Cycle 1
Health 2025-12-04 · Fire 2025-12-04
2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Brookville, PA
Dr Arthur Clifton Mckinley Ctr
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
133 Laurelbrooke Drive, Brookville, PA
(814) 849-3615
Overall
4 / 5
CMS overall stars
Health inspections
4 / 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
90
Certified beds
Average residents
86
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1983-01-01
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
0.52
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.24
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.86
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.76
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.36
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.56
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
23%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
404
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
70.61
Composite VBP score used to determine payment impact.
Payment multiplier
1.0227
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
10
Baseline 20.59% · Performance 16.60% · Measure score 10 · Achievement 10 · Improvement 9
Healthcare-associated infections
7.19
Baseline 5.32% · Performance 5.69% · Measure score 7.19 · Achievement 7.19 · Improvement 0
Total nurse turnover
9.06
Performance 26.67% · Measure score 9.06 · Achievement 9.06 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2
Baseline 4 hours · Performance 3.65 hours · Measure score 2 · Achievement 2 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.89% |
10.72%
0.8 pts better
|
No Different than the National Rate · Eligible stays 132 · Observed rate 7.58% · Lower 95% interval 6.4% |
| Discharge to community | 50.35% |
50.57%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 119 · Observed rate 46.22% · Lower 95% interval 41.73% |
| Medicare spending per beneficiary | 1 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 90.28% |
95.27%
5 pts worse
|
Numerator 65 · Denominator 72 |
| Falls with major injury | 1.39% |
0.77%
0.6 pts worse
|
Numerator 1 · Denominator 72 |
| Discharge self-care score | 69.23% |
53.69%
15.5 pts better
|
Numerator 45 · Denominator 65 |
| Discharge mobility score | 58.46% |
50.94%
7.5 pts better
|
Numerator 38 · Denominator 65 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 72 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.69% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 1.32% · Lower 95% interval 2.89% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 128 |
| Staff flu vaccination coverage | 64.54% |
42%
22.5 pts better
|
Numerator 91 · Denominator 141 |
| Discharge function score | 72.31% |
56.45%
15.9 pts better
|
Numerator 47 · Denominator 65 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 54 · Denominator 54 |
| Resident COVID-19 vaccinations up to date | 33.33% |
25.2%
8.1 pts better
|
Numerator 12 · Denominator 36 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.6 |
1.7
1.1 pts better
|
1.9
1.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.6 · Observed 0.5 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
1.2
1.3 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
86.9%
12.7 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
93.5%
5.1 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.6% |
3.2%
2.4 pts worse
|
3.3%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 6.2% · Q3 2.9% · Q4 1.4% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 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 who lose too much weight | 7.5% |
6.5%
1 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 6.8% · Q3 10.2% · Q4 6.0% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.7% |
19.9%
2.2 pts better
|
19.6%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 18.0% · Q3 15.9% · Q4 17.9% · 4Q avg 17.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.3% |
18.7%
4.4 pts better
|
16.7%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.0% · Q2 13.5% · Q3 12.8% · Q4 12.2% · 4Q avg 14.3% · 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 | 33.8% |
19.6%
14.2 pts worse
|
16.3%
17.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q4 30.4% · 4Q avg 33.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.9% |
18.3%
9.6 pts worse
|
14.9%
13 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 31.6% · Q3 33.9% · Q4 19.7% · 4Q avg 27.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.9%
1.7 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.6% · Q3 4.3% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.7%
1.3 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.1% |
26.4%
2.7 pts worse
|
19.8%
9.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.1% · Q2 33.5% · Q3 24.2% · Q4 26.3% · 4Q avg 29.1% |
| Percentage of long-stay residents with pressure ulcers | 5.6% |
5.3%
0.3 pts worse
|
5.1%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 9.4% · Q3 4.6% · Q4 5.2% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.4% |
68.9%
26.5 pts better
|
81.7%
13.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 92.2% · Q2 94.3% · Q3 97.0% · Q4 98.9% · 4Q avg 95.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.0% |
9.8%
0.2 pts worse
|
12.0%
2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.0% · Observed 10.0% · Expected 11.2% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% |
1.5%
1.5 pts better
|
1.6%
1.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.1% |
68.7%
22.4 pts better
|
79.7%
11.4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.5% |
23.1%
7.6 pts better
|
23.9%
8.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 15.0% · Expected 23.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-12-20 · Fire 2024-12-20
3 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2024-01-12 · Fire 2024-01-12
8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2025-12-04
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-01-10
E · Potential for more than minimal harm
2025-12-04
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2026-01-10
F · 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 2025-03-11
C · Minimal harm
2024-12-20
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-02-10
E · Potential for more than minimal harm
2024-01-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-15
D · Potential for more than minimal harm
2024-01-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-15
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-04
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Not marked corrected
D · Potential for more than minimal harm
2025-12-04
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.
Not marked corrected
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 2025-02-10
D · Potential for more than minimal harm
2024-12-20
F758 · Pharmacy Service Deficiencies
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2025-02-10
D · 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 2025-02-10
E · Potential for more than minimal harm
2024-01-12
F553 · Resident Rights Deficiencies
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-03-01
E · Potential for more than minimal harm
2024-01-12
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-03-01
D · Potential for more than minimal harm
2024-01-12
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2024-03-01
D · Potential for more than minimal harm
2024-01-12
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 2024-03-01
D · Potential for more than minimal harm
2024-01-12
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
2024-01-12
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-01
D · Potential for more than minimal harm
2024-01-12
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-03-01
D · Potential for more than minimal harm
2024-01-12
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 2024-03-01
Penalties and ownership
What sits behind the stars
Ownership
Wrc Senior Services
5% Or Greater Direct Ownership Interest · Organization
Bauer, Gregory
Operational/Managerial Control · Individual
Bauer, Gregory
Corporate Officer · Individual
Belczyk, Carlyn
Corporate Officer · Individual
Chamberlain, William
Corporate Officer · Individual
Conrad, Donald
Corporate Officer · Individual
Devlin, James
Corporate Officer · Individual
Dubois Regional Medical Center
5% Or Greater Indirect Ownership Interest · Organization
Dubois Regional Medical Center
Operational/Managerial Control · Organization
Fontaine, Steven
Operational/Managerial Control · Individual
Fontaine, Steven
Corporate Officer · Individual
Foradora, Scott
Corporate Officer · Individual
Johnson, Trina
Operational/Managerial Control · Individual
Johnson, Trina
Corporate Officer · Individual
Johnston, Oscar
Corporate Officer · Individual
Kline, Brian
Operational/Managerial Control · Individual
Kline, Brian
Corporate Director · Individual
Lewis, Samuel
Corporate Officer · Individual
Lezzer, David
Corporate Officer · Individual
Mcginley, Mark
Corporate Officer · Individual
Nefstead, Anthony
Operational/Managerial Control · Individual
Norman, Mark
Operational/Managerial Control · Individual
Norman, Mark
Corporate Officer · Individual
O'leary, Robert
Corporate Officer · Individual
Penn Highlands Healthcare, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Penn Highlands Healthcare, Inc.
Operational/Managerial Control · Organization
Pfingstler, Richard
Corporate Officer · Individual
Ryan, James
Corporate Officer · Individual
Ryan, Joanne
Corporate Officer · Individual
Sutika, John
Corporate Officer · Individual
Winner, Douglas
Operational/Managerial Control · Individual
Winner, Douglas
Corporate Officer · Individual
Yahner, Edward
Corporate Director · Individual
Young, William
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Penn Highlands Jefferson Manor
Brookville, PA
3-star overall rating with 3-star inspections with $15,160 in total fines with 2 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle
#2
Clarion Nursing And Rehab
Clarion, PA
3-star overall rating with 3-star inspections with $8,018 in total fines with 5 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Mulberry Healthcare And Rehabilitation Cent
Punxsutawney, PA
1-star overall rating with 1-star inspections with $24,042 in total fines with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
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