Transitions Healthcare Autumn Grove Care Center
555 South Main Street · Harrisville, PA · 16038 · 7247354224
103 certified beds For profit - Limited Liability company Chain: Transitions Healthcare
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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 | 3.53 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.30 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 1 · $179,218 |
Inspection citations (25 in the current record)
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Potential for harm · D July 25, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 25, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 12, 2025 · Nutrition and Dietary
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Potential for harm · E July 25, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected August 12, 2025 · Environmental
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Potential for harm · D August 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 30, 2024 · Resident Rights
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Potential for harm · D August 23, 2024
Ensure each resident receives an accurate assessment.
Corrected September 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 23, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 30, 2024 · Quality of Life and Care
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Potential for harm · D August 23, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected September 30, 2024 · Quality of Life and Care
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Potential for harm · E August 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 30, 2024 · Nutrition and Dietary
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Immediate jeopardy · K November 15, 2023 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected November 28, 2023 · Nutrition and Dietary
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Immediate jeopardy · L November 15, 2023 · 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 November 28, 2023 · Administration
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Potential for harm · E November 15, 2023 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected November 28, 2023 · Quality of Life and Care
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Potential for harm · E November 15, 2023 · found via 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.
Corrected November 28, 2023 · Nursing and Physician Services
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Potential for harm · E November 15, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 28, 2023 · Administration
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Potential for harm · D September 14, 2023
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 October 24, 2023 · Resident Rights
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Potential for harm · D September 14, 2023
Ensure each resident receives an accurate assessment.
Corrected October 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
Plan the resident's discharge to meet the resident's goals and needs.
Corrected October 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 24, 2023 · Quality of Life and Care
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Potential for harm · D September 14, 2023
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected October 24, 2023 · Quality of Life and Care
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Potential for harm · E September 14, 2023
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 October 24, 2023 · Pharmacy Service
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Potential for harm · F September 14, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected October 24, 2023 · Nutrition and Dietary
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Potential for harm · F September 14, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 24, 2023 · Nutrition and Dietary
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Potential for harm · E September 14, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 24, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 14, 2023
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 October 24, 2023 · Administration
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Potential for harm · D September 14, 2023
Provide and implement an infection prevention and control program.
Corrected October 24, 2023 · Infection Control
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No harm found · C September 14, 2023
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected October 24, 2023 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 14, 2023 | Fine | $179,218 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395248 · certified since September 23, 1968. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.