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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E6 | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 4, 2025 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 4, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Dec 20, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Dec 20, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Jan 12, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jan 12, 2024 | Health | Health Standard | 8 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D11 | E6 | F1 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 4, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2026 | |
| Dec 4, 2025 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 10, 2026 | |
| Dec 4, 2025 | F-0655 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Wrc Senior Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 4, 2007 |
| Dubois Regional Medical Center | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Penn Highlands Healthcare, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Wrc Senior Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 4, 2007 |
| Dubois Regional Medical Center | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Penn Highlands Healthcare, Inc | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Dec 31, 2021 |
| Carlyn Belczyk | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Penn Highlands Jefferson Manor 417 Route 28, Brookville, PA 15825 CCN 395626Abuse icon | 4.2 km | 160 | Feb 3, 2026 | 501 IJ2 harm | $12k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 395550 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 395550 | 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 |
| Pennsylvania DOH Nursing Homes PA | 421402 | state_license, licensed_beds, licensee Linked to the CMS record by exact normalized street address and ZIP (the state roster does not publish the CCN). | Inferred | Sep 17, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care |
| E · Potential harm Pattern |
| Corrected Jan 31, 2026 |
| Dec 4, 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 Jan 31, 2026 |
| Dec 20, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 11, 2025 |
| Dec 20, 2024 | F-0578 | Honor 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. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 10, 2025 |
| Dec 20, 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 Feb 10, 2025 |
| Dec 20, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 10, 2025 |
| Jan 12, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 15, 2024 |
| Jan 12, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 15, 2024 |
| Jan 12, 2024 | F-0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Mar 1, 2024 |
| Jan 12, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 1, 2024 |
| Jan 12, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Mar 1, 2024 |
| Jan 12, 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 Mar 1, 2024 |
| Jan 12, 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 Mar 1, 2024 |
| Jan 12, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2024 |
| Jan 12, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 1, 2024 |
| Jan 12, 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 Mar 1, 2024 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.10 (case-mix index 1.27).
| Jul 1, 2024 |
| William Chamberlain | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Donald Conrad | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| James Devlin | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Scott Foradora | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Oscar Johnston | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Samuel Lewis | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| David Lezzer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Mark Mcginley | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Robert O'leary | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Richard Pfingstler | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| James Ryan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Joanne Ryan | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| John Sutika | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2025 |
| Edward Yahner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| William Young | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jul 1, 2024 |
| Dubois Regional Medical Center | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Penn Highlands Healthcare, Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Gregory Bauer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Steven Fontaine | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Trina Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Brian Kline | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Anthony Nefstead | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 31, 2021 |
| Mark Norman | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Douglas Winner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Brian Kline | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Edward Yahner | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2024 |
| Gregory Bauer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Carlyn Belczyk | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2021 |
| William Chamberlain | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Donald Conrad | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| James Devlin | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2022 |
| Steven Fontaine | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Scott Foradora | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2020 |
| Trina Johnson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Oscar Johnston | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Samuel Lewis | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| David Lezzer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| Mark Mcginley | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Oct 1, 2021 |
| Mark Norman | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| Robert O'leary | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| Richard Pfingstler | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| James Ryan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2020 |
| Joanne Ryan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2022 |
| John Sutika | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2025 |
| Douglas Winner | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2024 |
| William Young | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2021 |
| Dubois Regional Medical Center | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 25, 2025 |
| Penn Highlands Healthcare, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |
| Gregory Bauer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Carlyn Belczyk | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| William Chamberlain | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Donald Conrad | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| James Devlin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Steven Fontaine | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Scott Foradora | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Trina Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Oscar Johnston | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Brian Kline | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Samuel Lewis | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| David Lezzer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Mark Mcginley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Anthony Nefstead | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 31, 2021 |
| Mark Norman | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Robert O'leary | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Richard Pfingstler | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| James Ryan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Joanne Ryan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| John Sutika | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2025 |
| Douglas Winner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| Edward Yahner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |
| William Young | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2024 |