The document summarizes deficiency reports from two healthcare facilities over a five year period. At Mercy Fitzgerald Hospital, the most common deficiency was failures to obtain physician orders before restraining patients, violating policy. This could stem from understaffing, lack of access to sedatives, or feelings of helplessness among staff. The report also notes general carelessness, like failing to properly prepare a patient for surgery. At Bryn Mawr Extended Care Center, the most frequent violation was failure to ensure patient well-being, like incorrect documentation leading to medical issues. Understaffing, disorganization, and poor sanitation were cited as root causes. Both facilities addressed deficiencies by educating staff but failed to prevent recurrences, implying a