Based on review of facility policy, facility documents, staff and resident interviews it was determined that the facility failed to provide a fully functioning call bell system for one resident resulting in an immediate jeopardy situation for one of three residents (Resident R1). Findings include: Review of facility policy Answering the Call Light dated 1/2/26, indicated: The purpose of this procedure is to ensure timely responses to the residents requests and needs. General Guidelines - Be sure that the call light is plugged in and functioning at all times. Some residents may not be able to use their call light. Be sure you check these residents frequently. Review of admission Record indicated Resident R1 was admitted on [DATE]. …
F919 citations in Pennsylvania
Call system · Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F919 less often than its own record predicts
0.85 times the national share — cited less often here than elsewhere.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F919.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F919 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 policy, review of facility grievances, review of call bell audits, observations, and resident and staff interviews, it was determined the facility failed to ensure residents receive timely assistance in response to activated call bells for three of seven residents reviewed (Resident R2, R4, and R5). Findings include: Review all the facilities policy titled Call Bell Policy for Long Term Care Facility undated, revealed the facility was responsible for ensuring residents had timely access to assistance through the call bell system and received prompt and appropriate responses from staff. …
Based on review of facility documentation, facility policy, resident and staff interviews it was determined that the facility failed to maintain a functioning emergency call light available for 17 of 102 residents. Findings include: Facility policy Answering the Call Light, dated 10/31/21, indicated that the purpose of this procedure is to respond to the resident's requests and needs. During a resident group on 4/12/22, at 2:50 p.m. five of five residents indicated that the call bell system does not always work. Residents stated that when the call bell's don't work they are given a cow bell to use. A review of facility documentation indicated that seventeen resident rooms are without working call bell's. During an interview on 4/11/22, at 1:50 p.m. …
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.57% | 1.31× |
| 2024 | 0.35% | 0.80× |
| 2025 | 0.38% | 0.85× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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