Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Acadia Nursing And Rehab Center during CMS and state inspections, most recent first.
Food storage, sanitation, and hygiene deficiencies were observed in the kitchen and a resident refrigerator. Opened dry goods, refrigerated foods, and freezer items were found without required dates, some food was expired, dishwater temperature logs were incomplete, kitchen equipment and surfaces were dirty, chemicals were stored with food items, and dietary staff were observed preparing food without beard coverings. The conference room resident refrigerator also contained unlabeled and expired food items.
Respiratory care was not provided as ordered for three residents with respiratory equipment needs. A resident with PRN nebulizer treatment had a nebulizer machine that was not labeled with the date and time last changed, and two residents with oxygen orders had cannulas that were not dated as required; one cannula was also not bagged when not in use. Staff confirmed the missing labels during observation.
A resident with anxiety, seizure disorder, bulimia nervosa, and borderline personality disorder was not informed of planned medication changes and was not allowed to participate in care decisions. Records showed clonazepam and Ativan orders were changed, but the resident was not documented as being told beforehand; when later informed, the resident became upset and said nobody listened and the doctor took the medication away without talking first.
A resident with HTN, HLD, and anxiety had two signs posted above the bed with private health information, including instructions about water and hearing aids. The record did not show approval from the resident or representative for posting the information, and an LPN confirmed the signs were in place and the resident’s confidential medical record was not maintained.
A resident with diabetes, AKI, HTN, and anxiety was documented as choosing hospice and receiving comfort measures only, but the MDS record did not include the required significant change assessment for hospice services. The Regional clinical director and LPN Assessment Coordinator confirmed the omission.
A facility failed to provide appropriate care for two residents with feeding tubes. One resident receiving continuous enteral nutrition had dried formula covering the bottom of the feeding pole, and an RN confirmed the soiled equipment. For another resident ordered bolus Osmolite 1.5, an LPN administered the feeding by pushing the syringe plunger instead of using gravity, and the DON confirmed the bolus procedure should be done by gravity.
Failure to Provide Trauma Informed Care: A resident with anxiety, depression, and bi-polar disorder was identified as a trauma survivor, but the care plan did not identify individualized triggers to help prevent re-traumatization. Facility policy called for individualized care plans that minimize triggers, and the SW confirmed the deficiency during interview.
Failure to post current nurse staffing information. An observation found that the staffing sheet at the nurses' station showed an outdated date and did not accurately reflect the current resident census or the total hours worked by licensed and unlicensed nursing staff directly responsible for resident care. An RN confirmed the required current staffing and census information was not posted.
Improper Storage and Labeling of Medications: The facility failed to properly store drugs and biologicals in the Front Hall med room and in two med carts. Observations found non-medication items stored in the med room, open oral liquid and suppositories not kept in packaging in the refrigerator, and multiple open inhalers, neb solutions, and nasal spray not labeled with a date. A box of suppositories was also stored with oral meds, and an RN plus two LPNs confirmed the findings.
A meal service did not match the posted menu, with residents served turkey, mixed vegetables, and cheese potatoes instead of the planned fried chicken meal. The Dietary Manager said the change was due to a cooler issue and could not produce evidence that the RD reviewed and approved the menu substitution before it was served.
Improper Dumpster and Garbage Disposal: Surveyors observed one outside dumpster with the lid open and debris scattered on the ground. Dietary staff confirmed the condition and stated it had not yet been cleaned up, despite the facility policy requiring food-related garbage and refuse to be stored in a manner inaccessible to pests and outside dumpsters to remain closed and free of surrounding litter.
Failure to follow EBP and maintain infection surveillance. A resident with a G-tube and orders for EBP requiring gowns and gloves during high-contact care received bolus tube feeding from an LPN without a gown. The facility also lacked monthly infection surveillance tracking for two months in its records, and the IP confirmed both the gown requirement for tube feeding and the missing surveillance entries.
The facility failed to complete antibiotic stewardship monitoring for two months and failed to document a complete antibiotic order for a resident receiving Cephalexin. The resident’s order included the drug, dose, and frequency, but did not identify the type or site of infection, and the IP confirmed the missing documentation.
The facility failed to maintain a qualified IP onsite to oversee the infection prevention and control program during two gaps in coverage. Facility records showed one IP was not yet qualified before completing the required education, and another IP had not yet completed the qualifying education after becoming DON, leaving periods when no qualified IP was designated.
Two residents were unable to access their trust account funds on weekends and holidays due to inconsistent implementation and staff confusion regarding the facility's policy for after-hours fund access. Staff interviews revealed a lack of clarity about the process, and the administrator confirmed that residents were not provided access to their funds as required.
The facility did not serve the approved dinner menu, substituting minestrone soup and carrot raisin salad with other items due to lack of supplies. Staff confirmed that menu changes were made without RD review or approval, resulting in non-compliance with the displayed menu.
Surveyors identified several deficiencies in the Main Kitchen, including failure to monitor food expiration dates, maintain clean food equipment, ensure proper beard restraint for staff, uphold sanitary conditions during tray line, and verify dish machine sanitizing temperatures. These lapses were confirmed by the Dietary Manager and Administrator, with observations of undated or expired food, grime buildup, improper use of dropped plate lids, and lack of temperature checks for dish sanitation.
For a full year, the facility did not conduct or document required floor mapping as part of its infection surveillance program, as confirmed by record review and staff interview.
The facility did not maintain an effective pest control program, resulting in a persistent gnat infestation in the kitchen and dry food storage areas. Staff and pest control documentation confirmed ongoing issues, with observations of gnats throughout the kitchen and contributing factors such as water damage and inaccessible areas for treatment.
The facility did not complete admission agreements in a timely manner for four residents and failed to ensure that three cognitively impaired residents had the capacity to understand the agreements they signed. Some agreements were completed well after admission, and residents with severe or moderate cognitive impairment signed their own agreements without proper assessment of their understanding.
The facility did not complete required annual performance evaluations for three nurse aides, as shown by a review of personnel records and confirmed by the administrator. This failure was not in accordance with the facility's policy, which mandates yearly performance reviews for nurse aides.
The facility did not ensure that three residents with cognitive impairments, including dementia and stroke, had the capacity to understand the terms of binding arbitration agreements before signing. Facility policy requires clear explanation and understanding, but documentation and staff interviews confirmed that these residents lacked the necessary capacity at the time of signing.
The facility did not ensure that crash carts in both the Front and Back hallways were checked and documented daily as required, with one cart missing an entire month's checklist and the other lacking documentation for 14 days. This was confirmed by an LPN, an RN, and the DON, indicating a failure to maintain essential emergency equipment in safe operating condition.
The facility did not provide mandatory QAPI training to three nurse aides and an LPN, as required by its own policies for orientation and annual education. This lapse was confirmed by the DON and identified through document review and staff interviews.
Four staff members, including three nurse aides and an LPN, did not receive required annual compliance and ethics training as mandated by facility policy. This lapse was confirmed by the DON and identified through review of training records and staff interviews.
Staff took and shared unauthorized photos and videos of two residents, both with significant medical conditions, without their knowledge or consent. The images were transmitted between staff and then to another resident, constituting mental abuse facilitated by technology. Facility leadership confirmed the failure to protect residents from this form of abuse.
Two residents received PRN orders for Hydroxyzine, a psychotropic medication, for anxiety without the required 14-day stop dates or physician-documented rationale for extending use beyond 14 days, contrary to facility policy and regulatory requirements. The DON confirmed the lack of compliance with psychotropic medication management protocols.
A nurse aide was permitted to begin working before a criminal background check was completed, as required by regulations. Review of personnel records and administrator confirmation showed the background check was conducted after the nurse aide's start date, indicating noncompliance with mandated employee screening procedures.
Two residents requiring oxygen therapy did not receive appropriate respiratory care, as oxygen equipment was not maintained or labeled according to facility policy. Staff confirmed that humidifiers and tubing were not dated as required, and physician orders lacked clear instructions for oxygen maintenance.
A resident with multiple chronic conditions did not have required monthly Medication Regimen Reviews (MRR) completed or documented by the consultant pharmacist for several months. The DON confirmed the absence of MRR documentation, citing lack of computer access for the pharmacist and inability to locate records, in violation of facility policy.
Surveyors found that drugs and biologicals were not stored securely or in an orderly manner in a medication room. Items such as a personal cell phone, food, and backpacks were present on the counter, while an unlocked tackle box under the sink contained various injectable medications. Unlabeled medication samples were also found in a brown paper bag on a shelf. An LPN confirmed the improper storage and labeling practices.
The facility failed to obtain a physician order for hospice services and did not ensure proper coordination of hospice care with facility services for two residents with serious medical conditions. In both cases, the care plans lacked essential information such as hospice agency contact details and instructions for accessing 24-hour hospice support, and one resident's record did not include a hospice-related diagnosis or order.
Two nurse aides did not receive required in-service training on effective communication, as confirmed by a review of training records and facility policy. The DON acknowledged that these staff members lacked documented training on this topic during the review period.
Two staff members, an LPN and a nurse aide, did not receive the required annual behavioral health training as outlined in the facility's assessment. The DON confirmed the lapse in training during an interview, and review of records showed the training was not completed within the expected timeframe.
A resident was observed with medications at her bedside without a physician's order for self-administration, contrary to the facility's policy. The resident, diagnosed with diabetes, atrial fibrillation, and high blood pressure, did not have care plan interventions for self-administration. A nurse confirmed the medications were left without an order, and the NHA acknowledged the oversight.
Beaver Healthcare and Rehabilitation Center failed to meet state-mandated nurse aide-to-resident ratios on several occasions. The facility was understaffed during the day, evening, and night shifts, as confirmed by a review of staffing documents and census data. The Nursing Home Administrator acknowledged these deficiencies, which occurred over a period of three weeks.
The facility failed to implement COVID-19 infection control policies, affecting ten residents. Staff did not use PPE correctly, with an LPN improperly disposing of a gown and two NAs entering COVID-19 rooms without PPE. Isolation signage was incorrect or missing, and resident records lacked necessary isolation orders. The facility also failed to track COVID-19 exposures adequately.
The facility failed to document consent and education for vaccinations and did not administer the influenza vaccine in a timely manner for two residents. One resident declined both vaccines without proper documentation, while another consented to the influenza vaccine but did not receive it, and their pneumococcal vaccination status was not updated.
The facility failed to document COVID-19 vaccine offers and education for two residents and did not offer vaccines to seven staff members. A resident's record lacked evidence of a booster offer, and another's record lacked vaccination documentation. Staff interviews confirmed no vaccine offers, which the DON acknowledged.
A facility failed to document a physician's discharge order and medication orders for a resident with a fracture, hypertension, and diabetes. The resident requested discharge to home, but the clinical record lacked a physician's discharge order, and inhalers were provided without documented orders. This was confirmed by the Nursing Home Administrator.
The facility failed to provide written notice and document reasons for room changes for two residents, violating their rights. One resident with high blood pressure and muscle weakness, and another with diabetes and dementia, were moved without proper notification or documentation, as confirmed by the Nursing Home Administrator.
A facility failed to provide a comprehensive review of admission rights and maintain proper documentation for a resident. The facility's policy requires an orientation of policies, programs, and services, including resident rights. However, the admission record for a resident with anorexia nervosa, low potassium, and muscle weakness lacked necessary signatures and evidence of rights review. This deficiency was confirmed by the Nursing Home Administrator.
Food Storage, Sanitation, and Hygiene Deficiencies
Penalty
Summary
The facility failed to properly label and date multiple food items in the main kitchen and storage areas. During observation, opened dry goods such as potato chips, noodles, stuffing mix, syrup, and other items were found without required dates. In the walk-in freezer, opened rolls, hash browns, hotdog buns, and hamburger buns were also not labeled with dates, and some boxes showed water damage and ice buildup. In walk-in cooler #2, opened hotdog buns, grape jelly, pickled relish, and partially served cornbread were not labeled with dates, and the shelves on the right side were covered in a rust-like substance. The facility also failed to maintain kitchen equipment and surfaces in a sanitary condition. Observations identified loose flour, sugar, and salt containers with grime on their lids outside cooler #2, stove top grills and oven doors covered in a brownish-black grimy substance, and a freezer fan with a fuzzy substance on it. Hot plate lids on a table and on two carts were not inverted. Staff confirmed these conditions during the observations, including the lack of proper labeling and the unsanitary condition of the equipment and storage areas. Additional findings included incomplete dishwater temperature logs, improper storage of chemicals, and staff not wearing beard coverings while preparing food. The dishwater temperature log had missing entries for lunch and dinner on one day and breakfast and lunch on another day. An extra cart next to the stove contained an opened bag of mashed potatoes, an opened jar of grape Kool-Aid, and a container of Sani-wipes. During kitchen observations, dietary staff were preparing lunch without beard coverings. In the conference room resident refrigerator, food items were found without names or dates, including pizza slices, salad dressing, and ketchup, along with expired or outdated items such as chicken noodle soup, orange juice, chocolate milk, whole milk, and sliced cantaloupe.
Respiratory Equipment Not Properly Labeled or Stored
Penalty
Summary
Appropriate respiratory care was not provided for three residents who had orders for respiratory equipment changes and labeling. Facility policy for respiratory therapy infection prevention indicated oxygen cannulas and tubing are to be changed every seven days. Resident R5, who had diagnoses including heart failure, high blood pressure, and diabetes, had a physician order for Albuterol Sulfate inhalation nebulization solution as needed for shortness of breath and wheezing. On observation, R5 was out of bed in a wheelchair with a nebulizer machine on the bedside stand, and the nebulizer was not labeled with a date and time last changed. Resident R17, who had diagnoses including heart failure, high blood pressure, and anxiety, had an order to change oxygen tubing and bottle weekly and as needed, with initial tubing and bottle at time of change and tubing placed in a dated plastic bag when not in use. On observation, R17 was lying in bed with a nasal cannula connected to an oxygen concentrator, and the cannula was not labeled with a date and time last changed. Resident R45, who had diagnoses including high blood pressure, depression, and anxiety, had the same oxygen tubing and bottle order. On observation, R45 was in bed with a portable oxygen tank on the back of the wheelchair, and the oxygen cannula was not dated and not bagged, dangling on the seat of the wheelchair. An LPN confirmed R17's cannula was not labeled as required, and an RN confirmed R5's nebulizer and R45's oxygen cannula were not labeled with a date and time last changed as required.
Failure to Inform Resident of Medication Changes and Involve Resident in Care Decisions
Penalty
Summary
The facility failed to notify Resident R68 of planned changes to medications and failed to allow the resident to participate in decision-making regarding care. Resident R68 was admitted with diagnoses including urinary tract infection, seizure disorder, anxiety, bulimia nervosa, and borderline personality disorder. The care plan noted episodes of anxiety related to the resident’s disease process and that the resident could be resistive or noncompliant with treatment and care related to bulimia, PTSD, and borderline personality disorder. Hospital records and physician orders showed clonazepam and Ativan were ordered for anxiety, including clonazepam 0.5 mg tablets at bedtime as needed and Ativan IM as needed for anxiety. A physician visit note stated the resident’s medications for chronic medical issues would be continued, but a later NP note documented discontinuing evening clonazepam and IM Ativan and increasing oral Ativan, without documentation that the resident was informed of the planned medication changes or able to participate in the decision-making process. A subsequent nursing note documented the resident requested medication for anxiety after a bad dream and that the IM Ativan was unavailable because the prior order had expired. Later, the physician was notified about the need for a renewed script, reviewed the medications, and ordered clonazepam and IM Ativan discontinued with Ativan 1 mg tablet every eight hours as needed. When the resident was informed of the medication change, the resident cried and stated that nobody listened and asked why the doctor took the medication away without talking first. The resident’s family was notified of the medication changes and the resident’s reaction, and the resident later left the facility against medical advice.
Failure to Keep Resident Medical Information Confidential
Penalty
Summary
The facility failed to maintain a confidential personal medical record for one of two residents, Resident R20. Resident R20 was admitted to the facility and had diagnoses including high blood pressure, hyperlipidemia, and anxiety. During an observation on 6/7/26 at 10:58 a.m., two signs were seen posted above R20’s bed stating, “Please see nurse prior to giving water cup” and “needs hearing aids put on charger every night, use dry erase board.” The clinical record did not include documentation that the resident or the resident’s representative approved posting this private health information. During an interview on 6/8/26 at 10:42 a.m., an LPN confirmed the signs were posted above R20’s bed and that the facility failed to maintain the resident’s confidential personal medical record.
Failure to Complete Required Significant Change MDS for Hospice Enrollment
Penalty
Summary
The facility failed to conduct a Significant Change Minimum Data Set assessment for one resident after the interdisciplinary team determined the resident met significant change guidelines related to hospice enrollment. The RAI 3.0 User's Manual states that a significant change status assessment is required when a terminally ill resident enrolls in hospice or changes hospice providers and remains in the nursing home, and the assessment reference date must be within 14 days of the effective date of the hospice election. Resident R1 was originally admitted to the facility with diagnoses including diabetes, acute kidney failure, hypertension, and anxiety disorder. The record showed that the resident's care plan indicated hospice admission and comfort measures only, and a social services note documented that the resident wanted to begin hospice care and selected a hospice provider. Physician orders later indicated hospice care services were ordered, but the resident's MDS assessments did not include a significant change MDS assessment that included hospice services. During interview, the Regional clinical director and the LPN Assessment Coordinator confirmed the facility failed to complete the required Significant Change MDS assessment for the resident.
Improper Care and Administration of Enteral Feedings
Penalty
Summary
The facility failed to ensure that residents with enteral feeding tubes received appropriate treatment and services for two residents. Resident R8 had diagnoses including Parkinson’s disease, dementia, and insomnia, and had a physician order for continuous enteral feeding of Osmolite 1.5 at 60 mL per hour with 50 mL free water flushes every hour. During observation, the enteral feeding pole was found soiled with what appeared to be spilled or leaked enteral formula that was dried and covering the bottom surface of the pole. An RN confirmed the dried formula on the pole and acknowledged that the facility failed to ensure appropriate care and services for this resident. Resident R58 had diagnoses including stroke, hemiplegia, and heart failure, and had a physician order for bolus enteral feeding of Osmolite 1.5 one can three times a day. During observation of the feeding, an LPN drew the feeding solution into a syringe, connected it to the feeding tube, opened the clamp, and pushed the syringe plunger to administer the feeding. The LPN stated the feeding tube flowed without problems when asked if it clogged easily. The DON later confirmed that the bolus feeding procedure should be done by gravity and not forced by a syringe plunger.
Failure to Provide Trauma Informed Care
Penalty
Summary
The facility failed to provide trauma informed care for Resident R11, who was identified in the clinical record as having diagnoses of anxiety, depression, and bi-polar disorder. The facility policy on Trauma Informed Care stated that trauma survivors should have individualized care plans that minimize triggers and re-traumatization, but Resident R11's current care plan identified the resident as a survivor of trauma related to physical, sexual, verbal, or mental abuse and did not identify any triggers to prevent re-traumatization. Review of the resident's MDS dated 3/18/26 and the care plan showed the resident's mental health history and trauma status, and during interview on 6/9/26, the Social Worker confirmed the facility failed to provide trauma informed care to eliminate or mitigate triggers that may cause re-traumatization for this resident.
Failure to Post Current Nurse Staffing Information
Penalty
Summary
The facility failed to ensure that current and accurate nurse staffing information was posted at the beginning of the shift for one observed day. During an observation on 6/7/26 at 9:00 a.m., nurse staffing information was posted on the wall of the nurses' station nearest to the dining room, but the posting showed the date of 6/4/26 and did not accurately reflect the current resident census or the total number of hours worked for licensed and unlicensed nursing staff directly responsible for resident care for the current date. An RN confirmed during interview that the facility failed to post the required current facility information for staffing hours and census.
Improper Storage and Labeling of Medications
Penalty
Summary
The facility failed to properly store drugs and biologicals in the Front Hall Medication Room and in two medication carts. During observation of the Front Hall Medication Room, a pair of black athletic shoes, a box of medication cart dividers, a black travel coffee cup, and a reacher were stored under or near the sink in the medication area. The medication room refrigerator contained 2 bottles of Lansoprazole oral liquid that were open and not labeled with a date, and 4 Tylenol suppositories that were lying on the bottom shelf and not stored in their packaging. The freezer section of the refrigerator contained 2 ice packs. During observation of the Zone 3 Medication Cart, a Sodium Chloride inhaler, 2 boxes of Albuterol nebulizer solution, and a Fluticasone Propionate nasal spray were open and not labeled with a date, and a box of Bisacodyl suppositories was stored with oral medications. During observation of the Zone 2 Medication Cart, 6 boxes of Ipratropium Bromide and 1 package of Budesonide were open and not labeled with a date. An RN and two LPNs confirmed the observations and confirmed that the facility failed to properly store medications in the medication room and carts.
Menu Not Followed and Dietitian Approval Missing
Penalty
Summary
The facility failed to follow the displayed lunch menu for one of three observed meals and failed to have the registered dietitian review and approve the menu and nutritional substitutes before implementation for that same meal. The posted 4-week menu cycle for lunch on 6/7/26 listed fried chicken, gravy, mashed potatoes, Brussel sprouts, chocolate chip cookie, coffee or tea, and milk, but observations during lunch service showed residents being served turkey, mixed vegetables, cheese potatoes, and beverages instead. During lunch observations on 6/7/26, the main dining room was serving 22 residents. Resident R6 was observed with turkey, mixed vegetables, cheese potatoes, and juice; Resident R33 was observed with turkey, mixed vegetables, cheese potatoes, a chocolate chip cookie, and a beverage; and Resident R13 was observed with turkey, mixed vegetables, cheese potatoes, and a beverage. When questioned, the Dietary Manager stated the meal was changed due to an issue with the cooler and said, "I think I e-mailed it to her" when asked whether the dietician had approved the menu changes. The Dietary Manager then could not find any correspondence to the dietician and confirmed the dietician did not sign off on the menu changes as required.
Improper Dumpster and Garbage Disposal
Penalty
Summary
The facility failed to dispose of garbage into the dumpster properly for one outside dumpster observed during survey. The facility policy, Food-Related Garbage and Refuse Disposal, last reviewed 4/30/26, stated that garbage and refuse containing food waste would be stored in a manner inaccessible to pests and that outside dumpsters would be kept closed and free of surrounding litter. During an observation on 6/7/26 at 9:22 a.m., the outside dumpster lid was open and debris was scattered on the ground. During an interview at the same time, Dietary staff E13 confirmed the dumpster lid was open and debris was scattered on the ground and stated, "I haven't gotten to it yet, we usually clean it up in the morning."
Failure to Follow EBP and Maintain Infection Surveillance
Penalty
Summary
Enhanced barrier precautions were not followed for a resident with a G-tube. Resident R58 was admitted to the facility with diagnoses including stroke, hemiplegia, and heart failure. The resident had a physician order for enteral feeding three times daily with Osmolite 1.5 bolus one can through the G-tube, and a physician order dated 5/25/26 indicated enhanced barrier precautions for the G-tube and a surgical incision to the right groin, requiring gowns and gloves during high-contact resident care activities. During an observation on 6/7/26 at 12:05 p.m., an LPN administered the resident’s bolus feeding through the G-tube without putting on a gown as required by the enhanced barrier precautions. The facility also failed to include surveillance tracking to identify possible communicable diseases or infections for two of 12 months in its monthly infection surveillance records. Review of the facility’s monthly tracking of surveillance for the period June 2025 through May 2026 showed that July 2025 and April 2026 were not included. During interview on 6/9/26 at 12:15 p.m., the Infection Preventionist confirmed that a gown is to be worn during administration of a tube feeding and that the facility failed to include surveillance tracking for those two months.
Incomplete Antibiotic Stewardship Monitoring and Order Documentation
Penalty
Summary
The facility failed to implement an antibiotic stewardship program for two months, July 2025 and April 2026. Review of the facility’s infection control surveillance for June 2025 through May 2026 did not include documentation showing that antibiotic monitoring was completed for those two months. During interview, the Infection Preventionist confirmed the facility could not produce documentation showing antibiotic monitoring was completed for July 2025 and April 2026. The facility also failed to provide a complete antibiotic order for Resident R33. Resident R33’s record showed diagnoses of hypertension, hyperlipidemia, and anxiety. A physician order dated 6/3/26 directed Cephalexin 500 mg by mouth every eight hours for infection, but the order did not include the type or site of infection. The Infection Preventionist confirmed during interview that the antibiotic order did not contain the type of infection or the site of the infection and that the facility failed to provide a complete antibiotic order for one of four residents reviewed.
Failure to Maintain a Qualified Infection Preventionist
Penalty
Summary
The facility failed to designate a qualified infection preventionist (IP) onsite to be responsible for implementing the infection prevention and control program during two periods identified in the survey review: 11/12/25 through 11/24/25 and 4/26/26 through 5/20/26. The facility policy dated 4/30/26 stated that the IP coordinates the development and monitoring of the infection prevention and control program and is employed onsite at least part time. The facility’s IP timeline showed RN Employee E5 responsible from 5/1/24 through 11/12/25, IP Employee E19 responsible from 11/13/25 through 3/5/26, and IP Employee E18 responsible from 3/5/26 to present. However, E19’s certificate for the qualifying education required was dated 11/24/25, leaving a gap before qualification, and facility documentation showed E19 became the DON on 4/26/26. E18’s certificate for the qualifying education required was dated 5/20/26, leaving another gap before qualification. During interview on 6/8/26 at 2:00 p.m., the DON confirmed the two IP designation gaps.
Failure to Provide Resident Fund Access on Weekends and Holidays
Penalty
Summary
The facility failed to ensure that resident funds were accessible on holidays and weekends, as required by facility policy and state regulations. Review of the facility's procedures indicated that residents should be able to access their trust account funds even when the business office is closed, with a process in place for RNs to issue cash from a locked bank bag. However, interviews with residents revealed that requests for funds on weekends were not fulfilled, with one resident stating she was unable to access her money on a Saturday and another reporting a delay in receiving requested cash. Multiple staff members, including RNs and nurse aides, confirmed that they either directed residents to the business office or informed them that funds were not available outside regular hours, indicating a lack of awareness or implementation of the established process. Further interviews with staff and temporary business office personnel revealed confusion and inconsistency regarding the process for accessing resident funds when the business office was closed. Some staff believed cash should be available in a cart or locked box, while others stated that no such system was in place or that they were unaware of it. The Nursing Home Administrator confirmed that the facility did not provide residents with access to their funds on weekends and holidays as required, resulting in noncompliance with state regulations regarding management and resident rights.
Failure to Follow Approved Menu for Dinner Meal
Penalty
Summary
The facility failed to follow the approved dinner menu for one of three observed meals. On the specified date, the menu approved by the Registered Dietician included minestrone soup and carrot raisin salad, but instead, residents were served either beef vegetable or chicken noodle soup and 3 bean salad. The rest of the meal components matched the approved menu. This deviation was observed during a dining observation and confirmed through staff interviews. Staff interviews revealed that the substitutions were made because the facility did not have the required menu items available. The dietary staff member responsible for meal preparation stated that they substituted the items due to lack of supplies. The Dietary Manager confirmed that while the menus are created and approved by the RD, changes are sometimes made without RD review or approval. This resulted in the facility not adhering to the displayed and approved menu for the observed meal.
Multiple Food Safety and Sanitation Deficiencies in Main Kitchen
Penalty
Summary
The facility failed to properly monitor food expiration dates in the Main Kitchen, as evidenced by multiple opened food items in the freezer and walk-in cooler that were either undated or expired. These included half a bag of bacon pieces, ham slices, a container of sour cream, pineapple salad, mayonnaise, and mixed fruit, all of which were either missing dates or had expired. The Dietary Manager confirmed these findings and acknowledged the lack of monitoring for food expiration dates. Additionally, observations revealed that the walk-in cooler fans, ceiling, and walls, as well as the main kitchen ceiling vents, had grime buildup, indicating a failure to maintain food equipment in a clean and sanitary condition. During tray line observation, two employees with beards were not wearing beard nets, and the Dietary Manager confirmed that beard nets were not available. Furthermore, seven plate lids fell onto the floor and were picked up and reused by a staff member until a surveyor intervened, demonstrating a failure to maintain sanitary conditions and prevent cross-contamination. In the dish room, it was observed that the facility did not verify the final rinse temperature of the dish machine using temperature test strips, and the Dietary Manager stated that this practice was not in place. The Nursing Home Administrator confirmed all these deficiencies, which were found to be in violation of facility policies and state regulations.
Failure to Implement Infection Surveillance with Floor Mapping
Penalty
Summary
The facility failed to implement an effective infection prevention and control program as required by its own policy and state regulations. Specifically, for a period of twelve consecutive months, the facility did not conduct or document floor mapping as part of its monthly infection surveillance activities. This omission was confirmed during a review of the facility's infection control records and through an interview with the Infection Preventionist, who was unable to provide documentation of the required surveillance, including floor mapping, for the specified period. The deficiency was identified through policy review, clinical record review, observation, and staff interview.
Failure to Maintain Effective Pest Control Program in Kitchen
Penalty
Summary
The facility failed to maintain an effective pest control program as required by its policy, resulting in a persistent gnat infestation in the main kitchen and dry food storage areas. Observations during a kitchen tour revealed a significant number of gnats on boxes, cans, and flying throughout the kitchen, including above the prep table, around the dish machine, and near the microwave. Mounted bug lights were present, but the infestation persisted. Staff interviews confirmed the ongoing issue, with one employee stating efforts had been made to address the problem over the past three months, and another noting the gnats were widespread and problematic. Documentation from the pest control log indicated that fungus gnats were observed alive in both the dry food storage and kitchen areas, and that previous conditions contributing to the infestation still existed. The pest control inspection also noted that certain service areas were not accessible for treatment and recommended repairs or drying out of water-damaged walls or wood. Staff interviews further revealed that water damage and improper repairs to the ceiling may have contributed to the moisture problem, which was identified as a source of the gnat infestation.
Failure to Timely Complete Admission Agreements and Assess Resident Capacity
Penalty
Summary
The facility failed to maintain timely documentation of admission agreements for four residents and did not ensure that three of these residents had the capacity to understand the terms of the admission agreement. Specifically, records showed that admission agreements were not completed at the time of admission, and in some cases, were only completed much later. For example, one resident's agreement was completed on the same day as the surveyor's interview, rather than at admission. Additionally, the facility did not complete a new admission agreement for each separate admission for a resident with multiple admissions and discharges. Three residents who signed their own admission agreements were found to have significant cognitive impairment, as indicated by their Brief Interview for Mental Status (BIMS) scores. Two residents had severe impairment (BIMS score of 5), and one had moderate impairment (BIMS score of 11), raising concerns about their ability to understand the terms of the agreement. Interviews with the Nursing Home Administrator confirmed that these residents did not have the capacity to comprehend the admission agreements at the time they were signed.
Failure to Complete Annual Performance Evaluations for Nurse Aides
Penalty
Summary
The facility failed to complete annual performance evaluations for three nurse aides, as required by its own policy. Review of personnel records for three nurse aides, each with varying hire dates, showed that none had annual performance evaluations documented based on their respective dates of hire. The facility's policy specifies that a performance review for nurse aides must be conducted at least every 12 months. This deficiency was confirmed during an interview with the Nursing Home Administrator, who acknowledged that the required annual evaluations had not been completed for the identified nurse aides. No information regarding the medical history or condition of any residents was included in the report, and the deficiency pertains solely to staff performance evaluation procedures.
Failure to Ensure Resident Capacity for Arbitration Agreements
Penalty
Summary
The facility failed to ensure that residents had the capacity to understand the terms of a binding arbitration agreement prior to signing. Facility policy requires that the terms and conditions of such agreements be explained in a manner that ensures the resident or their representative understands, including the fact that signing may waive the right to litigation. However, for three residents, documentation and staff interviews confirmed that the residents signed the Grievance Procedure and Voluntary Arbitration Agreement despite having cognitive impairments. Specifically, two residents with diagnoses of dementia and severe cognitive impairment, as indicated by a BIMS score of five, and a third resident with moderate impairment (BIMS score of eleven) and a history of stroke, signed the agreements. The Nursing Home Administrator confirmed that these residents did not have the capacity to understand the terms of the agreements at the time of signing. This failure was identified through review of clinical records, facility documents, and staff interviews.
Failure to Maintain Emergency Crash Carts in Safe Operating Condition
Penalty
Summary
The facility failed to ensure that emergency crash carts were maintained in safe operating condition as required by facility policy. Observations and review of documentation revealed that the Back hallway crash cart did not have a checklist initiated for the current month, and this was confirmed by an LPN. Additionally, the Front hallway/Dining room crash cart's checklist was missing documentation for 14 days, indicating that the required daily checks for emergency readiness were not performed or recorded. These findings were verified through staff interviews and review of the crash cart binders. The Director of Nursing confirmed that both crash carts, located in the Front and Back hallways, were not properly checked and documented as required. The facility's policy mandates that crash carts be checked every 24 hours and after each use, with missing or expired items replaced as needed. The lack of documentation and failure to perform these checks resulted in the facility not ensuring that essential emergency equipment was in safe operating condition.
Failure to Provide Required QAPI Training to Staff
Penalty
Summary
The facility failed to provide mandatory training on its Quality Assurance and Performance Improvement (QAPI) program to four out of five reviewed employees, including three nurse aides and one LPN. According to the facility assessment, staff training on QAPI is required during general orientation upon hire, annually, and as needed. Document review showed that Nurse Aide Employees E10, E11, and E12, as well as LPN Employee E8, did not receive QAPI in-service education within the specified annual periods. This deficiency was confirmed by the Director of Nursing during an interview, who acknowledged that the required QAPI training had not been provided to these staff members.
Failure to Provide Annual Compliance and Ethics Training to Staff
Penalty
Summary
The facility failed to provide required annual compliance and ethics training to four out of five reviewed staff members, including three nurse aides and one LPN. According to the facility's own assessment and in-service training policy, all personnel are mandated to participate in regular education sessions covering topics such as compliance and ethics. Document review showed that Nurse Aide Employees E10, E11, and E12, as well as LPN Employee E8, did not receive compliance and ethics in-service education during their respective annual review periods. This deficiency was confirmed by the Director of Nursing during an interview, who acknowledged the lapse in providing the mandated training to these staff members.
Failure to Prevent Mental Abuse via Unauthorized Photography and Sharing
Penalty
Summary
Facility staff failed to protect two residents from mental abuse, specifically abuse facilitated through the use of technology. An activities employee took a photo and video of two residents in the dining room without their knowledge or consent, while they were looking at items left over from an Alzheimer's sale. The staff member then sent these images to another staff member, who subsequently transmitted them to another resident. The stated reason for taking and sharing the images was to check on items allegedly being taken by the residents, but at no point was permission obtained from the residents involved. Both residents had significant medical histories, including dementia, coronary artery disease, hypertension, peripheral vascular disease, anemia, and diabetes. Interviews with the residents confirmed they were unaware that photos or videos were being taken and had not given permission for such actions. The Nursing Home Administrator and Director of Nursing acknowledged that the facility failed to ensure residents were free from mental abuse, including abuse enabled by technology, as required by federal and state regulations.
Failure to Limit PRN Psychotropic Medication Orders to 14 Days
Penalty
Summary
The facility failed to ensure that residents' medication regimens were free from unnecessary psychotropic medications for two residents. According to the facility's policy, psychotropic medications such as anti-psychotics, anti-depressants, anti-anxiety agents, and hypnotics should only be prescribed when clinically indicated and, if ordered on a PRN (as needed) basis, should be limited to 14 days unless a physician provides a documented rationale for extending the order. For one resident with diagnoses including anxiety, hypokalemia, and spina bifida, a physician's order for Hydroxyzine 10 mg every four hours PRN for anxiety did not include a 14-day stop date or a documented rationale for continuation beyond 14 days. Similarly, another resident with anxiety, high blood pressure, and COPD had a physician's order for Hydroxyzine 10 mg every six hours PRN for anxiety, also lacking a 14-day stop date and physician justification for extension. These findings were confirmed through clinical record review and staff interview, specifically with the Director of Nursing, who acknowledged the failure to comply with requirements for psychotropic medication management. The absence of appropriate stop dates and physician documentation for PRN psychotropic medications resulted in non-compliance with both facility policy and regulatory requirements.
Failure to Complete Pre-Employment Background Check for Nurse Aide
Penalty
Summary
The facility failed to conduct a criminal background check prior to allowing a nurse aide to begin working on the nursing unit. Review of personnel records showed that the nurse aide started employment on 3/17/25, but the criminal background check was not completed until 5/28/25. This was confirmed by the Nursing Home Administrator during an interview. The deficiency was identified in one out of five personnel records reviewed, indicating that the required screening procedures for abuse, neglect, exploitation, or misappropriation of resident property were not followed as mandated by federal and state regulations.
Failure to Provide Safe and Appropriate Respiratory Care
Penalty
Summary
The facility failed to provide appropriate respiratory care for two residents who required oxygen therapy. For one resident with diagnoses including heart failure and coronary artery disease, a physician order directed oxygen use at 3 liters per minute for shortness of breath, but did not include instructions for oxygen maintenance. During observation, the resident's oxygen concentrator was not in use, the humidifier was labeled with a date over two months old, and the oxygen tubing was not labeled with a date. An LPN confirmed these findings, which did not meet facility policy requirements for equipment maintenance and infection control. For another resident with COPD, anemia, and hypertension, physician orders specified oxygen administration and required changing the oxygen tubing and canister weekly. However, during observation, the resident was using oxygen via nasal cannula, and the tubing was not labeled with a date as required. An RN confirmed the lack of labeling. The Nursing Home Administrator acknowledged that the facility did not provide appropriate respiratory care for these residents, as required by facility policy and state regulations.
Failure to Complete and Document Monthly Medication Regimen Reviews
Penalty
Summary
The facility failed to ensure that monthly Medication Regimen Reviews (MRR) were completed and documented by the consultant pharmacist for one of four residents. According to facility policy, the consultant pharmacist is required to review each resident's medication regimen at least monthly and document the findings in the resident's medical record. For the resident in question, who had diagnoses including high blood pressure, coronary artery disease, and diabetes, there was no documentation of MRRs in the clinical record for multiple months spanning from April 2024 through April 2025. During the review, it was confirmed that the facility could not provide evidence of completed MRRs for the specified months. The Director of Nursing stated that the lack of documentation was due to the consultant pharmacist not having computer access and an inability to locate any MRRs for the relevant dates. This failure was verified through clinical record review, facility policy review, and staff interviews.
Improper Storage and Labeling of Medications in Medication Room
Penalty
Summary
The facility failed to store all drugs and biologicals in a safe, secure, and orderly manner in one of its two medication rooms, specifically the back hall medication room. During an observation, surveyors found a blue tote bag containing a personal cell phone and food items, as well as a green backpack, on the medication room counter. Under the sink, there was an unlocked green tackle box containing various injectable medications, including Benadryl, Glucagon, Lasix, Narcan, and a bottle of nitroglycerin tablets, all with visible expiration dates. Additionally, a bag of lock out tags was present in the same area. On a shelf above the sink, a brown paper bag was found containing unlabeled medication samples, including multiple boxes of Vraylar and Nuplazid capsules. An LPN confirmed these findings, stating that the tackle box was intended to be returned to the old pharmacy and that the medication samples were provided by a psychiatrist for a resident returning from the hospital, to be used until insurance authorization was obtained. These observations demonstrated that the facility did not adhere to its own policies or accepted pharmaceutical practices regarding the secure and proper storage and labeling of medications and biologicals.
Failure to Obtain Hospice Orders and Coordinate Hospice Services
Penalty
Summary
The facility failed to obtain a physician order for hospice services and did not ensure proper coordination of hospice care with facility services for two residents. For one resident with diagnoses including heart failure, depression, and dementia, the clinical record did not contain a physician order for hospice services, lacked a diagnosis related to the need for hospice, and the care plan did not include essential information such as the hospice agency's contact details, access to the 24-hour on-call system, or the name of the hospice agency. For another resident with heart failure, coronary artery disease, and anxiety, although there was documentation of hospice admission in the physician orders, the comprehensive care plan similarly failed to include the hospice agency's contact information and instructions for accessing the hospice's 24-hour on-call system. The Director of Nursing confirmed these deficiencies, indicating a lack of coordination and documentation necessary to meet the end-of-life care needs of these residents.
Failure to Provide Effective Communication Training to Nurse Aides
Penalty
Summary
The facility failed to provide required in-service training on effective communication to two nurse aides, as evidenced by a review of facility policy, training records, and staff interviews. The facility's policy mandates regular in-service education for all personnel, including training on communication. However, documentation showed that two nurse aides, one hired in 1989 and another in 2021, did not receive effective communication training during the specified review period. This was confirmed by the Director of Nursing during an interview, who acknowledged the lack of documented training for these staff members.
Failure to Provide Required Behavioral Health Training to Staff
Penalty
Summary
The facility failed to provide behavioral health training to staff members as required by its Facility Assessment. Specifically, two employees, an LPN and a nurse aide, did not receive annual mandatory behavioral health in-service education within the designated timeframes. Review of facility documents confirmed that the Facility Assessment required annual behavioral health training for staff. The Director of Nursing verified during an interview that these two employees had not completed the required training. This deficiency was identified through review of facility policy, training records, and staff interviews.
Failure to Obtain Physician Orders for Medication Self-Administration
Penalty
Summary
The facility failed to obtain physician orders and care plan interventions for medication self-administration for one of the residents. The facility's policy on administering medications requires that residents may self-administer their medications only if the attending physician, in conjunction with the interdisciplinary care planning team, determines that the resident has the decision-making capacity to do so safely. However, during an observation, it was noted that a resident was holding a medication cup with several pills, and there was no physician order for self-administration in the resident's records. The resident, who was admitted with diagnoses of diabetes, atrial fibrillation, and high blood pressure, was observed with medications at her bedside. A registered nurse confirmed that the medications were left at the bedside without an order for self-administration. The Nursing Home Administrator also confirmed the lack of physician orders and care plan interventions for the resident's medication self-administration. This deficiency was identified as a failure to comply with the facility's policies and state regulations regarding medication administration and resident care.
Staffing Deficiencies at Beaver Healthcare
Penalty
Summary
Beaver Healthcare and Rehabilitation Center was found to be non-compliant with the 28. Pa Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations regarding nursing services. Specifically, the facility failed to meet the required nurse aide-to-resident ratios on multiple occasions. During the daylight shift, the facility did not provide one nurse aide per 10 residents on four separate days. Similarly, during the evening shift, the facility failed to maintain the required ratio of one nurse aide per 11 residents on two days. Additionally, the night shift was understaffed on six days, not meeting the requirement of one nurse aide per 15 residents. The staffing shortages were confirmed through a review of the facility's census data and nursing time schedules from December 3, 2024, to December 24, 2024. The Nursing Home Administrator acknowledged these deficiencies during an interview. The report details specific dates and the corresponding census, actual hours worked, and the required hours, highlighting the shortfall in staffing levels. These deficiencies indicate a failure to adhere to state regulations for adequate staffing, which is crucial for maintaining the quality of care in the facility.
Plan Of Correction
NHA has educated Scheduler on minimum staffing hours/regulations on new staffing guidelines effective 07/01/2024. Facility has advertised for open CNA positions. Interviews will be conducted as applicants apply. Scheduler will meet with NHA/DON twice daily to review staffing schedule for a period of 1 week to ensure CNA ratios are being met. NHA/DON/Scheduler will continue to monitor CNA ratios to ensure facility has sufficient staff. Findings will be reported to QAPI for further review and monitoring. Date of compliance 01/06/2025.
Inadequate COVID-19 Infection Control and PPE Use
Penalty
Summary
The facility failed to implement its infection prevention and control monitoring policies for COVID-19, affecting ten residents. Observations revealed that staff did not adhere to the required use of Personal Protective Equipment (PPE) when entering and exiting rooms of COVID-19 positive residents. Specifically, an LPN was seen improperly disposing of a gown and not wearing a face shield, while two nursing assistants entered COVID-19 positive rooms without any PPE and failed to change their masks upon exiting. These actions were confirmed by the Regional Director of Nursing and other staff members. Additionally, the facility did not have appropriate isolation signage for residents with COVID-19, with several rooms either lacking signs or displaying incorrect isolation precautions. This lack of proper signage was acknowledged by the Regional Director of Nursing, who confirmed that the residents were not in the correct type of isolation. Furthermore, the clinical records for several residents did not include orders for COVID-19 infection and droplet isolation requirements, nor did they document the maintenance of droplet isolation precautions. The facility also failed to adequately track residents exposed to COVID-19. The Infection Preventionist admitted to not having a formal tracking system in place, relying instead on handwritten notes. This lack of tracking was confirmed by the Regional Director of Nursing. The facility's failure to monitor respiratory symptoms and fever beyond three days during a COVID-19 outbreak was also noted, with the Infection Preventionist acknowledging the need for ongoing monitoring.
Deficiencies in Vaccination Documentation and Administration
Penalty
Summary
The facility failed to properly manage influenza and pneumococcal vaccinations for residents, as evidenced by incomplete consent documentation and untimely administration. Resident R4, who has diagnoses of high blood pressure, anemia, and atrial fibrillation, declined both the influenza and pneumococcal vaccines. However, the facility did not obtain R4's signature on the consent forms, nor did they document the education provided about the vaccines. Similarly, Resident R5, with diagnoses of high blood pressure, diabetes, and depression, consented to the influenza vaccine, but there was no record of the vaccine being administered. Additionally, R5's pneumococcal vaccination status was not up to date, and there was no documentation in the clinical record to confirm the administration of the vaccine. The Regional Director of Nursing confirmed these deficiencies during an interview, acknowledging the facility's failure to complete the necessary documentation and ensure timely vaccination. The facility's policies require that all residents be offered these vaccines, with proper documentation of consent and education. However, the review of clinical records and immunization records revealed lapses in following these protocols, leading to the identified deficiencies.
Failure to Document and Offer COVID-19 Vaccines
Penalty
Summary
The facility failed to provide accurate and timely documentation related to offering the COVID-19 vaccine and providing education for two residents reviewed for immunizations. Resident R1's clinical record did not include documentation that the COVID vaccination booster was offered or that education was provided. Resident R5's clinical record indicated that he had already received the COVID-19 vaccine, but there was no documented evidence of the vaccination. The Regional Director of Nursing confirmed these documentation failures during an interview. Additionally, the facility failed to offer COVID-19 vaccines to staff members. Interviews with seven employees, including nursing assistants and registered nurses, revealed that none of them were offered COVID-19 vaccines or booster vaccines. The Regional Director of Nursing confirmed that the facility did not offer COVID-19 vaccines to these staff members. This deficiency was noted in the context of the facility's policy and CDC recommendations for COVID-19 vaccination.
Failure to Document Physician's Discharge Order and Medication Orders
Penalty
Summary
The facility failed to comply with its Discharge Medications policy by not acquiring and documenting a physician's discharge order and medication orders for a resident. The resident, who had been admitted with a nondisplaced fracture of the left ankle, hypertension, and diabetes, requested discharge to home along with her daughter. However, the clinical record lacked a physician's order for the discharge, and the physician orders did not include any for inhalers, despite them being provided at discharge. This deficiency was confirmed by the Nursing Home Administrator during an interview.
Failure to Provide Written Notice for Room Changes
Penalty
Summary
The facility failed to honor the residents' rights to receive written notice before a room change, as required by their own policy and regulations. The policy mandates that specific information, such as the date and time of the transfer, the individuals involved, assessment data, and the resident's response, should be documented in the resident's medical record. However, for two residents, R1 and R2, there was no documented evidence of the reasons for their room changes, nor any indication that they were notified or given the opportunity to refuse the move. Resident R1, who had diagnoses of high blood pressure, muscle weakness, and pain, was moved from one room to another without any documented notice or reason. Similarly, Resident R2, with diagnoses of diabetes, dementia, and high blood pressure, experienced a room change without proper documentation or notification. The Nursing Home Administrator confirmed the lack of documentation regarding written notice and reasons for the room changes during an interview, highlighting a deficiency in adhering to resident rights and facility policy.
Failure to Review Admission Rights and Maintain Documentation
Penalty
Summary
The facility failed to provide a comprehensive review of resident admission rights and maintain proper admission documentation for one of the sampled residents. The facility's policy on Admissions Orientation, last reviewed on 5/28/24, requires that each resident be given a tour and orientation of the facility's policies, programs, and services, including resident rights and responsibilities. However, the admission record for Resident R3, who was admitted on an unspecified date, lacked a signature from the resident or a representative, a date for the review of the admission packet, and evidence that resident rights were reviewed. Resident R3's MDS assessment dated 5/12/24 indicated diagnoses of anorexia nervosa, low potassium, and muscle weakness. Clinical nurse notes and admission documents also did not show that Resident R3 or her representative reviewed the resident rights and admission packet. This deficiency was confirmed during an interview with the Nursing Home Administrator on 6/6/24.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Aliquippa
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Concordia At Villa St Joseph | 4 mi | ★★★★★ | 17 | 0 |
| Cedar Hill Healthcare And Rehabilitation Center | 6 mi | ★★★★★ | 2 | 0 |
| Rochester Residence And Care Center | 6.6 mi | — | 106 | 2 |
| Friendship Rehab And Health | 7.1 mi | ★★★★★ | 54 | 1 |
| Masonic Village At Sewickley | 9.7 mi | ★★★★★ | 19 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.