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 Washington. Pick another state for the same tag.
Against expectation — 2025
Washington cites F678 more often than its own record predicts
Versus expected share1.92×
1.92 times the share F678 takes of citations nationally.
Share of Washington citations0.35%
Of every deficiency written in Washington in 2025, this is the portion that was F678.
Washington0.35%
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 Washington surveyors wrote
F678 findings written in Washington, 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, isolatedFebruary 6, 2026
Based on observation, interview, and record review, the facility failed to ensure staff immediately performed Cardio-Pulmonary Resuscitation (CPR) to 2 of 2 residents (Residents 1 & 2) who were found unresponsive (not breathing and without a pulse) and had a physician order to initiate CPR. Resident 1 had a signed POLST (Physician Order for Life Sustaining Treatment- a form indicating the resident's wishes to have or not have CPR) for life-sustaining care and services, facility staff were unable to locate Resident 2's POLST after they became unresponsive. …
E · No harm, potential for more than minimal, patternMay 7, 2026
Based on interview and record review the facility failed to implement a policy and procedure to ensure staff were trained and competent in hands-on Cardiopulmonary Resuscitation (CPR, an intervention to restore a resident's respiratory function and circulation after they stopped breathing and their heart stopped beating) for 8 of 22 staff (Staff F - Certified Nursing Assistant [CNA], I - CNA, J - Licensed Practical Nurse [LPN], K - CNA, L - CNA, M - CNA, N - Registered Nurse, & O - LPN). …
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