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Resident Rights42 CFR §483.10(c)(6)-(8)
F0578 — Request/Refuse/Discontinue Treatment; Formulate Advance Directives
F0578 protects a resident's right to request, refuse, or discontinue treatment, and to formulate advance directives, with the facility required to honor documented directives and inform residents of their rights in this area.
Common Deficiency Examples
- Advance directive not followed or not accessible to staff providing care
- Resident's treatment refusal not documented or honored
- Advance directive status not verified or updated following a change in resident wishes
- Staff unaware of a resident's code status or advance directive during an event
What Your Plan of Correction Needs
F0578 PoCs carry high clinical stakes since they touch code status and end-of-life decisions:
Gap identifiedspecific directive or refusal not honored/documented
Immediate actiondirective verified, documented, and communicated to care staff
Systemic fixadvance directive documentation and accessibility process (e.g., chart flagging)
Monitoring planperiodic audit of advance directive documentation and staff awareness
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