Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
F0578
D

Advance Directive Not Available in EHR or Physical Form

Portales, New Mexico Survey Completed on 06-13-2025

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that a resident's current advance directive, specifically the New Mexico Orders for Scope and Treatment (MOST), was available in the resident's Electronic Health Record (EHR) or in physical form for staff access. Record reviews showed that the resident was admitted to the facility and had a documented Do Not Resuscitate (DNR) order in both the physician orders and care plan. However, the actual advance directive form was not present in the EHR or available physically. During an interview, the Director of Nursing confirmed that the MOST form was missing from both the EHR and physical records, despite the resident's DNR status being documented elsewhere.

An unhandled error has occurred. Reload 🗙