What is the most cited F-tag in Pennsylvania?

F684: “Provide appropriate treatment and care according to orders, resident’s preferences and goals.” Pennsylvania surveyors cited it 418 times at 318 of the 639 nursing homes they inspected in the 12 months from August 2025 through July 2026 (50%).

How many Pennsylvania nursing homes were cited for infection control?

240 of the 639 inspected in the 12 months from August 2025 through July 2026 (38%) were cited for F880, infection prevention and control.

How many immediate jeopardy citations did Pennsylvania nursing homes get?

108 in the 12 months from August 2025 through July 2026, out of 6,460 health citations, according to CMS's nursing home health citation file.

Pennsylvania Nursing Home F-Tag Citations

What surveyors cited

Every F-tag Pennsylvania surveyors cited, most cited first

August 2025 through July 2026. Source: CMS's nursing home health citation file, processed September 1, 2026.

Rank	Tag	Citations	Buildings cited	U.S. rank	Rank a year earlier	Immediate jeopardy	Actual harm
1	F684Provide appropriate treatment and care according to orders, resident’s preferences and goals	418	318 (50%)	#4	#1	6	18
2	F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents	361	271 (42%)	#2	#2	61	71
3	F880Provide and implement an infection prevention and control program	263	240 (38%)	#1	#3	4	0
4	F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards	256	227 (36%)	#3	#4	2	0
5	F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs	208	193 (30%)	#6	#5	1	0
6	F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured	206	183 (29%)	#5	#6	0	3
7	F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely	206	159 (25%)	#12	#7	1	0
8	F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies	162	151 (24%)	#19	#45	1	0
9	F641Ensure each resident receives an accurate assessment	154	151 (24%)	#18	#8	0	0
10	F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody	145	117 (18%)	#7	#10	14	72
11	F686Provide appropriate pressure ulcer care and prevent new ulcers from developing	130	116 (18%)	#15	#13	1	11
12	F695Provide safe and appropriate respiratory care for a resident when needed	124	116 (18%)	#13	#9	0	1
13	F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals	123	117 (18%)	#16	#11	0	1
14	F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards	118	102 (16%)	#9	#16	0	0
15	F677Provide care and assistance to perform activities of daily living for any resident who is unable	116	104 (16%)	#11	#17	0	1
16	F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function	108	106 (17%)	#24	#82	0	0
17	F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist	107	101 (16%)	#10	#12	1	2
18	F692Provide enough food/fluids to maintain a resident's health	105	97 (15%)	#26	#15	0	4
19	F610Respond appropriately to all alleged violations	100	89 (14%)	#21	#20	0	1
20	F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights	92	82 (13%)	#14	#19	0	1
21	F658Ensure services provided by the nursing facility meet professional standards of quality	84	76 (12%)	#17	#26	0	4
22	F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature	81	72 (11%)	#28	#24	0	0
23	F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections	75	74 (12%)	#23	#18	0	1
24	F835Administer the facility in a manner that enables it to use its resources effectively and efficiently	73	64 (10%)	#70	#46	0	0
25	F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures	68	66 (10%)	#34	#22	0	0

Every other tag cited (138)

Rank	Tag	Citations	Buildings cited	U.S. rank	Rank a year earlier	Immediate jeopardy	Actual harm
26	F698Provide safe, appropriate dialysis care/services for a resident who requires such services	67	65 (10%)	#36	#27	0	0
27	F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities	67	60 (9%)	#8	#29	2	0
28	F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident	64	64 (10%)	#20	#23	0	3
29	F760Ensure that residents are free from significant medication errors	63	57 (9%)	#22	#28	3	6
30	F607Develop and implement policies and procedures to prevent abuse, neglect, and theft	62	57 (9%)	#41	#34	3	2
31	F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason	59	57 (9%)	#37	#21	0	0
32	F697Provide safe, appropriate pain management for a resident who requires such services	58	56 (9%)	#33	#37	0	2
33	F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	55	53 (8%)	#46	#32	0	0
34	F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances	54	54 (8%)	#44	#31	0	0
35	F558Reasonably accommodate the needs and preferences of each resident	53	45 (7%)	#25	#38	0	0
36	F699Provide care or services that was trauma informed and/or culturally competent	52	52 (8%)	#73	#39	0	2
37	F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift	49	43 (7%)	#39	#30	1	1
38	F583Keep residents' personal and medical records private and confidential	47	46 (7%)	#38	#42	0	0
39	F908Keep all essential equipment working safely	45	43 (7%)	#55	#41	0	1
40	F883Develop and implement policies and procedures for flu and pneumonia vaccinations	44	44 (7%)	#47	#44	0	0
41	F694Provide for the safe, appropriate administration of IV fluids for a resident when needed	44	42 (7%)	#66	#53	1	0
42	F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action	44	37 (6%)	#75	#40	0	0
43	F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube	41	41 (6%)	#35	#48	0	0
44	F552Ensure that residents are fully informed and understand their health status, care and treatments	40	40 (6%)	#31	#88	0	0
45	F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive	39	39 (6%)	#29	#35	0	0
46	F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention	38	37 (6%)	#78	#47	0	0
47	F759Ensure medication error rates are not 5 percent or greater	37	37 (6%)	#27	#56	0	0
48	F554Allow residents to self-administer drugs if determined clinically appropriate	37	35 (5%)	#49	#54	0	0
49	F565Honor the resident's right to organize and participate in resident/family groups in the facility	36	35 (5%)	#72	#76	0	0
50	F730Observe each nurse aide's job performance and give regular training	34	33 (5%)	#65	#36	0	0
51	F814Dispose of garbage and refuse properly	33	32 (5%)	#51	#65	0	0
52	F919Make sure that a working call system is available in each resident's bathroom and bathing area	32	31 (5%)	#52	#67	1	0
53	F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being	31	31 (5%)	#50	#43	0	0
54	F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status	31	31 (5%)	#54	#79	0	0
55	F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge	31	30 (5%)	#48	#132	0	0
56	F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options	31	30 (5%)	#63	#60	0	1
57	F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician	31	28 (4%)	#79	#63	0	0
58	F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident	30	29 (5%)	#42	#52	0	0
59	F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services	28	27 (4%)	#69	#64	0	0
60	F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program	28	26 (4%)	#115	#77	0	0
61	F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests	28	22 (3%)	#56	#49	0	0
62	F791Provide or obtain dental services for each resident	27	27 (4%)	#71	#50	0	1
63	F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	27	27 (4%)	#85	#61	0	0
64	F732Post nurse staffing information every day	27	26 (4%)	#40	#70	0	0
65	F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia	26	25 (4%)	#91	#51	0	0
66	F575Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency	25	25 (4%)	#132	#103	0	0
67	F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered	25	25 (4%)	#59	#57	0	0
68	F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment	25	25 (4%)	#61	#71	0	1
69	F757Ensure each resident’s drug regimen must be free from unnecessary drugs	25	24 (4%)	#32	#58	0	0
70	F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months	23	23 (4%)	#76	#74	0	0
71	F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail	23	23 (4%)	#67	#72	0	0
72	F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times	22	21 (3%)	#94	#59	0	0
73	F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members	22	20 (3%)	#134	#85	0	0
74	F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public	22	18 (3%)	#30	#62	0	0
75	F810Provide special eating equipment and utensils for residents who need them and appropriate assistance	21	21 (3%)	#107	#68	0	0
76	F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies	21	21 (3%)	#81	#100	0	0
77	F685Assist a resident in gaining access to vision and hearing services	20	20 (3%)	#80	#80	0	0
78	F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services	19	19 (3%)	#83	#89	0	0
79	F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made	18	17 (3%)	#110	#116	0	0
80	F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation	18	16 (3%)	#120	#81	0	0
81	F946Provide training in compliance and ethics	18	16 (3%)	#138	#111	0	0
82	F949Provide behavior health training consistent with the requirements and as determined by a facility assessment	18	16 (3%)	#126	#92	0	0
83	F602Protect each resident from the wrongful use of the resident's belongings or money	17	17 (3%)	#57	#84	0	1
84	F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason	17	17 (3%)	#68	#69	0	0
85	F770Provide timely, quality laboratory services/tests to meet the needs of residents	17	17 (3%)	#87	#91	0	0
86	F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program	17	15 (2%)	#139	#117	0	0
87	F745Provide medically-related social services to help each resident achieve the highest possible quality of life	16	16 (3%)	#92	#108	0	0
88	F881Implement a program that monitors antibiotic use	16	16 (3%)	#58	#73	0	0
89	F711Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit	16	15 (2%)	#102	#101	0	0
90	F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents	16	15 (2%)	#148	#104	0	0
91	F679Provide activities to meet all resident's needs	15	14 (2%)	#53	#66	0	0
92	F637Assess the resident when there is a significant change in condition	14	14 (2%)	#86	#83	0	0
93	F638Assure that each resident’s assessment is updated at least once every 3 months	13	13 (2%)	#100	#97	0	0
94	F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service	13	12 (2%)	#96	#126	0	0
95	F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions	12	12 (2%)	#77	#98	0	0
96	F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice	12	12 (2%)	#62	#102	0	0
97	F790Provide routine and 24-hour emergency dental care for each resident	12	12 (2%)	#106	#122	0	0
98	F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home	12	12 (2%)	#97	#78	0	0
99	F940Develop, implement, and/or maintain an effective training program for all new and existing staff members	12	12 (2%)	#118	#112	0	0
100	F553Allow resident to participate in the development and implementation of his or her person-centered plan of care	11	11 (2%)	#98	#93	0	0
101	F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies	11	11 (2%)	#84	#86	0	0
102	F579Provide information about how to apply for and use Medicare and Medicaid benefits	11	11 (2%)	#167	#141	0	0
103	F773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results	11	11 (2%)	#104	#99	0	0
104	F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs	11	10 (2%)	#64	#94	1	1
105	F687Provide appropriate foot care	10	9 (1%)	#90	#105	0	0
106	F865Have a plan that describes the process for conducting QAPI and QAA activities	10	8 (1%)	#82	#90	0	0
107	F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment	9	9 (1%)	#74	#113	0	0
108	F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse	9	9 (1%)	#103	#87	0	0
109	F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services	8	8 (1%)	#122	#106	0	0
110	F712Ensure that the resident and his/her doctor meet face-to-face at all required visits	8	8 (1%)	#116	#123	0	0
111	F567Honor the resident's right to manage his or her financial affairs	7	7 (1%)	#108	#136	0	0
112	F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death	7	7 (1%)	#105	#118	0	0
113	F645PASARR screening for Mental disorders or Intellectual Disabilities	7	7 (1%)	#45	#109	0	0
114	F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives	7	7 (1%)	#88	#142	3	0
115	F926Have policies on smoking	7	7 (1%)	#121	#133	0	0
116	F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home	6	6 (1%)	#113	#119	0	0
117	F576Ensure residents have reasonable access to and privacy in their use of communication methods	6	6 (1%)	#109	#143	0	0
118	F680Ensure the activities program is directed by a qualified professional	6	6 (1%)	#131	#120	0	0
119	F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder	6	6 (1%)	#112	#95	1	1
120	F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law	6	6 (1%)	#99	#124	0	0
121	F825Provide or get specialized rehabilitative services as required for a resident	6	6 (1%)	#101	#127	0	0
122	F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards	6	5 (1%)	#124	#96	0	0
123	F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed	5	5 (1%)	#43	#110	0	0
124	F659Provide care by qualified persons according to each resident's written plan of care	5	5 (1%)	#145	not cited	0	0
125	F710Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care	5	5 (1%)	#130	#114	0	0
126	F844Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel	5	5 (1%)	#160	#167	0	0
127	F551Give the resident's representative the ability to exercise the resident's rights	5	4 (1%)	#117	not cited	0	0
128	F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records	4	4 (1%)	#114	#128	0	0
129	F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft	4	4 (1%)	#136	#137	0	0
130	F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide	4	4 (1%)	#149	#125	0	0
131	F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis	4	4 (1%)	#60	#134	0	0
132	F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility	4	4 (1%)	#128	not cited	0	0
133	F850Hire a qualified full-time social worker in a facility with more than 120 beds	4	4 (1%)	#127	#148	0	0
134	F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data	4	4 (1%)	#89	#138	0	0
135	F574The resident has the right to receive notices in a format and a language he or she understands	3	3 (0%)	#154	#129	0	0
136	F728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training	3	3 (0%)	#123	#157	0	0
137	F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them	3	3 (0%)	#143	#144	0	0
138	F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration	3	3 (0%)	#125	#115	0	0
139	F839Employ staff that are licensed, certified, or registered in accordance with state laws	3	3 (0%)	#135	#135	0	0
140	F840Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service	3	3 (0%)	#146	#121	0	0
141	F848Provide a neutral and fair arbitration process and agree to arbitrator and venue	3	3 (0%)	#152	#145	0	0
142	F910Ensure resident rooms meet each resident's needs	3	3 (0%)	#173	not cited	0	0
143	F924Put firmly secured handrails on each side of hallways	3	3 (0%)	#141	#139	0	0
144	F570Assure the security of all personal funds of residents deposited with the facility	2	2 (0%)	#157	#146	0	0
145	F571Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid	2	2 (0%)	#166	not cited	0	0
146	F572Give residents a notice of rights, rules, services and charges	2	2 (0%)	#142	#149	0	0
147	F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted	2	2 (0%)	#133	not cited	0	0
148	F675Honor each resident's preferences, choices, values and beliefs	2	2 (0%)	#147	#150	0	0
149	F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining	2	2 (0%)	#150	#130	0	0
150	F813Have a policy regarding use and storage of foods brought to residents by family and other visitors	2	2 (0%)	#93	#140	0	0
151	F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame	2	2 (0%)	#119	#151	0	0
152	F912Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms	2	2 (0%)	#95	#158	0	0
153	F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition	1	1 (0%)	#129	#168	0	0
154	F696Provide appropriate care/assistance for a resident with a prosthesis	1	1 (0%)	#190	not cited	0	0
155	F743Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable	1	1 (0%)	#181	#159	0	0
156	F772Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided	1	1 (0%)	#169	#152	0	0
157	F775Keep complete, dated laboratory records in the resident's record	1	1 (0%)	#161	#169	0	0
158	F777Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results	1	1 (0%)	#156	#170	0	0
159	F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs	1	1 (0%)	#111	#153	0	0
160	F841Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility	1	1 (0%)	#153	#160	0	0
161	F914Provide bedrooms that don't allow residents to see each other when privacy is needed	1	1 (0%)	#137	#161	0	0
162	F917Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space	1	1 (0%)	#165	#154	0	0
163	F922Have enough backup water supply for essential areas of the nursing home	1	1 (0%)	#174	#155	0	0

A tag is ranked by how many times it was cited. “Buildings cited” counts the inspected buildings that drew the tag at least once, and its percentage is of every building inspected; we print a percentage only where 20 or more buildings were inspected. “Rank a year earlier” is the same ranking over August 2024 through July 2025. CMS publishes citations months after the survey, so the newest months are still filling in: compare ranks across the two years, not counts. Immediate jeopardy is CMS severity J, K or L; actual harm is G, H or I. No building is named on this page: open a building for its own inspections.

Pennsylvania nursing home survey citations, by F-tag

Every F-tag Pennsylvania surveyors cited, most cited first

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