Hollidaysburg, PA

Lutheran Home At Hollidaysburg

2-star overall rating with 2-star inspections with $101,905 in total fines with 14 recent health deficiencies

916 Hickory Street, Hollidaysburg, PA

(814) 696-4527

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 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

Certified beds

Average residents

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1979-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.85

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.96

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.19

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

4.01

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.82

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.75

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.62

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

0.90

CMS adjusted RN staffing hours

Adjusted total hours

4.23

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

57%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,593

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

Performance score

48.86

Composite VBP score used to determine payment impact.

Payment multiplier

1.0027

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

3.77

Performance 48.28% · Measure score 3.77 · Achievement 3.77 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 3.74 hours · Performance 4.79 hours · Measure score 6 · Achievement 6 · Improvement 4.62

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.12	1.02 0.1 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · 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 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	4.88%	8.2% 3.3 pts worse	Numerator 4 · Denominator 82
Staff flu vaccination coverage	85.16%	42% 43.2 pts better	Numerator 109 · Denominator 128
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · 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	95.8%	86.9% 8.9 pts better	93.4% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 95.0% · Q3 100.0% · Q4 96.8% · 4Q avg 95.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	93.5% 6.5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.7%	3.2% 2.5 pts better	3.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.1%	6.5% 1.4 pts better	11.4% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 2.7% · Q3 6.5% · Q4 6.9% · 4Q avg 5.1%
Percentage of long-stay residents who lose too much weight	9.2%	6.5% 2.7 pts worse	5.4% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 15.0% · Q3 6.2% · Q4 3.3% · 4Q avg 9.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.5%	19.9% 2.6 pts worse	19.6% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 22.5% · Q3 21.9% · Q4 22.6% · 4Q avg 22.5%
Percentage of long-stay residents who received an antipsychotic medication	2.4%	18.7% 16.3 pts better	16.7% 14.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.7%	0.2% 0.5 pts worse	0.1% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.0% · Q4 0.0% · 4Q avg 0.7%
Percentage of long-stay residents whose ability to walk independently worsened	19.9%	19.6% 0.3 pts worse	16.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 19.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	27.7%	18.3% 9.4 pts worse	14.9% 12.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.8% · Q2 32.4% · Q3 27.6% · Q4 21.4% · 4Q avg 27.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.7%	0.9% 0.2 pts better	1.0% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.2% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	6.3%	1.7% 4.6 pts worse	1.7% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.0% · Q3 12.1% · Q4 3.3% · 4Q avg 6.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	33.2%	26.4% 6.8 pts worse	19.8% 13.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 40.9% · Q2 27.2% · Q3 27.5% · Q4 37.7% · 4Q avg 33.2%
Percentage of long-stay residents with pressure ulcers	1.6%	5.3% 3.7 pts better	5.1% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.2%	68.9% 1.7 pts worse	81.7% 14.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 67.5% · Q2 64.6% · Q3 62.0% · Q4 72.7% · 4Q avg 67.2%
Percentage of short-stay residents who newly received an antipsychotic medication	0.7%	1.5% 0.8 pts better	1.6% 0.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.8%	68.7% 23.1 pts better	79.7% 12.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-10 · Fire 2025-12-10

14 health deficiencies

Top issue: Administration (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-09-12 · Fire 2024-09-12

18 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-10-12 · Fire 2023-10-12

7 health deficiencies

Top issue: Resident Assessment and Care Planning (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 2024-09-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-09-12

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-09-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-02

E · Potential for more than minimal harm 2024-09-12

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-02

C · Minimal harm 2024-09-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-11-02

E · Potential for more than minimal harm 2023-10-12

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-15

E · Potential for more than minimal harm 2023-10-12

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-11-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-10

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 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

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 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F941 · Administration Deficiencies

Health

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

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F942 · Resident Rights Deficiencies

Health

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

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

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 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F944 · Administration Deficiencies

Health

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

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

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 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F946 · Administration Deficiencies

Health

Provide training in compliance and ethics.

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-10

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 2025-12-18

D · Potential for more than minimal harm 2025-12-10

F949 · Administration Deficiencies

Health

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

Corrected 2025-12-18

E · Potential for more than minimal harm 2024-09-12

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-11-01

E · Potential for more than minimal harm 2024-09-12

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 2024-11-01

E · Potential for more than minimal harm 2024-09-12

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 2024-11-01

E · Potential for more than minimal harm 2024-09-12

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 2024-11-01

E · Potential for more than minimal harm 2024-09-12

F867 · Administration Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-12

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 2024-11-01

D · Potential for more than minimal harm 2024-09-12

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 2024-11-01

D · Potential for more than minimal harm 2024-09-12

F676 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-12

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-12

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 2024-11-01

D · Potential for more than minimal harm 2024-09-12

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-12

F729 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-04-05

D · Potential for more than minimal harm 2024-09-12

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 2024-11-01

D · Potential for more than minimal harm 2024-09-12

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 2024-11-01

D · Potential for more than minimal harm 2024-09-12

F770 · Administration Deficiencies

Health

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

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-01

G · Actual harm 2024-06-25

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 2024-06-24

G · Actual harm 2023-10-12

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 2023-11-28

E · Potential for more than minimal harm 2023-10-12

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 2023-11-28

E · Potential for more than minimal harm 2023-10-12

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 2024-01-02

E · Potential for more than minimal harm 2023-10-12

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-11-28

E · Potential for more than minimal harm 2023-10-12

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 2024-01-02

D · Potential for more than minimal harm 2023-10-12

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 2023-11-28

D · Potential for more than minimal harm 2023-10-12

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 2023-11-28

Penalties and ownership

What sits behind the stars

$11,132 2024-06-25

Fine

Fine · fine $11,132

Fine

$90,773 2023-10-12

Fine

Fine · fine $90,773

Fine