Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Dr Arthur Clifton Mckinley Ctr during CMS and state inspections, most recent first.
Failure to initiate baseline care plans and provide written summaries was identified for five residents. Records for residents with diagnoses including COPD, stroke, diabetes, A-fib, dementia, anxiety, Parkinson's disease, BPH, and GERD lacked evidence that a baseline care plan was started or that the resident and/or representative received the required written summary and order summary.
An open vial of Tubersol was found in the Rehab Unit med storage refrigerator after its discard date. Facility policy and the manufacturer’s guidance required opened multi-dose vials to be dated and discarded within the applicable timeframe, and an LPN confirmed the vial was past the 30-day limit and should have been discarded.
The facility failed to maintain documentation for the annual 90-minute load bank test of its emergency generator, as required by NFPA standards. An interview with the maintenance supervisor confirmed the absence of this documentation, indicating non-compliance with essential maintenance protocols.
The facility did not maintain proper documentation for a 90-minute annual emergency lighting test, as required by regulations. This deficiency was confirmed during a document review and an interview with the maintenance supervisor.
A facility failed to document a physician's order for a resident's code status, leaving it unclear whether the resident was Full Code or DNR. The resident, with chronic respiratory failure and other conditions, had an EMR indicating DNI, but this was not supported by a formal order. This deficiency was confirmed by both an LPN and the DON.
A facility failed to document attempts of non-pharmacological interventions before administering PRN Lorazepam to a resident with anxiety and depression. Despite the facility's policy requiring such interventions, the resident's records showed repeated use of the medication without evidence of alternative approaches being tried first. The DON confirmed the lack of documentation for these interventions.
The facility did not discard a Tubersol PPD vial in a timely manner, as required by both facility policy and manufacturer's instructions. An LPN confirmed the vial was past its 30-day discard date during an observation in the 1st floor medication room.
The facility did not post the required contact information for the State Survey Agency, Pennsylvania Department of Health, on the Ground and First floors, making it inaccessible to residents. This was confirmed by the DON during an interview.
The facility failed to provide accessible Department of Health Survey results for residents and visitors. Observations revealed that survey binders on the ground and first floors lacked the two most recent survey results. The DON confirmed the absence of these results, indicating non-compliance with regulations.
Failure to Initiate Baseline Care Plans and Provide Written Summaries
Penalty
Summary
The facility failed to initiate a baseline care plan within 48 hours of admission and failed to provide a written summary of the baseline care plan and order summary to the resident and/or representative for five of five residents reviewed. Facility policy stated that a baseline plan of care is to be developed within 48 hours of admission and must include the minimum healthcare information necessary to properly care for the resident, including initial goals based on admission orders, physician orders, dietary orders, therapy services, social services, and PASARR recommendations if applicable. The policy also stated that the resident and/or representative are to be provided a written summary of the baseline care plan, with documentation of that provision in the medical record. Resident R2 was admitted with COPD, stroke, and diabetes; R6 was admitted with diabetes, BPH, and A-fib; R9 was admitted with A-fib, dementia, and diabetes; R10 was admitted with diabetes, A-fib, and anxiety; and R13 was admitted with Parkinson's disease, BPH, and GERD. Review of each of these residents' clinical records lacked evidence that a baseline care plan was initiated and/or that a summary of the baseline care plan and order summary were provided to the resident and/or representative. During interview, the NHA confirmed that the records for these five residents lacked this evidence.
Outdated Tubersol Vial Kept in Medication Refrigerator
Penalty
Summary
The facility failed to appropriately discard an outdated open vial of Tubersol in the Rehabilitation Unit medication storage room refrigerator. Facility policy stated that multi-dose vials that have been opened or accessed are to be dated and discarded within 28 days unless the manufacturer specifies a different timeframe, and the manufacturer's guidelines for Tubersol stated that an open vial should be discarded within 30 days after opening. During observation of the medication storage room, surveyors found an open vial of Tubersol with an open date of 10/28/25, which made the discard date 11/27/25, but the vial remained in storage on 12/2/25. An LPN confirmed during the observation that the vial was past the 30-day limit and should have been discarded.
Failure to Maintain Emergency Generator Documentation
Penalty
Summary
The facility failed to maintain proper documentation for the maintenance and testing of its emergency generator, which is a critical component of the essential electrical system. During a document review on December 23, 2024, it was discovered that the facility did not have the required documentation for the annual 90-minute load bank test of the emergency generator. This test is crucial to ensure that the generator can supply power within 10 seconds during an emergency, as stipulated by NFPA 101 and related standards. An interview with the maintenance supervisor on the same day confirmed that the documentation for the emergency generator testing was unavailable at the time of the survey. This lack of documentation indicates a failure to comply with the necessary maintenance and testing protocols outlined in NFPA 110 and NFPA 111, which are designed to ensure the reliability and readiness of emergency power systems in the facility.
Plan Of Correction
1. Maintenance Director completed and properly documented the required 90 minute annual load bank testing for the generator on 1-2-5. 2. Education will be provided to maintenance staff regarding the required testing and documentation for the yearly 90 minute load bank testing for the generator by 2-10-25. 3. From this point forward, the yearly emergency generator testing will be completed and properly documented every January. 4. Process will be monitored in QAPI meeting to ensure this process is sustained.
Failure to Maintain Emergency Lighting Documentation
Penalty
Summary
The facility failed to maintain emergency lighting in accordance with regulations, affecting the entire facility. During a document review on December 23, 2024, at 10:00 a.m., it was revealed that the facility could not provide documentation for a 90-minute annual emergency lighting test over the past 12 months. An interview with the maintenance supervisor at the same time confirmed the absence of this documentation.
Plan Of Correction
1. Maintenance Director completed and properly documented the required 90 minute annually emergency lighting test on 1-2-25. 2. Education will be provided to maintenance staff regarding the required testing and documentation for the yearly 90 minute emergency lighting test by 2-10-25. 3. From this point forward, the yearly emergency lighting testing will be completed and properly documented every January. 4. Process will be monitored in QAPI meeting to ensure this process is sustained.
Failure to Document Code Status for a Resident
Penalty
Summary
The facility failed to ensure that a physician's order was completed to indicate the code status for a resident, identified as Resident R26. The resident's electronic medical record (EMR) did not contain a physician's order specifying whether the resident was Full Code (CPR/Attempt Resuscitation) or Do Not Resuscitate (DNR/Do Not Attempt Resuscitation-Allow Natural Death). This deficiency was identified during a review of the facility's policy, clinical records, and staff interviews. The absence of a physician's order for code status was confirmed by both a Licensed Practical Nurse (LPN) and the Director of Nursing. Resident R26 was admitted with several diagnoses, including chronic respiratory failure with hypoxia, cardiac heart failure, diabetes mellitus type one, and constipation. Despite these significant health conditions, the EMR lacked a clear directive regarding the resident's code status. During interviews, it was noted that the EMR header indicated a status of DNI (Do Not Initiate), but this was not supported by a formal physician's order. The deficiency was noted under several Pennsylvania Code regulations related to management, resident rights, and medical records.
Plan Of Correction
1. Proper order for R26's code status was obtained and written on 12-19-24. 2. Facility reviewed all orders for all code status and any other issues were corrected on 12-19-24. 3. Education will be provided to nursing staff regarding obtaining the proper orders for code status. 4. Audits will be completed by Director of nursing or designee with all admits and any code status changes as the admits enter the building or code statuses are changed to ensure that facility has obtained the proper order for that code status. 5. Process will be monitored in QAPI meeting to ensure this process is sustained.
Failure to Attempt Non-Pharmacological Interventions Before PRN Medication
Penalty
Summary
The facility failed to provide evidence that non-pharmacological interventions were attempted prior to administering PRN psychotropic medication to a resident. The facility's policy on Behavioral Assessment, Intervention, and Monitoring mandates the use of non-pharmacological approaches to manage behavioral symptoms before resorting to antipsychotic medications. However, for a resident with diagnoses including COPD, anxiety, and depression, there was no documentation of such interventions being attempted before administering Lorazepam, an anti-anxiety medication, on multiple occasions. The resident's clinical records showed repeated use of PRN Lorazepam in November and December 2024, with no evidence of non-pharmacological interventions being tried first. The Director of Nursing confirmed the absence of documentation for these interventions prior to the administration of the medication. This deficiency was identified during a review of the facility's policy, clinical records, and staff interviews.
Plan Of Correction
1. Facility assessed resident 24 and no ill side effects noted. 2. Facility will review all residents with PRN psychotropic medication orders to ensure orders contain directions for non-pharmacological approaches are in place by 2-10-25. 3. Education will be provided to nursing staff regarding attempting and charting non-pharmacological approaches prior to giving any PRN psychotropic medication by 2-10-25. 4. Audits will be completed by the Director of Nursing or designee on all PRN psychotropic meds given weekly for 4 weeks to ensure that non-pharmacological approaches are attempted and documented prior to medication being given. After audits are complete, charting will be reviewed with the morning meeting for ongoing compliance. 5. Process will be monitored in the Quality Assurance and Improvement meeting to ensure this process is sustained.
Medication Disposal Non-Compliance
Penalty
Summary
The facility failed to ensure that medications were discarded in a timely manner, as observed in the 1st floor medication room. The facility's policy on Medication Labeling and Storage, dated 11/02/24, requires that multi-dose vials that have been opened or accessed be dated and discarded within 28 days unless the manufacturer specifies a different timeframe. The manufacturer's instructions for Tubersol PPD, a solution used for tuberculosis testing, specify that vials in use for 30 days should be discarded. During an observation on 12/18/24, a vial of Tubersol PPD with an open date of 11/15/2024 was found in the medication storage room refrigerator, indicating it was past the 30-day discard date. An LPN confirmed that the vial was past its discard date and should have been discarded.
Plan Of Correction
1. Expired TB solution was discarded in the appropriate container on 12-18-24. 2. Facility checked all medication refrigerators on 12-18-24 for any other expired meds and none were found. 3. Education will be provided to the licensed nursing staff regarding monitoring open medication for expiration dates. 4. Audits will be completed by Director of Nursing or designee weekly x 4 weeks of all medication refrigerators for expired medications. Refrigerators will then be checked monthly by RN supervisors for expired meds. 5. Process will be monitored in Quality Assurance and Improvement meeting to ensure this process is sustained.
Failure to Post State Survey Agency Contact Information
Penalty
Summary
The facility failed to comply with the requirement to post contact information for the State Survey Agency, specifically the Pennsylvania Department of Health, in areas accessible to residents on both the Ground and First floors of the nursing units. This deficiency was identified during observations conducted on December 19, 2024, at 10:15 a.m., where it was noted that the necessary contact information was not available on either floor. The Director of Nursing confirmed during an interview at 12:35 p.m. on the same day that the contact information was indeed not posted in areas accessible to residents and visitors.
Survey Results Not Accessible to Residents and Visitors
Penalty
Summary
The facility failed to ensure that the most recent Department of Health Survey results were accessible to residents and visitors. During observations conducted on December 19, 2024, it was found that the State Department of Health Survey binders on the nursing units of the ground and first floors did not contain information or results from the two most recent State Surveys conducted on January 12, 2024, and February 29, 2024. This deficiency was identified as the survey results were not available for examination by residents and visitors as required. An interview with the Director of Nursing on the same day confirmed the absence of the two most recent survey results in the binders. The Director acknowledged that the binders did not have the necessary survey results accessible for residents and visitors to review, which is a requirement under the regulations. This oversight indicates a failure in the facility's management to comply with the regulatory requirement to make survey results readily accessible.
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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 Brookville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Penn Highlands Jefferson Manor | 2.6 mi | ★★★★★ | 17 | 0 |
| Clarion Nursing And Rehab | 14.9 mi | ★★★★★ | 6 | 0 |
| Mulberry Healthcare And Rehabilitation Cent | 15.7 mi | ★★★★★ | 34 | 0 |
| Christ The King Manor | 16.3 mi | ★★★★★ | 4 | 0 |
| Highland View Rehabilitation & Healthcare Center | 16.6 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.