Federal inspection record · CMS data as of October 1, 2026
Richfield Healthcare And Rehabilitation Center
631 Main Street, Richfield, PA · (717) 694-3434
- Certified beds
- 40
- Residents per day
- 36
- Ownership
- For-Profit
- Chain
- Akiko Ike
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 7, 2004
1
How this home got 5 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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
-
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.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Pennsylvania homes
Richfield Healthcare And Rehabilitation Center carries 41 inspection points. That is fewer than 59% of Pennsylvania's 652 rated homes.
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
27 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights8E
- 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.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Keep residents' personal and medical records private and confidential.
Quality of Life and Care6D
- 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.
- D
Provide or obtain dental services for each resident.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide or obtain dental services for each resident.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control3E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Pharmacy Service3D
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
Nutrition and Dietary2F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2026-01-22
8 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-02-06
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2024-03-01
8 health deficiencies · 10 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 9 min of nursing staff time a day, 55 min of it from a registered nurse.
This home
4 h 9 min
Pennsylvania average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 24% of nursing staff and 36% 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
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.6 pts better | 97.4% | 87.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better | 100.0% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts better | 0.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.4 pts better | 8.4% | 13.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 7.1% | 6.0% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 20.2% | 20.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medicationAbout the same | 17.6% | 17.6% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.3 pts better | 6.1% | 15.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.3 pts better | 7.1% | 16.4% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts worse | 26.4% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.3 pts better | 3.4% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine10.8 pts better | 81.6% | 70.8% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse | 2.8% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine13.4 pts worse | 57.5% | 70.9% | 80.1% |
·
Who owns and runs it
1 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Bowersox, Melissa | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Inspect, test, and maintain automatic sprinkler systems.
- C
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- E
Provide properly protected cooking facilities.
- C
Have approved installation, maintenance and testing program for fire alarm systems.
Egress4E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- C
Install emergency lighting that can last at least 1 1/2 hours.
- C
Have properly located and lighted "Exit" signs.
Miscellaneous3F
- C
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- C
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Northern Dauphin Nursing And Rehabilitation Center
Millersburg, PA · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 19 min
- Fines
- $0
-
Brookline Nursing And Rehab
Mifflintown, PA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 40 min
- Fines
- $0
-
Rolling Hills Healthcare And Rehabilitation Center
Millmont, PA · Akiko Ike
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 56 min
- Fines
- $0