Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
F836 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F836 more often than its own record predicts
Versus expected share2.25×
2.25 times the share F836 takes of citations nationally.
Share of Pennsylvania citations0.15%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F836.
Pennsylvania0.15%
National0.07%
Share of all citations that were F836.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F836 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.
L · Immediate jeopardy, widespreadJuly 2, 2024
Based on a review of vendor invoices, facility financial documents, as well as interviews with vendors and staff, it was determined that facility failed to pay bills in a timely manner which caused interruption of services, and created an immediate jeopardy situation for 452 of 452 residents.
Findings include:
28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection 201.14(g), dated 7/1/23, indicated that a facility owner shall pay in a timely manner bills incurred in the operation of a facility that are not in dispute and that are for services without which the residents' health and safety are jeopardized. …
D · No harm, potential for more than minimal, isolatedJune 16, 2026
Based on review of facility policy, Pennsylvania Code Title 49. Professional and Vocational Standards, clinical records, and facility documentation, and staff interview, it was determined that the facility failed to follow nursing standards of practice for safe medication administration for one of eight residents reviewed for medication administration (Resident R1). Findings include: Review of the Facility Policy, Medication Administration General Guidelines dated 2/1/26, indicated it is the policy to safely administer medications to residents as prescribed by the practitioner and in accordance with current standards of practice and regulatory requirements. …
B · No harm, potential for minimal, patternSeptember 12, 2022
Based on review of professional literature, review of facility documentation and interviews with staff, it was determined that the facility failed to report COVID-19 testing data to the State for five of five residents reviewed (Resident R31, R85, R76, R9, and R69).
Findings include:
A review of the PA DOH Health Network Alert titled Updated Reporting Requirements for COVID-19 Test Results dated April 4, 2022, revealed all positive COVID-19 test results should be reported to the state survey agency within 24 hours of completion of the test. …
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