Based on observations, review of clinical record, review of hospital record, resident and staff interviews and policy review, it was determined that the facility failed to monitor residents for the possession of unprescribed substances and provide behavioral health services including the development of behavioral contracts for two of 38 residents reviewed with substance abuse disorder (Resident R141 and Resident R154). This failure resulted in Resident R154 obtaining and providing an unprescribed narcotic medication to Resident R141 and both residents receiving emergency medical care for narcotic overdosing at the facility. …
F740 citations in Pennsylvania
Behavioral health services · Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F740 less often than its own record predicts
0.86 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F740.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F740 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 policy, clinical record review, and staff interview, it was determined that the facility failed to ensure a resident received appropriate behavioral health management to maintain the highest practicable well-being for one of five residents (Resident R116).Findings include: Review of facility policy Behavior Standard dated 4/16/26, indicated the purpose is to develop and implement behavior plans and medication regimens, in efforts to optimize the functional abilities of residents while monitoring for adverse side effects and improve behaviors. Review of the clinical record indicated Resident R116 was admitted to the facility on [DATE]. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 0.84× |
| 2024 | 0.39% | 1.57× |
| 2025 | 0.23% | 0.86× |
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