Above 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 Terrace Health & Rehab Center during CMS and state inspections, most recent first.
Incomplete and inaccurate MDS assessments were identified for four residents when Section B showed they were at least sometimes understood, but Section C was coded as rarely understood and the BIMS was not completed, and Section D was also coded as rarely understood with the Resident Mood Interview not completed. The RNAC confirmed the MDSs were not fully completed as required.
LPNs and RNs did not maintain current CPR certification for Healthcare Providers with a required hands-on component. Facility policy required active CPR certification for licensed nurses, but review of certification cards showed that 16 of 33 licensed nurses had only online-only CPR training for non-healthcare providers. The HR Director, NHA, and DON confirmed the deficiency.
Significant Medication Errors with Insulin Administration: Two residents with DM and CKD received insulin outside ordered parameters. One resident’s insulin lispro was given when BG was below the hold threshold, and another resident’s insulin aspart was administered multiple times when BG was below the ordered hold level. The DON confirmed the insulin aspart doses were given outside the physician order, and the NHA confirmed the medication error deficiency.
Surveyors found improper storage and disposal of meds and medical supplies in the 2nd Floor med room and the 2nd and 3rd Floor supply rooms. Items observed included a partially used, undated vial of Aplisol in the refrigerator, multiple expired wound vac foams and other supplies, an opened non-sterile vial adapter, and an unwrapped NS flush; the NHA and DON confirmed the findings.
Failure to Prevent Pressure Injuries: The facility failed to ensure necessary treatment and services were provided to prevent pressure injuries for two residents. One resident with dementia, stroke, and heart fibrillation developed a DTI despite an air mattress order and pressure-reduction precautions, and another resident with dementia and dependence for bed mobility developed a new stage III pressure ulcer despite orders for a pressure reduction mattress and enabler bars. The DON confirmed the failure.
The facility failed to ensure that Psychiatry Group progress notes were available for continuity of care for a resident with schizophrenia who received outpatient mental health services. The resident said he attended therapy every three months for medication and care, but the clinical record contained no progress notes or other documentation from the outside provider. The DON contacted the clinic, which said a signed release was needed before records could be sent, and the ADON later confirmed no documentation had been received.
The facility failed to provide annual emergency preparedness training to all staff members. Review of personnel in-service records and staff interviews showed that training was only given during new-employee orientation and was not completed each year. The D of Maintenance and the NHA both confirmed the lapse in required staff training.
The facility did not provide food that was palatable or attractive, as evidenced by resident complaints of tasteless meals, food trays containing hair, and frequent discrepancies between menu items and what was served. Observations showed pureed foods were plated in an unappetizing manner and many residents did not receive the correct dessert as indicated on their tray slips. These issues were confirmed by facility leadership.
Surveyors observed multiple instances of unsanitary practices in the kitchen, including staff not fully covering hair, handling food with contaminated gloves, and failing to wash hands between tasks. Food items were handled after contact with potentially contaminated surfaces, and meal deliveries were delayed beyond scheduled times. These actions resulted in a failure to maintain sanitary conditions and prevent cross-contamination or foodborne illness.
The facility did not consistently accommodate the needs and preferences of a resident, as required, based on observations and review of facility practices.
A resident with a history of stroke and heart failure reported ongoing hearing difficulties and requested hearing aids, but the facility did not arrange follow-up audiology services or provide assistive devices as previously recommended. Staff and record reviews confirmed the lack of action to address the resident's hearing needs.
The facility did not ensure consistent and complete communication with the dialysis center for two residents with end stage renal disease, as required by policy. Multiple dialysis communication forms were found to be incomplete, and this deficiency was confirmed by the DON.
The facility did not employ a qualified Food Service Director for most of the year, with the individual in the role lacking Certified Dietary Manager credentials and only holding Serv Safe certification. The RD was not full-time and visited three times weekly, and there was no documentation to show the FSD met required qualifications.
A resident with severe cognitive impairment and multiple medical conditions was left without a meal for about 35 minutes while others at the same table were served and began eating. An LPN confirmed that this delay failed to provide a dignified dining experience for the resident.
A resident with multiple health conditions and a care plan requiring supervision and cueing during meals was left without assistance while eating. The resident experienced difficulty and distress, and staff did not provide the necessary support as outlined in the care plan, resulting in a deficiency.
A resident with multiple health conditions, including dementia and muscle weakness, did not receive the necessary supervision or assistance with eating as required by her care plan. Staff failed to provide help during mealtime, resulting in the resident struggling to eat independently and experiencing significant weight loss.
A resident with limited arm mobility and a care plan specifying the use of a Kennedy cup for hot liquids was observed struggling to eat without the necessary adaptive equipment or staff assistance. The resident's food was not cut up, and she experienced visible difficulty and distress during the meal. The lack of required adaptive utensils and absence of assistance was confirmed by facility leadership.
The facility failed to properly store food in the Main Kitchen, risking foodborne illness. Staff lunch bags were in the cooler with resident food, ice buildup in the freezer dripped onto food boxes, and bread was stored on the refrigerator floor. These issues were confirmed by the Dietary Manager, violating FDA Food Code guidelines.
A resident with multiple health issues alleged verbal abuse by an RN, which was confirmed by a family member. Despite previous abuse prevention training, the RN's behavior caused emotional distress and left the resident in a precarious situation during a transfer. The facility failed to ensure the resident was free from abuse, as confirmed by the DON.
The facility did not meet the required in-service education hours for two nurse aides. One aide, hired in April 2024, completed only 4.25 hours, while another, hired in August 2021, completed 7.50 hours within their respective 12-month periods. This was confirmed by the Nursing Home Administrator.
The facility failed to provide mandatory QAPI training for two staff members, a Nurse Aide and a Therapy Employee, as required by Pennsylvania Code. The deficiency was confirmed by the Nursing Home Administrator, who acknowledged the lack of training for these employees.
The facility failed to provide behavioral health training for three Nurse Aides, despite it being a required educational topic in the facility's assessment. Employees E1, E2, and E3 did not receive the necessary training within their specified timeframes, as confirmed by the Nursing Home Administrator.
Incomplete and inaccurate MDS assessments
Penalty
Summary
The facility failed to ensure that comprehensive Minimum Data Set (MDS) assessments were accurate and fully completed for four residents. The Resident Assessment Instrument User's Manual dated October 2025 stated that Section C, Question C0100 should be coded as 0 if a resident is rarely or never understood, or as 1 with the Brief Interview for Mental Status completed if the resident is at least sometimes understood. It also stated that Section D, Question D0100 should be coded as 0 if a resident is rarely or never understood, or as 1 with the Resident Mood Interview completed if the resident is at least sometimes understood. For four residents, the MDSs showed they were at least sometimes understood in Section B, but Section C was coded as rarely understood and the BIMS was not completed, and Section D was also coded as rarely understood with the Resident Mood Interview not completed. This occurred for residents with MDS assessments completed on 5/7/26, 5/11/26, 7/16/26, and 7/20/26. During an interview on 7/23/26, the Resident Nurse Assessment Coordinator confirmed that the facility failed to make certain that comprehensive MDS assessments were accurate and fully completed for four of seven residents.
LPNs and RNs Lacked Acceptable CPR Certification
Penalty
Summary
Facility nursing personnel did not maintain current CPR certification for Healthcare Providers through a CPR provider whose training included a hands-on session either in a physical or virtual instructor-led setting in accordance with accepted national standards for 16 of 33 licensed nurses. The affected staff included LPNs E1 through E12 and RNs E13 through E16. The facility policy titled Cardiopulmonary Resuscitation CPR stated that licensed nurses, respiratory therapists, and van drivers must hold active CPR certification for healthcare providers, and that online-only courses were not acceptable. Review of the CPR certification cards for the 16 licensed nurses showed that their certification was from an online-only CPR class for non-healthcare providers and did not include a hands-on session. During an interview, the Human Resources Director confirmed that these employees did not have the appropriate CPR certification for licensed nurses. The Nursing Home Administrator and the DON also confirmed that the facility failed to ensure that facility nursing personnel maintained current CPR certification for Healthcare Providers through a CPR provider whose training included a hands-on session either in a physical or virtual instructor-led setting.
Significant Medication Errors with Insulin Administration
Penalty
Summary
The facility failed to ensure that residents were free from significant medication errors for two residents. Resident R13 had diagnoses of type 2 diabetes and chronic kidney disease. A physician order dated 2/28/26 directed that he receive 2 units of insulin lispro subcutaneously twice daily and to hold the dose if blood sugar was less than 150. The medication audit report for 7/1/26 through 7/23/26 showed insulin lispro was administered on 7/3/26 at 5:00 p.m. with a blood sugar of 125, on 7/13/26 at 5:00 p.m. with a blood sugar of 132, and on 7/22/26 at 5:00 p.m. with a blood sugar of 146. Resident R53 also had diagnoses of type 2 diabetes and chronic kidney disease. A physician order dated 1/19/26 directed that he receive 10 units of insulin aspart subcutaneously before meals and to hold the dose if blood sugar was less than 200. The medication audit report for 7/1/26 through 7/23/26 showed insulin aspart was administered outside the ordered parameters on multiple occasions, including 7/4/26 at 8:00 a.m. with a blood sugar of 187 and at 12:00 p.m. with a blood sugar of 154, 7/8/26 at 8:00 a.m. with a blood sugar of 138 and at 12:00 p.m. with a blood sugar of 137, 7/11/26 at 8:00 a.m. with a blood sugar of 167, 7/13/26 at 8:00 a.m. and 12:00 p.m. with blood sugars of 154, 7/14/26 at 8:00 a.m. with a blood sugar of 164, at 12:00 p.m. with a blood sugar of 158, and at 4:00 p.m. with a blood sugar of 139, and 7/22/26 at 8:00 a.m. with a blood sugar of 165. During interview, the DON confirmed the insulin aspart orders were administered outside the parameters set in the physician order, and the NHA confirmed the facility failed to ensure that residents were free from significant medication errors for two of ten residents.
Improper Storage and Expired Supplies in Medication and Supply Rooms
Penalty
Summary
Medications and medical supplies were not stored and/or disposed of appropriately in one of two medication rooms and two of two medical supply rooms. In the Second Floor supply room, surveyors observed multiple items past expiration, including wound vacuum foam with expiration dates of 10/27/24, 11/2024, 12/22/24, 1/2025, and 9/1/25, as well as additional supplies with later expiration dates such as wound vacuum foam dated 5/10/26, sterile water ampules dated 3/21/26, glucose test strips dated 11/20/25, luer lock caps dated 5/31/26, connectors with caps dated 11/28/25, an IV catheter dated 6/30/25, transparent dressing dated 6/3/26, and collection tubes dated 1/31/26. The same room also contained an opened, non-sterile vial adapter and an unwrapped normal saline flush. In the Second Floor medication room refrigerator, surveyors observed a partially used vial of Aplisol that was undated. In the Third Floor supply room, surveyors observed sterile water ampules dated 6/5/26, Miralax packets dated 03/2025, and a safety needle dated 5/11/26. The Nursing Home Administrator and the DON confirmed the facility failed to make certain that medications and medical supplies were stored and/or disposed of appropriately in the Second Floor medication room and the Second and Third Floor medical supply rooms.
Failure to Prevent Pressure Injuries
Penalty
Summary
The facility failed to ensure necessary treatment and services were provided to prevent pressure injuries for two residents, R4 and R24. Facility policy stated that residents admitted with existing pressure injuries would receive necessary treatment and services consistent with professional standards of practice, and that new pressure injuries would not develop unless the resident’s clinical condition made them unavoidable. Resident R4 was admitted with diagnoses including dementia, stroke, and heart fibrillation, and the MDS indicated the resident was at risk for pressure ulcers/injuries. A physician order directed use of an air mattress and to check it for functioning. A progress note documented that R4 developed a deep tissue injury identified by staff, measuring 2 cm x 3.5 cm, and the wound NP noted the patient had a pressure injury and recommended ongoing pressure reduction and turning/repositioning precautions, including pressure reduction to the heels and all bony prominences. Resident R24 was admitted with diagnoses including dementia, psychotic disturbance, anxiety, and cognitive communication deficit, and the MDS indicated the resident was at risk for pressure ulcers/injuries. The MDS also identified the resident as dependent for bed mobility. Physician orders included bilateral enabler bars for bed mobility and a pressure reduction mattress. A progress note documented that staff found a new stage III pressure ulcer, measuring 1 cm x 0.8 cm x 0.2 cm with 0% eschar, 60% granulation tissue, and 20% slough. The wound NP noted the patient was at increased risk for skin breakdown and moisture associated skin damage due to fecal and urinary incontinence and inability to perform self-care. During interview, the DON confirmed the facility failed to make certain R4 and R24 were provided necessary treatment and services, consistent with professional standards of practice, to prevent pressure ulcers.
Missing Psychiatry Progress Notes for Resident Mental Health Care
Penalty
Summary
The facility failed to ensure that the Psychiatry Group provided progress notes for continuity of care with each visit for one resident with schizophrenia. Review of the resident’s MDS dated 6/3/26 showed a diagnosis of schizophrenia, and the clinical record indicated the resident used an outside mental health provider for psychiatric care. During an interview on 7/21/26, the resident stated he went to outpatient therapy every three months for care and medication and had no issues obtaining his mental health medication. Review of the resident’s clinical record did not identify any progress notes or other documentation from the outpatient therapy providers related to continuity of care. The DON stated on 7/21/26 that she called the clinic and left a message with Medical Records, and the clinic later stated the facility needed the resident to sign a release form before records could be sent, even though he was a resident of the facility. The DON then had the form faxed and planned to have it signed by the resident, and the ADON later stated the clinic did not send any documentation.
Failure to Provide Annual Emergency Preparedness Training
Penalty
Summary
The facility failed to provide annual emergency preparedness training to all staff members. Review of the facility personnel in-service training records and staff interview showed that emergency preparedness training was only provided during new-employee orientation and was not completed annually for each staff member. Federal regulations cited in the report require LTC facilities to provide emergency preparedness training at least annually and maintain documentation of the training. During interviews, the Director of Maintenance confirmed that annual emergency preparedness training was not being provided, and the Nursing Home Administrator also confirmed that the facility failed to provide this training to all staff members.
Failure to Provide Palatable and Attractive Food Service
Penalty
Summary
The facility failed to ensure that food and drink served to residents was palatable, attractive, and at a safe and appetizing temperature. Over a three-month period, food council meeting minutes and resident group meeting information documented multiple complaints from residents, including reports that the food was tasteless, food trays sometimes contained hair, and concerns about whether kitchen staff used hair nets. Residents also reported that kitchen staff were rude to both residents and floor staff, and that meal orders frequently did not match the posted menu or tray slips, with items such as cereal being served without milk or vice versa. During an observation of tray line service, pureed foods were plated in an unappetizing manner, with items mixed together, and 18 residents did not receive the cherry cheesecake dessert listed on the menu, instead receiving plain pudding or an alternate dessert despite tray slips indicating the cherry dessert. These findings were confirmed in an interview with the Nursing Home Administrator and Corporate Dietary Manager.
Failure to Maintain Sanitary Conditions in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the main kitchen, as observed during a survey. A foam glass with liquid, belonging to a dietary aide, was found on a food preparation table near the cooler. Multiple dietary staff members were observed with their hair not fully covered by hairnets. One dietary aide was seen wiping down prep areas, taking a rag with gloves into the hall, returning, donning gloves, and handling bread and cheese without washing hands between tasks. The dietary manager dropped a scoop on the floor, took it to the sink, then returned to the tray line, donned gloves, and began serving meals without washing hands. Staff were also observed removing buns and bread from packaging and handling food with contaminated gloves, without appropriate handwashing or glove changes between tasks. Additionally, the timing of meal deliveries to various dining rooms did not adhere to the posted schedule, with several deliveries leaving the kitchen later than scheduled. These observations were confirmed by the corporate dietary manager and the nursing home administrator, who acknowledged the failure to maintain sanitary conditions necessary to prevent cross-contamination or foodborne illness in the main kitchen.
Failure to Accommodate Resident Needs and Preferences
Penalty
Summary
The facility failed to reasonably accommodate the needs and preferences of each resident. This deficiency was identified based on observations and review of facility practices, which did not ensure that residents' individual needs and preferences were consistently met as required.
Failure to Provide Follow-Up Hearing Services and Assistive Devices
Penalty
Summary
The facility failed to ensure that a resident received proper treatment and assistive devices to maintain hearing abilities. The resident, who had a history of stroke, heart failure, and fibrillation, expressed difficulty hearing and requested hearing aids during an interaction with therapy staff. The clinical record showed that the resident had previously been evaluated by audiology, which identified impacted cerumen in both ears and recommended follow-up in 6-9 months. Physician orders included an otic solution for ear wax and an as-needed audiology consult. However, there was no documentation of any follow-up audiology appointments or further interventions to address the resident's hearing needs after the initial consult. The resident continued to report hearing difficulties, and staff interviews confirmed that the facility did not arrange for the necessary follow-up or assistive devices. The Nursing Home Administrator acknowledged the failure to provide proper treatment and assistive devices to maintain the resident's hearing abilities.
Failure to Maintain Consistent Dialysis Communication
Penalty
Summary
The facility failed to maintain consistent and complete communication regarding dialysis care for two residents diagnosed with end stage renal disease and other comorbidities. According to the facility's policy, ongoing communication, coordination, and collaboration between the dialysis center and the facility are required, including telephonic communication, pre- and post-dialysis assessments, care plan updates, and sharing of medication administration records. However, review of the clinical records and dialysis communication forms for both residents revealed multiple instances where these forms were incomplete on several dialysis dates. Both residents had physician orders and care plans specifying their dialysis schedules, including chair times, pickup, and return times. Despite these documented requirements, the facility did not ensure that the necessary dialysis communication forms were fully completed for each session. This deficiency was confirmed by the Director of Nursing, who acknowledged the lack of consistent communication documentation for both residents.
Failure to Employ Qualified Food Service Director
Penalty
Summary
The facility failed to employ a qualified Food Service Director (FSD) to manage the daily operations of the Dietary Department for 11 out of 12 months. Staff interviews revealed that the individual serving as FSD was not a Certified Dietary Manager, although they were Serv Safe certified. Additionally, the Registered Dietitian was not employed full-time and only came in three times a week. The Nursing Home Administrator confirmed that there was no documented evidence that the FSD met the required qualifications for the position, as required by state regulations.
Resident Served Meal Late, Dignity Not Maintained During Dining
Penalty
Summary
The facility failed to provide a dignified dining experience for one resident who had severe cognitive impairment and required supervision and assistance with eating. During a lunch meal observation, four residents at a dining table were served their meals and began eating, while the resident in question was left without a meal for approximately 35 minutes, only receiving their tray after the others had already started eating. This delay was confirmed by an LPN, who acknowledged that the resident's right to a dignified dining experience was not upheld. The resident's medical history included epilepsy, intellectual disability, diabetes, and a need for assistance with personal care, as documented in the clinical record and Minimum Data Set assessment.
Failure to Implement Care Plan for Meal Assistance
Penalty
Summary
The facility failed to implement a comprehensive care plan for a resident who required supervision and cueing during meals. According to the resident's care plan and Minimum Data Set (MDS), the resident had multiple diagnoses including diabetes, bilateral cataracts, lung disease, anxiety, cognitive deficit, dementia, and muscle weakness, and was assessed as needing supervision or touching assistance while eating. Despite this, during an observation, the resident was left alone while eating, experienced difficulty, and expressed distress, stating she was not okay and began shaking. Staff were not present to provide the required assistance or cueing during the meal. When the nurse aide removed the meal tray, only the oatmeal had been eaten, and the aide stated the resident told her she was done. The Assistant Director of Nursing initially stated the resident feeds herself, but upon reviewing the care plan, confirmed that the required assistance was not provided. This failure to follow the care plan and provide the necessary support during meals constituted a deficiency in meeting the resident's care needs as outlined in facility policy and regulatory requirements.
Failure to Provide Required ADL Assistance During Mealtime
Penalty
Summary
A deficiency was identified when a resident with multiple diagnoses, including diabetes, bilateral cataracts, lung disease, anxiety, cognitive deficit, dementia, and muscle weakness, did not receive the required assistance with activities of daily living (ADLs), specifically during mealtime. Observation revealed that the resident was having difficulty eating independently, as she was unable to properly scoop food and did not have her assistive Kennedy cup available. No staff were present to assist her, and her food was not prepared in a way that accommodated her needs. When asked, the resident expressed she was not okay and exhibited physical difficulty while attempting to eat. Further review of the resident's clinical record and care plan indicated she required supervision or touching assistance while eating, as documented in her Minimum Data Set (MDS) and care plan. Despite this, staff assumed she could feed herself and did not provide the necessary support. The resident's weight records showed a significant weight loss of approximately two pounds per week. The Assistant Director of Nursing confirmed that the facility failed to provide the required ADL assistance as outlined in the resident's care plan and facility policy.
Failure to Provide Adaptive Eating Equipment and Assistance
Penalty
Summary
The facility failed to provide adaptive eating equipment and utensils to a resident with documented needs. According to the facility's policy, assistive eating devices are to be provided to residents with limited arm mobility or grasp as recommended by nursing or therapy. During an observation, a resident was seen having difficulty eating in her room; she did not have her prescribed Kennedy cup for hot liquids, and her food was not cut up to facilitate easier consumption. No staff were present to assist, and the resident was observed struggling to get food into her mouth, shaking when attempting to scoop food, and verbally expressing distress. The resident's care plan specified the need for a Kennedy cup, but this was not provided at the time of observation. The Assistant Director of Nursing confirmed the failure to provide the required adaptive equipment and utensils.
Improper Food Storage in Main Kitchen
Penalty
Summary
The facility failed to properly store food products in the Main Kitchen, which created the potential for foodborne illness. During an initial observation of the dietary department, it was identified that three staff lunch bags were stored in the cooler alongside resident food items. Additionally, the deep freezer had ice buildup on vent pipes, with food stored directly under the ice, causing it to drip onto boxes. Bread was also found stored on a shelf on the floor of the refrigerator. These observations were confirmed by the Dietary Manager, indicating non-compliance with the facility's policy on food storage, which requires all food items to be stored 6 inches above the floor and 18 inches below the sprinkler units, in accordance with FDA Food Code guidelines.
Failure to Protect Resident from Verbal Abuse
Penalty
Summary
The facility failed to ensure that a resident was free from abuse, neglect, or misappropriation of property. Resident R69, who was admitted with multiple diagnoses including kidney disease, cognitive communication deficit, and respiratory failure, alleged verbal abuse by RN Employee E6. The resident, who was cognitively intact, reported that the RN was rude and verbally abusive, causing emotional distress. This was corroborated by a family member who witnessed the event. Further investigation revealed that the RN had previously received abuse prevention training. However, during the annual survey, Resident R69 reiterated that the RN had been mean and expressed a desire not to have her in his room. The resident also reported an incident where the RN chased away a trusted Nurse Aide, leaving the resident in a precarious situation while transferring into a chair. The Director of Nursing confirmed the facility's failure to protect the resident from abuse.
Deficiency in Nurse Aide In-Service Education
Penalty
Summary
The facility failed to provide the required in-service education for nurse aides, as mandated by regulations. Specifically, two of the five nurse aides reviewed did not receive at least 12 hours of in-service education within 12 months of their hire date anniversary. Nurse Aide Employee E2, hired on April 1, 2024, only completed 4.25 hours of in-service education between April 1, 2023, and April 1, 2024. Similarly, Nurse Aide Employee E3, hired on August 9, 2021, completed only 7.50 hours of in-service education between August 9, 2023, and August 9, 2024. This deficiency was confirmed during an interview with the Nursing Home Administrator on September 13, 2024.
Failure to Provide QAPI Training for Staff
Penalty
Summary
The facility failed to provide mandatory training on the Quality Assurance and Performance Improvement (QAPI) program for two staff members, Nurse Aide Employee E2 and Therapy Employee E5. Employee E2, hired on April 1, 2014, did not receive QAPI in-service education between April 1, 2023, and April 1, 2024. Similarly, Employee E5, hired on August 15, 2022, did not receive effective communication in-service education between August 15, 2023, and August 15, 2024. This deficiency was confirmed during an interview with the Nursing Home Administrator on September 13, 2024, who acknowledged the lack of training for these employees. The deficiency is supported by the review of facility documents and training records, which revealed the absence of documented training for the specified staff members. The failure to provide this training is a violation of the Pennsylvania Code, specifically sections 201.14 (a), 201.18 (b)(1), and 201.20 (a)(c), which pertain to the responsibility of the licensee, management, and staff development.
Failure to Provide Behavioral Health Training
Penalty
Summary
The facility failed to provide required behavioral health training for three out of ten staff members, specifically Nurse Aides (NAs) identified as Employees E1, E2, and E3. According to the facility's assessment, training on caring for persons with Alzheimer's or other dementia was included as a necessary educational topic. However, a review of the facility's documents and training records revealed that Employee E1, hired on 7/5/21, did not receive behavioral health in-service education between 7/5/23 and 7/5/24. Similarly, Employee E2, hired on 4/1/14, lacked this training between 4/1/23 and 4/1/24, and Employee E3, hired on 8/9/21, did not receive the training between 8/9/23 and 8/9/24. This deficiency was confirmed by the Nursing Home Administrator during an interview on 9/13/24.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 108 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
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 | 0.9 mi | ★★★★★ | 1 | 0 |
| Mt Macrina Manor | 1.1 mi | ★★★★★ | 5 | 0 |
| Uniontown Nursing And Rehab | 1.6 mi | ★★★★★ | 1 | 0 |
| Laurel Ridge Center | 2.3 mi | ★★★★★ | 5 | 1 |
| Aurora Nursing And Rehab Center | 17.8 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.