Based on medical record review, staff interview, observation, review of staff written statements, review of the facility investigation, review of hospital records, review of emergency medical service (EMS) records, review of facility guidance for emergency medical codes, review of the facility's policy for cardiopulmonary resuscitation (CPR), and review of the American Heart Association guidance, the facility failed to timely respond and appropriately perform CPR for one resident (Resident #49) found unresponsive, without a pulse or respirations, and who was identified as a full code status. …
F678 citations in Ohio
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
Ohio cites F678 less often than its own record predicts
0.94 times the national share — cited less often here than elsewhere.
Of every deficiency written in Ohio 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 Ohio surveyors wrote
F678 findings written in Ohio, 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 investigation, staff and family interviews and review of facility policy, the facility failed to ensure advance directives were honored for residents. This affected one (Resident #91) of two residents reviewed for Cardio-pulmonary Resuscitation (CPR). The facility also failed to ensure advanced directives were accurate in the medical records. This affected one (Resident #28) of 29 residents reviewed for advance directives. The facility census was 77.Findings include: 1.Review of the closed medical record for Resident #91 revealed an admission date of [DATE] with diagnoses of acute respiratory failure with hypoxia, and pulmonary embolism and tracheostomy status. Resident #91 did not have a power of attorney or legal guardian. …
The short window
Recent years
| Year | Share of Ohio citations | vs expected |
|---|---|---|
| 2023 | 0.10% | 0.53× |
| 2024 | 0.11% | 0.54× |
| 2025 | 0.17% | 0.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Ohio surveyors cite →
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