Based on review of facility documents, clinical records, and staff interview, it was determined that the facility failed to implement procedures to ensure availability of prescribed medications. This failure resulted in an Immediate Jeopardy situation for four of 25 residents (Residents R1, R2, R3, and R4).Findings include: Review of the Facility Assessment for 2026, Quarter 1, indicated the facility will provide intravenous medications and treatment for infections. Under the Acuity - Care Requirements section indicated, We also admit residents with IV medications. Review of the clinical record indicated Resident R1 was admitted to the facility on [DATE]. …
F755 citations in Pennsylvania
Pharmacy services · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F755 less often than its own record predicts
0.84 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F755.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F755 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 facility policy review, clinical record reviews, and staff interviews, it was determined that the facility failed to provide pharmaceutical services to accurately acquire, receive, dispense, and administer drugs to meet the needs of each resident for two of three residents reviewed (Residents 1 and 2), which resulted in actual harm as evidenced by two hospital transfers for seizure activity for one of three residents reviewed (Resident 1).Findings include:Review of facility policy, titled IC4: Ordering and Receiving Controlled Medications, undated, revealed, in part, Schedule II controlled medications prescribed for a specific resident are delivered to the facility only if a faxed or original written prescription has been received by the pharmacy. …
Based on a review of facility policies, clinical records, and staff interview, it was determined that the facility failed to ensure physician ordered medications were obtained and physicians were timely notified of unavailable medications and delayed treatment for 2 out of 19 residents reviewed (Resident 6 and Resident 30). Findings include: A review of a facility policy entitled Medication Shortages/Unavailable Medications, last reviewed by the facility on October 1, 2025, indicated that upon discovery that the facility has an inadequate supply of a medication to administer to a resident, facility staff should immediately initiate action to obtain the medication from pharmacy. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 2.15% | 1.02× |
| 2024 | 2.14% | 1.00× |
| 2025 | 1.97% | 0.84× |
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