F604 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F604 more often than its own record predicts
Versus expected share1.07×
1.07 times the share F604 takes of citations nationally.
Share of Pennsylvania citations0.41%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F604.
Pennsylvania0.41%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F604 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.
G · Actual harm, isolatedFebruary 23, 2026
Based on a review of facility provided policies and documentation, clinical records, and staff interviews, it was determined that the facility failed to ensure residents were free from physical restraints. This failure resulted in the actual harm of staff members restraining a resident to a bed with a bed sheet which caused abdominal bruising for one of eight residents (Resident R1). This was identified as past noncompliance. Findings include: Review of facility policy Abuse, Neglect, Exploitation and Misappropriation Prevention Program dated 1/20/26, previously reviewed 1/21/25, indicated that each resident has the right to be free from abuse, neglect, and misappropriation of resident property and exploitation. …
D · No harm, potential for more than minimal, isolatedSeptember 3, 2026
Based on review of facility policies, clinical records, facility documents, and staff interviews it was determined that the facility failed to identify a perimeter mattress (a specialized mattress that incorporates built-in edge support to create a raised, cushioned, or air-filled rail round the perimeter of the bed) as a possible restraint, failed to identify a pommel cushion (a wheelchair seat cushion with a raised center used to prevent forward sliding) and failed to assess the functional status of the individual resident to determine if the use of a perimeter mattress and pommel cushion is a restraint for one of four residents (Resident R13).Findings include: Review of facility policy Restraints dated 7/1/26, indicated physical restraints are defined as any manual method or physical or… …
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