Based on policy review, resident and staff interviews, observation, and record review, the facility failed to assist residents in obtaining timely dental services to obtain dentures for one of three residents reviewed (Resident 3), resulting in phyco-social harm and weight loss. Findings include:Review of the facility policy, titled Dental Services Policy with a last review date of January 21, 2026, revealed 12. Facility will promptly, within 3 days, refer residents with lost or damaged dentures for dental services.Review of Resident 3's clinical record revealed diagnosis that included dementia (loss of cognitive functioning that interferes with daily life) and chronic kidney disease (a long- term condition in which the kidneys gradually lose their ability to function properly).During an… …
F791 citations in Pennsylvania
Dental services · Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F791 more often than its own record predicts
1.97 times the share F791 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F791.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F791 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 clinical records, and staff and resident interviews, it was determined that the facility failed to ensure that a resident was assessed by a dentist for one of one resident. (Resident 7).Findings include:Review of Resident 7's clinical record revealed the resident was admitted to the facility on [DATE], with a diagnosis of type 2 diabetes (insufficient production of insulin, causing high blood sugar), and chronic obstructive pulmonary disease, unspecified (a common lung disease causing restricted airflow and breathing problems).Interview with Resident 7 on August 19, 2026, at 6:15 p.m. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.32% | 1.08× |
| 2024 | 0.38% | 1.35× |
| 2025 | 0.54% | 1.97× |
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