Based on review of policies, clinical records, and personnel files, as well as staff interviews, it was determined that the facility failed to properly address a resident's behavior of repeatedly taking her feet off the wheelchair footrests and placing them on the ground for one of five residents reviewed (Resident 2), resulting in Immediate Jeopardy when the nurse aide continued to grab hold of the resident's ankles, causing her to yell out and place her feet back on the ground, which resulted in the resident hitting the nurse aide while the nurse aide was bent over to once again grab the resident's ankles to place the her feet back on the wheelchair footrests. In response, the nurse aide slapped the resident's hand and called the resident an asshole. …
F743 citations in Pennsylvania
Quality of Life and Care Deficiencies
Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F743 more often than its own record predicts
8.20 times the share F743 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F743.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F743 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 reviews and staff interviews, it was determined that the facility failed to ensure that a resident did not display decreased social interaction, and/or withdrawn, angry or depressive behaviors, unless unavoidable, for one of 50 residents reviewed (Resident 49), resulting in physical and mental decline and hospitalization for the resident. Findings include: A comprehensive Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 49, dated July 15, 2021, indicated that the resident was cognitively intact. …
Based on clinical record reviews and staff interviews, it was determined that the facility failed to monitor, assess and analyze, and attempt new interventions for a resident's increased verbal, physically-aggressive behaviors, and sexual behaviors for one of seven residents reviewed (Resident 1). Findings include: A comprehensive Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 1, dated May 11, 2026, indicated that the resident was moderately cognitively impaired and had diagnoses that included dementia. The resident's care plan, dated May 27, 2026, revealed that staff were to keep the resident away from other residents when she was restless or agitated. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2024 | 0.03% | 7.93× |
| 2025 | 0.03% | 8.20× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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