Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Conemaugh Memorial Medical Center Tcu during CMS and state inspections, most recent first.
Failure to document intake and output for a resident with a right nephrostomy tube. The resident was admitted with UTI, CKD stage 3a, chronic right UPJ obstruction, and was receiving IV antibiotics. The care plan called for strict I&O monitoring and the MD ordered I&O three times daily, but the record had no documented output, including nephrostomy drainage, for multiple shifts. The DON confirmed the missing documentation.
A resident admitted after a fall with a L arm fracture had a care plan for altered nutrition and skin integrity, and the RD recommended daily Ensure Plus High Protein and Mighty Shake supplements. The physician order was entered incorrectly as a one-time order instead of routine, and the resident did not receive the ordered supplements on multiple meals; staff and the DON confirmed the missed supplements and the order entry error.
A resident with mobility issues was transported in a wheelchair without footrests, contrary to facility policy. The resident, who had fractures requiring careful handling, was observed with her feet off the ground during transport. The Occupational Therapist acknowledged the oversight, and the DON confirmed the requirement for footrests during transport.
A facility failed to follow infection control practices during medication administration. A nurse dropped a Sennosides glycoside tablet onto a medication cart, picked it up with bare hands, and administered it to a resident, contrary to the facility's policy requiring medications to be handled in a manner preventing contamination. Both the nurse and the Nursing Home Administrator confirmed the medication should have been wasted.
The facility failed to complete a safety assessment for side rail use for a resident. Despite the facility's policy requiring an assessment of the resident's medical condition and potential hazards, observations revealed that the resident's bed had bilateral side rails without documented evidence of a prior safety assessment. The DON confirmed the absence of the required assessment.
Failure to Document Intake and Output for Resident With Nephrostomy Tube
Penalty
Summary
The facility failed to ensure urinary output was monitored for one resident who had a right nephrostomy tube. The resident was admitted with diagnoses including a urinary tract infection, chronic kidney disease stage 3a, chronic right ureteropelvic junction obstruction, and status post nephrostomy tube placement, and was admitted for IV antibiotic therapy. The care plan identified the right nephrostomy tube and directed staff to monitor strict intake and output, and the physician ordered intake and output to be recorded three times daily. Review of the clinical record showed no documented evidence that the resident's output, including nephrostomy tube output, was documented during the overnight shift on March 6 and 7, during the day shift on March 8, and during the day shift on March 9. The DON confirmed on interview that there was no documented evidence that the resident's intake and output, including nephrostomy output, was documented during those 12-hour shifts.
Incorrectly Entered Supplement Orders Led to Missed Nutrition Supplements
Penalty
Summary
The facility failed to ensure that dietitian recommendations for dietary supplements were accurately ordered for one resident who was admitted after a fall at home that resulted in a fracture to the left arm. The resident’s care plan identified a risk for altered nutrition and skin integrity. A dietitian note recommended adding an Ensure Plus High Protein supplement daily and a Mighty Shake supplement daily to support adequate nutrition status, and a physician’s order was entered for an Ensure High Protein supplement with supper and a Mighty Shake with lunch. Review of the resident’s clinical record and observation of the resident in her room showed that the supplements were not documented as being received as ordered on multiple meals. The resident was observed sitting in a chair with a cast to the left arm, bruising to the left side of the face, and a pressure-relieving cushion on the chair; her lunch tray did not have a Mighty Shake. Staff interviews confirmed that the resident was ordered to receive a Mighty Shake with lunch and an Ensure High Protein supplement with supper, but the order had been entered incorrectly as one occurrence instead of routinely, and the Director of Nursing confirmed the resident did not receive the supplements as ordered and recommended on the identified meals.
Failure to Ensure Resident Safety During Wheelchair Transportation
Penalty
Summary
The facility failed to ensure the safety of a resident during transportation in a wheelchair, which was identified during a review of facility policies, clinical records, and observations. The resident, who had a closed non-displaced intertrochanteric fracture of the right femur and a distal radius fracture of the right upper extremity, was coded yellow, indicating a need for assistance with mobility. The resident's care plan included therapeutic exercise, bed mobility gait training, and the use of transfer and ambulation devices. Despite these precautions, the resident was observed being pushed into the therapy room without footrests on the wheelchair, leaving her feet approximately one inch off the ground. An interview with the Occupational Therapist who transported the resident confirmed that footrests were available and should have been used. The Director of Nursing also confirmed that staff should always use leg/footrests when transporting residents in wheelchairs, although it was noted that therapy staff have their own procedures. This oversight in following the facility's policy on safe mobility led to the deficiency, as the resident was not provided with adequate supervision and safety measures during transportation.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to adhere to proper infection control practices during medication administration for one resident. The facility's policy, dated March 15, 2024, mandates that medications be administered in a manner that prevents contamination or infection, with staff required to follow all infection control practices, including hand hygiene and the use of personal protective equipment. However, on February 19, 2025, a registered nurse dropped a tablet of Sennosides glycoside onto the medication cart and subsequently picked it up with her bare hands before placing it into a medication cup and administering it to the resident. This action was confirmed by the nurse during an interview, acknowledging that the medication should have been wasted. The Nursing Home Administrator also confirmed that dropped medications should not be touched with bare hands and should be wasted.
Failure to Complete Safety Assessment for Side Rail Use
Penalty
Summary
The facility failed to ensure that a safety assessment was completed for side rail use for one of the twelve residents reviewed. The facility's policy, dated March 15, 2024, required a person-centered approach, including an assessment of the resident's medical condition, decision-making ability, and a review for possible entrapment or injury from bed rail use. Observations of Resident 163 on March 25 and March 26, 2024, revealed that the resident's bed was equipped with bilateral side rails. However, there was no documented evidence that Resident 163 was assessed for potential safety hazards prior to the side rails being applied. The Director of Nursing confirmed that no safety assessment was completed for the use of side rails for Resident 163.
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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 Johnstown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Ridge Senior Living At Johnstown | 2 mi | ★★★★★ | 21 | 1 |
| Quality Life Services - Westmont | 2 mi | ★★★★★ | 4 | 0 |
| Hilltop Heights Health & Rehab Center | 3.2 mi | ★★★★★ | 19 | 0 |
| Concordia At Arbutus Park | 3.7 mi | ★★★★★ | 14 | 0 |
| Laurel View Village | 5.2 mi | ★★★★★ | 7 | 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 July 2026) and official state health department websites.