Bradford, PA

Bradford Ecumenical Home, Inc

5-star overall rating with 5-star inspections

100 Saint Francis Drive, Bradford, PA

(814) 368-5648

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

99

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.70

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.56

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.02

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.52

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.46

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.75

CMS adjusted RN staffing hours

Adjusted total hours

4.29

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

21%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,092

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

Performance score

59.97

Composite VBP score used to determine payment impact.

Payment multiplier

1.0151

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.56

Baseline 18.28% · Performance 18.39% · Measure score 6.56 · Achievement 6.56 · Improvement 0

Healthcare-associated infections

3.55

Baseline 5.32% · Performance 6.77% · Measure score 3.55 · Achievement 3.55 · Improvement 0

Total nurse turnover

9.34

Baseline 34.83% · Performance 25.49% · Measure score 9.34 · Achievement 9.34 · Improvement 8.86

Adjusted total nurse staffing

4.54

Baseline 3.92 hours · Performance 4.37 hours · Measure score 4.54 · Achievement 4.54 · Improvement 1.90

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.95%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 96 · Observed rate 6.25% · Lower 95% interval 6.29%
Discharge to community	55.26%	50.57% 4.7 pts better	No Different than the National Rate · Eligible stays 93 · Observed rate 52.69% · Lower 95% interval 46.7%
Medicare spending per beneficiary	0.88	1.02 0.1 pts better
Drug regimen review with follow-up	98.53%	95.27% 3.3 pts better	Numerator 67 · Denominator 68
Falls with major injury	1.47%	0.77% 0.7 pts worse	Numerator 1 · Denominator 68
Discharge self-care score	61.02%	53.69% 7.3 pts better	Numerator 36 · Denominator 59
Discharge mobility score	72.88%	50.94% 21.9 pts better	Numerator 43 · Denominator 59
Pressure ulcers or injuries, new or worsened	7.35%	2.29% 5.1 pts worse	Numerator 5 · Denominator 68 · Adjusted rate 7.95%
Healthcare-associated infections requiring hospitalization	6.77%	7.12% 0.4 pts better	No Different than the National Rate · Eligible stays 65 · Observed rate 4.62% · Lower 95% interval 3.81%
Staff COVID-19 vaccination coverage	1.97%	8.2% 6.2 pts worse	Numerator 4 · Denominator 203
Staff flu vaccination coverage	82.7%	42% 40.7 pts better	Numerator 196 · Denominator 237
Discharge function score	67.8%	56.45% 11.3 pts better	Numerator 40 · Denominator 59
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 28 · Denominator 28
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	36.11%	25.2% 10.9 pts better	Numerator 13 · Denominator 36

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	0.4	1.7 1.3 pts better	1.9 1.5 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.2 0.1 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.8 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	86.9% 13.1 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.9%	93.5% 5.4 pts better	95.5% 3.4 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9%
Percentage of long-stay residents experiencing one or more falls with major injury	5.9%	3.2% 2.7 pts worse	3.3% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 6.0% · Q3 5.6% · Q4 4.2% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.0%	6.5% 4.5 pts better	11.4% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 0.0% · Q3 0.0% · Q4 6.3% · 4Q avg 2.0%
Percentage of long-stay residents who lose too much weight	9.8%	6.5% 3.3 pts worse	5.4% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 8.5% · Q3 11.5% · Q4 11.8% · 4Q avg 9.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	21.4%	19.9% 1.5 pts worse	19.6% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.3% · Q2 19.5% · Q3 25.0% · Q4 17.9% · 4Q avg 21.4%
Percentage of long-stay residents who received an antipsychotic medication	30.0%	18.7% 11.3 pts worse	16.7% 13.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.2% · Q2 35.2% · Q3 29.9% · Q4 26.9% · 4Q avg 30.0% · 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	16.1%	19.6% 3.5 pts better	16.3% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.3% · Q2 23.0% · Q3 7.2% · Q4 20.8% · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	28.2%	18.3% 9.9 pts worse	14.9% 13.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 23.2% · Q3 24.3% · Q4 33.3% · 4Q avg 28.2% · 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 0.9% · Q2 1.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.8%	1.7% 5.1 pts worse	1.7% 5.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 7.2% · Q3 6.8% · Q4 8.5% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.3%	26.4% 10.1 pts better	19.8% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 12.6% · Q3 15.2% · Q4 20.6% · 4Q avg 16.3%
Percentage of long-stay residents with pressure ulcers	5.2%	5.3% 0.1 pts better	5.1% 0.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 7.6% · Q3 4.8% · Q4 4.6% · 4Q avg 5.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	68.9% 30.2 pts better	81.7% 17.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.6% · Q3 98.2% · Q4 100.0% · 4Q avg 99.1%
Percentage of short-stay residents who had an outpatient emergency department visit	6.4%	9.8% 3.4 pts better	12.0% 5.6 pts better	Short Stay · 20240701-20250630 · Adjusted 6.4% · Observed 6.2% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.2%	1.5% 1.7 pts worse	1.6% 1.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.7% · Q3 3.2% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	95.7%	68.7% 27 pts better	79.7% 16 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	8.7%	23.1% 14.4 pts better	23.9% 15.2 pts better	Short Stay · 20240701-20250630 · Adjusted 8.7% · Observed 8.3% · Expected 22.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-18 · Fire 2025-07-18

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-08-29 · Fire 2024-08-29

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-09-08 · Fire 2023-09-08

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

C · Minimal harm 2024-08-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-23

B · Minimal harm 2023-09-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-09-27

Inspection history

Recent health citations

E · Potential for more than minimal harm 2023-09-08

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 2023-10-13

E · Potential for more than minimal harm 2023-09-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-10-13

Penalties and ownership