Based on review of facility policy, clinical record review, observations, and staff interview, it was determined that the facility failed to determine whether it was safe to self-administer medications for one of four residents (Resident R67).Findings include: Review of the facility's policy Administering Medications last reviewed 7/16/26, indicated medications shall be administered in a safe a timely manner. Residents may self-administer their own medications only if the attending physician, in conjunction with the interdisciplinary care planning has determined that they have the decision-making capacity to do so safely. Review of the clinical record indicated Resident R67 was admitted to the facility on [DATE]. …
F554 citations in Pennsylvania
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F554 more often than its own record predicts
1.12 times the share F554 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F554.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F554 findings written in Pennsylvania, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 0.57× |
| 2024 | 0.40% | 0.74× |
| 2025 | 0.64% | 1.12× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction