Based on review of guidelines for Cardiopulmonary Resuscitation (CPR), facility's policies, staff interviews and residents' clinical and hospital records, it was determined the facility failed to ensure that code status was documented on the residents clinical record delaying the decision to provide life sustaining measures such as CPR for one of five residents reviewed (Resident CL1), creating a situation in which the residents were placed in Immediate Jeopardy related to failure to perform life sustaining interventions.Findings include: Review of the American Health Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care, published on [DATE], revealed the AHA recommends all potential rescuers to initiate CPR unless a valid, Do Not Resuscitate… …
F678 citations in Pennsylvania
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
Pennsylvania cites F678 less often than its own record predicts
0.08 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania 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 Pennsylvania surveyors wrote
F678 findings written in Pennsylvania, 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 closed clinical record review, review of select facility policies, and staff interview, it was determined that the facility failed to initiate Cardiac Pulmonary Resuscitation (CPR) for one of one resident reviewed who had requested that CPR be administered if they became unresponsive with no pulse resulting in harm and the resident's death (Resident CR1). Findings include: Review of the facility's current policy entitled, Code Status Policy and Procedure, revealed it is the policy of the facility to offer all residents and their family a choice of whether they wish to have CPR initiated while at the facility. The resident's wishes will be followed to support the resident's/family's rights. …
Based on a review of facility policy and records and staff interviews, it was determined that the facility failed to ensure that facility nursing personnel maintain current CPR (cardiopulmonary resuscitation) certification for Healthcare Providers through a CPR provider whose training includes a hands-on session either in a physical or virtual instructor-led setting in accordance with accepted national standards for two of fifteen Licensed Practical Nurses (LPN) (Employees E3 and E4).Findings include: Review of the facility policy, CPR dated [DATE], indicated Staff must maintain current CPR certification for Healthcare Providers through a CPR provider whose training includes a hands-on session either in a physical or virtual instructor-led setting in accordance with accepted national… …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 0.17× |
| 2024 | 0.13% | 0.62× |
| 2025 | 0.02% | 0.08× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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