Federal inspection record · CMS data as of October 1, 2026

Lutheran Home At Hollidaysburg

916 Hickory Street, Hollidaysburg, PA · (814) 696-4527

CMS overall rating

3 of 5

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Certified beds
89
Residents per day
43
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1979

1

How this home got 3 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.

  1. Health inspections

    starting point

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

  2. Staffing

    +1 star

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

  3. Quality measures

    no change

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

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Lutheran Home At Hollidaysburg carries 72 inspection points. That is fewer than 38% of Pennsylvania's 652 rated homes.

5★4★3★2★1★+20 homes above 288.505102550100200inspection points → fewer is better on the leftThis home · 72 pts · 2★

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

40 health citations on record since 2023. 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 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 29 4 pts
E 9 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.

Harm and immediate-jeopardy citations (2)

  1. G

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

    June 25, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected June 24, 2024

  2. G

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

    October 12, 2023 · Standard inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected November 28, 2023

Everything else, by area of care

Quality of Life and Care10E
  1. D

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

    June 18, 2026 · Complaint · F689 · Not yet marked corrected

  2. D

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

    December 10, 2025 · Standard · F684 · Corrected December 18, 2025

  3. D

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

    December 10, 2025 · Standard · F686 · Corrected December 18, 2025

  4. E

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

    September 12, 2024 · Standard · F689 · Corrected November 1, 2024

  5. D

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    September 12, 2024 · Standard · F676 · Corrected November 1, 2024

  6. D

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

    September 12, 2024 · Standard · F684 · Corrected November 1, 2024

  7. D

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

    September 12, 2024 · Standard · F686 · Corrected November 1, 2024

  8. D

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

    September 12, 2024 · Standard · F690 · Corrected November 1, 2024

  9. D

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

    September 12, 2024 · Standard · F692 · Corrected November 1, 2024

  10. D

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

    October 12, 2023 · Standard · F689 · Corrected November 28, 2023

Resident Assessment and Care Planning7E
  1. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    December 10, 2025 · Standard · F655 · Corrected December 18, 2025

  2. E

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

    September 12, 2024 · Standard · F657 · Corrected November 1, 2024

  3. E

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

    September 12, 2024 · Standard · F842 · Corrected November 1, 2024

  4. D

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

    September 12, 2024 · Standard · F656 · Corrected November 1, 2024

  5. E

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

    October 12, 2023 · Standard · F657 · Corrected November 28, 2023

  6. E

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

    October 12, 2023 · Standard · F842 · Corrected January 2, 2024

  7. D

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

    October 12, 2023 · Standard · F656 · Corrected November 28, 2023

Administration6E
  1. D

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

    December 10, 2025 · Standard · F941 · Corrected December 18, 2025

  2. D

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

    December 10, 2025 · Standard · F944 · Corrected December 18, 2025

  3. D

    Provide training in compliance and ethics.

    December 10, 2025 · Standard · F946 · Corrected December 18, 2025

  4. D

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

    December 10, 2025 · Standard · F949 · Corrected December 18, 2025

  5. E

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    September 12, 2024 · Standard · F867 · Corrected November 1, 2024

  6. D

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    September 12, 2024 · Standard · F770 · Corrected November 1, 2024

Pharmacy Service5E
  1. D

    Ensure that residents are free from significant medication errors.

    December 10, 2025 · Standard · F760 · Corrected December 18, 2025

  2. D

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

    September 12, 2024 · Standard · F755 · Corrected November 1, 2024

  3. D

    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.

    September 12, 2024 · Standard · F761 · Corrected November 1, 2024

  4. E

    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.

    October 12, 2023 · Standard · F758 · Corrected January 2, 2024

  5. E

    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.

    October 12, 2023 · Standard · F761 · Corrected November 28, 2023

Nursing and Physician Services3D
  1. D

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

    December 10, 2025 · Standard · F730 · Corrected December 18, 2025

  2. D

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

    December 10, 2025 · Standard · F947 · Corrected December 18, 2025

  3. D

    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

    September 12, 2024 · Standard · F729 · Corrected April 5, 2024

Resident Rights3E
  1. D

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

    December 10, 2025 · Standard · F942 · Corrected December 18, 2025

  2. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    September 12, 2024 · Standard · F623 · Corrected November 1, 2024

  3. D

    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.

    September 12, 2024 · Standard · F578 · Corrected November 1, 2024

Infection Control2D
  1. D

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

    December 10, 2025 · Standard · F945 · Corrected December 18, 2025

  2. D

    Provide and implement an infection prevention and control program.

    September 12, 2024 · Standard · F880 · Corrected November 1, 2024

Nutrition and Dietary1D
  1. D

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

    December 10, 2025 · Standard · F812 · Corrected December 18, 2025

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

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

    December 10, 2025 · Standard · F943 · Corrected December 18, 2025

Inspection history

  1. 2025-12-10

    15 health deficiencies · 0 fire-safety deficiencies

    Top issue: Administration (4 deficiencies)

  2. 2024-09-12

    17 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

  3. 2023-10-12

    8 health deficiencies · 2 fire-safety deficiencies

    Top issue: Resident Assessment and Care Planning (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 57 min of nursing staff time a day, 50 min of it from a registered nurse.

This home

3 h 57 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 45% of nursing staff and 20% 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

Fines and payment denials

$11,132 in federal fines on record over the past three years.

DatePenaltyAmount
2024-06-25Fine$11,132

6

Resident outcomes

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

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.4 pts better93.2%87.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts worse91.9%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts worse3.8%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms7.5 pts better6.3%13.8%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts worse7.7%6.0%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.6 pts worse23.7%20.1%19.5%
Percentage of long-stay residents who received an antipsychotic medication12 pts better5.6%17.6%15.4%
Percentage of long-stay residents who were physically restrained0.6 pts worse0.8%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened0.5 pts better14.9%15.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased11.3 pts worse27.7%16.4%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder3.3 pts worse3.9%0.6%0.7%
Percentage of long-stay residents with a urinary tract infection4.7 pts worse6.1%1.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.2 pts worse27.2%25.0%18.3%
Percentage of long-stay residents with pressure ulcers2.5 pts better2.2%4.7%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better78.1%70.8%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts better1.1%1.4%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine10.3 pts better81.2%70.9%80.1%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Bowersox, EdwardCorporate Officer · Individual0%1 facilities
Bradley, ThomasCorporate Officer · Individual0%1 facilities
Brenneman, HelenCorporate Officer · Individual0%1 facilities
Cobaugh, DavidCorporate Officer · Individual0%1 facilities
Evans, ChadW-2 Managing Employee · Individual0%2 facilities
Frederick, CarolCorporate Officer · Individual0%1 facilities
Glen, SuzanneCorporate Officer · Individual0%1 facilities
Lloyd, WilliamCorporate Officer · Individual0%1 facilities
Mearkle, AmyCorporate Officer · Individual0%1 facilities
Miller, JohnCorporate Officer · Individual0%25 facilities
Reighard, ChristopherW-2 Managing Employee · Individual0%1 facilities
Reighard, ChristopherCorporate Officer · Individual0%1 facilities
Rhyne, MichaelCorporate Officer · Individual0%1 facilities
Savage, PatriciaW-2 Managing Employee · Individual0%1 facilities
Savage, PatriciaCorporate Officer · Individual0%1 facilities
Smith, ElaineCorporate Officer · Individual0%1 facilities
Thompson, WilliamCorporate Officer · Individual0%5 facilities
Whipkey, RichardCorporate Officer · Individual0%1 facilities
Williamson, SusanCorporate Officer · Individual0%1 facilities

·

Fire safety

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

Smoke3E
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    September 12, 2024 · K321 · Corrected November 2, 2024

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    September 12, 2024 · K353 · Corrected November 2, 2024

  3. E

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

    October 12, 2023 · K372 · Corrected November 15, 2023

Gas, Vacuum, and Electrical Systems2E
  1. E

    Ensure proper usage of power strips and extension cords.

    September 12, 2024 · K920 · Corrected November 2, 2024

  2. E

    Have proper medical gas storage and administration areas.

    October 12, 2023 · K923 · Corrected November 15, 2023

Egress1E
  1. E

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

    September 12, 2024 · K211 · Corrected November 2, 2024

Emergency Preparedness1C
  1. C

    Conduct testing and exercise requirements.

    September 12, 2024 · E39 · Corrected November 2, 2024

·

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