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Bedford Post Acute
136 Donahoe Manor Road, Bedford, PA 15522
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Bedford Post Acute, in Bedford, Pennsylvania, is certified for 72 beds under for-profit, limited liability company ownership and belongs to the Pacs Group chain.
CMS gives it 3 of 5 stars overall, equal to the Pennsylvania median; the health inspection rating is 3, staffing 3 and quality measures 3.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (14, 10, 17 by cycle, most recent first), none at the actual-harm level. That is 56.9 per 100 beds, more than the state median of 22.2.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (1.0 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 36.1%.
Compared with county, state and nation
| Measure | This facility | Bedford Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 62 | 26 | 28.7 |
| Citations per 100 beds | 56.9 | 56.9 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 1.0 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 36.1% | 36.1% | 44.3% | 45.8% |
| Fines listed | $0 | $17,345 | $0 | — |
County and state figures are medians across facilities (2 in the county, 656 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Pennsylvania average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Jun 2026, 2 Jul 2025.
Severity mix: D ×36 E ×5
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 17 Jun 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0761 | 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. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 29 Jul 2026 |
| 17 Jun 2026 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 29 Jul 2026 |
| 12 Nov 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 12 Dec 2025 |
| 3 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 Sep 2025 |
| 2 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0688 | 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 | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 5 Aug 2025 |
| 2 Jul 2025 | F0761 | 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. | D | Standard survey | 5 Aug 2025 |
| 7 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 8 May 2025 |
| 1 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Sep 2024 |
| 1 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0730 | Observe each nurse aide's job performance and give regular training. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0761 | 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. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0849 | 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. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 Sep 2024 |
| 1 Aug 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 23 Sep 2024 |
| 27 Mar 2024 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 22 May 2024 |
| 27 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 May 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 36.1%, RNs 27.8%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Pennsylvania median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.7% | 15.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.4% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.2% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 17.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Bedford Snf Healthcare Llc. Chain: Pacs Group (274 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Bedford County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Pennknoll Village | Everett | 133 | 1 | 1 | 4 | 62 | 46.6 | $17K | 16 Jun 2026 |
All 2 facilities in Bedford County
Questions and answers
How many deficiencies has Bedford Post Acute been cited for?
41 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Bedford Post Acute been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Bedford Post Acute compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Bedford Post Acute?
It is part of the Pacs Group chain. Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Bedford Post Acute last inspected?
The most recent survey or investigation in the CMS record is dated 17 Jun 2026; the most recent standard health survey was 17 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.