Based on interviews with staff, review of a clinical record and facility documents, it was determined that the facility did not ensure that a radiology study was obtained in a timely manner for one resident with persistent arm pain resulting from a displaced right humerus fracture for one of two clinical records reviewed resulting in actual harm.(Resident R1). Findings include: Resident R1 was admitted to the facility on (MONTH) 16, (YEAR), with [DIAGNOSES REDACTED]. The Incident and Accident Report dated 11/17/18, at 8:00 AM revealed that the nurse aide assigned to the resident on night shift was given report that the resident was having shoulder pain. …
F776 citations in Pennsylvania
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F776 less often than its own record predicts
0.40 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F776.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F776 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 obtain diagnostic studies as recommended by a rheumatology consultation for one of 5 residents reviewed (Resident 3).Findings include: A quarterly Minimum Data Set (MDS) assessment (a mandated assessment of a resident's abilities and care needs) for Resident 3, dated August 10, 2026, revealed that the resident was cognitively intact, required staff assistance with daily care needs, and had diagnoses that included multiple sclerosis. A rheumatology consult, dated June 29, 2026, recommended a DXA bone density scan (test that measures the strength and mineral content of bones) be obtained. There was no documented evidence that Resident 3 had a DXA bone density scan after June 29, 2026. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 0.66× |
| 2024 | 0.08% | 1.38× |
| 2025 | 0.02% | 0.40× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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