Based on review of closed clinical records and staff interview, it was determined the facility failed to include a discharge summary for one of three closed records (Closed record CR91). Findings include: Nursing notes dated [DATE], revealed that Resident CR91 was discharged out to the hospital on [DATE]. During an interview on [DATE], at 1:00 p.m. the Social Worker verified that the Resident CR91 expired after discharge from the facility. Review of closed clinical records revealed that Resident CR91's record lacked a discharge summary. During an interview on [DATE], Registered Nurse Employee E5 at [DATE] 10:39 a.m., verified that the Resident CR91's clinical record did not contain a discharge summary. 28 Pa. Code 211.5(f) Clinical records Previously cited [DATE]
F661 citations in Pennsylvania
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F661 more often than its own record predicts
1.66 times the share F661 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F661.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F661 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 clinical record review and staff interviews, it was determined that the facility failed to ensure a physician's discharge summary was completed for two of four residents reviewed for discharge (Residents 57 and 137). Findings include: Review of Resident 57's clinical record revealed diagnoses that included congestive heart failure (disease process of the heart that results in a decreased ability of the heart to effectively pump blood throughout the body) and type two diabetes mellitus (decreased ability of the body to produce and/or utilize insulin for the transport of glucose from the blood stream into the cells for nourishment). Review of Resident 57's clinical record revealed that Resident 57 was admitted to the facility on [DATE], for rehabilitation after increased weakness. …
Based on review of clinical records and staff interviews, it was determined that facility staff failed to maintain discharge summary - recapitulation of the residents stay for three of three residents who discharged from the facility. (R93, R94, and R95). Findings include: Review of CMS guideline §483.21(c)(2) Discharge Summary When the facility anticipates discharge, a resident must have a discharge summary that includes, but is not limited to, the following: (i) A recapitulation of the resident's stay that includes, but is not limited to, diagnoses, course of illness/treatment or therapy, and pertinent lab, radiology, and consultation results. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.38% | 1.47× |
| 2024 | 0.27% | 1.19× |
| 2025 | 0.11% | 1.66× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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