Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
F837 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F837 less often than its own record predicts
Versus expected share0.83×
0.83 times the national share — cited less often here than elsewhere.
Share of Pennsylvania citations0.05%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F837.
Pennsylvania0.05%
National0.05%
Share of all citations that were F837.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F837 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.
E · No harm, potential for more than minimal, patternFebruary 5, 2026
Based on a review of facility documents, observations, and staff interviews, it was determined that the governing body failed to implement policies regarding the management of the operation of the facility by failing to align facility policies with Centers for Medicare and Medicaid Services requirements.Findings include: Review of the facility policy, Governing Body dated [DATE], previously dated [DATE], indicated, The Governing Body is, to the extent required by applicable law, responsible for establishing and implementing policies regarding management and operation of the Facility. …
C · No harm, potential for minimal, widespreadSeptember 18, 2025
Based on a review of facility documents, observations, and staff interviews, it was determined that the governing body failed to implement policies regarding the management of the operation of the facility by failing to respond to facility requests for equipment repairs. Findings include:28 PA Code Commonwealth of Pennsylvania Long Term Care Licensure Regulations, subsection 201.18(e)(3)(2.1), dated 7/1/23, indicated the administrator's responsibilities shall include ensuring that a sanitary, orderly and comfortable environment is provided for residents through satisfactory housekeeping in the facility and maintenance of the buildings and grounds. During an observation of the food preparation area of the Main Kitchen on 9/16/25, at 12:58 p.m. …
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