Safe, clean, homelike environment · Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
F584 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F584 more often than its own record predicts
Versus expected share1.31×
1.31 times the share F584 takes of citations nationally.
Share of Pennsylvania citations2.75%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F584.
Pennsylvania2.75%
National2.10%
Share of all citations that were F584.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F584 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.
L · Immediate jeopardy, widespreadJanuary 31, 2026
Based on observations, facility policy, resident interviews, and staff interview, it was determined that the facility failed to ensure comfortable air temperature levels (between 71-81 degrees Fahrenheit) were provided in the facility, and failed to monitor and assess all residents for hypothermia (a life-threatening medical emergency when the body loses heat faster than it can produce it), which created an Immediate Jeopardy situation, for 82 of 82 residents. Findings Include:Review of the facility policy Safe and Homelike Environment dated 12/11/25, indicated the facility will provide a safe, clean, comfortable, and homelike environment. This includes ensuring that the residents can receive care and services safely. …
D · No harm, potential for more than minimal, isolatedSeptember 3, 2026
Based on observation and staff interview, it was determined that the facility failed to maintain adequate housekeeping and maintenance services to ensure a clean, comfortable, orderly, and homelike environment on two of two nursing units, (first floor and second floor) and for four of 24 residents reviewed (Residents 9, 24, 90, and 91). Findings: Observation of Resident 24's room on August 31, 2026, at 12:00 PM revealed four areas on the wall beside the bathroom door, each measuring four inches and roughly round, that appeared to have been treated with drywall mud. …
B · No harm, potential for minimal, patternMay 29, 2026
Based on review of facility policy, observations, and staff interviews, it was determined that the facility failed to provide a safe, clean, comfortable, and homelike environment, allowing the resident to use his or her personal belongings to the extent possible, and exercise reasonable care for the protection of the resident's property from loss. Findings include: A facility policy entitled, Resident Property-Missing/Damaged dated 1/27/26, indicated that the facility shall be responsible for ensuring the safety and security of all resident personal belongings. Observation on 5/28/26, at 9:48 a.m. of the resident laundry department revealed one full rack and one partial rack of unmarked resident personal clothing. …
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