Cardiopulmonary Resuscitation (CPR) in Nursing Homes
• Initiation of CPR - Prior to the arrival of emergency medical services (EMS), nursing homes must provide basic life support,
including initiation of CPR, to a resident who experiences cardiac arrest (cessation of respirations and/or pulse) in accordance
with that resident’s advance directives or in the absence of advance directives or a Do Not Resuscitate (DNR) order. CPR-certified
staff must be available at all times.
• Facility CPR Policy –Some nursing homes have implemented facility-wide no CPR policies. Facilities must not establish and
implement facility-wide no CPR policies.
• Surveyor Implications - Surveyors should ascertain that facility policies related to emergency response require staff to
initiate CPR as appropriate and that records do not reflect instances where CPR was not initiated by staff even though the
resident requested CPR or had not formulated advance directives.