Johnstown, PA

Richland Nursing And Rehab

3-star overall rating with 3-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

349 Votech Drive, Johnstown, PA

(814) 266-9702

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Valley West Health

Operator or chain grouping

Approved since

1983-10-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

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

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

0.68

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.62

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.45

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.32

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.40

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

0.67

CMS adjusted RN staffing hours

Adjusted total hours

3.56

CMS adjusted total nurse staffing hours

Case-mix index

1.39

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,014

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

Performance score

8.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9808

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 19.01% · Performance 23.54% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 5.10% · Performance 9.44% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.77

Baseline 50.00% · Performance 56.44% · Measure score 1.77 · Achievement 1.77 · Improvement 0

Adjusted total nurse staffing

1.82

Baseline 3.10 hours · Performance 3.60 hours · Measure score 1.82 · Achievement 1.82 · Improvement 1.36

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.18%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 55 · Observed rate 12.73% · Lower 95% interval 7.16%
Discharge to community	43.67%	50.57% 6.9 pts worse	No Different than the National Rate · Eligible stays 47 · Observed rate 38.3% · Lower 95% interval 33.06%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	87.1%	95.27% 8.2 pts worse	Numerator 27 · Denominator 31
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 31
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	6.45%	2.29% 4.2 pts worse	Numerator 2 · Denominator 31 · Adjusted rate 5.12%
Healthcare-associated infections requiring hospitalization	9.44%	7.12% 2.3 pts worse	No Different than the National Rate · Eligible stays 41 · Observed rate 17.07% · Lower 95% interval 5.77%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 126
Staff flu vaccination coverage	22.11%	42% 19.9 pts worse	Numerator 44 · Denominator 199
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	1.7 1.2 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 3.0 · Expected 2.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.5	1.2 0.7 pts better	1.8 1.3 pts better	Long Stay · 20240701-20250630 · Adjusted 0.5 · Observed 0.6 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	86.9% 9.7 pts better	93.4% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 97.1% · Q3 93.8% · Q4 97.0% · 4Q avg 96.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	84.5%	93.5% 9 pts worse	95.5% 11 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 84.5%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.2% 0.6 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.4% · Q3 1.6% · Q4 1.5% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	6.5% 5.3 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.7% · Q3 1.7% · Q4 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	2.8%	6.5% 3.7 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 0.0% · Q3 3.8% · Q4 3.5% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	13.7%	19.9% 6.2 pts better	19.6% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 11.9% · Q3 13.8% · Q4 8.5% · 4Q avg 13.7%
Percentage of long-stay residents who received an antipsychotic medication	8.0%	18.7% 10.7 pts better	16.7% 8.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.9% · Q3 6.2% · Q4 8.5% · 4Q avg 8.0% · 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	18.8%	19.6% 0.8 pts better	16.3% 2.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 17.7% · Q3 13.1% · Q4 7.6% · 4Q avg 18.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.0%	18.3% 1.3 pts better	14.9% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 13.0% · Q3 18.5% · Q4 5.5% · 4Q avg 17.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	0.9% 0.3 pts worse	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.3% · Q3 1.2% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.8%	1.7% 2.1 pts worse	1.7% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 3.0% · Q3 1.6% · Q4 3.1% · 4Q avg 3.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.4%	26.4% 2 pts worse	19.8% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 31.5% · Q3 25.5% · Q4 24.3% · 4Q avg 28.4%
Percentage of long-stay residents with pressure ulcers	6.1%	5.3% 0.8 pts worse	5.1% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 11.6% · Q3 3.0% · Q4 0.0% · 4Q avg 6.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.5%	68.9% 13.6 pts better	81.7% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 81.0% · Q2 79.6% · Q3 80.5% · Q4 87.9% · 4Q avg 82.5%
Percentage of short-stay residents who had an outpatient emergency department visit	12.0%	9.8% 2.2 pts worse	12.0% About the same	Short Stay · 20240701-20250630 · Adjusted 12.0% · Observed 13.8% · Expected 12.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.3%	1.5% 0.8 pts worse	1.6% 0.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.7% · Q4 5.5% · 4Q avg 2.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.2%	68.7% 10.5 pts better	79.7% 0.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	26.2%	23.1% 3.1 pts worse	23.9% 2.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.2% · Observed 27.6% · Expected 25.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-30 · Fire 2026-01-30

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-12-19 · Fire 2024-12-19

17 health deficiencies

Top issue: Resident Rights (5 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2024-01-11 · Fire 2024-01-11

13 health deficiencies

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

5 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2026-01-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Not marked corrected

E · Potential for more than minimal harm 2026-01-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Not marked corrected

C · Minimal harm 2026-01-30

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Not marked corrected

E · Potential for more than minimal harm 2024-12-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-15

E · Potential for more than minimal harm 2024-12-19

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-01-15

E · Potential for more than minimal harm 2024-03-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-01-11

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 2024-02-21

E · Potential for more than minimal harm 2024-01-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-02-21

E · Potential for more than minimal harm 2024-01-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-21

E · Potential for more than minimal harm 2024-01-11

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-02-21

E · Potential for more than minimal harm 2024-01-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-30

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 2026-03-03

D · Potential for more than minimal harm 2026-01-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-03-03

D · Potential for more than minimal harm 2026-01-30

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 2026-03-03

D · Potential for more than minimal harm 2026-01-30

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2026-03-03

D · Potential for more than minimal harm 2026-01-30

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 2026-03-03

D · Potential for more than minimal harm 2026-01-30

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2026-03-03

D · Potential for more than minimal harm 2026-01-30

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 2026-03-03

D · Potential for more than minimal harm 2025-08-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-01-29

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-02-20

F · Potential for more than minimal harm 2024-12-19

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-01-15

E · Potential for more than minimal harm 2024-12-19

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 2025-01-15

E · Potential for more than minimal harm 2024-12-19

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-01-15

E · Potential for more than minimal harm 2024-12-19

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-15

E · Potential for more than minimal harm 2024-12-19

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 2024-06-24

E · Potential for more than minimal harm 2024-12-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-19

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-19

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-12-19

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-19

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 2025-01-15

D · Potential for more than minimal harm 2024-12-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-19

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-19

F761 · Pharmacy Service Deficiencies

Health

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-19

F867 · Administration Deficiencies

Health

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

Corrected 2025-01-15

D · Potential for more than minimal harm 2024-12-02

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-12-18

D · Potential for more than minimal harm 2024-06-20