**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, it was determined, the facility did not ensure the resident's right to formulate an advanced directive. Specifically, for 1 out of 14 sampled residents, the resident's electronic medical record documented that the resident was a full code while the Physician Orders for Life-Sustaining Treatment (POLST) form documented the resident's wishes as Do not attempt or continue any resuscitation. Resident identifier: 1. Findings included: Resident 1 was admitted to the facility on [DATE] with diagnoses which included hyponatremia, supraventricular tachycardia, hypertension, osteoporosis, fracture of radial neck, status post total knee replacement, and pain. On 1/3/23 at 10:43 AM, an interview was conducted with Licensed Practical Nurse (LPN) 1. LPN 1 stated if the resident did not have an Advance Directive completed the resident would be a full code. On 1/3/23 at 10:46 AM, an observation was made of resident 1's electronic medical record dashboard that documented the code status as full code. On 4/7/22, resident 1's POLST form documented Do not attempt or continue any resuscitation (DNR) (Allow Natural Death) with comfort measures. On 12/16/22, resident 1's physician orders revealed an order for Do Not Resuscitate and Do Not Intubate. On 1/3/23 at 12:33 PM, an interview was conducted with LPN 1 and the Minimum Data Set (MDS) Coordinator. LPN 1 stated that resident 1's dashboard documented the code status as full code. LPN 1 stated that the nurse could not change the dashboard and that it populated through the orders. LPN 1 stated that he verified the POLST form and it documented that resident 1 was DNR. The MDS Coordinator stated that LPN 1 needed to put an order in for the Medical Director to sign with the updated code status, we need them to match. LPN 1 was observed to change the code status in the electronic medical record. The MDS Coordinator stated that it was the nurse's responsibility to update the code status when they received an order or POLST form from the physician. On 1/3/23 at 2:02 PM, an interview was conducted with the Unit Manager (UM). The UM stated that nursing staff were responsible to verify that the information on the dashboard reflected the POLST form directives.