Based on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to ensure that resident preferences were honored related to choice of dining location for one of 35 resident records reviewed (Resident R14). Findings include: Review of Resident R14's clinical record the resident was admitted to the facility on [DATE], is alert and oriented, and has a diagnosis heart disease. On August 19, 2026, at 12:08 p.m. on the ground floor, A unit dining room Resident R14 was observed in a wheelchair being pushed by Nurse aide (NA) Employee E13 yelling, I don't want to eat here I want to eat in my room! But the NA continued to place the resident at a table ignoring the request. …
F561 citations in Pennsylvania
Self-determination · Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F561 less often than its own record predicts
0.47 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F561.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F561 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.
Based on review of clinical records and staff and resident interview, it was determined that the facility failed to afford residents the resident to choose daily activities, including sleeping and waking times, as evidenced by three out of 12 residents sampled (Residents 2, 5, and 12). Findings include: A review of Resident 2's clinical record revealed that the resident was admitted to the facility on [DATE], with diagnoses which included dementia and cerebrovascular accident (stroke). …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 0.42× |
| 2024 | 0.34% | 0.82× |
| 2025 | 0.18% | 0.47× |
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