Bedford Post Acute — nursing home in Bedford, PA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 72 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 64.7 CMS, MDS-derived
CMS Certification Number: 395221
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Aug 1, 1968
Ownership type: For profit - Limited Liability company
Operator (legal business name): Bedford SNF Healthcare LLC
CMS chain: Pacs Group 277 facilities
Phone: (814) 623-9075
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest Jun 17, 2026

Citations

50

41 health · 9 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D36	E12	F1
Minimal	A·	B·	C1

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 395221
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 72
First approved: Aug 1, 1968
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Pennsylvania.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 17, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jun 17, 2026	Health	Health Standard	12	Potential harm	—	Open →
Nov 12, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Sep 3, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jul 2, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jul 2, 2025	Health	Health Standard	9	Potential harm	—	Open →
Apr 7, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Aug 1, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Aug 1, 2024	Health	Health Complaint, Health Standard	15	Potential harm	—	Open →
Mar 27, 2024	Health	Health Complaint	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D36	E12	F1
Minimal	A·	B·	C1

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 17, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 27, 2026
Jun 17, 2026	F-0552	Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jul 29, 2026
Jun 17, 2026	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jul 29, 2026
Jun 17, 2026	F-0761	Ensure 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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0883	Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0887	Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 29, 2026
Jun 17, 2026	F-0944	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Jul 29, 2026
Nov 12, 2025	F-0585	Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 12, 2025	Complaint
Sep 3, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 30, 2025	Complaint
Jul 2, 2025	K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 11, 2025
Jul 2, 2025	K-0354	Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 11, 2025
Jul 2, 2025	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 5, 2025
Jul 2, 2025	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 5, 2025
Jul 2, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 5, 2025
Jul 2, 2025	F-0688	Provide 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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 5, 2025
Jul 2, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 5, 2025
Jul 2, 2025	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 5, 2025
Jul 2, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 5, 2025
Jul 2, 2025	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 5, 2025
Jul 2, 2025	F-0761	Ensure 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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Aug 5, 2025
Apr 7, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 8, 2025	Complaint
Aug 1, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Sep 16, 2024
Aug 1, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 21, 2024
Aug 1, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 21, 2024
Aug 1, 2024	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Aug 21, 2024
Aug 1, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 16, 2024
Aug 1, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0661	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024	Complaint
Aug 1, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0761	Ensure 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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Sep 23, 2024
Aug 1, 2024	F-0849	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Sep 23, 2024
Aug 1, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	F-0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Sep 23, 2024
Aug 1, 2024	E-0041	Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness	C · Minimal Widespread	Corrected Sep 16, 2024
Mar 27, 2024	F-0585	Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 22, 2024	Complaint
Mar 27, 2024	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 22, 2024	Complaint

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.1

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.47

State avg 3.90US avg 3.90

Registered nurse (RN)1.10

State avg 0.78US avg 0.69

Licensed practical nurse0.59

State avg 0.90US avg 0.86

Nurse aide1.78

State avg 2.22US avg 2.35

Weekend total nurse3.15

State avg 3.52US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.91 (case-mix index 1.67).

Staff turnover

Total nursing staff turnover30.6%

State avg 44.6%US avg 45.3%

Registered nurse turnover29.4%

State avg 39.4%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 17, 2026
Cycle 1 health score: 60
Total weighted score: 60

Operating entity

Bedford SNF Healthcare LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Pacs Group

277 facilities in 16 states. CMS chain ID 690.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3

Ownership disclosures

Disclosures

11

Organizations

0

Individuals

11

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Frederick Apt	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2024
Joshua Jergensen	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2024
John Mitchell	Individual	Operational / managerial control	MANAGING CONTROL - GOVERNING BODY	not provided	Nov 1, 2024
Frederick Apt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2024
Maria Fisher	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2024
Joshua Jergensen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2024
John Mitchell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 1, 2024
Maria Fisher	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2024
Mark Hancock	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2024
Jason Murray	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2024
George Zubak	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 1, 2024

Same chain in Pennsylvania

All 276 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Ivy Park Post Acute 5609 Fifth Avenue, Pittsburgh, PA 15232 CCN 395251	150	Aug 28, 2026	1121 IJ1 open	$14k
South Hills Post Acute 60 Highland Road, Bethel Park, PA 15102 CCN 395731	160	May 14, 2026	37	—
Carnegie Park Post Acute 1848 Greentree Road, Pittsburgh, PA 15220 CCN 395743	180	Apr 16, 2026	761 IJ	$10k
Peters Township Post Acute 113 West Mcmurray Road, Mcmurray, PA 15317 CCN 395783Abuse icon	140	Apr 6, 2026	201 harm	—
Highland Hills Post Acute 1105 Perry Highway, Pittsburgh, PA 15237 CCN 395826Abuse icon	200	Jun 16, 2026	1082 IJ	$28k
Monroeville Post Acute 885 Macbeth Drive, Monroeville, PA 15146 CCN 396003	131	Aug 23, 2026	1083 harm3 open	$36k
Whitehall Borough Post Acute 505 Weyman Road, Pittsburgh, PA 15236 CCN 396066	166	May 7, 2026	37	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 136 Donahoe Manor Road, Bedford, PA 15522
ZIP: 15522
County: Bedford County FIPS 42009
State: Pennsylvania
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Bedford Skilled Nursing and Rehabilitation Center 136 Donahue Manor Rd, Bedford, PA 15522 State license only	0.1 km	—	Not CMS rated	—	No inspections in window	—
Pennknoll Village 208 Pennknoll Road, Everett, PA 15537 CCN 395422	4.8 km	133		Jun 16, 2026	662 harm	$17k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	395221	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	395221	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 395221

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction