F658 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F658 less often than its own record predicts
Versus expected share0.58×
0.58 times the national share — cited less often here than elsewhere.
Share of Pennsylvania citations1.03%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F658.
Pennsylvania1.03%
National1.78%
Share of all citations that were F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F658 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.
K · Immediate jeopardy, patternJanuary 24, 2018
Based on review of facility documentation, review of select facility policies, and staff interview, it was determined that the facility failed to ensure nursing services provided met professional standards of quality regarding medication administration as set forth in the Pennsylvania code Title 49. Professional and Vocational Standards, Section 21.145 (b) Functions of the Licensed Practical Nurse for 17of 38 residents on Unit Four.
Findings include:
The facility Agency Orientation policy, dated 9/28/17, indicated that the Agency staff must meet Pennsylvania requirements for working in Long Term Care.
As defined in the 28 Pa. …
Based on review of Pennsylvania's Nursing Practice Act, facility policy, clinical records, and facility investigations, as well as staff interviews, it was determined that the facility failed to ensure that nursing services met professional standards of quality by failing to ensure that medications were administered by licensed medical or nursing personnel in accordance with the medical and nursing regulations of Pennsylvania which resulted in the need for transfer to the hospital. …
E · No harm, potential for more than minimal, patternSeptember 11, 2026
Based on select facility policy, clinical record review, and staff interviews, it was determined the facility failed to ensure nursing services met professional standards of quality as required by the Pennsylvania Code Title 49, Professional and Vocational Standards, by failing to verify Licensed Practical Nurses possessed the required education, training, and competencies for the administration of an intravenous (IV) medication via peripheral inserted central venous catheter (PICC) for two of 19 residents reviewed (Resident 8 and Resident 6). …
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