Penn Highlands Jefferson Manor
417 Route 28 · Brookville, PA · 15825 · 8148498026
160 certified beds Non profit - Corporation Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
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Red flags
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.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.49 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 2 · $15,160 |
Inspection citations (23 in the current record)
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Actual harm · G February 3, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G February 3, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 20, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected February 5, 2026 · Quality of Life and Care
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Potential for harm · D December 18, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 5, 2026 · Pharmacy Service
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Potential for harm · D January 9, 2025
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.
Corrected March 10, 2025 · Resident Rights
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Potential for harm · D January 9, 2025
Ensure each resident receives an accurate assessment.
Corrected March 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 10, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 10, 2025 · Quality of Life and Care
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Potential for harm · D January 9, 2025
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 March 10, 2025 · Pharmacy Service
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Potential for harm · D January 9, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2025
Provide and implement an infection prevention and control program.
Corrected March 10, 2025 · Infection Control
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Potential for harm · D January 9, 2025 · found via complaint
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.
Corrected March 10, 2025 · Resident Rights
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Potential for harm · D August 15, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 29, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024 · found via complaint
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected September 29, 2024 · Administration
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Immediate jeopardy · J April 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 10, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 20, 2024 · Quality of Life and Care
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Potential for harm · D April 10, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 20, 2024 · Administration
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Potential for harm · E March 8, 2024 · found via complaint
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.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D March 8, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 19, 2024 · Quality of Life and Care
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Potential for harm · F March 8, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected April 19, 2024 · Nursing and Physician Services
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Potential for harm · D March 8, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E January 22, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 9, 2024 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 8, 2024 | Fine | $12,015 |
| September 11, 2023 | Fine | $3,145 |
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 395626 · certified since January 1, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.