Friendship Rehab and Health

246 Friendship Circle · Beaver, PA · 15009 · 7247757100

589 certified beds For profit - Limited Liability company Chain: Ephram Lahasky

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $94,585 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$94,585 in federal fines in the last 24 months

3 fines — CMS fines are reserved for verified, serious non-compliance.

62% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 0
Serious harm & abuse 20% 0
Staffing 20% 61
Federal penalties 15% 0
Trend 10% 88
Context 5% 10

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.273.48 min · 4.1 strong
RN hours / resident-day0.660.55–0.75
Weekend hours / resident-day3.04≈ weekday level
Nursing turnover / year62%median 45%
Fines (3-yr window)5 · $234,389

Inspection citations (173 in the current record)

  • Actual harm · G April 30, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 30, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 30, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 23, 2026 · Resident Rights

  • Potential for harm · D March 13, 2026

    Keep residents' personal and medical records private and confidential.

    Corrected April 23, 2026 · Resident Rights

  • Potential for harm · E March 13, 2026

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Corrected April 23, 2026 · Resident Rights

  • Potential for harm · D March 13, 2026

    Ensure each resident receives an accurate assessment.

    Corrected April 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected April 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E March 13, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 23, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    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.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · E March 13, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · E March 13, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · E March 13, 2026

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected April 23, 2026 · Quality of Life and Care

  • Potential for harm · D March 13, 2026

    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.

    Corrected April 23, 2026 · Nursing and Physician Services

  • Potential for harm · E March 13, 2026

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected April 23, 2026 · Pharmacy Service

  • Potential for harm · E March 13, 2026

    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.

    Corrected April 23, 2026 · Pharmacy Service

  • Potential for harm · F March 13, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 23, 2026 · Nutrition and Dietary

  • Potential for harm · E March 13, 2026

    Dispose of garbage and refuse properly.

    Corrected April 23, 2026 · Nutrition and Dietary

  • Potential for harm · D March 13, 2026

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected April 23, 2026 · Administration

  • Potential for harm · D March 13, 2026

    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.

    Corrected April 23, 2026 · Administration

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 7, 2025Fine$12,441
February 14, 2025Fine$51,110
February 14, 2025Payment Denial56 days
December 12, 2024Fine$31,034
June 12, 2024Fine$50,264
March 13, 2024Fine$89,540
March 13, 2024Payment Denial23 days

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395015 · certified since January 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.