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F578 citations at U.S. nursing homes

F578: Request/Refuse Treatment; Advance Directives (Resident Rights). CMS regulation text: 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.

Citations of F578 published by CMS for surveys dated 2025-10-01 to 2026-09-30, by state, with the latest citations.

Citations828surveys 2025-10-01 to 2026-09-30
Facilities cited819
Actual harm or worse26scope/severity G to L
From complaint surveys102
Latest survey2026-09-03

Breakdown

State / F-tagWhat it coversCitationsFacilitiesHarm (G-L)
California1691660
Connecticut27260
Florida22229
Illinois33321
Maryland45450
Michigan56552
North Carolina28281
Ohio58580
Pennsylvania41400
Texas65643
Washington23220

Combinations with at least 20 citations in the window.

Citations by survey month

Survey monthCitations
2025-1017
2025-1143
2025-12104
2026-0194
2026-0290
2026-03121
2026-0493
2026-0563
2026-0676
2026-0771
2026-0854
2026-092

Recent months are incomplete: CMS publishes a survey only after the state agency uploads it, so the last one or two months fill in over later releases.

Latest citations

Survey dateFacilityCityCCNF-tagSeverityComplaintStatus
2026-09-03HAVEN PLACE REHABILITATION AND NURSING CENTERLock Haven, PA395031F578DDeficient, Provider has no plan of correction
2026-09-03Idaho State Veterans Home - LewistonLewiston, ID135133F578DDeficient, Provider has plan of correction (2026-10-01)
2026-08-31Woodard Creek Health & RehabilitationOlympia, WA505387F578EYesDeficient, Provider has plan of correction (2026-10-16)
2026-08-28SUGAR CREEK CARE CENTERFranklin, PA395777F578DDeficient, Provider has no plan of correction
2026-08-28WINDSOR HEALTH AND REHABILITATION CENTERStarke, FL105696F578DDeficient, Provider has plan of correction (2026-09-28)
2026-08-27SUN MAR NURSING CENTERAnaheim, CA555266F578DDeficient, Provider has date of correction (2026-09-14)
2026-08-27OKLAHOMA MEMORY CARE INSTITUTETulsa, OK375468F578EDeficient, Provider has date of correction (2026-09-21)
2026-08-27Accordius Health at Rose Manor LLCDurham, NC345081F578EDeficient, Provider has plan of correction (2026-09-24)
2026-08-26Kirkland Court Health and Rehabilitation CenterAmarillo, TX675336F578DDeficient, Provider has date of correction (2026-09-16)
2026-08-26BEARTOOTH REHABILITATION AND NURSING LLCColumbus, MT275159F578DYesPast Non-Compliance (2026-07-17)
2026-08-26Harbor Terrace Senior LivingMuskegon, MI235736F578DYesDeficient, Provider has date of correction (2026-09-17)
2026-08-25LA BREA REHABILITATION CENTERLos Angeles, CA056195F578DYesDeficient, Provider has date of correction (2026-09-12)
2026-08-24WINDSOR CALALLENCorpus Christi, TX676391F578DYesDeficient, Provider has date of correction (2026-08-25)
2026-08-21River Hills Health and Rehabilitation CenterKerrville, TX676114F578DDeficient, Provider has no plan of correction
2026-08-21BEL VISTA HEALTHCARE CENTERLong Beach, CA555805F578DDeficient, Provider has date of correction (2026-09-13)
2026-08-21PALOMAR HEIGHTS POST ACUTEEscondido, CA555764F578DDeficient, Provider has date of correction (2026-09-21)
2026-08-21THE GROVE POST ACUTEGarden Grove, CA555021F578DDeficient, Provider has date of correction (2026-09-08)
2026-08-21Signature Healthcare of Chapel HillChapel Hill, NC345225F578DDeficient, Provider has plan of correction (2026-09-16)
2026-08-21Arbor Valley of CascadiaBoise, ID135079F578EDeficient, Provider has plan of correction (2026-09-22)
2026-08-20AVERA OAHE MANORGettysburg, SD43A113F578EDeficient, Provider has plan of correction (2026-10-04)
2026-08-20MEADOWS OF DELPHOS THEDelphos, OH365405F578DDeficient, Provider has date of correction (2026-09-09)
2026-08-20OAKS OF WEST KETTERING THEKettering, OH365321F578DDeficient, Provider has date of correction (2026-09-04)
2026-08-20Gainesville Health and RehabilitationGainesville, FL105664F578FDeficient, Provider has plan of correction (2026-09-21)
2026-08-20The CalifornianSanta Barbara, CA055684F578DDeficient, Provider has date of correction (2026-09-03)
2026-08-19KEMP CARE CENTERKemp, TX675802F578DDeficient, Provider has date of correction (2026-08-20)
2026-08-19WESTMINSTER TOWERSOrlando, FL105757F578JYesDeficient, Provider has date of correction (2026-07-29)
2026-08-18RIVER'S EDGE REHABILITATION & HEALTHCARE CENTERPhiladelphia, PA395843F578DYesDeficient, Provider has no plan of correction
2026-08-15Riverside Health ServicesArkoma, OK375371F578DDeficient, Provider has date of correction (2026-09-17)
2026-08-14REMINGTON TRANSITIONAL CARE OF SAN ANTONIOSan Antonio, TX676216F578DDeficient, Provider has date of correction (2026-08-15)
2026-08-14KING OF PRUSSIA SKILLED NURSING AND REHABILITATIONKing Of Prussia, PA395834F578DDeficient, Provider has no plan of correction
2026-08-14Astoria Healthcare CenterSylmar, CA056084F578DDeficient, Provider has date of correction (2026-09-07)
2026-08-14GLENDORA GRAND, INCGlendora, CA056079F578DDeficient, Provider has date of correction (2026-08-31)
2026-08-14VICTORIA HEALTHCARE AND REHABILITATION CENTERCosta Mesa, CA055237F578DDeficient, Provider has date of correction (2026-09-14)
2026-08-13PRESBYTERIAN INTERCOMM HOSP DP/SNFWhittier, CA555654F578DDeficient, Provider has date of correction (2026-08-31)
2026-08-13BEARDSTOWN HEALTH & REHAB CTRBeardstown, IL145952F578DYesDeficient, Provider has date of correction (2026-08-31)
2026-08-13MISSION HILLS POST ACUTE CARESan Diego, CA056401F578EDeficient, Provider has date of correction (2026-09-14)
2026-08-13HEALTHCARE CENTER OF ORANGE COUNTYBuena Park, CA055674F578DDeficient, Provider has date of correction (2026-08-28)
2026-08-13CORAL COVE POST ACUTELong Beach, CA055077F578DDeficient, Provider has date of correction (2026-09-04)
2026-08-13Vi at Grayhawk, a Vi and Plaza Companies CommunityScottsdale, AZ035272F578DDeficient, Provider has date of correction (2026-08-28)
2026-08-12Lillington Health and Rehabilitation CenterLillington, NC345213F578BDeficient, Provider has no plan of correction
2026-08-12WOLCOTT HALL NURSING CENTER, INCTorrington, CT075111F578DDeficient, Provider has plan of correction (2026-09-16)
2026-08-10SAINT MARY HOMEWest Hartford, CT075085F578DDeficient, Provider has plan of correction (2026-09-17)
2026-08-07VILLA VALENCIA HEALTHCARE CENTERLaguna Hills, CA555462F578DDeficient, Provider has date of correction (2026-08-27)
2026-08-07ASHLAND POST ACUTEAshland, OR385197F578DDeficient, Provider has plan of correction (2026-09-25)
2026-08-07Lynwood Manor Healthcare CenterAdrian, MI235182F578DDeficient, Provider has date of correction (2026-09-04)
2026-08-06PARKVIEW SKILLED CARE AND REHABILITATIONBig Spring, TX675462F578DDeficient, Provider has date of correction (2026-09-04)
2026-08-06Great Plains Nursing and RehabilitationDumas, TX675016F578DDeficient, Provider has date of correction (2026-08-11)
2026-08-06Simi Healthcare CenterSimi Valley, CA555701F578DDeficient, Provider has date of correction (2026-08-17)
2026-08-06Villa MarinSan Rafael, CA555227F578EDeficient, Provider has date of correction (2026-08-26)
2026-08-06CUSTER CARE AND REHAB CENTERCuster, SD435136F578DDeficient, Provider has date of correction (2026-08-23)
Show 25 more citationsShow fewer

The 50 most recent of 828. Facility, city and CCN as published by CMS. Severity is the CMS scope/severity letter (A lowest to L highest; G and above = actual harm, J to L = immediate jeopardy). See method.

Source

CMS Provider Data Catalog, Health Deficiencies (file NH_HealthCitations_Oct2026.csv, data as of 2026-10-01, released 2026-10-28, downloaded 2026-11-01; 94,771 citations with surveys 2025-10-01 to 2026-09-30). Counts are row counts; nothing is estimated. CMS plans the next update for 2026-12-02. Method.

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