Deficiency tags › F0578
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Category: Resident Rights Deficiencies. The wording is the CMS summary of the requirement; the full text is in the State Operations Manual, Appendix PP.
By state
"Share" is citations divided by the number of certified facilities in the state, so a value over 100% means more than one citation per facility on average.
| State | Citations | Share |
|---|---|---|
| California | 789 | 68% |
| Ohio | 338 | 37% |
| Texas | 244 | 21% |
| Illinois | 202 | 30% |
| Michigan | 183 | 43% |
| Maryland | 162 | 73% |
| Pennsylvania | 152 | 23% |
| Missouri | 139 | 29% |
| Washington | 137 | 71% |
| Oklahoma | 133 | 47% |
| Connecticut | 129 | 68% |
| North Carolina | 124 | 30% |
| Virginia | 122 | 42% |
| Florida | 108 | 16% |
| Massachusetts | 82 | 24% |
| New York | 81 | 14% |
| Indiana | 79 | 16% |
| Iowa | 78 | 20% |
| Georgia | 70 | 20% |
| Louisiana | 66 | 25% |
| Oregon | 66 | 52% |
| Minnesota | 66 | 20% |
| Wisconsin | 62 | 19% |
| Idaho | 56 | 70% |
| West Virginia | 55 | 45% |
| New Jersey | 54 | 16% |
| Tennessee | 46 | 15% |
| Mississippi | 45 | 22% |
| Maine | 41 | 53% |
| New Mexico | 39 | 57% |
| Arizona | 36 | 26% |
| Colorado | 32 | 15% |
| Kentucky | 31 | 12% |
| Arkansas | 31 | 14% |
| Kansas | 29 | 10% |
| South Carolina | 25 | 13% |
| South Dakota | 23 | 24% |
| Hawaii | 22 | 51% |
| Utah | 22 | 23% |
| Montana | 22 | 36% |
| District of Columbia | 17 | 100% |
| Delaware | 16 | 36% |
| Nevada | 13 | 20% |
| North Dakota | 13 | 18% |
| Alabama | 11 | 5% |
| Rhode Island | 10 | 14% |
| Wyoming | 10 | 28% |
| Vermont | 10 | 30% |
| Nebraska | 9 | 5% |
| New Hampshire | 8 | 11% |
| Puerto Rico | 6 | 67% |
| Guam | 1 | 100% |
| Alaska | 1 | 5% |
Most recent citations
Scope and severity letters (A–L)
Questions and answers
What does deficiency tag F0578 mean?
F0578 is cited when a nursing home fails to: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. It falls under resident rights deficiencies in the CMS requirements for long-term care facilities.
How common is F0578?
4,346 citations at 3,642 facilities (25% of all certified nursing homes) over the three most recent survey cycles; 110 were at the actual-harm or immediate-jeopardy level.
Which states cite F0578 most?
California (789), Ohio (338), Texas (244), Illinois (202), Michigan (183).