closed resident record (Resident #179) who requested CPR in the event of absence of pulse or respirations. Failure to immediately start CPR may have contributed to Resident #179's death. This citation is considered past non-compliance based on review of the corrective action the facility implemented following the incident. Findings include: Review of the facility policy and procedure titled CPR/AED [Cardiopulmonary Resuscitation /Automated External Defibrillator] CODE LEVEL occurred on [DATE]. This policy, revised [DATE], stated, . …
What else North Dakota surveyors cite →
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