Nursing homes › Pennsylvania › Locust Grove Retirement Village
69 Cottage Road, Mifflin, PA 17058 · 7174368921 · 104 certified beds
Per CMS filings, this facility is affiliated with Avardis Health, a group operating 38 facilities in 4 states. Group record: average rating 2.0/5, 9 abuse citation icons, 5 facilities on the Special Focus list, $1,579,025 in federal fines. This facility rates above its group average (2.0/5).
Total nurse staffing: 3.91 (Pennsylvania median: 3.63). RN hours: 0.60. Weekend total: 3.24. Nursing staff turnover: 34%.
All-time on record: 39 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-06-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Health | corrected 2025-08-22 |
| 2025-06-27 | Provide safe, appropriate pain management for a resident who requires such services. | E | Health | corrected 2025-08-22 |
| 2025-06-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-08-22 |
| 2025-06-27 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2025-08-22 |
| 2025-06-27 | 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. | D | Health | corrected 2025-08-22 |
| 2025-06-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-08-22 |
| 2025-06-27 | 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. | D | Health | corrected 2025-08-22 |
| 2025-06-27 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | corrected 2025-08-22 |
| 2024-10-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-11-15 |
| 2024-06-18 | Provide routine and 24-hour emergency dental care for each resident. | D | complaint | corrected 2024-07-05 |
| 2024-05-03 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | complaint | corrected 2024-03-28 |
| 2024-05-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-06-14 |
| 2024-05-03 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | complaint | corrected 2024-06-14 |
| 2024-05-03 | 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. | E | Health | corrected 2024-06-14 |
| 2024-05-03 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-06-14 |
| 2024-05-03 | 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. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | 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. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2024-06-14 |
| 2024-05-03 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | 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. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | Provide enough food/fluids to maintain a resident's health. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | Provide care or services that was trauma informed and/or culturally competent. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | 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. | D | complaint | corrected 2024-06-14 |
| 2024-05-03 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | 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. | D | Health | corrected 2024-06-14 |
| 2024-05-03 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-06-14 |
| 2023-08-04 | Provide safe, appropriate pain management for a resident who requires such services. | E | Health | corrected 2023-08-29 |
| 2023-08-04 | Observe each nurse aide's job performance and give regular training. | E | Health | corrected 2023-08-29 |
| 2023-08-04 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2023-08-29 |
| 2023-08-04 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Health | corrected 2023-08-29 |
| 2023-08-04 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Health | corrected 2023-08-29 |
| 2023-08-04 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2023-08-29 |
| 2023-08-04 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2023-08-29 |
| 2023-08-04 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Health | corrected 2023-08-29 |
| 2023-08-04 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Health | corrected 2023-08-29 |
| 2023-08-04 | Provide or obtain dental services for each resident. | D | Health | corrected 2023-08-29 |
| 2023-08-04 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2023-08-29 |
| Date | Type | Amount |
|---|---|---|
| 2024-05-03 | Fine | $12,831 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MIFFLIN PARENTCO LLC | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2025 |
| JUNIATA HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| PAOP HOLDCO LLC | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 05/01/2025 |
| CLARK, ALYSSA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2025 |
| SNF MGR LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| CLARK, ALYSSA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| CRIAG, MICHELE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| HOBACK, TIFFANY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| JONES, TEQUILLA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| ROSCOE, BRANDON | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| SIMPSON, LOUANN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 395350. Corrections: data@carerecords.org.