Based on the staff interviews, reviews of facility documents and observation, it was determined that the facility failed to ensure that the central air condition system was maintained in a safe operating condition for two of two chillers. This failure resulted in one non-operational chiller and a second chiller requiring extensive repairs and cleaning. This failure was identified as an Immediate Jeopardy with air temperatures rising above 81 degrees in two of two nursing units (2nd and 3rd floor). Findings include: Review of The Department of Energy's recommendation titled Maintaining Your Air Conditioner revealed that an air conditioner's filters, coils, and fins require regular maintenance for the unit to function effectively and efficiently throughout its years of service. …
F908 citations in Pennsylvania
Equipment in safe condition · Environmental Deficiencies
Keep all essential equipment working safely.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F908 more often than its own record predicts
1.57 times the share F908 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F908.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F908 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 observations and staff interviews it was determined the facility failed to ensure equipment was in safe operating condition for two of two crash carts (carts maintained with equipment used in emergencies) which caused the actual harm of a delay in emergency care for one of five residents (Resident R1).Findings include: Review of the facility Emergency Equipment Check Policy dated 10/23/25, revealed, Emergency equipment/cart(s) will be checked daily and items which are outdated or opened will be replaced. The cart will be restocked promptly after any use. Check contents against community-specific emergency cart contents checklist. Replace missing items and items that have been opened. Initial/sign community specific emergency cart check sheet. …
Based on observations, review of facility documentation, and staff interviews, it was determined that the facility failed to make certain that equipment was in safe operating condition for two of two crash carts (a cart that contains supplies in the event of an emergency), (First and Ground Floor).Findings include: Review of the facility policy Crash Cart Monitoring and Rehabilitation dated [DATE], indicated the facility will maintain crash carts and emergency equipment in a clean, secure, accessible, and ready-to-use condition. Crash carts will be monitored by licensed nursing staff. Missing, expired, damaged, opened, or malfunctioning medications, supplies, and equipment will be removed and replaced promptly. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 1.43× |
| 2024 | 0.51% | 1.15× |
| 2025 | 0.71% | 1.57× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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