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Locust Grove Retirement Village in Mifflin, PA

69 Cottage Road, Mifflin, PA 17058
7174368921
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Overall CMS Rating

3.0/5

vs State Average: 3.0 stars

3.0/5

Health Inspections

vs State Average: 2.8/5

4.0/5

Staffing Level

vs State Average: 3/5

4.0/5

Quality Measures

vs State Average: 3.6/5

1 penaltiesin last 3 years
Penalties
vs State Average: 0.8 penalties

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Ratings Deep Dive

Score
3.0
State Average
2.8
National Average
2.8
5Deficiencies found in last inspections
1Penalties in last 3 years
1Fines issued
CitationDateDescriptionSeverity
F0697Jun 27, 2025Provide safe, appropriate pain management for a resident who requires such services.E
F0656Jun 27, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
F0686Jun 27, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.D
F0688Jun 27, 2025Provide 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.D
F0684Jun 27, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
Score
4.0
State Average
3.0
National Average
2.9
0.6RN Hours / Resident / Day
3.9Total Nurse Hours / Resident / Day
25.0%RN Turnover Rate
Score
4.0
State Average
3.6
National Average
3.6
5.0Long-Stay QM Rating
4.0Short-Stay QM Rating
66.3Avg Residents Per Day
MeasureScoreType
Percentage of long-stay residents whose need for help with daily activities has increased12.670%Long Stay
Percentage of long-stay residents who lose too much weight2.979%Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder0.000%Long Stay
Percentage of long-stay residents with a urinary tract infection1.210%Long Stay
Percentage of long-stay residents who have depressive symptoms0.426%Long Stay
Percentage of long-stay residents who were physically restrained0.000%Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury4.032%Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine100.000%Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine96.335%Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication0.000%Short Stay

Ownership & Compliance

Ownership Info

Ownership information has not been added yet.

Ownership Info CMS
ADP OF THE SNFSIMPSON, LOUANN
5% OR GREATER INDIRECT OWNERSHIP INTERESTJUNIATA HOLDCO LLC
5% OR GREATER INDIRECT OWNERSHIP INTERESTPAOP HOLDCO LLC
5% OR GREATER SECURITY INTERESTMIFFLIN RE OWNER, LLC
MANAGING CONTROL - GOVERNING BODYCLARK, ALYSSA
MANAGING CONTROL - GOVERNING BODYHOBACK, TIFFANY
OPERATIONAL/MANAGERIAL CONTROLSNF MGR LLC
OPERATIONAL/MANAGERIAL CONTROLCLARK, ALYSSA
OPERATIONAL/MANAGERIAL CONTROLCRIAG, MICHELE
OPERATIONAL/MANAGERIAL CONTROLHOBACK, TIFFANY
Recent Penalties
DateTypeFine
May 3, 2024Fine$12,831

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