The regulatory framework for advancing excellence in cardiopulmonary resuscitation practices in nursing homes (NHs) is still evolving. The Patient Self-Determination Act (PSDA) was passed as an amendment to the Social Security Act in 1990. In advancing resident rights in nursing homes (NH), the Centers for Medicare and Medicaid Services (CMS) issued two related F-tags in 2012 and 2015 (e.g., F-tags 155 and 678, respectively). While F-tag 155 did not explicitly ban NH facility-wide no CPR policies, F-tag 678 §483.24(a)(3) directly addressed CPR practices in NHs. It required that “personnel provide basic life support, including CPR, to a resident requiring such emergency care prior to the arrival of emergency medical personnel and subject to related physician orders and the resident’s advance directives.” While current American Heart Association guidelines require that staff “get and use the AED as soon as it is available,” the reality is that California does not require that NHs have AEDs. The CCR Title 22 §80075.1 on AEDS only states that “in an adult community care facility, a licensee is permitted to maintain and operate an AED at the facility if all of five requirements are met. States vary widely in AED requirements for settings, either by health codes or legislation.1