Markleysburg, PA

Quality Life Services - Henry Clay

5-star overall rating with 5-star inspections with 1 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

5253 National Pike, Markleysburg, PA

(412) 329-5545

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 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

74

Certified beds

Average residents

71

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Quality Life Services

Operator or chain grouping

Approved since

1993-07-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

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

0.67

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.80

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

3.65

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.48

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.44

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.69

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.33

Higher values indicate more complex resident acuity

RN turnover

44%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,688

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

Performance score

32.02

Composite VBP score used to determine payment impact.

Payment multiplier

0.9868

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

4.43

Baseline 39.06% · Performance 45.57% · Measure score 4.43 · Achievement 4.43 · Improvement 0

Adjusted total nurse staffing

1.97

Baseline 3.38 hours · Performance 3.64 hours · Measure score 1.97 · Achievement 1.97 · Improvement 0.58

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.51%
10.72%
1.2 pts better
No Different than the National Rate · Eligible stays 37 · Observed rate 2.7% · Lower 95% interval 5.67%
Discharge to community 44.05%
50.57%
6.5 pts worse
No Different than the National Rate · Eligible stays 42 · Observed rate 30.95% · Lower 95% interval 30%
Medicare spending per beneficiary 1.03
1.02
About the same
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 13 · 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 19 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 1.22%
8.2%
7 pts worse
Numerator 1 · Denominator 82
Staff flu vaccination coverage 21.15%
42%
20.9 pts worse
Numerator 22 · Denominator 104
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 8 · 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 94.5%
86.9%
7.6 pts better
93.4%
1.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 95.3% · Q3 100.0% · Q4 87.3% · 4Q avg 94.5%
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 0.0%
3.2%
3.2 pts better
3.3%
3.3 pts better
Long 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 long-stay residents who have depressive symptoms 10.4%
6.5%
3.9 pts worse
11.4%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 14.3% · Q3 9.5% · Q4 10.6% · 4Q avg 10.4%
Percentage of long-stay residents who lose too much weight 4.1%
6.5%
2.4 pts better
5.4%
1.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 3.3% · Q3 5.0% · Q4 6.6% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.8%
19.9%
4.9 pts worse
19.6%
5.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 23.3% · Q3 25.0% · Q4 24.6% · 4Q avg 24.8%
Percentage of long-stay residents who received an antipsychotic medication 37.5%
18.7%
18.8 pts worse
16.7%
20.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.9% · Q2 35.1% · Q3 37.5% · Q4 42.5% · 4Q avg 37.5% · 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 11.2%
19.6%
8.4 pts better
16.3%
5.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 16.8% · Q3 13.6% · Q4 7.9% · 4Q avg 11.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 12.8%
18.3%
5.5 pts better
14.9%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 15.8% · Q3 16.1% · Q4 3.5% · 4Q avg 12.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.4%
1.7%
0.7 pts worse
1.7%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 3.3% · Q4 3.2% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 26.7%
26.4%
0.3 pts worse
19.8%
6.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 22.8% · Q3 26.3% · Q4 31.2% · 4Q avg 26.7%
Percentage of long-stay residents with pressure ulcers 2.1%
5.3%
3.2 pts better
5.1%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 2.6% · Q4 1.1% · 4Q avg 2.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 68.5%
68.9%
0.4 pts worse
81.7%
13.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 72.5% · Q3 74.5% · Q4 54.2% · 4Q avg 68.5%
Percentage of short-stay residents who had an outpatient emergency department visit 7.2%
9.8%
2.6 pts better
12.0%
4.8 pts better
Short Stay · 20240701-20250630 · Adjusted 7.2% · Observed 8.7% · Expected 13.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.0%
1.5%
0.5 pts worse
1.6%
0.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 4.2% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 64.2%
68.7%
4.5 pts worse
79.7%
15.5 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 64.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.9%
23.1%
4.2 pts better
23.9%
5 pts better
Short Stay · 20240701-20250630 · Adjusted 18.9% · Observed 21.7% · Expected 27.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-31 · Fire 2025-07-31

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-08-14 · Fire 2024-08-14

1 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-08-31 · Fire 2023-08-31

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-07-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-18

F · Potential for more than minimal harm 2024-08-14

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-14

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-12

C · Minimal harm 2024-08-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-12

F · Potential for more than minimal harm 2023-08-31

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-08-31

K131 · Construction Deficiencies

Fire Safety

Meet requirements for sections of health care facilities separated by fire resistive construction.

Corrected 2023-09-07

F · Potential for more than minimal harm 2023-08-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-31

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-31

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 2023-09-07

E · Potential for more than minimal harm 2023-08-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-07

E · Potential for more than minimal harm 2023-08-31

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2023-09-07

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-31

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 2025-08-29

D · Potential for more than minimal harm 2024-04-01

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 2024-05-03

D · Potential for more than minimal harm 2023-08-31

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 2023-10-20

B · Minimal harm 2023-08-31

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2023-10-20

Penalties and ownership

What sits behind the stars

Ownership

Tack Family Ventures LLC

5% Or Greater Direct Ownership Interest · Organization

99% 7 facilities 2024-03-01
Lopiccolo, Bonnie

Corporate Director · Individual

0% 2 facilities 2025-05-05
Markivich, Michael

Corporate Officer · Individual

0% 9 facilities 2024-03-01
Mary Susan Tack-Yurek Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2024-03-01
Nicholas, Lawrence

Operational/Managerial Control · Individual

0% 2 facilities 2024-03-01
Steven D Tack Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 6 facilities 2024-03-01
Sugar Creek Rest, Inc

5% Or Greater Direct Ownership Interest · Organization

0% 6 facilities 2024-03-01
Susan Tack-Beardsley Irrevocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2024-03-01
Tack, Steven

5% Or Greater Indirect Ownership Interest · Individual

0% 9 facilities 2024-03-01
Tack, Steven

Operational/Managerial Control · Individual

0% 9 facilities 2024-03-01
Tack, Steven

Corporate Officer · Individual

0% 9 facilities 2024-03-01
Tack-Beardsley, Susan

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2024-03-01
Tack-Beardsley, Susan

Operational/Managerial Control · Individual

0% 8 facilities 2024-03-01
Tack-Yurek, Mary

5% Or Greater Indirect Ownership Interest · Individual

0% 9 facilities 2024-03-01
Tack-Yurek, Mary

Operational/Managerial Control · Individual

0% 9 facilities 2024-03-01

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Quality Life Services - Markleysburg

Markleysburg, PA

2-star overall rating with 2-star inspections with 11 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

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Health
2 / 5
Staffing
3 / 5
Fines
$0
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4-star overall rating with 3-star inspections with $13,250 in total fines with 19 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

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Staffing
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Fines
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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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Staffing
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Fines
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