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 Juniper Village At Brookline-rehabilitation And Sk during CMS and state inspections, most recent first.
A clean bathrobe storage area on the second-floor nursing unit had four bathrobes hanging on wall hooks, while a clear plastic bag of damp towels and washcloths was piled below and in direct contact with three of the bathrobes. An aide confirmed the bathrobes were clean and used for residents after showers, and that the damp laundry came from residents whose showers had been completed with morning care.
The facility failed to develop and implement individualized person-centered care plans for two residents with dementia and cognitive loss. Both residents were assessed on MDS as having dementia, and the facility noted that dementia care plans would be developed, but review of the care plans showed no indication that person-centered dementia care had been implemented.
The facility did not meet the required nurse aide staffing levels as per Pennsylvania regulations. During the day shift, the facility was understaffed on four occasions, with insufficient nurse aides for the resident census. On September 1, November 24, November 29, and January 18, the number of nurse aides fell short of the required amount. Additionally, on January 19, the night shift was also understaffed. These deficiencies were identified through a review of nursing staff care hours and staff interviews.
The facility did not meet the required LPN staffing levels on the day shift, with only 2.00 LPNs scheduled for 53 residents, falling short of the required 2.12 LPNs. This deficiency was identified during a review of staffing hours for specific periods, and the DON was informed of the findings.
The facility failed to maintain the ambulation and strength of two residents as per their restorative nursing programs. One resident's ambulation program was not completed on multiple occasions, while another resident's program showed numerous 'not applicable' entries and refusals. Staffing issues were cited as a reason for the incomplete programs, leading to the residents not maintaining or improving their abilities.
The facility's main kitchen was found to have multiple sanitation issues, including limescale buildup on dish machines, damaged meal trays, and food debris in various areas. Staff reported inconsistent water softener performance, and several kitchen appliances and surfaces were observed with dust, debris, and food splatter. These findings were discussed with the Nursing Home Administrator and DON.
A facility failed to ensure accurate MDS assessments for a resident, incorrectly documenting an active pneumonia infection in December 2023 and March 2024, despite the resident not having the infection since October 2023. This error was confirmed by facility documentation and staff interviews.
A facility failed to provide an integrated hospice care plan for a resident with a terminal cerebrovascular disease diagnosis. The care plan lacked details on hospice services, including the hospice entity, disciplines involved, and service frequency. This deficiency was confirmed through interviews with facility staff, who acknowledged the absence of necessary documentation.
A resident with moisture-associated skin damage on the buttocks did not receive recommended Multivitamin and Vitamin C supplements as advised by a wound specialist. Despite weekly follow-ups and noted exacerbation of the condition, the facility failed to order the supplements or consult the resident's primary care physician. The Director of Nursing confirmed the oversight.
The facility failed to implement restorative nursing programs for two residents as recommended by therapy, leading to deficiencies in maintaining their range of motion. One resident received sporadic ambulation therapy, while another did not receive the prescribed passive range of motion program. These findings were confirmed by the DON.
A resident was self-administering her tube feeding without a proper assessment to ensure her capability to do so safely. The facility's assessment and care plan did not address the self-administration of enteral feeding, as confirmed by the DON.
The facility failed to create and implement individualized care plans for two residents diagnosed with dementia. Despite assessments indicating the need for such plans, there was no evidence of person-centered care plans addressing dementia and cognitive loss for these residents. This deficiency was confirmed through staff interviews and record reviews.
A resident was found chewing on a piece of her own tooth, but the facility failed to document follow-up actions or inform the resident's spouse about the incident. The spouse initially declined dental services without knowledge of the broken tooth, and it wasn't until later that they were informed and agreed to a dental visit. This communication lapse led to a deficiency in addressing the resident's dental care needs.
Clean Bathrobes Contacted by Damp Laundry in Shower Room
Penalty
Summary
The facility failed to ensure an environment free from the potential spread of infection on the second-floor nursing unit. During observation of the resident shower/bathing room, a wall with multiple hooks had four clean bathrobes hanging from them, and below the bathrobes was a clear plastic bag of laundry containing damp towels and washcloths. The laundry items were piled approximately three feet high and overflowing from the bag, with the damp laundry in direct physical contact with three of the four hanging bathrobes. An employee confirmed that the bathrobes were clean and used for residents after showers, and also confirmed that the damp laundry belonged to residents whose showers had been completed with morning care.
Failure to Develop Person-Centered Dementia Care Plans
Penalty
Summary
The facility failed to develop and implement individualized person-centered care plans to address dementia and cognitive loss for two residents. Resident 4 was admitted with diagnoses including dementia, and her admission MDS dated October 18, 2025, indicated the facility assessed her as having dementia and determined that a care plan for dementia and cognitive loss would be developed; however, review of her care plan showed no indication that such a person-centered care plan had been developed or implemented. Resident 13 was admitted on January 8, 2026, and her admission MDS indicated that the facility assessed her as having dementia and determined that a care plan for dementia and cognitive loss would be developed; however, review of her care plan also showed no indication that a person-centered care plan had been developed or implemented. The findings were reviewed with the DON during a meeting on March 6, 2026, at 11:50 AM.
Staffing Deficiencies in Nurse Aide Coverage
Penalty
Summary
The facility failed to meet the required staffing levels for nurse aides as per the Commonwealth of Pennsylvania Long Term Care Licensure Regulations. Specifically, during the day shift, the facility did not provide the minimum required number of nurse aides for four out of the 21 days reviewed. On September 1, 2024, there were 4.17 nurse aides for a census of 51 residents, requiring 5.10 nurse aides. On November 24, 2024, there were 4.20 nurse aides for a census of 50 residents, requiring 5.00 nurse aides. On November 29, 2024, there were 4.67 nurse aides for a census of 50 residents, requiring 5.00 nurse aides. On January 18, 2025, there were 5.10 nurse aides for a census of 53 residents, requiring 5.30 nurse aides. Additionally, during the night shift on January 19, 2025, the facility provided 3.20 nurse aides for a census of 53 residents, requiring 3.53 nurse aides. These staffing deficiencies were identified through a review of nursing staff care hours and confirmed through staff interviews.
Plan Of Correction
- Residents were not found to be affected by deficient practice. - The Director of Wellness conducted initial Quality Improvement (QI) monitoring of schedules for the past week to review NA staffing ratios. - The Director of Wellness and Scheduler will meet daily to review the schedule to ensure ratios and hours meet regulation. The Executive Director will reeducate the wellness team on efforts to improve recruitment and retention of direct care staff and the scheduling process, including critical shift incentives. - The Director of Wellness will conduct Quality Improvement (QI) monitoring of the nursing schedule related to NA staffing ratios 5 times a week for 2 weeks, then weekly for 2 weeks, and finally monthly for 2 months. Further recommendations will be reported to Quality Assurance Performance Improvement (QAPI).
LPN Staffing Deficiency on Day Shift
Penalty
Summary
The facility failed to meet the regulatory requirement of having a minimum of one licensed practical nurse (LPN) per 25 residents during the day shift. This deficiency was identified during a review of nursing staffing hours for specific dates. On January 18 and 19, 2025, the facility scheduled only 2.00 LPNs for a resident census of 53, which required 2.12 LPNs to meet the mandated staffing levels. This shortfall in staffing was noted during a review of the facility's nursing staff care hours for the periods of September 1-7, 2024, November 24-30, 2024, and January 15-25, 2025. The Director of Nursing was informed of these findings on January 24, 2025.
Plan Of Correction
- Residents were not found to be affected by deficient practice. - The Director of Wellness conducted initial Quality Improvement (QI) monitoring of schedules for the past week to review LPN staffing ratios. - The Director of Wellness and Scheduler will meet daily to review the schedule to ensure ratios and hours meet regulation. The Executive Director will reeducate the wellness team on efforts to improve recruitment and retention of direct care staff and the scheduling process, including critical shift incentives. - The Director of Wellness will conduct Quality Improvement (QI) monitoring of the nursing schedule related to LPN staffing ratios 5 times a week for 2 weeks, then weekly for 2 weeks, and finally monthly for 2 months. Further recommendations will be reported to Quality Assurance Performance Improvement (QAPI).
Failure to Maintain Residents' Ambulation and Strength
Penalty
Summary
The facility failed to maintain the ambulation status and strength of two residents, identified as Residents 34 and 36, as per their restorative nursing programs. Resident 34 was on a restorative nursing program for ambulation, which required her to be walked 50-150 feet, 1-2 times daily with assistance. However, her program was not completed on numerous occasions in April and May 2024, with staff documenting 'not applicable' without a clear reason. The Nursing Home Administrator and Director of Nursing confirmed the program was not completed as ordered. Resident 36 was also on a restorative nursing program following discharge from skilled occupational and physical therapy services. The program aimed to maintain her upper and lower extremity strength and activity tolerance. However, documentation showed multiple instances of 'not applicable' entries and refusals for the program in April and May 2024. Despite being referred back to physical and occupational therapy in May 2024 due to decreased endurance and functional mobility, there was no evidence of refusal for these services. Interviews with staff revealed that the restorative programs were not completed due to staffing issues, such as the lack of available personnel to assist with ambulation programs. The restorative coordinator acknowledged the multiple 'not applicable' entries and was unsure why Resident 36 refused the restorative program but not the therapy services. The facility's failure to provide the necessary restorative services resulted in the residents not maintaining or improving their abilities as required.
Sanitation Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain a safe and sanitary environment in the main kitchen, as observed during a survey. The dish machine and several utility carts were found with a white buildup, attributed to limescale from the water. Staff indicated that the water softeners were inconsistent in their performance, and although a limescale remover was used weekly, the issue persisted. Additionally, a ceiling light cover in the dish room was covered with dried food and liquid splatter, and a stack of resident meal serving trays was found to be discolored, stained, and damaged with cracks and broken edges. Further observations revealed an uncovered industrial floor mixer with dust and debris inside the mixing bowl, and a panini press with dried food buildup on a preparation counter. The surrounding wall was also splattered with dried food. The lower shelf of a preparation table was dusty and debris-laden, and a nearby garbage can was soiled with dried food and liquid. In the dry storage area, shelf liners were dusty, and the flooring under shelving units in the walk-in cooler and freezer had food debris. A soiled glove, coffee filter, and dried food were found under the ice machine. These findings were reviewed with the Nursing Home Administrator and Director of Nursing.
Inaccurate MDS Assessment for a Resident
Penalty
Summary
The facility failed to ensure complete and accurate Minimum Data Set (MDS) assessments for a resident. A review of the resident's clinical record revealed discrepancies in the MDS assessments dated December 21, 2023, and March 18, 2024, which incorrectly indicated that the resident had an active pneumonia infection. However, the resident had not experienced an active pneumonia infection since October 1, 2023. This error was confirmed by documentation provided by the facility and through interviews with the Administrator and Director of Nursing.
Failure to Implement Integrated Hospice Care Plan
Penalty
Summary
The facility failed to provide the highest practicable care for a resident admitted to hospice care due to a terminal diagnosis related to cerebrovascular disease. The clinical record review revealed that the facility did not implement an integrated plan of care with hospice services for the resident. The care plan lacked evidence of all services that hospice would provide for managing the resident's terminal illness. Additionally, the care plan did not identify the hospice entity providing services, the hospice disciplines involved, or the frequency of care and services. These findings were confirmed during interviews with the Nursing Home Administrator, Director of Nursing, and a social services employee, who acknowledged the absence of further documentation related to the resident's hospice services and plan of care.
Failure to Implement Wound Specialist Recommendations
Penalty
Summary
The facility failed to implement the recommendations of a wound specialist for a resident with moisture-associated skin damage (MASD) on the buttocks. The resident, who was observed in bed and reported pain from an open area on the buttocks, had been assessed by facility staff and a contracted wound specialist. The specialist recommended a treatment plan that included a Multivitamin once daily and Vitamin C 500 mg twice daily. Despite these recommendations being reiterated in subsequent weekly reports, there was no evidence that the facility ordered these supplements or addressed the recommendations with the resident's primary care physician. The resident's condition showed signs of exacerbation over time, with the MASD areas increasing in size, attributed to the resident's generalized decline, nutritional compromise, and non-compliance with wound care. The wound specialist continued to recommend the same treatment plan, noting some improvement in the condition by May 7, 2024. However, by May 14, 2024, the areas required debridement, and the recommendations for the Multivitamin and Vitamin C remained unaddressed. The Director of Nursing confirmed that the supplements were never ordered, nor were the recommendations discussed with the resident's primary physician.
Failure to Implement Restorative Nursing Programs
Penalty
Summary
The facility failed to implement a restorative nursing program as recommended by therapy for two residents, leading to deficiencies in maintaining their range of motion. Resident 21 was assessed to have range of motion limitations in one side of her lower extremities, as indicated in a Minimum Data Set Assessment dated December 21, 2023. A physical therapy form dated December 19, 2023, recommended an ambulation program for Resident 21 to maintain her lower extremity strength. However, documentation revealed that the resident received the recommended ambulation program only sporadically in February, March, and April 2024, with no consistent adherence to the therapy recommendations. Similarly, Resident 32 was recommended to receive a passive range of motion program to his lower extremities, as per a physical therapy form dated May 7, 2024. The goal was to maintain range of motion and prevent joint contractures. However, there was no documented evidence that Resident 32 received the passive range of motion program since its implementation. An interview with the Director of Nursing confirmed these findings, indicating a failure to provide the necessary restorative nursing care as recommended by therapy.
Failure to Ensure Safe Self-Administration of Tube Feeding
Penalty
Summary
The facility failed to ensure the safe self-administration of tube feeding for a resident, which compromised the resident's nutritional status. The resident, identified as Resident 2, was self-administering her tube feeding and water but not her medications. A clinical record review revealed a physician's order for enteral feeding four times a day, which allowed the resident to self-administer. However, the facility did not have a proper assessment in place to ensure the resident's capability to safely self-administer her tube feeding. Interviews with the Director of Nursing confirmed that the self-administration of medication assessment did not include indicators for safely self-administering tube feeding. Additionally, the resident's care plan did not address the self-administration of her enteral feeding. The Director of Nursing acknowledged that the facility failed to assess the resident's ability to self-administer her tube feeding, which was necessary to maintain acceptable nutritional parameters.
Failure to Develop Person-Centered Care Plans for Dementia
Penalty
Summary
The facility failed to develop and implement individualized person-centered care plans for two residents diagnosed with dementia. Resident 8 was admitted on June 27, 2022, with a diagnosis of dementia, as indicated in the Minimum Data Set Assessment dated June 9, 2023. Despite the assessment, there was no evidence that a person-centered care plan addressing dementia and cognitive loss was developed for Resident 8. Similarly, Resident 10, admitted on August 7, 2023, was assessed with dementia according to her admission MDS. However, the facility did not develop or implement a person-centered care plan for her dementia and cognitive loss. These findings were confirmed during interviews with the Nursing Home Administrator, Director of Nursing, and a social services employee, who acknowledged the lack of documentation for individualized care plans for both residents.
Failure to Address Dental Concerns for a Resident
Penalty
Summary
The facility failed to address dental concerns for a resident, identified as Resident 27, who was found chewing on a piece of her own tooth on March 30, 2024. Despite this incident, there was no follow-up documentation in the resident's clinical record. Additionally, a wellness progress note dated May 3, 2024, indicated that the resident's spouse declined dental services, but there was no evidence that the spouse was informed about the broken tooth incident. An interview with the Director of Nursing on May 15, 2024, confirmed that the resident's spouse was not made aware of the dental issue until that day, when they agreed to allow a dental hygienist to see the resident. This lack of communication prevented the spouse from making an informed decision regarding the resident's dental care, leading to a deficiency in the facility's obligation to provide necessary dental services.
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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 State College
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Foxdale Village | 0.5 mi | ★★★★★ | 0 | 0 |
| Embassy Of Hearthside | 1.6 mi | ★★★★★ | 43 | 0 |
| Village At Penn State, The | 3.1 mi | ★★★★★ | 10 | 0 |
| Centre Care Rehabilitation And Wellness Services | 4.2 mi | ★★★★★ | 5 | 0 |
| Valley View Haven, Inc | 13.8 mi | ★★★★★ | 5 | 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.