Starfile / Pennsylvania

BEDFORD POST ACUTE

136 DONAHOE MANOR ROAD, BEDFORD, PA 15522 · CCN 395221

Inspection history vs Pennsylvania & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

PACS GROUP

Facilities in chain

264

Chain avg overall

2.90 / 5

Inspection citations (56)

1. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2025-11-12 · Health · corrected 2025-12-12

   Potential for more than minimal harm

2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-03 · Health · corrected 2025-09-30

   Potential for more than minimal harm

3. DF0583Keep residents' personal and medical records private and confidential.2025-07-02 · Health · corrected 2025-08-05

   Potential for more than minimal harm

4. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-07-02 · Health · corrected 2025-08-05

   Potential for more than minimal harm

5. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-07-02 · Health · corrected 2025-08-05

   Potential for more than minimal harm

6. DF0688Provide 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.2025-07-02 · Health · corrected 2025-08-05

   Potential for more than minimal harm

7. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-02 · Health · corrected 2025-08-05

   Potential for more than minimal harm

8. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-02 · Health · corrected 2025-08-05

   Potential for more than minimal harm

9. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-07-02 · Health · corrected 2025-08-05

   Potential for more than minimal harm

10. DF0759Ensure medication error rates are not 5 percent or greater.2025-07-02 · Health · corrected 2025-08-05

    Potential for more than minimal harm

11. DF0761Ensure 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.2025-07-02 · Health · corrected 2025-08-05

    Potential for more than minimal harm

12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-07 · Health · corrected 2025-05-08

    Potential for more than minimal harm

13. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

14. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

15. DF0641Ensure each resident receives an accurate assessment.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

16. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

17. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

18. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

19. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

20. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

21. DF0730Observe each nurse aide's job performance and give regular training.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

22. DF0761Ensure 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.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

23. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

24. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

25. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

26. DF0880Provide and implement an infection prevention and control program.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

27. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-08-01 · Health · corrected 2024-09-23

    Potential for more than minimal harm

28. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2024-03-27 · Health · corrected 2024-05-22

    Potential for more than minimal harm

29. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-27 · Health · corrected 2024-05-22

    Potential for more than minimal harm

30. EF0584Honor 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.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

31. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

32. EF0641Ensure each resident receives an accurate assessment.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

33. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

34. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

35. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

36. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

37. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

38. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

39. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

40. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

41. EF0758Implement 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.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

42. DF0759Ensure medication error rates are not 5 percent or greater.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

43. EF0761Ensure 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.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

44. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

45. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

46. DF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

47. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2023-08-17 · Health · corrected 2023-09-27

    Potential for more than minimal harm

48. EF0760Ensure that residents are free from significant medication errors.2023-07-24 · Health · corrected 2023-08-31

    Potential for more than minimal harm

49. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-07-06 · Health · corrected 2023-08-22

    Potential for more than minimal harm

50. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-07-06 · Health · corrected 2023-08-22

    Potential for more than minimal harm

51. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-06 · Health · corrected 2023-08-22

    Potential for more than minimal harm

52. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-06 · Health · corrected 2023-08-22

    Potential for more than minimal harm

53. EF0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.2023-07-06 · Health · corrected 2023-08-22

    Potential for more than minimal harm

54. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-07-06 · Health · corrected 2023-08-22

    Potential for more than minimal harm

55. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-05-10 · Health · corrected 2023-06-20

    Potential for more than minimal harm

56. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-05-10 · Health · corrected 2023-06-20

    Potential for more than minimal harm

Ownership

Other facilities in BEDFORD

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.