PENN HIGHLANDS JEFFERSON MANOR
417 ROUTE 28, BROOKVILLE, PA 15825 · CCN 395626
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 160
- Avg residents/day
- 92.4
- Phone
- 8148498026
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 | 2025-12-18 | 2 | 10.1 | 9.5 | -8.1 better |
| 2 | 2025-01-09 | 18 | 10.9 | 9.8 | +7.1 worse |
| 3 | 2024-01-22 | 1 | 10.5 | 9.3 | -9.5 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.71 | 36.5% |
| RN staffing (reported) | 0.66 | 40.0% |
| Total nurse staffing (adjusted) | 3.73 | — |
Fines & penalties
- Total fines
- $15,160
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Inspection citations (21)1 immediate jeopardy
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-18 · Health
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.2025-12-18 · Health
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.2025-01-09 · Health · corrected 2025-03-10
Potential for more than minimal harm
- 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.2025-01-09 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-09 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-01-09 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-09 · Health · corrected 2025-03-10
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.2025-01-09 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-09 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-09 · Health · corrected 2025-03-10
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-08-15 · Health · corrected 2024-09-29
Potential for more than minimal harm
- DF0836Ensure 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.2024-08-15 · Health · corrected 2024-09-29
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-10 · Health · corrected 2024-05-20
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-10 · Health · corrected 2024-05-20
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-04-10 · Health · corrected 2024-05-20
Immediate jeopardy
- DF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2024-04-10 · Health · corrected 2024-05-20
Potential for more than minimal harm
- 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.2024-03-08 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-08 · Health · corrected 2024-04-19
Potential for more than minimal harm
- FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-08 · Health · corrected 2024-04-19
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-08 · Health · corrected 2024-04-19
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-22 · Health · corrected 2024-02-09
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BROOKVILLE HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-04-01 |
| DUBOIS REGIONAL MEDICAL CENTER | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-04-01 |
| PENN HIGHLANDS HEALTHCARE, INC. | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2019-04-01 |
| PENN HIGHLANDS HEALTHCARE, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-04-01 |
| BAUER, GREGORY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| CAMERON, RUSSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| FONTAINE, STEVEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| JOHNSON, TRINA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| KLINE, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| NORMAN, MARK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| STRISHOCK, JOURDAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-08-01 |
| WINNER, DOUGLAS | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| BAUER, GREGORY | Individual | CORPORATE DIRECTOR | — | 2024-07-01 |
| KLINE, BRIAN | Individual | CORPORATE DIRECTOR | — | 2024-07-01 |
| STRISHOCK, JOURDAN | Individual | CORPORATE DIRECTOR | — | 2021-08-01 |
| BAUER, GREGORY | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| BELCZYK, CARLYN | Individual | CORPORATE OFFICER | — | 2021-10-01 |
| CAMERON, RUSSELL | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| CHAMBERLAIN, WILLIAM | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| CONRAD, DONALD | Individual | CORPORATE OFFICER | — | 2021-07-01 |
| DEVLIN, JAMES | Individual | CORPORATE OFFICER | — | 2022-07-01 |
| FONTAINE, STEVEN | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| FORADORA, SCOTT | Individual | CORPORATE OFFICER | — | 2020-07-01 |
| JOHNSON, TRINA | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| JOHNSTON, OSCAR | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| LEWIS, SAMUEL | Individual | CORPORATE OFFICER | — | 2021-02-01 |
| LEZZER, DAVID | Individual | CORPORATE OFFICER | — | 2021-07-01 |
| MCGINLEY, MARK | Individual | CORPORATE OFFICER | — | 2021-10-01 |
| NORMAN, MARK | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| O'LEARY, ROBERT | Individual | CORPORATE OFFICER | — | 2021-07-01 |
| PFINGSTLER, RICHARD | Individual | CORPORATE OFFICER | — | 2021-07-01 |
| RYAN, JAMES | Individual | CORPORATE OFFICER | — | 2020-07-01 |
| RYAN, JOANNE | Individual | CORPORATE OFFICER | — | 2022-07-01 |
| SUTIKA, JOHN | Individual | CORPORATE OFFICER | — | 2025-07-01 |
| WINNER, DOUGLAS | Individual | CORPORATE OFFICER | — | 2024-07-01 |
| YAHNER, EDWARD | Individual | CORPORATE OFFICER | — | 2025-07-01 |
| YOUNG, WILLIAM | Individual | CORPORATE OFFICER | — | 2021-07-01 |
Other facilities in BROOKVILLE
| Name | Overall | Beds |
|---|---|---|
| DR ARTHUR CLIFTON MCKINLEY CTR | ★★★★☆ | 90 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.