D

LOCUST GROVE RETIREMENT VILLAGE

69 COTTAGE ROAD, MIFFLIN, PA 17058
Score: 41 / 100

CMS data shows Locust Grove Retirement Village earning a D grade with a score of 41/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.

Recent inspections identified 39 deficiencies at Locust Grove Retirement Village. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staffing hours data not available for this facility.

🔍 Inspection & Deficiency History

39
Total Deficiencies
Jun 26, 2025
Most Recent Inspection
🟠 39 Moderate
View recent deficiencies (5 shown)
  • Tag 0684 Severity E
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Jun 26, 2025 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity E
    Provide safe, appropriate pain management for a resident who requires such services.
    Jun 26, 2025 · Quality of Life and Care Deficiencies
  • Tag 0656 Severity D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jun 26, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0686 Severity D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    Jun 26, 2025 · Quality of Life and Care Deficiencies
  • Tag 0688 Severity D
    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 medic
    Jun 26, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.3% 4.5% Better
Falls with major injury 3.6% 3.0% Worse
On antipsychotic medication 23.0% 14.5% Worse
Urinary tract infections 2.0% 2.5% Better
ADL decline (daily activities) 19.8% 14.0% Worse
Excessive weight loss 5.5% 7.5% Better
New/worsened incontinence 22.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $12,831

How This Grade Was Calculated

This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
104
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jun 26, 2025
Deficiencies (Cycle 1)
8