nursing home in Bedford, PA

Bedford Post Acute

136 Donahoe Manor Road, Bedford, PA 15522 · (814) 623-9075

★★★★★3
Average
CMS overall star rating
  • Health inspections★★★★★3
  • Staffing★★★★★3
  • Quality measures★★★★★3

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Bedford Post Acute at a glance

Bedford Post Acute is a 72-bed for-profit nursing home in Bedford, Pennsylvania (Bedford County).

CMS gives it 3 out of 5 stars on its overall star rating, close to the Pennsylvania average of 3.

Residents receive about 3.5 hours of nursing care per day (1 of them from registered nurses), worse than the state average of 3.9 hours.

Its most recent standard health inspection (June 17, 2026) found 14 health citations. The Pennsylvania average is 10.

It has not received a federal fine in the past three years.

Nursing staff turnover is 36.1% per year (state average 44.5%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
72
Certified for
Medicare and Medicaid
Chain / affiliated entity
Pacs Group
Medicare-certified since
August 1, 1968
Resident/family council
Resident
County
Bedford County
CMS Certification Number
395221

Ratings

MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)3 / 53 / 53 / 5Average
Health inspection rating ⓘ (higher is better)3 / 52.8 / 52.8 / 5Average
Staffing rating ⓘ (higher is better)3 / 53 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)3 / 53.6 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 53.8 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)2 / 53.3 / 53.3 / 5Worse

Staffing

This facility3.53 hrsPennsylvania average3.89 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.53 hrs3.89 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)1.00 hrs0.79 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)1.80 hrs2.19 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)3.19 hrs3.53 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)36.1%44.5%45.8%Better
Registered nurse turnover (yearly) (lower is better)27.8%39.9%42.9%Better
Administrators who left in the past year (lower is better)011Better

Inspections

This facility14Pennsylvania average10U.S. average9
Health citations in the most recent inspection: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)14109Worse
Citations from complaint investigations (latest cycle) (lower is better)233Better
Weighted health inspection score ⓘ (lower is better)6282.480.6Better

Penalties

This facility0Pennsylvania average1U.S. average1
Fines in the past 3 years: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$25,774$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Certified beds72127107
Average residents per day6410586
Occupancy88.8%84%80.9%

Long-stay residents

This facility5.4%Pennsylvania average3.1%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.4%3.1%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)6.2%4.8%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)26.3%17.7%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.5%1.5%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.7%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)16.7%16.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)6.7%17%14.1%Better
Long-stay residents who lose too much weight (lower is better)1.1%6.2%5.2%Better
Long-stay residents with depressive symptoms (lower is better)27.8%10.8%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.2%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)20.9%20%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)23.8%25.5%19%Worse
Long-stay residents given a flu vaccine (higher is better)96.4%93.5%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)88.8%87.5%93.6%Worse

Short-stay residents

This facility3.3%Pennsylvania average1.4%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Pennsylvania and U.S. averages
MeasureThis facilityPennsylvania avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3.3%1.4%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)70.6%68.7%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)41.8%70%82%Worse

Inspection citations

State inspectors cited this home for 41 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
June 17, 2026
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected June 27, 2026
June 17, 2026
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected July 29, 2026
June 17, 2026
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
E
Potential harm, pattern
Corrected July 29, 2026
June 17, 2026
Standard
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Tag F0552
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary Deficiencies · Tag F0810
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
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 · Tag F0761
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
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 · Tag F0887
D
Potential harm, isolated
Corrected July 29, 2026
June 17, 2026
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected July 29, 2026
November 12, 2025
Complaint
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 · Tag F0585
D
Potential harm, isolated
Corrected December 12, 2025
September 3, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 30, 2025
July 2, 2025
Fire safety
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 · Tag K0223
E
Potential harm, pattern
Corrected August 11, 2025
July 2, 2025
Fire safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies · Tag K0354
E
Potential harm, pattern
Corrected August 11, 2025
July 2, 2025
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
E
Potential harm, pattern
Corrected August 5, 2025
July 2, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected August 5, 2025
July 2, 2025
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
D
Potential harm, isolated
Corrected August 5, 2025
July 2, 2025
Standard
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected August 5, 2025
July 2, 2025
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected August 5, 2025
July 2, 2025
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
D
Potential harm, isolated
Corrected August 5, 2025
July 2, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected August 5, 2025
July 2, 2025
Standard
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 · Tag F0688
D
Potential harm, isolated
Corrected August 5, 2025
July 2, 2025
Standard
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 · Tag F0761
D
Potential harm, isolated
Corrected August 5, 2025
April 7, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected May 8, 2025
August 1, 2024
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
F
Potential harm, widespread
Corrected September 16, 2024
August 1, 2024
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected August 21, 2024
August 1, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
E
Potential harm, pattern
Corrected August 21, 2024
August 1, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
E
Potential harm, pattern
Corrected August 21, 2024
August 1, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected September 16, 2024
August 1, 2024
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
C
No harm, widespread
Corrected September 16, 2024
August 1, 2024
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
E
Potential harm, pattern
Corrected September 23, 2024
August 1, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0849
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0761
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0690
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0661
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0657
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0656
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0623
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
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 · Tag F0947
D
Potential harm, isolated
Corrected September 23, 2024
August 1, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected September 23, 2024
March 27, 2024
Complaint
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 · Tag F0657
D
Potential harm, isolated
Corrected May 22, 2024
March 27, 2024
Complaint
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 · Tag F0585
D
Potential harm, isolated
Corrected May 22, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
FISHER, MARIA
Individual
adp of the snfNOT APPLICABLE11/01/2024
HANCOCK, MARK
Individual
adp of the snfNOT APPLICABLE11/01/2024
MURRAY, JASON
Individual
adp of the snfNOT APPLICABLE11/01/2024
ZUBAK, GEORGE
Individual
adp of the snfNOT APPLICABLE11/01/2024
APT, FREDERICK
Individual
managing control - governing bodyNOT APPLICABLE11/01/2024
JERGENSEN, JOSHUA
Individual
managing control - governing bodyNOT APPLICABLE11/01/2024
MITCHELL, JOHN
Individual
managing control - governing bodyNOT APPLICABLE11/01/2024
APT, FREDERICK
Individual
operational/managerial controlNOT APPLICABLE11/01/2024
FISHER, MARIA
Individual
operational/managerial controlNOT APPLICABLE11/01/2024
JERGENSEN, JOSHUA
Individual
operational/managerial controlNOT APPLICABLE11/01/2024
MITCHELL, JOHN
Individual
operational/managerial controlNOT APPLICABLE11/01/2024

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    ★★★★★1Much below average
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  3. Morrisons Cove Home

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  4. Windber Woods Senior Living & Rehabilitation Ctr

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    ★★★★★2Below average
  5. Meadow View Nursing Center

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  6. Richland Nursing and Rehab

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Frequently asked questions

What is Bedford Post Acute's rating?

Bedford Post Acute has 3 out of 5 stars on the CMS overall star rating. The average for Pennsylvania nursing homes is 3 stars.

How many inspection citations did Bedford Post Acute receive?

Its most recent standard health inspection found 14 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.

Does Bedford Post Acute accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Bedford Post Acute?

It is for profit - limited liability company and part of Pacs Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Bedford Post Acute and how do I contact it?

Bedford Post Acute is at 136 Donahoe Manor Road, Bedford, PA 15522. Phone: (814) 623-9075.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.