Based on observations and resident and staff interview with was determined that the facility failed to ensure that the grievance policy and process was posted in an accessible place to residents on two of two nursing units (first and second floor nursing care units). Findings include:During observations on 8/12/26, from 9:05 a.m. through 10:02 a.m. on both nursing care units (first and second floor) failed to include the grievance policy and process for grievances. During an interview on 8/12/26, at 1:29 p.m. Nursing Home Administrator confirmed that the facility failed to post the grievance policy and process for grievances in an accessible place to residents on two of two nursing units (first and second floor nursing care units).28 Pa. Code 201.29 (a) Resident rights.
F585 citations in Pennsylvania
Grievances · Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F585 more often than its own record predicts
1.56 times the share F585 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F585.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F585 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 clinical records, select facility policy, grievances filed with the facility, and resident and staff interviews, it was determined the facility failed to ensure that resident grievances filed with the facility were addressed for two out of 13 residents sampled (Residents 3 and 31).Findings included: A review of the facility policy titled Grievance Policy, last reviewed by the facility on March 12, 2026, revealed the facility shall support the resident's right to voice any grievance without discrimination, reprisal, or the fear of discrimination or reprisal. The facility shall make prompt efforts to resolve the resident's grievances and has a system in place to ensure the prompt resolution of all grievances with regard to the resident's rights. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 1.20% | 1.97× |
| 2024 | 0.90% | 1.42× |
| 2025 | 1.00% | 1.56× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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