F0578

D

Failure to Offer and Document Opportunity for Advance Directives

Henryetta, Oklahoma Survey Completed on 01-20-2026

Penalty

No penalty information released

Summary

The facility failed to honor residents' rights to be offered the opportunity to formulate an advance directive by not ensuring that required advance directive acknowledgment forms were present in the records of two sampled residents. Record review showed that one resident, admitted on an unspecified date, had no advance directive acknowledgment form in the electronic health record. A second resident, also admitted on an unspecified date, likewise had no advance directive acknowledgment form documented in the electronic health record. During an interview on 01/14/26 at 11:33 a.m., a social services staff member confirmed that there were no advance directive acknowledgment forms in these residents' charts and stated that the form must have been left out of the admission packet when additional copies were made.

These findings occurred in the context of a census of 80 residents, with 18 residents sampled for review of advance directives, and demonstrated that at least two residents and/or their representatives were not provided the documented opportunity to create an advance directive as required.