Based on observations, clinical record review, review of select facility policies and procedures, and staff and resident interviews, the facility failed to provide Resident 34, who was dependent on staff for activities of daily living (ADLs), with the care and services necessary to maintain proper personal hygiene and grooming, including nail care and monitoring of a contracted hand. As a result of this failure, the resident developed an open wound to the palm that required treatment and caused pain. …
F677 citations in Pennsylvania
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F677 less often than its own record predicts
0.80 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F677 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, observations, shower schedules, as well as staff and resident interviews, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for two of five residents reviewed (Residents 1 and 4).Findings include: The facility policy for bathing and showering, dated March 2026, indicated that residents are bathed or showered to promote cleanliness, provide comfort to the resident and to observe the condition of the resident's skin. Document if the resident refused the shower/tub bath, the reason why and the intervention taken. Notify the charge nurse if the resident refuses the shower/tub bath. …
Based on observation, clinical record review, and staff and resident interviews, it was determined that the facility failed to provide services to maintain adequate grooming and hygiene for three of 22 sampled residents. (Residents 7, 9, and 116)Findings include: Clinical record review revealed that Resident 7 had diagnoses that included polyneuropathy, cognitive communication deficit, and congestive heart failure. A review of the Minimum Data Set (MDS) assessment dated [DATE], revealed that Resident 7 was alert and oriented and required moderate assistance with personal hygiene. Review of the care plan dated May 24, 2025, revealed that the resident required assistance with activities of daily living (ADLs) including grooming and bathing. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 1.93% | 0.69× |
| 2024 | 1.37% | 0.56× |
| 2025 | 1.81% | 0.80× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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