Average — CMS composite of the measures below.
The next survey window likely opens around December 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 Huntingdon Health & Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a PEG tube and diagnoses including diabetes, seizures, dementia, and gastrostomy status had continuous Jevity 1.5 enteral feeding and water flushes ordered, but surveyors observed that the water flush solution and tube feeding were not replaced within 24 hours and were not properly labeled. On repeated observations over two days, a water bag was found infusing beyond 24 hours, and a Jevity feeding and a clear bag of water were found either dated from the prior day or lacking any date or time. The DON confirmed that tube feedings and water should not hang for more than 24 hours and should be labeled and dated, but this was not done.
Two residents received oxygen therapy without proper adherence to physician orders and facility policy. One resident with chronic respiratory and cardiac conditions had an order for continuous O2 at 2 L/min via nasal cannula, but surveyors observed the concentrator set higher and found no orders or documentation for routine tubing/cannula changes despite ongoing use. Another resident with dementia and cardiac comorbidities was repeatedly documented as receiving O2 via nasal cannula over several months, yet there was no corresponding physician order or care plan entry during that period, and later observations showed the concentrator set above the stated ordered rate. Staff interviews confirmed that oxygen should not be given without an order and should be administered at the prescribed rate with appropriate tubing/cannula change orders.
Two cognitively impaired residents, both lacking capacity to consent, were found engaged in sexual activity after one exhibited ongoing hypersexual behaviors that were not adequately monitored or managed by staff. Despite staff observations and reports of inappropriate behaviors, there was a delay in medication administration and no consistent supervision or interventions to prevent further incidents. The facility failed to implement its own policies for assessment, care planning, and monitoring, resulting in a deficiency related to resident protection from sexual abuse.
The facility failed to properly store and secure medications, as medications were left unattended in residents' rooms and not properly labeled or dated in storage areas. A resident with cognitive impairment was found self-administering medication without supervision or proper documentation. Additionally, expired medications and unlabeled insulin pens were found in the medication room. Staff confirmed these practices were against facility policy.
The facility failed to calibrate thermometers and improperly stored food in resident nourishment refrigerators, leading to deficiencies. The Dietary Manager did not calibrate thermometers before use, and observations revealed unlabeled, undated, and employee food items in resident refrigerators, contrary to facility policy. These actions were confirmed by staff and management, indicating non-compliance with food safety standards.
A resident with severe malnutrition and cognitive impairment did not receive their meal tray on time, unlike other residents at the same table. The facility's policy requires prompt meal service, but the resident's tray was delayed until the Lead Dietitian was informed.
The facility failed to maintain a sanitary environment, as observed in two residents' rooms. One room had straws, a white powdery substance, and crumbs on the floor, while another had dried brown substances in the bathroom. Despite multiple observations, the conditions remained unchanged, and both the Administrator and Housekeeping Supervisor confirmed the lack of cleaning.
The facility failed to provide necessary ADL assistance for three residents, including diabetic nail care and scheduled bathing. A resident's nails were observed to be long and dirty despite requests for care, and two residents did not receive their scheduled showers or bed baths on multiple occasions. The DON confirmed the lack of documentation for these activities, indicating non-compliance with care plans.
The facility failed to maintain infection control practices and proper medication administration protocols. A resident in contact isolation was assisted by CNAs without PPE, contrary to policy. Additionally, an LPN and RN did not perform hand hygiene or use clean barriers during medication administration, and Enhanced Barrier Precautions were not followed for a resident with a PEG tube.
Failure to Timely Replace and Label Enteral Feeding and Water for PEG Tube
Penalty
Summary
Surveyors identified a deficiency in the facility’s care and services for a resident with a percutaneous endoscopic gastrostomy (PEG) tube when staff failed to replace and label enteral feeding and flush solutions in accordance with policy and clinical standards. The facility’s policy dated 10/15/2024 stated that feeding tubes would be maintained according to current clinical standards of practice with interventions to prevent complications. The resident involved was admitted with diagnoses including gastrostomy status, diabetes, seizures, and dementia, and a quarterly MDS assessment documented that the resident was rarely/never understood and required the use of a feeding tube. Physician’s orders directed continuous Jevity 1.5 enteral feeding at specified hourly rates and water flushes via PEG tube. During observations on multiple occasions over two consecutive days, surveyors noted that the water flush solution and tube feeding were not changed within a 24-hour period and were not properly labeled. On the first day of observation, a clear bag of water infusing via feeding pump was dated two days earlier. On the second day, Jevity 1.5 tube feeding infusing via pump was dated the previous morning, and a clear bag of fluids labeled only with “H2O” had no label, date, or time. In an interview, the DON stated that night shift staff were believed to be responsible for changing tube feeding bottles, tubing, and water, acknowledged that tube feedings and water should not be hung and infusing for more than 24 hours, and confirmed that all tube feedings and water should be labeled and dated.
Failure to Obtain and Follow Physician Orders for Oxygen Therapy
Penalty
Summary
The deficiency involves the facility’s failure to obtain and follow physician orders for oxygen therapy and to adhere to its own oxygen administration policy for two residents. Facility policy required that oxygen be administered only under a physician’s order, at the ordered rate and route, and that oxygen tubing and cannulas be changed weekly and as needed. For one resident with COPD, interstitial pulmonary disease, atrial fibrillation, and dependence on supplemental oxygen, the physician’s order specified continuous oxygen at 2 L/min via nasal cannula. However, observations on multiple occasions showed the oxygen concentrator set at 3.5 L/min, and the tubing/cannula was not dated. The medical record for this resident contained no physician order for oxygen tubing/cannula changes in December 2025 and January 2026, and the MAR/TAR for those months showed no documentation that the tubing/cannula had been changed, despite ongoing daily oxygen administration. For a second resident with dementia, heart disease, heart failure, hyperlipidemia, and hypertension, multiple entries on the Weights and Vitals Summary and skilled nursing notes documented the use of oxygen via nasal cannula over several months, and nursing documentation referenced oxygen saturations obtained while the resident was on oxygen. Despite this, there was no physician order for oxygen therapy in the physician orders for September 2025 or December 2025, and the resident’s care plan did not include oxygen therapy. Observations over two days showed the resident receiving oxygen via nasal cannula at settings between 2 and 2.5 L/min, while nursing staff verbally indicated the order was for 2 L/min and that the resident had been on oxygen since approximately July. A physician order for oxygen at 2 L/min PRN was not obtained until January 7, 2026, after which the concentrator was still observed set between 2 and 2.5 L/min. In interviews, the DON confirmed that oxygen should not be administered without an order, that residents on oxygen should have orders for tubing/cannula changes, and that oxygen should be administered at the prescribed rate.
Failure to Prevent Sexual Abuse Between Cognitively Impaired Residents
Penalty
Summary
The facility failed to protect two residents' rights to be free from sexual abuse, resulting in a deficiency cited at F-600. One resident with severe cognitive impairment and a history of dementia-related behaviors, including hypersexuality and confusion, displayed inappropriate and unwanted behaviors toward other residents. Despite staff observing these behaviors and reporting them to nursing leadership, no immediate interventions were implemented to monitor or manage the resident's hypersexual behaviors while awaiting the administration and evaluation of prescribed medication. Documentation shows delays in medication administration and a lack of consistent monitoring or supervision during this period. Subsequently, a certified nursing assistant discovered the two cognitively impaired residents, both lacking capacity to consent, engaged in sexual activity in a resident's room. Interviews with staff and family members confirmed that both residents would have been unable to consent and that the incident likely caused psychosocial trauma. Staff interviews revealed that there was no increased monitoring or supervision in place prior to the incident, and care plan interventions were limited to redirection and attempts to keep the resident engaged, without specific measures to prevent inappropriate sexual contact. Medical records and staff documentation indicated ongoing sexually inappropriate behaviors, wandering, and delusional thinking by the resident both before and after the incident. Observations during the survey also revealed continued affectionate and inappropriate touching toward other male residents, with staff unable to provide consistent supervision. The facility's policy required identification, assessment, care planning, and monitoring for residents with behaviors that could lead to conflict or neglect, but these steps were not adequately implemented, resulting in a failure to prevent sexual abuse between vulnerable residents.
Medication Storage and Labeling Deficiencies
Penalty
Summary
The facility failed to ensure proper storage and security of medications, as evidenced by medications being left in residents' rooms and not being properly labeled or dated in medication storage areas. Resident #217, who was cognitively intact, was found with a pill cup containing medications left unattended in her room. The Licensed Practical Nurse (LPN) admitted to leaving medications for the resident to take at her convenience, despite the facility's policy against leaving medications unattended with residents. The Director of Nursing (DON) confirmed that medications should not be left unattended. Resident #267, who had moderate cognitive impairment, was observed self-administering a nebulizer treatment without staff supervision and without an assessment or order to self-administer medications. The LPN confirmed that the resident should not have been self-administering medication, and the medication administration was not documented on the Medication Administration Record (MAR). The DON and the Administrator both confirmed that medications should be documented when administered. Additionally, the facility failed to ensure that medications were properly labeled and not expired. An unlabeled insulin pen was found in a plastic bag with a resident's name written on the outside, and expired medications were found in the Nurse's Station #1 Medication Room. The DON confirmed that insulin pens should be labeled and that expired medications should not be present in the medication room.
Food Safety and Storage Deficiencies
Penalty
Summary
The facility failed to adhere to its policies regarding food safety and storage, leading to several deficiencies. The facility's policy required thermometers to be calibrated to ensure food safety, but the Dietary Manager admitted to not calibrating the thermometers before use, which was confirmed by District Manager A. This failure to calibrate thermometers could result in serving food at unsafe temperatures. Additionally, the facility's policy mandated that all food brought in by family or visitors be labeled and dated, yet observations revealed unlabeled and undated food items in the resident nourishment refrigerators. Further observations showed that staff beverages were improperly stored in the resident nourishment refrigerators, which is against the facility's policy. An LPN confirmed that employee food should not be stored in these refrigerators. The presence of unlabeled, undated, and employee food items in the resident nourishment refrigerators was confirmed by both District Manager B and District Manager A. These actions and inactions demonstrate a lack of compliance with the facility's food safety and storage policies, potentially compromising the safety and quality of food provided to residents.
Resident Meal Service Delay
Penalty
Summary
The facility failed to ensure that residents were treated with dignity and respect, as evidenced by a resident not receiving their meal tray in a timely manner alongside other residents at the same dining table. The facility's policy on Resident Meal Service mandates that each resident should receive prompt meal service and appropriate assistance. However, during an observation in the main dining room, it was noted that the resident did not receive their meal tray while other residents at the table were served and began eating. The resident involved was admitted with diagnoses including Severe Protein-Calorie Malnutrition and Neurocognitive Disorder, and had a care plan indicating a risk for altered nutritional status. The resident's medical record specified a therapeutic diet with fortified foods and required assistance with eating due to moderate cognitive impairment. Despite these needs, the resident's meal tray was delayed, and the issue was only rectified after the Lead Dietitian was notified, resulting in the resident receiving their tray significantly later than their tablemates.
Failure to Maintain Sanitary Environment
Penalty
Summary
The facility failed to maintain a sanitary and comfortable environment for its residents, as evidenced by the conditions observed in two resident rooms. In one instance, a resident's room was found to have two straws, a white powdery substance, a torn salt packet, and crumbs scattered on the floor. This resident was confined to bed, indicating a potential inability to address the cleanliness issues themselves. Despite multiple observations throughout the day, the room remained in the same unclean state, and both the Administrator and Housekeeping Supervisor confirmed that the room had not been cleaned recently. In another case, a resident's bathroom was observed to have dried dark brown spots on the floor and a dried brown substance on the outside of the toilet, back of the toilet tank, and on the door frame. The resident had complained about the odor and cleanliness of the room. Despite the presence of a Wet Floor sign later in the day, the unsanitary conditions persisted. Both the Administrator and Housekeeping Supervisor acknowledged that the bathroom had not been cleaned, with the Housekeeping Supervisor describing the situation as unacceptable.
Failure to Provide ADL Assistance for Residents
Penalty
Summary
The facility failed to provide adequate assistance with Activities of Daily Living (ADL) for three residents, specifically in the areas of incontinent care, bathing, and grooming. Resident #8, who was cognitively intact and dependent on staff for personal hygiene, did not receive diabetic nail care as ordered. Observations revealed that Resident #8's fingernails were long and dirty, and the resident expressed a desire to have them cut and to be shaved. Despite the physician's orders and the resident's request, the Director of Nursing confirmed that the necessary care had not been provided. Additionally, Resident #47 and Resident #57, both cognitively intact and requiring assistance with bathing, did not receive their scheduled showers or bed baths on multiple occasions. The care plans for these residents specified their bathing preferences and assistance needs, yet the Bath Reports showed several missed bathing sessions. The Wound Care Nurse and the Director of Nursing confirmed the lack of documentation for these bathing activities, indicating a failure to adhere to the residents' care plans and facility policies.
Infection Control and Medication Administration Deficiencies
Penalty
Summary
The facility failed to maintain infection prevention and control practices for several residents, leading to deficiencies in care. For Resident #34, who was in contact isolation due to an ESBL infection in the urine, Certified Nursing Assistants (CNAs) were observed assisting the resident without wearing the required personal protective equipment (PPE), such as gowns and gloves. This was despite the facility's policy on transmission-based precautions, which mandates the use of PPE to prevent the spread of infections. Interviews with the Registered Nurse and Infection Control Preventionist confirmed that the appropriate PPE should have been used. Additionally, the facility did not adhere to proper medication administration protocols for multiple residents. Observations revealed that a Licensed Practical Nurse (LPN) and a Registered Nurse (RN) failed to perform hand hygiene and did not use clean barriers while administering medications to residents. Specifically, RN G used a contaminated alcohol wipe on a resident's cheek and did not follow Enhanced Barrier Precautions for a resident with a PEG tube. The Director of Nursing confirmed that these actions were against the facility's procedures, which require hand hygiene and the use of clean barriers during medication administration.
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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 Huntingdon
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Life Care Center Of Bruceton-hollow Rock | 8.9 mi | ★★★★★ | 3 | 0 |
| Waters Of Mckenzie A Rehabilitation & Nursing Ctr | 9.2 mi | ★★★★★ | 0 | 0 |
| Ahc Mckenzie | 9.2 mi | ★★★★★ | 6 | 0 |
| Camden Healthcare & Rehab Center | 16.9 mi | ★★★★★ | 0 | 0 |
| Patriot Health And Rehabilitation Center | 19.5 mi | ★★★★★ | 0 | 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.