Based on review of facility policies, review of facility documentation, clinical record review and interviews with staff, it was determined that the facility failed to thoroughly investigate sexual abuse for three residents of three residents reviewed for sexual abuse (Residents R5, R36 and R71). This failure resulted in an Immediate Jeopardy situation for Residents R5 and R36. Findings include: Review of facility policy, Abuse Investigation and Reporting, last reviewed October 2022, revealed that, All reports of resident abuse, neglect, exploitation, misappropriation of resident property, mistreatment and/or injuries of unknown source (abuse) shall be promptly reported to local, state, and federal agencies (as defined by current regulations) and thoroughly investigated by facility… …
F610 citations in Pennsylvania
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F610 less often than its own record predicts
0.88 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F610 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 review of facility policies, clinical records, hospital records, and staff interviews, the facility failed to recognize and thoroughly investigate an injury of unknown origin involving potential neglect and failed to report the results of the investigation to the State Survey agency for one of three residents reviewed (Resident 5) resulting in actual harm evidenced by significant urethral trauma.Findings include:Review of the facility's Abuse Policy, last reviewed February 9, 2026, revealed residents have the right to be free from abuse, neglect, misappropriation of resident property, corporal punishment, and involuntary seclusion. …
Based on review of facility documents, clinical record review and staff interview, it was determined that the facility failed to initiate a thorough investigation for allegations of misappropriation of property for four of seven residents (Resident R57, R112, R115, and R119).Findings include: Review of the facility's Abuse Reporting and Investigation policy last reviewed 7/1/26, indicated the facility will thoroughly investigate all reports of suspected or alleged abuse (mental, physical, sexual, involuntary seclusion or misappropriation of resident property), neglect or exploitation. Review of the admission record revealed that Resident R57 was admitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 1.39% | 1.09× |
| 2024 | 1.76% | 1.23× |
| 2025 | 1.33% | 0.88× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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