Based on review of facility documents and staff interviews, it was determined that the facility failed to provide Infection Control training to two of five direct care facility staff (Licensed Practical Nurse (LPN) Employees E12 and E13) and three of five new hire employees (Activity Director Employee E14, LPN Employee E15 and Nurse Aide (NA) Employee E16). Findings include:During an interview on 8/18/26, at approximately 2:28 p.m., Staffing Coordinator/ Human Resources Employee E5 confirmed that she did not have education records for the two Agency staff that had worked in the facility (Licensed Practical Nurse Employee E15 and Nurse Aide Employee E16), the newly hired Activity Director Employee E14 did not have trainings for infection control and there is no documented evidence of LPN… …
F945 citations in Pennsylvania
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Pennsylvania cites F945 more often than its own record predicts
3.28 times the share F945 takes of citations nationally.
Of every deficiency written in Pennsylvania in 2025, this is the portion that was F945.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Pennsylvania surveyors wrote
F945 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.
The short window
Recent years
| Year | Share of Pennsylvania citations | vs expected |
|---|---|---|
| 2023 | 0.03% | 1.98× |
| 2024 | 0.08% | 1.67× |
| 2025 | 0.18% | 3.28× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Pennsylvania surveyors cite →
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