CMS data shows Penn Highlands Jefferson Manor earning a D grade with a score of 53/100, placing it below most facilities in Pennsylvania. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing at Penn Highlands Jefferson Manor is near the national average, with 3.71 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 21 deficiencies at Penn Highlands Jefferson Manor, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.71 | 3.8 | Average |
| Registered Nurses (RN) | 0.66 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 1.22 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.82 | 2.4 | Below Average |
| Weekend Total Nursing | 3.47 | 3.8 | Average |
| Weekend RN Hours | 0.52 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Dec 17, 2025 · Quality of Life and Care Deficiencies
- Tag 0755 Severity DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 17, 2025 · Pharmacy Service Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andJan 8, 2025 · Resident Rights Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Jan 8, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity DProvide appropriate treatment and care according to orders, resident’s preferences and goals.Jan 8, 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 | 9.8% | 4.5% | Worse |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 21.8% | 14.5% | Worse |
| Urinary tract infections | 1.7% | 2.5% | Better |
| ADL decline (daily activities) | 25.0% | 14.0% | Worse |
| Excessive weight loss | 7.8% | 7.5% | Average |
| New/worsened incontinence | 30.4% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $15,160
How This Grade Was Calculated
This facility's grade of D is based on a score of 53 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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