Based on observation, facility policy review, and staff and resident interview, it was determined that the facility failed to ensure that hot beverages were monitored and served at a safe temperature on the nursing units which placed residents at risk for burn injuries. ([NAME] Court, units 100, 200, and 300) This failure resulted in an Immediate Jeopardy situation. Findings include: Review of documentation by the American Burn Association's Burn Prevention Committee entitled, Scald Injury Prevention, revealed that a scald injury occurred when a hot liquid damaged one or more layers of skin and hot beverages were a frequent source of scald burns. Older adults were the most frequent victims of scald injuries due to thin skin, reduced mobility, and reduced ability to feel heat. …
F804 citations in Pennsylvania
Food palatability and temperature · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F804 more often than its own record predicts
1.43 times the share F804 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F804.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F804 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 facility documents, observations, and resident and staff interviews it was determined that the facility failed to serve food that was palatable for nineteen of thirty-two residents (Residents R9, R90, R500, R501, R502, R503, R504, R505, R506, R507, R508, R509, R510, R511, R512, R513, R514, R515, and R516).Findings include: Review of the facility policy Meal Service Line last reviewed on 1/20/26, indicated food will be prepared by methods that conserve nutritive value. Flavor and appearance. And will be placed on tray in an attractive manner as near to the time of actual tray service as possible. This is done to ensure acceptable temperatures of food when the tray is served to the resident. …
Based on facility documentation, resident interview, results of a test tray audit, and staff interview, it was determined that the facility failed to provide food that was palatable and at an appetizing temperature on one of four nursing units. (4th floor)Findings include:In a group interview on February 10, 2026, at 10:00 a.m., Residents 12, 15, 49, and 166 reported that hot food was frequently served cold.Review of facility documentation entitled, Food and Nutrition Services Test Tray Evaluation, revealed that the hot main entree, starch, and vegetable should be greater than 140 degrees Fahrenheit (F) at point of service to the resident. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 1.62% | 1.65× |
| 2024 | 1.11% | 1.16× |
| 2025 | 1.32% | 1.43× |
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