Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mt Macrina Manor during CMS and state inspections, most recent first.
Oxygen equipment was not properly maintained for five residents with respiratory-related orders and diagnoses. RN observations found oxygen tubing connected to the concentrator/cylinder but not labeled or dated, despite orders requiring weekly changes of tubing, humidifier, and filter with initials and dates. The DON confirmed the lapse in respiratory care and equipment maintenance.
Unnecessary Psychotropic Medication Not Evaluated: A resident with dementia, chronic lung disease, depression, and HTN was ordered risperidone for unspecified dementia without behavioral, psychological, mood, or anxiety disturbance. The record did not show that the attending physician or prescribing practitioner evaluated the medication’s appropriateness, and the ADON confirmed the facility failed to ensure the resident’s med regimen was free from unnecessary psychotropic medication.
A resident with dementia, chronic lung disease, HTN, and depression received risperidone at bedtime for unspecified dementia without behavioral disturbance. The record did not show a provider evaluation of the medication’s appropriateness, documented behaviors, or documented non-pharmacological interventions, and behavior-monitoring tasks were not completed.
Nurse staffing information was not posted in a prominent, readily accessible location on four of four nursing units. Observation and interview with the DON found the staffing sheet posted only on [NAME] Street inside the nursing station, where it was not visible to residents or visitors, and the DON confirmed the posting requirement was not met.
The facility failed to follow required infection control procedures during a COVID-19 outbreak, including not reporting the outbreak to the state when multiple residents tested positive and not maintaining a line list to track cases, symptoms, and isolation timeframes. The facility’s own policy and state guidance required timely outbreak reporting and daily active surveillance, but these were not implemented. Additionally, two RNs who tested positive for COVID-19 were allowed to return to work earlier than permitted under state return-to-work criteria. The DON confirmed the absence of required surveillance documentation, the failure to report the outbreak, and the early return of infected staff, resulting in a failure to ensure an environment free from potential spread of infection for affected residents and employees.
An unused medication cart was found unsecured with resident medication in the bottom drawer, contrary to facility policy requiring carts to be locked when not in sight of the medication nurse. The DON confirmed the lapse, acknowledging that medications should not have been accessible to residents or visitors.
Oxygen Equipment Not Properly Maintained
Penalty
Summary
The facility failed to provide appropriate respiratory care and maintain oxygen equipment for five sampled residents: R17, R20, R38, R58, and R90. Facility policy required oxygen tubing/cannula to be replaced weekly, with the tubing, humidifier, and water dated and initialed when changed. The clinical records for these residents showed physician orders for continuous oxygen or oxygen as needed, with instructions to change oxygen tubing, humidifier, and wash the filter weekly on C shift every Sunday and to date and initial the equipment changes. On 7/27/26, at approximately 10:30 a.m. and 2:30 p.m., RN E1 observed that R17, R20, R38, R58, and R90 had oxygen tubing connected to their oxygen concentrator/cylinder, but the tubing had not been labeled and dated. During an interview on 7/28/26, at 10:30 a.m., the DON confirmed that the facility failed to provide appropriate respiratory care and maintain oxygen equipment. The residents’ records also documented diagnoses including respiratory failure, CAD, dementia, Parkinson’s disease, cirrhosis, heart failure, chronic lung disease, hypertension, and depression.
Unnecessary Psychotropic Medication Not Evaluated
Penalty
Summary
The facility failed to ensure that one resident’s medication regimen was free from unnecessary psychotropic medication. Review of the clinical record showed that Resident R90 was admitted with diagnoses including high blood pressure, non-Alzheimer’s dementia, chronic lung disease, and depression. The resident’s MDS dated 6/4/26 reflected these conditions, and a physician order dated 2/6/25 directed risperidone 0.25 mg tablet once at bedtime for unspecified dementia, unspecified severity without behavioral disturbance, psychological disturbance, mood disturbance, or anxiety. The record failed to show that the attending physician or prescribing practitioner evaluated the resident for the appropriateness of the risperidone. The facility policy on unnecessary drugs stated that each resident’s drug regimen is to be managed and monitored to promote or maintain the resident’s highest practicable and psychosocial well-being free from unnecessary drugs. During an interview on 7/30/26 at approximately 10:30 a.m., the Assistant Director of Nursing confirmed that the facility failed to ensure the resident’s medication regimen was free from unnecessary psychotropic medication for one of eight residents.
Psychotropic Medication Used Without Documented Behaviors or Non-Pharmacological Interventions
Penalty
Summary
The facility failed to ensure that a psychotropic medication was used in accordance with regulatory requirements for one resident. Resident R90, who had diagnoses including non-Alzheimer's dementia, chronic lung disease, high blood pressure, and depression, had a physician order for risperidone 0.25 mg at bedtime for unspecified dementia without behavioral disturbance, psychological disturbance, mood disturbance, or anxiety. The clinical record did not show that the attending physician or prescribing practitioner evaluated the resident for the appropriateness of the medication, and documentation stated that the resident was assessed with no symptoms reported or evidenced. The record also failed to show documented non-pharmacological interventions before use of the psychotropic medication, and there was no documentation of behaviors associated with the medication's use. A task list for monitoring behavior symptoms was initiated on 4/22/22, but review of the July task list showed the tasks had not been completed. A 6/30/26 note stated that no GDR was recommended because target symptoms were controlled at the current therapeutic dose, with diagnoses listed as major neurocognitive disorder and mild major depressive disorder. The Assistant Director of Nursing was interviewed on 7/30/26 regarding the administration of the psychotropic medication without documented non-pharmacological interventions, behaviors, and continuation of the medication.
Nurse Staffing Information Not Posted in Accessible Location
Penalty
Summary
The facility failed to ensure that current and accurate nurse staffing information was posted in a prominent place readily accessible to residents, staff, and visitors on four of four nursing units. During observation and interview with the DON, nurse staffing information was found posted only on the nursing unit named [NAME] Street. The posting was located inside the nursing station and was not visible to residents or visitors. In a later interview, the DON confirmed that the facility had failed to ensure the staffing information was posted in a prominent and accessible location.
Failure to Report COVID-19 Outbreak and Enforce Staff Exclusion Requirements
Penalty
Summary
The deficiency involves the facility’s failure to implement and follow an effective infection prevention and control program for residents and staff during a COVID-19 outbreak. The Pennsylvania Department of Health Respiratory Virus Outbreak Toolkit requires that respiratory virus outbreaks be reported within 24 hours, defines an outbreak as either one confirmed case plus one symptomatic resident or two confirmed cases, and directs facilities to implement daily active surveillance using a case line list. The facility’s own infection control policy, updated 12/20/25, required HCP with fever or COVID-19–consistent symptoms to immediately notify a supervisor and be restricted from work until at least three days had passed from symptom onset or positive test and 24 hours without fever, with masking for at least seven days after onset. A facility-provided list showed that seven residents tested positive for COVID-19 over a series of dates, meeting the state’s outbreak definition, but review of information submitted to the Department of Health showed the facility failed to report the COVID-19 outbreak that began when two residents were confirmed positive within 72 hours. The facility also failed to maintain a line list documenting positive test dates, symptoms, and length of precautions for residents and staff, contrary to the outbreak checklist requirement for daily active surveillance. Staffing records showed that one RN (Employee E1) tested positive for COVID-19 and returned to work on the second day after the positive test, and another RN (Employee E2) tested positive and returned to work on the third day, both earlier than permitted under the Pennsylvania Department of Health guideline, which required at least three days from symptom onset or positive test and 24 hours afebrile before returning to work, with the earliest return on day four. In interviews, the DON confirmed that the facility did not maintain a line list, did not report the COVID-19 outbreak beginning when multiple residents became positive, and allowed the two RNs to return to work before the guideline-specified return-to-work dates, resulting in a failure to ensure an environment free from the potential spread of infection for seven residents and two employees.
Medication Cart Security Lapse
Penalty
Summary
The facility failed to properly secure medication in one of the five medication carts reviewed. According to the facility's policy on medication carts, which was reviewed on January 4, 2024, medication carts must be kept closed and locked when not in the sight of the medication nurse, ensuring that all outward sides are inaccessible to residents or others passing by. However, during an observation on August 26, 2024, at 11:30 a.m., an unused medication cart was found unsecured in the Town Hall room, with a resident's medication in the bottom drawer. This was confirmed by the Director of Nursing during an interview at 11:35 a.m. on the same day, acknowledging that medications should not have been left in the unused cart and accessible to residents and/or visitors.
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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 Uniontown
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lafayette Manor, Inc | 0.8 mi | ★★★★★ | 1 | 0 |
| Terrace Health & Rehab Center | 1.1 mi | ★★★★★ | 7 | 0 |
| Laurel Ridge Center | 1.4 mi | ★★★★★ | 5 | 1 |
| Uniontown Nursing And Rehab | 1.7 mi | ★★★★★ | 1 | 0 |
| Aurora Nursing And Rehab Center | 17 mi | ★★★★★ | 14 | 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 October 2026) and official state health department websites.