2 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
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
417 Route 28, Brookville, PA
(814) 849-8026
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
160
Certified beds
Average residents
92
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1984-01-01
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
RN hours / resident day
0.66
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.22
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
1.82
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.71
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.89
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
3.47
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.67
CMS adjusted RN staffing hours
Adjusted total hours
3.73
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
40%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
37%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
4,454
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.90
Composite VBP score used to determine payment impact.
Payment multiplier
0.9928
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.58
Baseline 18.22% · Performance 19.77% · Measure score 3.58 · Achievement 3.58 · Improvement 0
Healthcare-associated infections
4.69
Baseline 7.55% · Performance 6.43% · Measure score 4.69 · Achievement 4.69 · Improvement 3.87
Total nurse turnover
6.24
Baseline 90.11% · Performance 46.15% · Measure score 6.24 · Achievement 4.29 · Improvement 6.24
Adjusted total nurse staffing
1.45
Baseline 3.47 hours · Performance 3.49 hours · Measure score 1.45 · Achievement 1.45 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 65 · Observed rate 9.23% · Lower 95% interval 7.2% |
| Discharge to community | 42.34% |
50.57%
8.2 pts worse
|
No Different than the National Rate · Eligible stays 59 · Observed rate 33.9% · Lower 95% interval 31.43% |
| Medicare spending per beneficiary | 0.93 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 48 · Denominator 48 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 48 |
| Discharge self-care score | 34.15% |
53.69%
19.5 pts worse
|
Numerator 14 · Denominator 41 |
| Discharge mobility score | 46.34% |
50.94%
4.6 pts worse
|
Numerator 19 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 4.17% |
2.29%
1.9 pts worse
|
Numerator 2 · Denominator 48 · Adjusted rate 3.77% |
| Healthcare-associated infections requiring hospitalization | 6.43% |
7.12%
0.7 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 3.68% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 146 |
| Staff flu vaccination coverage | 50% |
42%
8 pts better
|
Numerator 82 · Denominator 164 |
| Discharge function score | 56.1% |
56.45%
0.4 pts worse
|
Numerator 23 · Denominator 41 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 6.9% |
25.2%
18.3 pts worse
|
Numerator 2 · Denominator 29 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.3 |
1.7
0.4 pts better
|
1.9
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
1.2
0.6 pts worse
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.8 · Expected 1.7 · Used in QM five-star |
| 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 92.5% · Q2 93.4% · Q3 98.6% · Q4 98.7% · 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 | 1.6% |
3.2%
1.6 pts better
|
3.3%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 0.0% · Q3 1.4% · Q4 2.5% · 4Q avg 1.6% · 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 | 7.8% |
6.5%
1.3 pts worse
|
5.4%
2.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 9.9% · Q3 8.5% · Q4 5.8% · 4Q avg 7.8% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 25.0% |
19.9%
5.1 pts worse
|
19.6%
5.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 29.7% · Q3 25.4% · Q4 22.7% · 4Q avg 25.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.8% |
18.7%
3.1 pts worse
|
16.7%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 23.5% · Q3 20.8% · Q4 26.5% · 4Q avg 21.8% · 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 | 23.6% |
19.6%
4 pts worse
|
16.3%
7.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 24.3% · Q3 14.5% · Q4 41.3% · 4Q avg 23.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.0% |
18.3%
6.7 pts worse
|
14.9%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 19.0% · Q3 20.0% · Q4 35.0% · 4Q avg 25.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
0.9%
0.1 pts worse
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 1.4% · Q3 1.6% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.7% |
1.7%
About the same
|
1.7%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 0.0% · Q3 0.0% · Q4 1.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.4% |
26.4%
4 pts worse
|
19.8%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 37.4% · Q3 28.3% · Q4 29.1% · 4Q avg 30.4% |
| Percentage of long-stay residents with pressure ulcers | 9.8% |
5.3%
4.5 pts worse
|
5.1%
4.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.0% · Q2 11.2% · Q3 8.4% · Q4 7.5% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
68.9%
24.7 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 86.7% · Q2 93.0% · Q3 94.8% · Q4 96.0% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% |
9.8%
2 pts better
|
12.0%
4.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 7.7% · Expected 11.1% · Used in QM five-star |
| 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 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.0% |
68.7%
19.3 pts better
|
79.7%
8.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 11.9% |
23.1%
11.2 pts better
|
23.9%
12 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.9% · Observed 11.5% · Expected 23.2% · Used in QM five-star |
Survey summary
Top issue: Pharmacy Service (1 deficiency)
13 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Nutrition and Dietary (1 deficiency)
6 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Meet other general requirements.
Corrected 2026-03-20
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-03-20
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-02-12
Fire Safety
Install properly constructed and protected linen or trash chutes.
Corrected 2026-02-12
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-02-12
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2026-02-12
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2026-02-12
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2026-02-12
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2026-02-12
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2026-02-12
Fire Safety
Meet other general requirements.
Corrected 2026-02-12
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-03-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-02-12
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-01
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-01
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-03-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-03-01
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-03-01
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-03-01
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2025-03-01
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2025-03-01
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2024-02-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-29
Fire Safety
Meet other general requirements.
Corrected 2024-02-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-29
Fire Safety
Have power receptacles that are properly grounded.
Corrected 2024-02-29
Inspection history
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Not marked corrected
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Not marked corrected
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 2025-03-10
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-03-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-03-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-10
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 2025-03-10
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-03-10
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-29
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2024-09-29
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-05-20
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-05-20
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 2024-05-20
Health
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2024-05-20
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-04-19
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-04-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-19
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-09
Penalties and ownership
Fine · fine $12,015
Fine
Fine · fine $3,145
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
Brookville, PA
4-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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
Shippenville, PA
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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