Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
F838 in Pennsylvania. Pick another state for the same tag.
Against expectation — 2025
Pennsylvania cites F838 less often than its own record predicts
Versus expected share0.72×
0.72 times the national share — cited less often here than elsewhere.
Share of Pennsylvania citations0.18%
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F838.
Pennsylvania0.18%
National0.25%
Share of all citations that were F838.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F838 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.
G · Actual harm, isolatedApril 23, 2018
Based on a review of the Facility Assessment, the facility failed to assess the knowledge, skills, abilities, behaviors and other characteristics needed to ensure that the staff were able to perform work roles to meet the residents' needs. This failure resulted in actual harm to one resident when the facility staff failed to maintain the well being of a resident who sustained an acute change in their medical condition resulting from a fall which resulted in actual harm of [MEDICATION NAME] force trauma followed by death to that resident (Resident CL1). …
D · No harm, potential for more than minimal, isolatedAugust 7, 2026
Based on review of facility documents and staff interview, it was determined that the facility failed to accurately complete the Facility Assessment. Findings include: A review of the Facility Assessment, dated 7/15/26, revealed the facility did not complete the template to indicate accurate information on the skill sets that are necessary to provide the level and types of care needed for the resident population; including specific medical equipment currently in use.The equipment that failed to be included in the facility's medical equipment section included: Automated External Defibrillator (AED a portable lifesaving device), Tracheostomy care and management, Life Vest (a wearable cardioverter defibrillator for residents at risk of sudden cardiac death), Wound Vac machines (a negative… …
C · No harm, potential for minimal, widespreadAugust 20, 2026
Based on review of facility assessment and staff interview, it was determined that the facility failed to ensure the direct care staff and input from residents, resident representatives, and/or family members was included when conducting the facility assessment. Findings include: Review of the facility's facility assessment, dated July 06, 2026, revealed there was no indication that the facility involved direct care staff, input from residents, resident representatives, and/or family members. Interview with Employee E1, Administrator, on August 18, 2026, at approximately 11:40 a.m., confirmed there was no direct care staff, resident representatives, and/ or family members included in the facility assessment. 28 Pa. Code 201.18 (b)(3) Management.28 Pa. Code 211.12 (d)(1) Nursing services.
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