F609 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F609 less often than its own record predicts
Versus expected share0.46×
0.46 times the national share — cited less often here than elsewhere.
Share of Pennsylvania citations1.13%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F609.
Pennsylvania1.13%
National2.44%
Share of all citations that were F609.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F609 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.
J · Immediate jeopardy, isolatedNovember 10, 2025
Based on review of state laws, facility policy and facility documents, and staff interviews, it was determined the facility failed to identify and timely report criminal allegations of abuse/neglect to local law enforcement and required agencies to protect residents for one of five staff members Licensed Practical Nurse (LPN, Employee E1). This failure created an immediate jeopardy situation. Findings include: Review of the Older Adult Protective Services Act of 11/6/87, amended by Act 1997-13, Chapter 7, Section 701, requires any employee or administrator of a facility who suspects abuse is mandated to report the abuse. All reports of abuse should be reported to the local area agency on aging and licensing agencies. …
Based on observations, review of facility policy, review of resident records, review of facility documents, and interviews with staff, it was determined that the facility failed to make certain that all allegations of abuse and neglect were timely reported to the Administrator of the facility for one of six residents reviewed (Resident R1). This delay in reporting a fall incident sustained by Resident R1, resulted in actual harm to Resident R1 who experienced a delay of treatment and was diagnosed with an acute avulsion fracture of the right tibial tuberosity (separation of the kneecap from the shin bone). …
E · No harm, potential for more than minimal, patternSeptember 3, 2026
Based on review of facility policy, clinical record review, reports submitted to the State, and staff interview, it was determined that the facility failed to report allegations of abuse and/or neglect in the required timeframe for five of seven residents (Residents R4, R57, R112, R115, and R119).Findings include:
Review of facility policy Abuse Reporting and Investigation dated 7/1/26, indicated the Department of Health will be notified of the alleged event by the Administrator or designee via the Electronic Reporting System per regulation.
Review of the clinical record indicated Resident R4 was admitted to the facility on [DATE]. …
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction