LUTHERAN HOME AT HOLLIDAYSBURG
916 HICKORY STREET, HOLLIDAYSBURG, PA 16648 · CCN 395427
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Church related
- Certified beds
- 89
- Avg residents/day
- 41.7
- Phone
- 8146964527
Inspection history vs Pennsylvania & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Pennsylvania avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-10 | 14 | 10.1 | 9.5 | +3.9 worse |
| 2 | 2024-09-12 | 18 | 10.9 | 9.8 | +7.1 worse |
| 3 | 2023-10-12 | 7 | 10.5 | 9.3 | -3.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 2 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.01 | 48.0% |
| RN staffing (reported) | 0.85 | 57.1% |
| Total nurse staffing (adjusted) | 4.23 | — |
Fines & penalties
- Total fines
- $101,905
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Inspection citations (39)2 actual harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0730Observe each nurse aide's job performance and give regular training.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0946Provide training in compliance and ethics.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-12-10 · Health · corrected 2025-12-18
Potential for more than minimal harm
- 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.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2024-09-12 · Health · corrected 2024-04-05
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- 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.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-09-12 · Health · corrected 2024-11-01
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-25 · Health · corrected 2024-06-24
Actual harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-12 · Health · corrected 2023-11-28
Actual harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-12 · Health · corrected 2023-11-28
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-12 · Health · corrected 2023-11-28
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-12 · Health · corrected 2023-11-28
Potential for more than minimal harm
- 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.2023-10-12 · Health · corrected 2024-01-02
Potential for more than minimal harm
- 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.2023-10-12 · Health · corrected 2023-11-28
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-12 · Health · corrected 2024-01-02
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BOWERSOX, EDWARD | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| BRADLEY, THOMAS | Individual | CORPORATE OFFICER | — | 2008-07-01 |
| BRENNEMAN, HELEN | Individual | CORPORATE OFFICER | — | 2006-09-20 |
| COBAUGH, DAVID | Individual | CORPORATE OFFICER | — | 2010-01-01 |
| FREDERICK, CAROL | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| GLEN, SUZANNE | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| LLOYD, WILLIAM | Individual | CORPORATE OFFICER | — | 2011-05-01 |
| MEARKLE, AMY | Individual | CORPORATE OFFICER | — | 2012-05-01 |
| MILLER, JOHN | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| REIGHARD, CHRISTOPHER | Individual | CORPORATE OFFICER | — | 1999-05-24 |
| RHYNE, MICHAEL | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| SAVAGE, PATRICIA | Individual | CORPORATE OFFICER | — | 2006-09-20 |
| SMITH, ELAINE | Individual | CORPORATE OFFICER | — | 2016-01-01 |
| THOMPSON, WILLIAM | Individual | CORPORATE OFFICER | — | 2006-09-20 |
| WHIPKEY, RICHARD | Individual | CORPORATE OFFICER | — | 2012-01-01 |
| WILLIAMSON, SUSAN | Individual | CORPORATE OFFICER | — | 2013-01-01 |
| EVANS, CHAD | Individual | W-2 MANAGING EMPLOYEE | — | 2006-09-20 |
| REIGHARD, CHRISTOPHER | Individual | W-2 MANAGING EMPLOYEE | — | 1999-05-24 |
| SAVAGE, PATRICIA | Individual | W-2 MANAGING EMPLOYEE | — | 1996-01-26 |
Other facilities in HOLLIDAYSBURG
| Name | Overall | Beds |
|---|---|---|
| GARVEY MANOR | ★★★★☆ | 132 |
| HOLLIDAYSBURG VETERANS HOME | ★★★★☆ | 257 |
| Presbyterian Homes-Presby | ★★★☆☆ | 67 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.