Based on review of facility policy, clinical records, and staff interview, it was determined that the facility failed to provide evidence that non-pharmacological interventions (interventions attempted to calm a resident other than medication) were attempted prior to the administration of an as needed (PRN) psychotropic (mind altering) medication for one of five residents reviewed for unnecessary medications (Resident R6). Findings include:Review of facility policy entitled, Documentation for PRN Medication Utilizing Non-Pharmacological Methods dated 7/10/26, revealed Purpose: This documentation outlines the process for administering PRN medications and emphasizes the use of at least two non-pharmacological methods to address the patient's condition prior to medication administration. …
F605 citations in Pennsylvania
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F605 more often than its own record predicts
1.22 times the share F605 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F605.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F605 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.
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 3.22× |
| 2024 | 0.04% | 1.90× |
| 2025 | 0.86% | 1.22× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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