Deficiency Index

F940 citations in Pennsylvania

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

F940 in Pennsylvania. Pick another state for the same tag.

Against expectation — 2025

Pennsylvania cites F940 more often than its own record predicts

Versus expected share1.08×

1.08 times the share F940 takes of citations nationally.

Share of Pennsylvania citations0.11%

Of every deficiency written in Pennsylvania in 2025, this is the portion that was F940.

Each state is measured against its own expected share, not against other states.

In the surveyor’s words

What Pennsylvania surveyors wrote

F940 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.

E · No harm, potential for more than minimal, patternJuly 31, 2026

Based on a review of clinical records, employee records, the facility assessment, facility policies and procedures, and staff interviews, it was determined the facility failed to develop, implement, and maintain an effective training program, based on the facility assessment, to ensure licensed nursing staff demonstrated the knowledge, skills, and documented competencies necessary to provide care for a resident with a peripherally inserted central catheter (PICC) line for one of 23 residents reviewed (Resident 6). Findings included: Federal regulation requires that a facility develop, implement, and maintain an effective training program for all new and existing staff. …

Gardens at Orangeville, The

C · No harm, potential for minimal, widespreadJuly 24, 2026

Based on review of facility personnel in-service training records, and staff interview, it was determined that the facility failed to provide training on emergency preparedness annually to all staff members.Findings include:Review of the United States Code of Federal Regulations S483.73(d)(ii) Emergency Preparedness indicated, The LTC (long-term care) facility must: Provide emergency preparedness training at least annually and Maintain documentation of the training.During an interview on 7/23/26, at approximately 12:46 p.m. the Director of Maintenance Employee E18 confirmed that emergency preparedness training is only provided during new-employee orientation and is not completed annually with each staff member.During an interview on 7/23/26, at approximately 2:00 p.m. …

Terrace Health & Rehab Center

The short window

Recent years

YearShare of Pennsylvania citationsvs expected
20230.03%0.40×
20240.17%1.79×
20250.11%1.08×

Shares of citations, not counts: earlier years hold fewer inspections.

What else Pennsylvania surveyors cite →

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