Starfile / Pennsylvania

BETHLEN HM OF THE HUNGARIAN RF OF AMERICA

66 CAREY SCHOOL ROAD, LIGONIER, PA 15658 · CCN 395552

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

CONCORDIA LUTHERAN MINISTRIES

Facilities in chain

8

Chain avg overall

3.30 / 5

Inspection citations (63)

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

2. DF0584Honor 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.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

3. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-09-05 · Health · corrected 2025-10-12

   Potential for more than minimal harm

4. EF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

5. EF0641Ensure each resident receives an accurate assessment.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

7. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

8. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

9. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-09-05 · Health · corrected 2025-10-20

   Potential for more than minimal harm

10. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-09-05 · Health · corrected 2025-10-20

    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.2025-09-05 · Health · corrected 2025-10-20

    Potential for more than minimal harm

12. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-09-05 · Health · corrected 2025-10-20

    Potential for more than minimal harm

13. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-09-05 · Health · corrected 2025-10-20

    Potential for more than minimal harm

14. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-09-05 · Health · corrected 2025-10-20

    Potential for more than minimal harm

15. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-20 · Health · corrected 2025-07-28

    Potential for more than minimal harm

16. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-06-20 · Health · corrected 2025-07-28

    Potential for more than minimal harm

17. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-27 · Health · corrected 2025-05-02

    Potential for more than minimal harm

18. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-12-30 · Health · corrected 2025-02-13

    Potential for more than minimal harm

19. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-30 · Health · corrected 2025-02-13

    Potential for more than minimal harm

20. DF0578Honor 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.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

21. 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.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

22. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

23. DF0637Assess the resident when there is a significant change in condition2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

24. DF0641Ensure each resident receives an accurate assessment.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

25. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

26. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

27. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

28. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

29. DF0692Provide enough food/fluids to maintain a resident's health.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

30. EF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

31. DF0758Implement 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.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

32. 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.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

33. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

34. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

35. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-08-15 · Health · corrected 2024-09-27

    Potential for more than minimal harm

36. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-06-19 · Health · corrected 2024-07-30

    Potential for more than minimal harm

37. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-05-13 · Health · corrected 2024-06-24

    Potential for more than minimal harm

38. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-05-13 · Health · corrected 2024-06-24

    Potential for more than minimal harm

39. 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.2024-05-13 · Health · corrected 2024-06-24

    Potential for more than minimal harm

40. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-13 · Health · corrected 2024-06-24

    Potential for more than minimal harm

41. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-03-25 · Health · corrected 2024-05-03

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-25 · Health · corrected 2024-05-03

    Potential for more than minimal harm

43. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-11-16 · Health · corrected 2023-12-27

    Potential for more than minimal harm

44. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-26 · Health · corrected 2023-11-23

    Potential for more than minimal harm

45. DF0551Give the resident's representative the ability to exercise the resident's rights.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

46. EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

47. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

48. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

49. DF0641Ensure each resident receives an accurate assessment.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

50. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

51. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

52. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

53. EF0675Honor each resident's preferences, choices, values and beliefs.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

54. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

55. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

56. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

57. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

58. DF0760Ensure that residents are free from significant medication errors.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

59. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

60. 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.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

61. DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

62. DF0880Provide and implement an infection prevention and control program.2023-09-21 · Health · corrected 2023-11-10

    Potential for more than minimal harm

63. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-04-24 · Health · corrected 2023-06-23

    Potential for more than minimal harm

Ownership

Other facilities in LIGONIER

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