Cycle 1
Health 2025-08-14 · Fire 2024-08-30
14 health deficiencies
Top issue: Administration (4 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Uniontown, PA
Mt Macrina Manor
3-star overall rating with 3-star inspections with 14 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
520 West Main Street, Uniontown, PA
(724) 430-1120
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
124
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
1984-04-01
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
0.50
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.12
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.18
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.80
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.62
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.51
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.28
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.93
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
0%
Annual RN turnover
Total nurse turnover
0%
Annual nurse turnover
SNF VBP
Value-based purchasing
Program rank
1,691
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.75
Composite VBP score used to determine payment impact.
Payment multiplier
1.0097
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.9
Baseline 21.94% · Performance 20.27% · Measure score 2.9 · Achievement 2.51 · Improvement 2.9
Healthcare-associated infections
10
Baseline 7.34% · Performance 4.98% · Measure score 10 · Achievement 10 · Improvement 9
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
3.53
Baseline 3.45 hours · Performance 4.08 hours · Measure score 3.53 · Achievement 3.53 · Improvement 2.21
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.33% |
10.72%
2.4 pts better
|
No Different than the National Rate · Eligible stays 153 · Observed rate 5.23% · Lower 95% interval 5.97% |
| Discharge to community | 60.95% |
50.57%
10.4 pts better
|
Better than the National Rate · Eligible stays 134 · Observed rate 55.22% · Lower 95% interval 51.94% |
| Medicare spending per beneficiary | 1.01 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 145 · Denominator 145 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 145 |
| Discharge self-care score | 38.38% |
53.69%
15.3 pts worse
|
Numerator 38 · Denominator 99 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 33 · Denominator 99 |
| Pressure ulcers or injuries, new or worsened | 2.07% |
2.29%
0.2 pts better
|
Numerator 3 · Denominator 145 · Adjusted rate 1.79% |
| Healthcare-associated infections requiring hospitalization | 4.98% |
7.12%
2.1 pts better
|
No Different than the National Rate · Eligible stays 98 · Observed rate 1.02% · Lower 95% interval 2.82% |
| Staff COVID-19 vaccination coverage | 4.24% |
8.2%
4 pts worse
|
Numerator 7 · Denominator 165 |
| Staff flu vaccination coverage | 27.91% |
42%
14.1 pts worse
|
Numerator 48 · Denominator 172 |
| Discharge function score | 35.35% |
56.45%
21.1 pts worse
|
Numerator 35 · Denominator 99 |
| Transfer of health information to provider | 97.78% |
95.95%
1.8 pts better
|
Numerator 44 · Denominator 45 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 67 · Denominator 67 |
| Resident COVID-19 vaccinations up to date | 28.75% |
25.2%
3.6 pts better
|
Numerator 23 · Denominator 80 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.7
0.3 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.4 |
1.2
0.2 pts worse
|
1.8
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.4 · 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 | 97.5% |
93.5%
4 pts better
|
95.5%
2 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.8% |
3.2%
0.6 pts worse
|
3.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.5% · Q3 4.9% · Q4 6.2% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.4% |
6.5%
6.1 pts better
|
11.4%
11 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 0.4% |
| Percentage of long-stay residents who lose too much weight | 10.2% |
6.5%
3.7 pts worse
|
5.4%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 12.7% · Q3 16.1% · Q4 12.1% · 4Q avg 10.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.2% |
19.9%
7.7 pts better
|
19.6%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 9.1% · Q3 10.6% · Q4 19.7% · 4Q avg 12.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 14.9% |
18.7%
3.8 pts better
|
16.7%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 15.2% · Q3 15.2% · Q4 12.2% · 4Q avg 14.9% · 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 | 27.8% |
19.6%
8.2 pts worse
|
16.3%
11.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 16.5% · Q3 41.9% · Q4 30.8% · 4Q avg 27.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.9% |
18.3%
5.6 pts worse
|
14.9%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 15.1% · Q3 29.1% · Q4 33.3% · 4Q avg 23.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.9%
1.3 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.2% · Q3 2.4% · Q4 1.0% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.9% |
1.7%
1.2 pts worse
|
1.7%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 7.9% · Q3 1.3% · Q4 1.3% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% |
26.4%
2.2 pts worse
|
19.8%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.3% · Q2 34.5% · Q3 22.4% · Q4 25.5% · 4Q avg 28.6% |
| 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 7.2% · Q2 3.6% · Q3 6.1% · Q4 5.4% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.1% |
68.9%
27.2 pts better
|
81.7%
14.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 96.3% · Q3 94.6% · Q4 96.8% · 4Q avg 96.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.9% |
9.8%
5.1 pts worse
|
12.0%
2.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 14.2% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.5% |
1.5%
1 pts worse
|
1.6%
0.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 2.4% · Q3 2.4% · Q4 2.1% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
68.7%
20.6 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 89.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.3% |
23.1%
8.2 pts worse
|
23.9%
7.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.3% · Observed 34.0% · Expected 25.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-30 · Fire 2023-08-18
1 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
1 fire-safety deficiencies
Top issue: Emergency Preparedness (1 deficiency)
Cycle 3
Health 2023-08-18 · Fire 2022-09-09
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-08-30
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2024-10-14
F · Potential for more than minimal harm
2024-08-30
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2024-10-14
F · Potential for more than minimal harm
2023-08-18
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-10-06
Inspection history
Recent health citations
F · Potential for more than minimal harm
2026-01-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2026-02-20
F · Potential for more than minimal harm
2025-08-14
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2025-10-01
F · Potential for more than minimal harm
2025-08-14
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-10-01
F · Potential for more than minimal harm
2025-08-14
F881 · Infection Control Deficiencies
Health
Implement a program that monitors antibiotic use.
Corrected 2025-10-01
E · Potential for more than minimal harm
2025-08-14
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 2025-10-01
E · Potential for more than minimal harm
2025-08-14
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 2025-10-01
D · Potential for more than minimal harm
2025-08-14
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2025-10-01
C · Minimal harm
2025-08-14
F941 · Administration Deficiencies
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-10-01
B · Minimal harm
2025-08-14
F628 · Resident Rights Deficiencies
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-10-01
B · Minimal harm
2025-08-14
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-10-01
B · Minimal harm
2025-08-14
F638 · Resident Assessment and Care Planning Deficiencies
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2025-10-01
B · Minimal harm
2025-08-14
F942 · Resident Rights Deficiencies
Health
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-10-01
B · Minimal harm
2025-08-14
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-10-01
B · Minimal harm
2025-08-14
F949 · Administration Deficiencies
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-10-01
D · Potential for more than minimal harm
2024-08-30
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 2024-10-01
F · Potential for more than minimal harm
2023-08-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-11-30
D · Potential for more than minimal harm
2023-08-18
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 2023-02-23
D · Potential for more than minimal harm
2023-08-18
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-10-06
Penalties and ownership
What sits behind the stars
Ownership
The Order Of The Sisters Of St. Basil The Great
5% Or Greater Direct Ownership Interest · Organization
Bercosky, Caroline
Operational/Managerial Control · Individual
Bercosky, Caroline
Corporate Director · Individual
Bercosky, Caroline
Corporate Officer · Individual
Burnett, Sylvia
Corporate Director · Individual
Dinardo, Lawrence
Corporate Director · Individual
Gray, Robin
Corporate Director · Individual
Horvat, Ed
Corporate Director · Individual
Juba, George
Corporate Director · Individual
Mayernik, Dorothy
Corporate Director · Individual
Molinaro, Carmine
Corporate Director · Individual
Olsafsky, Margaret
Corporate Director · Individual
Penchalk, Melita
Corporate Director · Individual
Petrasovich, Carol
Corporate Director · Individual
Sisko, Susan
Corporate Director · Individual
Somerset Trust Company
5% Or Greater Mortgage Interest · Organization
Nearby options
Other facilities in reach
#1
Lafayette Manor, Inc
Uniontown, PA
2-star overall rating with 2-star inspections with $7,342 in total fines with 11 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Terrace Health & Rehab Center
Uniontown, PA
3-star overall rating with 2-star inspections with 10 recent health deficiencies
#3
Laurel Ridge Center
Uniontown, PA
2-star overall rating with 3-star inspections with 7 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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