Based on review of facility policy, clinical record, and staff interview it was determined that the facility failed to notify families of residents with positive COVID-19 (a contagious disease caused by a virus) test results in a timely manner for two of five COVID-19 positive residents (Residents R3, and R37.) Findings include: Review of the facility policy Guidance in Managing Respiratory Illnesses and Outbreaks dated 1/2/24, indicated that that upon identifying that residents have developed COVID-19, that the facility should notify residents and families. Review of the clinical record revealed that Resident R3 was admitted to the facility on [DATE]. …
F885 citations in Pennsylvania
Infection Control Deficiencies
Report COVID19 data to residents and families.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Pennsylvania cites F885 more often than its own record predicts
3.96 times the share F885 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2024, this is the portion that was F885.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F885 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 documentation and staff interview, it was determined that the facility was not notifying families of the occurrence of COVID-19 positive cases in the required timeframe between May 10, 2022 through May 31, 2022. Findings include: Review of facility records indicated the following positive COVID-19 cases between 5/10/22 through 5/31/22: 5/10/22 - one employee, 5/16/22 - one employee, 5/17/22 - three employees, 5/20/22 - three employees, 5/21/22 - two employees, three residents 5/23/22 - one employee, 5/24/22 - one employee, three residents 5/25/22 - two residents 5/26/22 - two employees, 5/27/22 - one employee, one resident The facility lacked evidence that families were notified by 5:00 p.m. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.06% | 1.23× |
| 2024 | 0.01% | 3.96× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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