Based on clinical record and facility document review and staff interview, it was determined that the facility failed to provide the necessary services and failed to make certain appropriate treatment, and services for dementia were provided to ensure safety for one of 94 residents. This failure created an immediate jeopardy situation for one of 94 residents (Resident R1). Findings include: Review of the facility policy, Guidelines for Caregiver Interaction with Dementia dated 4/1/23, indicated that staff will interact with residents in a manner that supports dignity and enhances residents abilities to successfully participate in life. Staff will recognize that the resident cannot always control his/her behavior. …
F744 citations in Pennsylvania
Dementia care · Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F744 more often than its own record predicts
2.90 times the share F744 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F744.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F744 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 a review of clinical records, information submitted by the facility, and select incident reports and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered plan to address a resident's dementia-related behavioral symptoms displayed by one resident (Resident CR1) which, resulted in one resident (Resident 4) out of 6 residents sampled sustaining a serious injury, a fractured hip, caused by Resident CR1's dementia-related behavioral symptoms. Findings include: A review of the clinical record revealed that Resident CR1 was admitted to the facility on [DATE], with diagnoses to include dementia (irreversible, progressive degenerative disease of the brain, resulting in loss of reality contact and functioning ability). …
Based on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address dementia and cognitive loss displayed by three of three residents reviewed for dementia care (Residents 13, 33, and 47). Findings include: Clinical record review for Resident 13 revealed a diagnosis list that included the need for assistance with personal care and vascular dementia unspecified severity without behavioral disturbance, psychotic disturbance, mood disturbance, anxiety (dementia: a group of symptoms related to loss of memory, judgment, language, complex motor skills, and other intellectual function, caused by the permanent damage or death of the brain's nerve cells, or neurons; vascular dementia: caused… …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.51% | 2.38× |
| 2024 | 0.70% | 3.36× |
| 2025 | 0.57% | 2.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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