Based on a review of facility admission documents and staff interviews, it was determined that the facility failed to ensure resident rights to make informed decisions and choices in the residents' welfare by making certain residents understand the conditions of a binding arbitration agreement and failed to ensure the agreement is explained to the resident and his or her representative in a form and manner that he or she understands, including in a language the resident and his or her representative understands for eight of fifteen residents (Resident R9, R17, R88, R114, R115, R117, R121, and R122).Findings include: Review of the facility policy Arbitration Agreements reviewed on 1/20/26, indicated the arbitration agreement is a legally binding contract in which a resident or their… …
F847 citations in Pennsylvania
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F847 more often than its own record predicts
1.54 times the share F847 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F847.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F847 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 facility documents, resident and staff interviews it was determined that the facility failed to ensure resident rights to make informed decisions and choices in the residents welfare by making certain residents understand the conditions of a binding arbitration agreement for six of six residents (Resident R400, R401, R402, R403, R404, and R405). Findings include: Review of the Admission Packet list attachments as Attachment P Voluntary Arbitration Agreement. Review of the Arbitration Agreement indicated that the agreement is voluntary. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.22% | 1.45× |
| 2024 | 0.21% | 1.26× |
| 2025 | 0.23% | 1.54× |
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