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 Virginia. Pick another state for the same tag.
Against expectation — 2025
Virginia cites F678 more often than its own record predicts
Versus expected share1.26×
1.26 times the share F678 takes of citations nationally.
Share of Virginia citations0.23%
Of every deficiency written in Virginia in 2025, this is the portion that was F678.
Virginia0.23%
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 Virginia surveyors wrote
F678 findings written in Virginia, 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, isolatedMay 15, 2026
Based on staff interviews and clinical record review, the facility staff failed to ensure that basic life support, including cardio-pulmonary resuscitation (CPR), was initiated to a resident. This resulted in a failure to adhere to the resident's specific advance directive and code status for one of 14 residents in the survey sample, Resident #1 (R1).Findings included:On the morning of [DATE], R1 was observed not breathing and without a heartbeat. The facility nurse failed to initiate cardiopulmonary resuscitation despite R1 having a Full Code status.Resident #1 was originally admitted [DATE] and re-admitted [DATE] after a hospitalization for evaluation and treatment of sepsis secondary to a urinary tract infection. …
Based on staff interview, facility document review, and clinical record review, it was determined that the facility staff failed to administer CPR (cardio pulmonary resuscitation), per the resident's wishes, for one of one expired resident reviews, Resident #140 (R140). On [DATE], when the resident was found to be without respirations and pulse, the facility staff failed to administer CPR per the resident's wishes, as documented by the facility staff and the hospice nurse. This failure resulted in harm.
The findings include:
R140 was admitted to the facility on [DATE]. R140's admission assessment, dated [DATE], documented the resident's neurological status as alert and nonverbal. …
F · No harm, potential for more than minimal, widespreadMarch 12, 2026
Based on observation, staff interview, and facility document review, the facility staff failed to maintain emergency medical equipment in a sanitary manner and ensure the supplies on the emergency medical cart were not expired, for one of one unit.Observation was made on [DATE] at 12:13 p.m. of the emergency medical cart (crash cart) on the health care unit. The following observations were made:Oxygen tank was 2% full, nearly empty.Top of the cart:Suction machine was not covered, only a mesh covering so air and dust can get through. There was no oxygen mask, no nasal cannula or normal saline, per their list of required items. …
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