Rochester Residence and Care Center
174 Virginia Avenue, Rochester, PA 15074Map
Medicare/Medicaid certified119 certified beds~83 residents/dayFor profit - Limited Liability company
What Special Focus status means moreless
CMS keeps a short national list of nursing homes with the most persistent serious problems — the Special Focus Facility (SFF) program. SFF homes get inspected about twice as often and must improve or face termination from Medicare/Medicaid. 'SFF candidate' means the home qualifies for the list but isn't on it yet (the list has limited slots per state). Some SFF homes do graduate and improve; the designation means CMS is watching closely right now.
What to do with this: ask the administrator where the home is in the SFF process and what the improvement plan is. Verify status at medicare.gov/care-compare.
Last standard health inspection: February 13, 2026
Rochester Residence and Care Center is a 119-bed for-profit, LLC-owned nursing home in Rochester, Beaver County, Pennsylvania, serving an average of 83 residents per day. As of CMS data processed June 1, 2026, its overall rating is not available. CMS does not rate this facility because of a history of serious quality issues — it is in the Special Focus Facility program.
CMS star ratings
CMS scores every nursing home 1–5 stars overall, built from three sub-ratings. moreless
Medicare inspects and measures every certified nursing home, then rolls the results into a 1–5 star overall rating. It combines three parts: health inspections, staffing, and quality measures. Five stars means much better than average — it does not mean perfect. One star means much worse than average — it does not mean every shift is bad. Stars are a screening tool, not a verdict. They can lag reality by months, and they can't see things like how kind the aides are or how the building smells at 7am.
What to do with this: use stars to build a shortlist, then visit in person. Nothing on this site replaces walking the halls.
Health-inspection stars are graded on a curve within each state — never compare stars across state lines. moreless
CMS sets health-inspection star cutoffs separately for each state: roughly the top 10% of homes in a state get 5 stars, the bottom 20% get 1 star, no matter how the state compares to others. That means a 4-star home in one state and a 4-star home in another state may have very different inspection records. The stars tell you how a home compares to its neighbors, not to the whole country. That's why this site shows your state's median next to each star rating — and never a national star comparison.
What to do with this: compare stars only between homes in the same state. To compare across states, use staffing hours — those are real numbers, not curves.
Not all three sub-ratings are equally hard to game: inspections are the most objective, quality measures the least. moreless
The three sub-ratings come from different sources. Health inspections are done on-site by trained state surveyors who show up mostly unannounced — the most objective signal. Staffing comes from payroll records that facilities must submit and CMS audits — quite reliable. Quality measures are partly self-reported by the facility from its own resident assessments — useful, but the facility grades some of its own homework.
What to do with this: when sub-ratings disagree, weigh the inspection star most and the quality-measure star least.
Staffing
Reported hours per resident per day, from payroll records. Hours, unlike stars, can be compared across states.
Hours per resident per day: total staff hours worked, divided by the number of residents. moreless
If a home reports 3.5 total nursing hours per resident per day, that's all nursing staff time across 24 hours — roughly one caregiver-hour every 7 hours per resident, spread across day, evening, and night shifts. On a real floor it decides whether call lights get answered in 5 minutes or 25, whether someone has time to help with dinner, and whether night shift is one aide for a hall or two. Unlike star ratings, hours are actual numbers, so they CAN be compared across state lines.
What to do with this: compare a home's hours to the state and national medians shown, and ask the facility how the hours split across day, evening, and night shifts.
RN (registered nurse) hours
This facility did not submit staffing data.
LPN (licensed practical nurse) hours
This facility did not submit staffing data.
Nurse aide hours
This facility did not submit staffing data.
Total nursing hours
This facility did not submit staffing data.
CMS also adjusts these numbers for how sick each home’s residents are — a home with sicker residents needs more staff for the same star.
CMS also adjusts staffing numbers for how sick each home's residents are. moreless
A home full of short-term rehab patients needs different staffing than a home caring for people with advanced dementia or ventilators. Case-mix adjustment estimates how many hours a home's particular residents need, then scales the reported hours so homes can be compared fairly. A home with sicker residents needs more staff for the same star. This page shows reported (raw payroll) numbers and compares them only to other reported numbers — like with like.
What to do with this: if a home's reported hours look low, check whether its residents may simply need less care — and ask the facility directly.
Staff turnover
Turnover: The facility's staffing data was missing or invalid for calculating turnover, so this measure receives the minimum staffing points.
The share of nursing staff who left within the year. Lower is steadier. moreless
Total nursing staff turnover is the percentage of the home's nurses and aides who stopped working there during the year. Around half of nursing-home staff leaving annually is sadly common in this industry. High turnover means residents are cared for by people who don't know them — which matters enormously for dementia care, pain management, and noticing the small changes that catch problems early. Low turnover usually means staff are treated well enough to stay.
What to do with this: when you visit, ask aides how long they've worked there. Long-tenured aides are the best sign a building has.
Inspections & deficiencies
The last 3 inspection cycles, from CMS’s federal health-survey file. State-only citations and fire-safety surveys are not included — an empty list means nothing federal is in this file, not that nothing ever happened.
Each deficiency gets a letter A–L: how severe it was × how widespread it was. moreless
Surveyors grade every deficiency on a grid. Severity runs from 'potential for minimal harm' up to 'immediate jeopardy to resident health or safety.' Scope runs from isolated (one or a few residents) to pattern to widespread. A and B are paperwork-level; D–F caused no actual harm but had the potential; G–I caused actual harm; J, K, and L mean immediate jeopardy — the most serious finding a surveyor can make. Most citations nationally are D–E.
What to do with this: scan for G or higher. One J/K/L tells you more than ten D's.
Standard surveys are routine; complaint surveys happen because someone reported a problem. moreless
A standard survey is the routine top-to-bottom inspection every home gets on a recurring cycle. A complaint survey happens because a resident, family member, or staff member reported something to the state — surveyors come specifically to investigate it. Infection-control surveys focus on practices like hand hygiene and isolation procedures. A deficiency found during a complaint survey means someone cared enough to report it and a surveyor confirmed enough to cite it.
What to do with this: note which deficiencies came from complaints — they show you what residents and families actually experienced.
The F-number on each deficiency is CMS's code for which federal requirement was violated. moreless
Every federal nursing-home requirement has a tag number. F0686, for example, is the pressure-ulcer requirement; F0600 is freedom from abuse. The tag tells you exactly which rule was broken, and the description next to it is CMS's own plain-language summary of that rule. The same tag appearing across multiple inspections is a pattern worth noticing.
What to do with this: if the same tag repeats across surveys, ask the facility what changed since the last citation.
This data shows federal health surveys only — state-only citations and fire-safety surveys aren't included. moreless
CMS's public deficiency file contains federal health-survey citations. It does not include citations issued under state-only rules, fire-safety (Life Safety Code) surveys, or anything older than three inspection cycles. A facility with no rows here may still have state citations or fire-safety findings. 'No deficiencies in this file' never means 'no violations ever.'
What to do with this: for the full picture, check your state health department's site and medicare.gov/care-compare, which shows fire-safety results separately.
141 deficiencies across the last 3 inspection cycles, in CMS’s federal health-survey file:
- Resident Rights: 30
- Quality of Life and Care: 28
- Administration: 18
- Pharmacy Service: 13
- Nutrition and Dietary: 11
- Freedom from Abuse, Neglect, and Exploitation: 10
- Infection Control: 10
- Environmental: 9
- Nursing and Physician Services: 7
- Resident Assessment and Care Planning: 5
April 1, 2026Complaint surveyTag F0844D — no actual harm, potential for more than minimal harm, isolated
Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.
Deficient, Provider has date of correction · corrected April 28, 2026
April 1, 2026Complaint surveyTag F0921D — no actual harm, potential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Deficient, Provider has date of correction · corrected April 28, 2026
April 1, 2026Complaint surveyTag F0925D — no actual harm, potential for more than minimal harm, isolated
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Deficient, Provider has date of correction · corrected April 28, 2026
February 13, 2026Standard surveyTag F0558D — no actual harm, potential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard + Complaint surveyTag F0584F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0605D — no actual harm, potential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0607D — no actual harm, potential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0628E — no actual harm, potential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0641D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0684E — no actual harm, potential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected April 3, 2026
Show 131 more deficiencies
February 13, 2026Standard surveyTag F0686E — no actual harm, potential for more than minimal harm, pattern
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0689J — immediate jeopardy to resident health or safety, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0694D — no actual harm, potential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0695E — no actual harm, potential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0730D — no actual harm, potential for more than minimal harm, isolated
Observe each nurse aide's job performance and give regular training.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0744D — no actual harm, potential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0761E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected May 19, 2026
February 13, 2026Standard surveyTag F0835E — no actual harm, potential for more than minimal harm, pattern
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0849E — no actual harm, potential for more than minimal harm, pattern
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0867F — no actual harm, potential for more than minimal harm, widespread
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0887E — no actual harm, potential for more than minimal harm, pattern
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0908F — no actual harm, potential for more than minimal harm, widespread
Keep all essential equipment working safely.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0919F — no actual harm, potential for more than minimal harm, widespread
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected April 13, 2026
February 13, 2026Standard surveyTag F0941D — no actual harm, potential for more than minimal harm, isolated
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0942D — no actual harm, potential for more than minimal harm, isolated
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0943D — no actual harm, potential for more than minimal harm, isolated
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0944D — no actual harm, potential for more than minimal harm, isolated
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0945D — no actual harm, potential for more than minimal harm, isolated
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0946D — no actual harm, potential for more than minimal harm, isolated
Provide training in compliance and ethics.
Deficient, Provider has date of correction · corrected April 3, 2026
February 13, 2026Standard surveyTag F0949D — no actual harm, potential for more than minimal harm, isolated
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Deficient, Provider has date of correction · corrected April 3, 2026
January 31, 2026Complaint surveyTag F0554D — no actual harm, potential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Deficient, Provider has date of correction · corrected March 9, 2026
January 31, 2026Complaint surveyTag F0583D — no actual harm, potential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Deficient, Provider has date of correction · corrected March 9, 2026
January 31, 2026Complaint surveyTag F0584L — immediate jeopardy to resident health or safety, widespread
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.
Deficient, Provider has date of correction · corrected March 9, 2026
January 31, 2026Complaint surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected March 9, 2026
January 31, 2026Complaint surveyTag F0761D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected March 9, 2026
January 31, 2026Complaint surveyTag F0814F — no actual harm, potential for more than minimal harm, widespread
Dispose of garbage and refuse properly.
Deficient, Provider has date of correction · corrected March 9, 2026
January 31, 2026Complaint surveyTag F0835D — no actual harm, potential for more than minimal harm, isolated
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Deficient, Provider has date of correction · corrected March 9, 2026
September 19, 2025Standard + Complaint surveyTag F0550F — no actual harm, potential for more than minimal harm, widespread
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0554E — no actual harm, potential for more than minimal harm, pattern
Allow residents to self-administer drugs if determined clinically appropriate.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0558D — no actual harm, potential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0565D — no actual harm, potential for more than minimal harm, isolated
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0575D — no actual harm, potential for more than minimal harm, isolated
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard + Complaint surveyTag F0584F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard + Complaint surveyTag F0600E — no actual harm, potential for more than minimal harm, pattern
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0605E — no actual harm, potential for more than minimal harm, pattern
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0620D — no actual harm, potential for more than minimal harm, isolated
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0628D — no actual harm, potential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0656D — no actual harm, potential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0689D — no actual harm, potential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0692E — no actual harm, potential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0695E — no actual harm, potential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0698E — no actual harm, potential for more than minimal harm, pattern
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard + Complaint surveyTag F0725E — no actual harm, potential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0755D — no actual harm, potential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0756E — no actual harm, potential for more than minimal harm, pattern
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0761D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0770D — no actual harm, potential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0805D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0809E — no actual harm, potential for more than minimal harm, pattern
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0814F — no actual harm, potential for more than minimal harm, widespread
Dispose of garbage and refuse properly.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard + Complaint surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0881E — no actual harm, potential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0883E — no actual harm, potential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0921D — no actual harm, potential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0941D — no actual harm, potential for more than minimal harm, isolated
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0942D — no actual harm, potential for more than minimal harm, isolated
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0943D — no actual harm, potential for more than minimal harm, isolated
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0944D — no actual harm, potential for more than minimal harm, isolated
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0945D — no actual harm, potential for more than minimal harm, isolated
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0946D — no actual harm, potential for more than minimal harm, isolated
Provide training in compliance and ethics.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0947D — no actual harm, potential for more than minimal harm, isolated
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Deficient, Provider has date of correction · corrected October 30, 2025
September 19, 2025Standard surveyTag F0949D — no actual harm, potential for more than minimal harm, isolated
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Deficient, Provider has date of correction · corrected October 30, 2025
August 12, 2025Complaint surveyTag F0692D — no actual harm, potential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected September 3, 2025
August 12, 2025Complaint surveyTag F0804F — no actual harm, potential for more than minimal harm, widespread
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected September 3, 2025
August 12, 2025Complaint surveyTag F0806F — no actual harm, potential for more than minimal harm, widespread
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Deficient, Provider has date of correction · corrected September 3, 2025
June 17, 2025Complaint surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected July 3, 2025
May 15, 2025Complaint surveyTag F0584D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected May 29, 2025
May 15, 2025Complaint surveyTag F0656D — no actual harm, potential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected May 29, 2025
May 15, 2025Complaint surveyTag F0684G — actual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected May 29, 2025
May 15, 2025Complaint surveyTag F0726J — immediate jeopardy to resident health or safety, isolated
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Deficient, Provider has date of correction · corrected May 29, 2025
May 15, 2025Complaint surveyTag F0760G — actual harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected May 29, 2025
March 21, 2025Standard + Complaint surveyTag F0558E — no actual harm, potential for more than minimal harm, pattern
Reasonably accommodate the needs and preferences of each resident.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0565E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0610D — no actual harm, potential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0679E — no actual harm, potential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0688D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard + Complaint surveyTag F0689J — immediate jeopardy to resident health or safety, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0690E — no actual harm, potential for more than minimal harm, pattern
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0692E — no actual harm, potential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0694D — no actual harm, potential for more than minimal harm, isolated
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0695E — no actual harm, potential for more than minimal harm, pattern
Provide safe and appropriate respiratory care for a resident when needed.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0698D — no actual harm, potential for more than minimal harm, isolated
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard + Complaint surveyTag F0725E — no actual harm, potential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0744D — no actual harm, potential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0756D — no actual harm, potential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0758E — no actual harm, potential for more than minimal harm, pattern
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0761E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0770D — no actual harm, potential for more than minimal harm, isolated
Provide timely, quality laboratory services/tests to meet the needs of residents.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0812F — no actual harm, potential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0849D — no actual harm, potential for more than minimal harm, isolated
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard + Complaint surveyTag F0865D — no actual harm, potential for more than minimal harm, isolated
Have a plan that describes the process for conducting QAPI and QAA activities.
Deficient, Provider has date of correction · corrected April 23, 2025
March 21, 2025Standard surveyTag F0880F — no actual harm, potential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected April 23, 2025
February 26, 2025Complaint surveyTag F0554D — no actual harm, potential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Deficient, Provider has date of correction · corrected April 2, 2025
February 26, 2025Complaint surveyTag F0690D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Deficient, Provider has date of correction · corrected April 2, 2025
February 26, 2025Complaint surveyTag F0725D — no actual harm, potential for more than minimal harm, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Deficient, Provider has date of correction · corrected April 2, 2025
February 26, 2025Complaint surveyTag F0760D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected April 2, 2025
February 26, 2025Complaint surveyTag F0880D — no actual harm, potential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected April 2, 2025
January 28, 2025Complaint surveyTag F0584D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected March 15, 2025
January 28, 2025Complaint surveyTag F0865D — no actual harm, potential for more than minimal harm, isolated
Have a plan that describes the process for conducting QAPI and QAA activities.
Deficient, Provider has date of correction · corrected March 15, 2025
January 28, 2025Complaint surveyTag F0919D — no actual harm, potential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected March 15, 2025
January 28, 2025Complaint surveyTag F0921D — no actual harm, potential for more than minimal harm, isolated
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Deficient, Provider has date of correction · corrected March 15, 2025
December 17, 2024Complaint surveyTag F0584F — no actual harm, potential for more than minimal harm, widespread
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.
Deficient, Provider has date of correction · corrected January 9, 2025
December 17, 2024Complaint surveyTag F0726E — no actual harm, potential for more than minimal harm, pattern
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Deficient, Provider has date of correction · corrected January 9, 2025
December 17, 2024Complaint surveyTag F0908F — no actual harm, potential for more than minimal harm, widespread
Keep all essential equipment working safely.
Deficient, Provider has date of correction · corrected January 9, 2025
November 19, 2024Complaint surveyTag F0684D — no actual harm, potential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Deficient, Provider has date of correction · corrected December 13, 2024
November 19, 2024Complaint surveyTag F0812D — no actual harm, potential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Deficient, Provider has date of correction · corrected December 13, 2024
November 6, 2024Complaint surveyTag F0550E — no actual harm, potential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Deficient, Provider has date of correction · corrected December 13, 2024
November 6, 2024Complaint surveyTag F0919D — no actual harm, potential for more than minimal harm, isolated
Make sure that a working call system is available in each resident's bathroom and bathing area.
Deficient, Provider has date of correction · corrected December 13, 2024
September 23, 2024Complaint surveyTag F0622D — no actual harm, potential for more than minimal harm, isolated
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Deficient, Provider has date of correction · corrected October 18, 2024
September 23, 2024Complaint surveyTag F0623D — no actual harm, potential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Deficient, Provider has date of correction · corrected October 18, 2024
September 23, 2024Complaint surveyTag F0625D — no actual harm, potential for more than minimal harm, isolated
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.
Deficient, Provider has date of correction · corrected October 18, 2024
September 23, 2024Complaint surveyTag F0760D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected October 18, 2024
August 13, 2024Complaint surveyTag F0600G — actual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Deficient, Provider has date of correction · corrected September 6, 2024
August 13, 2024Complaint surveyTag F0609D — no actual harm, potential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Deficient, Provider has date of correction · corrected September 6, 2024
August 13, 2024Complaint surveyTag F0689G — actual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Deficient, Provider has date of correction · corrected September 6, 2024
June 7, 2024Complaint surveyTag F0584E — no actual harm, potential for more than minimal harm, pattern
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.
Deficient, Provider has date of correction · corrected July 31, 2024
June 7, 2024Complaint surveyTag F0804D — no actual harm, potential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Deficient, Provider has date of correction · corrected July 31, 2024
June 7, 2024Complaint surveyTag F0880E — no actual harm, potential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Deficient, Provider has date of correction · corrected July 31, 2024
October 16, 2023Complaint surveyTag F0580D — no actual harm, potential for more than minimal harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Deficient, Provider has date of correction · corrected November 28, 2023
October 16, 2023Complaint surveyTag F0656D — no actual harm, potential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Deficient, Provider has date of correction · corrected November 28, 2023
October 16, 2023Complaint surveyTag F0757D — no actual harm, potential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Deficient, Provider has date of correction · corrected November 28, 2023
October 16, 2023Complaint surveyTag F0760D — no actual harm, potential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Deficient, Provider has date of correction · corrected November 28, 2023
October 16, 2023Complaint surveyTag F0842D — no actual harm, potential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Deficient, Provider has date of correction · corrected November 28, 2023
Fines & penalties
CMS can fine a home or stop paying for new admissions. Shown per CMS's current data window (~3 years) — not all-time. moreless
When deficiencies are serious or aren't fixed, CMS can impose a fine (a civil money penalty) or a payment denial — refusing to pay for new Medicare/Medicaid admissions until the home fixes the problem. Payment denials hit harder than most fines because they stop revenue. CMS's public dataset covers a rolling window of roughly the last three years, so the totals here are recent history, not an all-time record. Many facilities have no penalties in the window — that's common, not remarkable.
What to do with this: a recent large fine deserves a direct question on your visit — what happened, and what changed?
Fines: 6 totaling $513,687 · Payment denials: 1 — per CMS data (rolling ~3-year window).
| Date | Type | Amount / length |
|---|---|---|
| January 31, 2026 | Fine | $159,665 |
| September 19, 2025 | Payment Denial | 26 days, from November 22, 2025 |
| May 15, 2025 | Fine | $17,749 |
| January 28, 2025 | Fine | $286,709 |
| June 7, 2024 | Fine | $8,772 |
| June 7, 2024 | Fine | $8,773 |
| December 18, 2023 | Fine | $32,019 |
Ownership & chain
Who actually owns and controls the facility — individuals, companies, and their stakes. moreless
Nursing homes are often owned through layers: an operating company, a property company, management companies, and individual investors with percentage stakes. CMS publishes who holds 5%-or-greater interests and who has operational control. Ownership matters because it sets the budget: research has linked some ownership structures, especially certain chains and investment vehicles, to lower staffing. That's a pattern across the industry, not a verdict on any one building.
What to do with this: know who owns the home before you sign anything, and ask the administrator who actually sets the staffing budget.
Part of Pollak Holdings (6 facilities). Chain average overall rating: 1.6★.
Most US nursing homes belong to a chain. The chain's average rating is context for this home's rating. moreless
A chain is a group of facilities sharing an owner or operator. Chains share budgets, policies, and management practices, so a chain's average rating tells you something about the company behind the building. A home rating well above its chain's average may have an unusually strong local team; one below it may be the chain's neglected building. Either way, the chain sets the constraints the local staff work within.
What to do with this: if the chain average is low, ask the administrator what this building does differently.
| Owner / manager | Role | Stake | Since |
|---|---|---|---|
| Gehrlein, Chris (Individual) | Adp of the snf | NOT APPLICABLE | 06/25/2025 |
| Hunter, Sarah (Individual) | Adp of the snf | NOT APPLICABLE | 06/25/2025 |
| Pollak, Elie (Individual) | Corporate director | NOT APPLICABLE | 05/28/2021 |
| Pollak, Theodore (Individual) | Corporate director | NOT APPLICABLE | 05/28/2021 |
| Pollak Holdings LLC (Organization) | Direct ownership interest | NOT APPLICABLE | 05/28/2021 |
| Pollak, Elie (Individual) | Indirect ownership interest | NOT APPLICABLE | 05/28/2021 |
| Pollak, Theodore (Individual) | Indirect ownership interest | NOT APPLICABLE | 05/28/2021 |
| Hunter, Sarah (Individual) | Operational/managerial control | NOT APPLICABLE | 01/01/2025 |
Nearby facilities in Beaver County
Most families compare 2–3 homes. Same county, sorted by overall rating:
Visiting? Go in with questions.
Built from this facility’s own CMS data — bring them on the tour.
- CMS lists this facility as a Special Focus Facility — ask where the home is in the program and what the improvement plan is.
- CMS shows this facility did not submit staffing data — ask to see current staffing schedules for the unit your person would live on.
- CMS data shows 6 fines totaling $513,687 in its current data window — ask what the citations were for and what changed afterward.
- Their last standard health inspection was February 13, 2026 — ask what's improved since then.
- CMS records that this facility has a resident council — ask to speak with a council member before deciding.
- They have 119 certified beds and serve an average of 83 residents per day — ask which unit your person would be on and who staffs it overnight.
- CMS lists this facility as part of POLLAK HOLDINGS (6 facilities) — ask what the chain decides centrally and what this building's team controls.
Data: Centers for Medicare & Medicaid Services (data.cms.gov), processing date June 1, 2026. This site is not affiliated with CMS or any government agency.