Bradford Ecumenical Home, Inc ratings, inspections, staffing, and fines

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
Staffing

no change

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Bradford Ecumenical Home, Inc carries 3 inspection points. That is fewer than 94% of Pennsylvania's 652 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–8 pts
4★ 8–33 pts
3★ 33–65 pts
2★ 65–128 pts
1★ over 128 pts

Bars show every rated home in Pennsylvania by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

1 health citations on record since 2026. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 1 4 pts

E 0 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Resident Rights1D

D
Ensure that residents are fully informed and understand their health status, care and treatments.
July 31, 2026 · Standard · F552 · Corrected September 1, 2026

Inspection history

2026-07-31
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (1 deficiency)
2025-07-18
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-08-29
0 health deficiencies · 1 fire-safety deficiencies
No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 4 h 14 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

4 h 14 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 36% of nursing staff and 35% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.9 pts better	0.6	1.5	1.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same	1.1	1.1	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine12.2 pts better	100.0%	87.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better	100.0%	93.7%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.1 pts better	3.0%	3.1%	3.2%
Percentage of long-stay residents who have depressive symptoms9.6 pts better	4.2%	13.8%	13.5%
Percentage of long-stay residents who lose too much weight3.6 pts worse	9.6%	6.0%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.1 pts better	16.0%	20.1%	19.5%
Percentage of long-stay residents who received an antipsychotic medication9.4 pts worse	27.0%	17.6%	15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better	0.0%	0.2%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.9 pts better	14.5%	15.4%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased8.5 pts worse	24.9%	16.4%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts worse	1.1%	0.6%	0.7%
Percentage of long-stay residents with a urinary tract infection5.1 pts worse	6.5%	1.4%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.7 pts better	17.3%	25.0%	18.3%
Percentage of long-stay residents with pressure ulcers0.6 pts worse	5.3%	4.7%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.2 pts better	100.0%	70.8%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.5 pts better	8.0%	9.5%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better	1.1%	1.4%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.8 pts better	89.7%	70.9%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission11.3 pts better	10.7%	22.0%	23.4%

·

Who owns and runs it

16 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Austin, Michael	Corporate Director · Individual	0%	1 facilities
Bishop, Christopher	Corporate Director · Individual	0%	1 facilities
Bruno, Dawn	Corporate Director · Individual	0%	1 facilities
Dryden, Richard	Corporate Director · Individual	0%	1 facilities
Evans, Kenneth	Corporate Director · Individual	0%	1 facilities
Funk, Theresa	Corporate Director · Individual	0%	1 facilities
Johnson, Lisa	Corporate Director · Individual	0%	1 facilities
Johnson, Lisa	Operational/Managerial Control · Individual	0%	1 facilities
Johnson, Lisa	Adp Of The SNF · Individual	0%	1 facilities
Lang, Daniel	Corporate Director · Individual	0%	1 facilities
Rodgers, Nathaniel	Corporate Director · Individual	0%	1 facilities
Roumani, Fayez	Corporate Director · Individual	0%	1 facilities
Roumani, Fayez	Adp Of The SNF · Individual	0%	1 facilities
Scanlan, James	Corporate Director · Individual	0%	1 facilities
Weart, Melissa	Corporate Director · Individual	0%	1 facilities
Weiss, Jeffrey	Corporate Director · Individual	0%	1 facilities

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems1C

C
Have generator or other power source capable of supplying service within 10 seconds.
August 29, 2024 · K918 · Corrected September 23, 2024

·

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