Based on a review of facility policy, resident council meeting minutes, grievance documentation, and resident and staff interviews, it was determined the facility failed to make reasonable efforts to address concerns raised by the resident council and failed to keep residents informed regarding the status and outcome of identified concerns. The facility failed to ensure ongoing communication and timely follow-up regarding issues presented by four of four residents attending a resident council group meeting (Residents 112, 35, 26, and 58).Findings include: A review of the facility's Grievance Policy last reviewed on February 19, 2026, indicated all concerns and questions may be presented to the facility orally or in writing. …
F565 citations in Pennsylvania
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F565 more often than its own record predicts
1.29 times the share F565 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F565.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F565 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 a review of facility resident council minutes, and resident and staff interviews, it was determined that the facility failed to address grievances voiced by the resident group. (Residents 1, 4, 8, 10, 22, 23, 27, 29, 30, 32) Findings include: In a group interview conducted on August 7, 2024, at 11:24 a.m., Residents 1, 4, 8, 10, 22, 23, 27, 29, 30, and 32 stated that items were often lost in the laundry, snacks and water were not offered regularly, and call bells were not answered timely. They also stated the facility did not assist with organizing regular resident council meetings. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 1.25× |
| 2024 | 0.51% | 1.65× |
| 2025 | 0.35% | 1.29× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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