Based on review of facility policies and clinical records, resident and staff interviews, it was determined that the facility failed to provide effective pain management for one of five residents reviewed (Resident R1), which resulted in excessive pain, poor sleeping, and decreased level of functioning of activities of daily living, causing harm to Resident R1.Findings include: Review of the facility policy Medication Ordering and Receiving from Pharmacy dated 9/22/25, indicated medications are administered in an organized and safe manner. Pour the correct number of tablets or capsules into the medication cup. Administer medication and remain with resident while medication is swallowed. Review of Resident R1's admission record indicated she was admitted to the facility on [DATE]. …
F697 citations in Pennsylvania
Pain management · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F697 more often than its own record predicts
1.20 times the share F697 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F697.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F697 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 select facility policy, clinical record review, and staff interview, it was determined the facility failed to attempt non-pharmacological interventions and failed to evaluate the severity of pain prior to the administration of a narcotic pain medication prescribed on an as needed basis for one of 19 residents reviewed (Resident 8).Findings include:A review of the facility policy, Pain Management (last reviewed October 1, 2026), indicated the facility will ensure residents are assessed for pain or potential for pain to attain or maintain the highest practicable level of well-being. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.79% | 1.08× |
| 2024 | 0.57% | 0.78× |
| 2025 | 0.94% | 1.20× |
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