nursing home in Mifflin, PA
Locust Grove Retirement Village
69 Cottage Road, Mifflin, PA 17058 · (717) 436-8921
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Locust Grove Retirement Village at a glance
Locust Grove Retirement Village is a 104-bed for-profit nursing home in Mifflin, Pennsylvania (Juniata County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Pennsylvania average of 3.
Residents receive about 3.9 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.9 hours.
Its most recent standard health inspection (July 10, 2026) found 4 health citations. The Pennsylvania average is 10.
Federal regulators fined it 1 time in the past three years, totaling $12,831.
Nursing staff turnover is 34.3% per year (state average 44.5%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 104
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avardis Health
- Medicare-certified since
- May 12, 1976
- Resident/family council
- Resident
- County
- Juniata County
- CMS Certification Number
- 395350
Ratings
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.6 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.8 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.91 hrs | 3.89 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.60 hrs | 0.79 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.15 hrs | 2.19 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.24 hrs | 3.53 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 34.3% | 44.5% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 39.9% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 10 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 37 | 82.4 | 80.6 | Better |
Penalties
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $12,831 | $25,774 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 104 | 127 | 107 | |
| Average residents per day | 66 | 105 | 86 | |
| Occupancy | 63.8% | 84% | 80.9% |
Long-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4% | 3.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.3% | 4.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 25.5% | 17.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 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) | 12.7% | 16.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.9% | 17% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3% | 6.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.4% | 10.8% | 12.8% | Better |
| 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) | 31.1% | 20% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20.5% | 25.5% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.5% | 93.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 87.5% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Pennsylvania avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 94.9% | 68.7% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 96.3% | 70% | 82% | Better |
Inspection citations
State inspectors cited this home for 32 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 10, 2026 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 August 6, 2026 |
| July 10, 2026 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 6, 2026 |
| July 10, 2026 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 August 6, 2026 |
| July 10, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 6, 2026 |
| June 27, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected July 7, 2025 |
| June 27, 2025 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 July 7, 2025 |
| June 27, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected August 22, 2025 |
| June 27, 2025 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | E Potential harm, pattern | Corrected August 22, 2025 |
| June 27, 2025 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 August 22, 2025 |
| June 27, 2025 Complaint | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected August 22, 2025 |
| June 27, 2025 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Tag F0742 | D Potential harm, isolated | Corrected August 22, 2025 |
| June 27, 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 | D Potential harm, isolated | Corrected August 22, 2025 |
| June 27, 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 22, 2025 |
| June 27, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 22, 2025 |
| October 9, 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 November 15, 2024 |
| June 18, 2024 Complaint | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected July 5, 2024 |
| May 3, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 29, 2024 |
| May 3, 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 June 29, 2024 |
| May 3, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | E Potential harm, pattern | Corrected June 29, 2024 |
| May 3, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | C No harm, widespread | Corrected June 29, 2024 |
| May 3, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | C No harm, widespread | Corrected June 29, 2024 |
| May 3, 2024 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | C No harm, widespread | Corrected June 29, 2024 |
| May 3, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected March 28, 2024 |
| May 3, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 3, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 3, 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 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 3, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 14, 2024 |
| May 3, 2024 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 June 14, 2024 |
| May 3, 2024 Standard | 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 · Tag F0655 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 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 June 14, 2024 |
| May 3, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 Standard | 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 · Tag F0578 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 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 June 14, 2024 |
| May 3, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 Standard | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · Tag F0744 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 14, 2024 |
| May 3, 2024 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected June 14, 2024 |
| August 4, 2023 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 October 2, 2023 |
| August 4, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected October 2, 2023 |
| August 4, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | C No harm, widespread | Corrected October 2, 2023 |
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 1 federal penalty in the past three years, including $12,831 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 3, 2024 | Fine | $12,831 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MIFFLIN PARENTCO LLC Organization | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| JUNIATA HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2025 |
| PAOP HOLDCO LLC Organization | 5% or greater indirect ownership interest | — | 05/01/2025 |
| MIFFLIN RE OWNER, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| CLARK, ALYSSA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| CRIAG, MICHELE Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| MIFFLIN RE OWNER, LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| ROSCOE, BRANDON Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SIMPSON, LOUANN Individual | adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | adp of the snf | NOT APPLICABLE | 04/11/2025 |
| CLARK, ALYSSA Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | managing control - governing body | NOT APPLICABLE | 05/01/2025 |
| CLARK, ALYSSA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| CRIAG, MICHELE Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| HOBACK, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| JONES, TEQUILLA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| ROSCOE, BRANDON Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SIMPSON, LOUANN Individual | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| SNF MGR LLC Organization | operational/managerial control | NOT APPLICABLE | 05/01/2025 |
Other nursing homes near Locust Grove Retirement Village
- ★★★★★4Above average
Greenwood Center for Rehabilitation and Nursing
276 Green Ave Extended, Lewistown, PA 17044 · 8.4 mi
For-profit · 134 beds · Part of Mordechai Weisz
★★★★★3AverageWilliam Penn Nursing and Rehab
163 Summit Drive, Lewistown, PA 17044 · 9.2 mi
For-profit · 121 beds · Part of Valley West Health
★★★★★4Above averagePremier at Perry Village for Nursing and Rehab, Ll
213 East Main Street, New Bloomfield, PA 17068 · 15.5 mi
For-profit · 118 beds
★★★★★4Above averageValley View Haven, INC
4702 East Main Street, Belleville, PA 17004 · 15.7 mi
Non-profit · 155 beds
- CMS high performer
★★★★★5Much above averageRichfield Healthcare and Rehabilitation Center
631 Main Street, Richfield, PA 17086 · 18.2 mi
For-profit · 40 beds · Part of Akiko Ike
★★★★★5Much above average
Frequently asked questions
What is Locust Grove Retirement Village's rating?
Locust Grove Retirement Village 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 Locust Grove Retirement Village receive?
Its most recent standard health inspection found 4 citations, compared with a Pennsylvania average of 10. Every citation is listed on this page with its severity.
Does Locust Grove Retirement Village 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 Locust Grove Retirement Village?
It is for profit - limited liability company and part of Avardis Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Locust Grove Retirement Village and how do I contact it?
Locust Grove Retirement Village is at 69 Cottage Road, Mifflin, PA 17058. Phone: (717) 436-8921.
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.