Kittanning, PA

Armstrong Rehabilitation And Nursing Center

1-star overall rating with 1-star inspections with $84,270 in total fines with 37 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

265 South Mckean Street, Kittanning, PA

(724) 548-2222

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

113

Certified beds

Average residents

95

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pollak Holdings

Operator or chain grouping

Approved since

1980-07-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 1 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.12

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.68

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.64

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

2.91

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.32

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.72

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

68%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,099

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.81

Composite VBP score used to determine payment impact.

Payment multiplier

0.9847

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.51

Baseline 62.32% · Performance 49.33% · Measure score 3.51 · Achievement 3.51 · Improvement 2.97

Adjusted total nurse staffing

2.05

Baseline 3.28 hours · Performance 3.66 hours · Measure score 2.05 · Achievement 2.05 · Improvement 1.02

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 12.38%
10.72%
1.7 pts worse
No Different than the National Rate · Eligible stays 41 · Observed rate 24.39% · Lower 95% interval 8.04%
Discharge to community 34.53%
50.57%
16 pts worse
Worse than the National Rate · Eligible stays 26 · Observed rate 19.23% · Lower 95% interval 22.51%
Medicare spending per beneficiary 0.81
1.02
0.2 pts better
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 9 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 40.4%
86.9%
46.5 pts worse
93.4%
53 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 47.9% · Q2 39.5% · Q3 39.0% · Q4 36.0% · 4Q avg 40.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 42.4%
93.5%
51.1 pts worse
95.5%
53.1 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 42.4%
Percentage of long-stay residents experiencing one or more falls with major injury 3.5%
3.2%
0.3 pts worse
3.3%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.6% · Q3 3.7% · Q4 5.8% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 0.3%
6.5%
6.2 pts better
11.4%
11.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.3%
Percentage of long-stay residents who lose too much weight 6.0%
6.5%
0.5 pts better
5.4%
0.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 4.3% · Q3 6.8% · Q4 6.6% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 25.7%
19.9%
5.8 pts worse
19.6%
6.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.9% · Q2 25.7% · Q3 24.0% · Q4 26.3% · 4Q avg 25.7%
Percentage of long-stay residents who received an antipsychotic medication 22.5%
18.7%
3.8 pts worse
16.7%
5.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 21.3% · Q3 21.6% · Q4 24.6% · 4Q avg 22.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 23.1%
19.6%
3.5 pts worse
16.3%
6.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.7% · Q2 33.5% · Q3 13.9% · Q4 21.6% · 4Q avg 23.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 16.3%
18.3%
2 pts better
14.9%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 17.9% · Q3 10.8% · Q4 17.3% · 4Q avg 16.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
0.9%
About the same
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.2% · Q3 0.0% · Q4 1.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.6%
1.7%
0.1 pts better
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 3.8% · Q4 1.2% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.4%
26.4%
1 pts better
19.8%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 35.1% · Q3 17.9% · Q4 23.5% · 4Q avg 25.4%
Percentage of long-stay residents with pressure ulcers 4.8%
5.3%
0.5 pts better
5.1%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 6.0% · Q3 5.4% · Q4 4.3% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 10.5%
68.9%
58.4 pts worse
81.7%
71.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 24.6% · Q2 6.6% · Q3 5.6% · Q4 2.0% · 4Q avg 10.5%
Percentage of short-stay residents who newly received an antipsychotic medication 1.8%
1.5%
0.3 pts worse
1.6%
0.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 0.0% · Q3 0.0% · Q4 5.0% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 2.7%
68.7%
66 pts worse
79.7%
77 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 2.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-12 · Fire 2025-12-12

38 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2024-12-20 · Fire 2024-12-20

43 health deficiencies

Top issue: Resident Rights (13 deficiencies)

12 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2024-01-05 · Fire 2024-01-05

19 health deficiencies

Top issue: Resident Rights (5 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-12

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Not marked corrected

E · Potential for more than minimal harm 2025-12-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Not marked corrected

D · Potential for more than minimal harm 2025-12-12

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2026-01-31

C · Minimal harm 2025-12-12

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2026-01-31

C · Minimal harm 2025-12-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2026-01-31

C · Minimal harm 2025-12-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2026-01-31

F · Potential for more than minimal harm 2024-12-20

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-01-31

E · Potential for more than minimal harm 2024-12-20

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-03-10

E · Potential for more than minimal harm 2024-12-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-01-31

E · Potential for more than minimal harm 2024-12-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-31

E · Potential for more than minimal harm 2024-12-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-31

D · Potential for more than minimal harm 2024-12-20

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-01-31

C · Minimal harm 2024-12-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-03-10

B · Minimal harm 2024-12-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-01-31

B · Minimal harm 2024-12-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-31

B · Minimal harm 2024-12-20

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-01-31

B · Minimal harm 2024-12-20

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-01-31

B · Minimal harm 2024-12-20

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2025-01-31

F · Potential for more than minimal harm 2024-01-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2024-03-30

F · Potential for more than minimal harm 2024-01-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-01-05

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-01-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-30

F · Potential for more than minimal harm 2024-01-05

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-01-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-01-05

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-22

D · Potential for more than minimal harm 2024-01-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-22

C · Minimal harm 2024-01-05

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-02-22

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-12

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F836 · Administration Deficiencies

Health

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F941 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F942 · Resident Rights Deficiencies

Health

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F945 · Infection Control Deficiencies

Health

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F946 · Administration Deficiencies

Health

Provide training in compliance and ethics.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2026-01-31

E · Potential for more than minimal harm 2025-12-12

F949 · Administration Deficiencies

Health

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-31

C · Minimal harm 2025-12-12

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2026-01-31

D · Potential for more than minimal harm 2025-12-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Not marked corrected

D · Potential for more than minimal harm 2025-12-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-03

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-08-18

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-08-18

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-09-11

D · Potential for more than minimal harm 2025-08-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-11

G · Actual harm 2025-07-01

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-05-24

G · Actual harm 2025-07-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-05-24

D · Potential for more than minimal harm 2025-07-01

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-06-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-07-27

E · Potential for more than minimal harm 2025-06-10

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-10

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-10

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-07-27

D · Potential for more than minimal harm 2025-06-10

F840 · Administration Deficiencies

Health

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Corrected 2025-07-27

E · Potential for more than minimal harm 2025-03-05

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-03-05

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-04-07

D · Potential for more than minimal harm 2025-02-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-02-14

D · Potential for more than minimal harm 2025-02-06

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-14

E · Potential for more than minimal harm 2024-12-20

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F575 · Resident Rights Deficiencies

Health

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F579 · Resident Rights Deficiencies

Health

Provide information about how to apply for and use Medicare and Medicaid benefits.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2025-02-11

E · Potential for more than minimal harm 2024-12-20

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F621 · Resident Rights Deficiencies

Health

Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F711 · Nursing and Physician Services Deficiencies

Health

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-12-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-11

D · Potential for more than minimal harm 2024-11-19

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-19

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-11-19

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-12-16

D · Potential for more than minimal harm 2024-10-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-08

E · Potential for more than minimal harm 2024-09-24

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-10-25

D · Potential for more than minimal harm 2024-01-10

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-07-01

E · Potential for more than minimal harm 2024-01-05

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-05

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-05

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-01

J · Immediate jeopardy 2023-04-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-06-19

F · Potential for more than minimal harm 2023-04-20

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2023-06-19

D · Potential for more than minimal harm 2023-04-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-06-19

Penalties and ownership

What sits behind the stars

$8,672 2025-06-10

Fine

Fine · fine $8,672

Fine

$8,673 2025-06-10

Fine

Fine · fine $8,673

Fine

$66,925 2023-04-20

Fine

Fine · fine $66,925

Fine

Ownership

Carr, Tara

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Pollak, Elie

Corporate Officer · Individual

0% 6 facilities 2021-05-28
Pollak, Theodore

Corporate Officer · Individual

0% 7 facilities 2021-05-28

Nearby options

Other facilities in reach

#1

Snu Armstrong Co Memorial Hosp

Kittanning, PA

3-star overall rating with 3-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
3 / 5
Staffing
5 / 5
Fines
$0
#2

Kittanning Health & Rehab Center

Kittanning, PA

1-star overall rating with 1-star inspections with $85,548 in total fines with 34 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$85,548
#3

Quality Life Services - Sugar Creek

Worthington, PA

2-star overall rating with 1-star inspections with $155,235 in total fines with 17 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$155,235

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