Quality Life Services - Markleysburg

252 Main Street · Markleysburg, PA · 15459 · 7243294830

60 certified beds For profit - Limited Liability company Chain: Quality Life Services

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.
  • 4 citations involved actual harm to residents.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 76
Staffing 20% 66
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

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: 2 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.573.48 min · 4.1 strong
RN hours / resident-day0.630.55–0.75
Weekend hours / resident-day3.33≈ weekday level
Nursing turnover / year59%median 45%
Fines (3-yr window)none

Inspection citations (26 in the current record)

  • Actual harm · G April 2, 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.

    Corrected March 16, 2026 · Resident Assessment and Care Planning

  • Actual harm · G April 2, 2026 · found via complaint

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

    Corrected May 15, 2026 · Quality of Life and Care

  • Potential for harm · F April 2, 2026 · found via complaint

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Deficient, Provider has plan of correction · Administration

  • Potential for harm · D December 18, 2025 · found via complaint

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

    Corrected January 26, 2026 · Quality of Life and Care

  • Potential for harm · D December 18, 2025 · found via complaint

    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 January 26, 2026 · Pharmacy Service

  • Actual harm · G July 31, 2025

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

    Corrected September 4, 2025 · Quality of Life and Care

  • Actual harm · G July 31, 2025

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

    Corrected September 4, 2025 · Quality of Life and Care

  • Potential for harm · D July 31, 2025

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

    Corrected September 4, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 31, 2025

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected September 4, 2025 · Quality of Life and Care

  • Potential for harm · D July 31, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 4, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 31, 2025

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Corrected September 4, 2025 · Environmental

  • Potential for harm · E July 31, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected September 4, 2025 · Nursing and Physician Services

  • Potential for harm · E June 18, 2025 · found via complaint

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

    Corrected July 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E June 18, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 23, 2025 · Pharmacy Service

  • Potential for harm · D September 17, 2024 · found via complaint

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

    Corrected October 29, 2024 · Quality of Life and Care

  • Potential for harm · E July 10, 2024

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

    Corrected August 27, 2024 · Quality of Life and Care

  • Potential for harm · E July 10, 2024

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

    Corrected August 27, 2024 · Quality of Life and Care

  • Potential for harm · D July 10, 2024

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected August 27, 2024 · Quality of Life and Care

  • Potential for harm · E July 10, 2024

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected August 27, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · B July 10, 2024

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Corrected August 27, 2024 · Administration

  • No harm found · B July 10, 2024

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Corrected August 27, 2024 · Resident Rights

  • No harm found · B July 10, 2024

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected August 27, 2024 · Administration

  • No harm found · B July 10, 2024

    Provide training in compliance and ethics.

    Corrected August 27, 2024 · Administration

  • Potential for harm · D September 8, 2023

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

    Corrected October 24, 2023 · Resident Rights

  • Potential for harm · D September 8, 2023

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

    Corrected October 24, 2023 · Quality of Life and Care

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395870 · certified since December 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.