F-Tag F0578 — Request/Refuse/Discontinue Treatment/Formulate Advance Directives
Category: Resident Rights Deficiencies
F-Tag F0578 is a CMS skilled-nursing-facility regulatory requirement covering request/refuse/discontinue treatment/formulate advance directives. According to official CMS Health Deficiency data, this tag has been cited 4,456 times across 3,705 unique facilities. 99 citations have reached Immediate Jeopardy severity. The top recorded severity for this tag is L.
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.
Top-Cited States for F-Tag F0578
- California — 816 citations
- Ohio — 335 citations
- Texas — 237 citations
- Michigan — 189 citations
- Illinois — 188 citations
Related F-Tags in Resident Rights Deficiencies
- F-Tag F0550 — Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (8,999 citations)
- F-Tag F0584 — Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (8,840 citations)
- F-Tag F0580 — Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (6,045 citations)
- F-Tag F0558 — Reasonably accommodate the needs and preferences of each resident. (4,617 citations)
- F-Tag F0623 — Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (3,940 citations)
Plan of Correction Resources
- Generate a Plan of Correction for F-Tag F0578
- Free POC Writing Template
- Plan of Correction Complete Guide
- Browse all 303 F-Tags
Explore POCDesk — Free Nursing Home Compliance Tools
- SNF Scorecard — look up any facility's inspection record
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- Best Nursing Homes by State — ranked by inspection results
- Survey Tracker — recent CMS survey activity
- F-Tag Reference Guide — every CMS deficiency tag
- Plan of Correction (POC) Complete Guide
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- CMS Survey Preparation Guide
- SNF Compliance Guides
- What Is Skilled Nursing Care?
Official Sources
POCDesk analyzes official government data. Verify any facility's record or read the underlying regulations at these primary sources:
- Medicare.gov Care Compare — CMS's official nursing home comparison tool
- CMS Provider Data Catalog — the raw nursing home inspection & deficiency datasets
- CMS Nursing Home Certification & Compliance — enforcement policy and the Special Focus Facility program
- 42 CFR Part 483 (eCFR) — the federal requirements of participation behind every F-Tag
- National Long-Term Care Ombudsman Resource Center — free advocacy help for residents and families