Starfile / Pennsylvania

LOCUST GROVE RETIREMENT VILLAGE

69 COTTAGE ROAD, MIFFLIN, PA 17058 · CCN 395350

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

$12,831

Number of fines

1

Number of penalties

1

Payment denials

0

Chain

Chain

CONSULATE HEALTH CARE/INDEPENDENCE LIVING CENTERS/NSPIRE HEALTHCARE/RAYDIANT HEALTH CARE

Facilities in chain

36

Chain avg overall

2.30 / 5

Inspection citations (39)1 actual harm

1. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

2. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

3. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

4. 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.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

5. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

6. EF0697Provide safe, appropriate pain management for a resident who requires such services.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

7. DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

8. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-06-27 · Health · corrected 2025-08-22

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-10-09 · Health · corrected 2024-11-15

   Potential for more than minimal harm

10. DF0790Provide routine and 24-hour emergency dental care for each resident.2024-06-18 · Health · corrected 2024-07-05

    Potential for more than minimal harm

11. 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.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

12. 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.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

13. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-03 · Health · corrected 2024-03-28

    Actual harm

14. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

15. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

16. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

17. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

18. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

19. 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.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

20. DF0692Provide enough food/fluids to maintain a resident's health.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

21. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

22. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

23. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

24. DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

25. 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.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

26. DF0759Ensure medication error rates are not 5 percent or greater.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

27. 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.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

28. EF0880Provide and implement an infection prevention and control program.2024-05-03 · Health · corrected 2024-06-14

    Potential for more than minimal harm

29. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

30. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

31. DF0641Ensure each resident receives an accurate assessment.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

32. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

33. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

34. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

35. DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

36. EF0730Observe each nurse aide's job performance and give regular training.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

37. DF0791Provide or obtain dental services for each resident.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

39. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-04 · Health · corrected 2023-08-29

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in MIFFLIN

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