Starfile

Starfile / Pennsylvania

MONROEVILLE POST ACUTE

885 MACBETH DRIVE, MONROEVILLE, PA 15146 · CCN 396003

Abuse icon

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★☆☆☆ 2
Staffing
★★★☆☆ 3

Facility

Ownership type
For profit - Limited Liability company
Certified beds
131
Avg residents/day
117.2
Phone
4128567071

Inspection history vs Pennsylvania & national averages

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

CycleInspection dateThis facilityPennsylvania avgNational avgvs state
12025-11-20710.19.5-3.1 better
22024-12-204110.99.8+30.1 worse
32024-01-122910.59.3+18.5 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation1
Quality of life and care1
Resident assessment and care planning2
Nursing and physician services1
Resident rights1
Pharmacy service1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3548.3%
RN staffing (reported)0.9041.9%
Total nurse staffing (adjusted)3.33

Fines & penalties

Total fines
$39,416
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
PACS GROUP
Facilities in chain
264
Chain avg overall
2.90 / 5

Inspection citations (77)3 actual harm

  1. BF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-11-20 · Health · corrected 2026-01-05

    Potential for minimal harm

  2. BF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-20 · Health · corrected 2026-01-05

    Potential for minimal harm

  3. 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.2025-11-20 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  4. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-13 · Health · corrected 2025-07-17

    Potential for more than minimal harm

  5. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-08-13 · Health · corrected 2025-08-28

    Potential for more than minimal harm

  6. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-05-16 · Health · corrected 2025-05-29

    Actual harm

  7. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-16 · Health · corrected 2025-05-29

    Actual harm

  8. EF0585Honor 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.2025-02-13 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  9. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-13 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  10. EF0610Respond appropriately to all alleged violations.2025-02-13 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  11. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-02-13 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  12. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-13 · Health · corrected 2025-03-03

    Actual harm

  13. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2025-02-13 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  14. 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.2025-02-13 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  15. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-13 · Health · corrected 2025-03-03

    Potential for more than minimal harm

  16. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  17. CF0575Post 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.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  18. CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  19. CF0579Provide information about how to apply for and use Medicare and Medicaid benefits.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  20. 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.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  22. DF0610Respond appropriately to all alleged violations.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  23. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  24. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  25. 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.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  26. EF0809Ensure 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.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  27. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  28. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  29. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-12-20 · Health · corrected 2025-01-28

    Potential for more than minimal harm

  30. BF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  31. BF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  32. BF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  33. BF0946Provide training in compliance and ethics.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  34. BF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-12-20 · Health · corrected 2025-01-28

    Potential for minimal harm

  35. FF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2024-10-30 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  36. FF0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.2024-10-30 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  37. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-30 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  38. 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.2024-10-30 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  39. 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.2024-10-30 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  40. FF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-30 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  41. EF0908Keep all essential equipment working safely.2024-10-30 · Health · corrected 2024-11-19

    Potential for more than minimal harm

  42. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-08 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  43. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-08-08 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  44. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-08 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  45. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-08-08 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  46. DF0809Ensure 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.2024-08-08 · Health · corrected 2024-08-27

    Potential for more than minimal harm

  47. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-03-26 · Health · corrected 2024-04-09

    Potential for more than minimal harm

  48. 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.2024-03-11 · Health · corrected 2024-03-18

    Potential for more than minimal harm

  49. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-23 · Health · corrected 2024-03-05

    Potential for more than minimal harm

  50. EF0575Post 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.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  51. 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.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  52. EF0585Honor 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.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  53. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  54. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  55. EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  56. EF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  57. CF0730Observe each nurse aide's job performance and give regular training.2024-01-12 · Health · corrected 2024-02-20

    Potential for minimal harm

  58. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  59. DF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  60. EF0880Provide and implement an infection prevention and control program.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  61. BF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-01-12 · Health · corrected 2024-02-20

    Potential for minimal harm

  62. BF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-01-12 · Health · corrected 2024-02-20

    Potential for minimal harm

  63. EF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  64. BF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-01-12 · Health · corrected 2024-02-20

    Potential for minimal harm

  65. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  66. BF0946Provide training in compliance and ethics.2024-01-12 · Health · corrected 2024-02-20

    Potential for minimal harm

  67. EF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2024-01-12 · Health · corrected 2024-02-20

    Potential for more than minimal harm

  68. BF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-01-12 · Health · corrected 2024-02-20

    Potential for minimal harm

  69. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-12-22 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  70. EF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2023-12-22 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  71. EF0908Keep all essential equipment working safely.2023-12-22 · Health · corrected 2024-02-01

    Potential for more than minimal harm

  72. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-11-01 · Health · corrected 2023-12-05

    Potential for more than minimal harm

  73. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-11-01 · Health · corrected 2023-12-05

    Potential for more than minimal harm

  74. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-08-30 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  75. DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-08-30 · Health · corrected 2023-10-05

    Potential for more than minimal harm

  76. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-07-21 · Health · corrected 2023-08-21

    Potential for more than minimal harm

  77. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-07-21 · Health · corrected 2023-08-21

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-11-01
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-11-01
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-11-01
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-11-01
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-11-01
PACS GROUP, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2024-11-01
PACS HOLDINGS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-11-01
PROVIDENCE GROUP NH, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-11-01
APT, FREDERICKIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
JERGENSEN, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
MITCHELL, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-01
APT, FREDERICKIndividualCORPORATE OFFICER2024-11-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-11-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-11-01

Other facilities in MONROEVILLE

NameOverallBeds
CONCORDIA AT THE CEDARS★★★★★59
Harmony Physical Rehabilitation★★★★★30
WOODHAVEN HEALTH & REHAB CENTER★☆☆☆☆119
WECARE AT MONROEVILLE REHABILITATION AND NSG CTR★☆☆☆☆120

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