Pennsylvania › Juniata County › Mifflin
Locust Grove Retirement Village
69 Cottage Road, Mifflin, PA 17058
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.
Certified for 104 beds, Locust Grove Retirement Village serves Mifflin in Juniata County, Pennsylvania and has taken Medicare and Medicaid residents since 1976.
CMS gives it 3 of 5 stars overall, equal to the Pennsylvania median; the health inspection rating is 3, staffing 4 and quality measures 4.
Inspectors recorded 39 health deficiencies across the three most recent survey cycles (8, 19, 12 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 37.5 per 100 beds, more than the state median of 22.2.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 3.9 hours per resident per day (0.6 RN), close to the Pennsylvania median of 3.6; nursing staff turnover is 34.3%.
Compared with county, state and nation
| Measure | This facility | Juniata Co. median | Pennsylvania median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 39 | 30 | 26 | 28.7 |
| Citations per 100 beds | 37.5 | 37.5 | 22.2 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.7 | 0.7 |
| Nursing staff turnover | 34.3% | 34.3% | 44.3% | 45.8% |
| Fines listed | $12,831 | $0 | $0 | — |
County and state figures are medians across facilities (3 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: 27 Jun 2025, 3 May 2024.
Severity mix: G ×1 D ×29 E ×9
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 |
|---|---|---|---|---|---|
| 27 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard survey | 22 Aug 2025 |
| 27 Jun 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 22 Aug 2025 |
| 27 Jun 2025 | 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 | 22 Aug 2025 |
| 27 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 22 Aug 2025 |
| 27 Jun 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 | 22 Aug 2025 |
| 27 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 22 Aug 2025 |
| 27 Jun 2025 | F0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Standard survey | 22 Aug 2025 |
| 27 Jun 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 22 Aug 2025 |
| 9 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 15 Nov 2024 |
| 18 Jun 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Complaint investigation | 5 Jul 2024 |
| 3 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 28 Mar 2024 |
| 3 May 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 14 Jun 2024 |
| 3 May 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 14 Jun 2024 |
| 3 May 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. | E | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0578 | 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. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0584 | 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. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | 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 | 14 Jun 2024 |
| 3 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0726 | 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. | D | Complaint investigation | 14 Jun 2024 |
| 3 May 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 14 Jun 2024 |
| 3 May 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 14 Jun 2024 |
| 4 Aug 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 29 Aug 2023 |
| 4 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 29 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 May 2024 | Fine | $12,831 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Pennsylvania average. Turnover: nursing staff 34.3%, RNs 25.0%; 1 administrator 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 | 12.7% | 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 | 1.2% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 2.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.3% | 4.5% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.5% | 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, corporation. Legal business name: 69 Cottage Road Opco Llc. Chain: Avardis Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mifflin Parentco LLC | 5% or greater direct ownership interest | 100% | 05/01/2025 |
| Juniata Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| Paop Holdco LLC | 5% or greater indirect ownership interest | NO PERCENTAGE PROVIDED | 05/01/2025 |
| Mifflin Re Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| Mifflin Re Owner, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Adp of the snf | NOT APPLICABLE | 04/11/2025 |
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 Juniata County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Richfield Healthcare and Rehabilitation Center | Richfield | 40 | 5 | 3 | 5 | 27 | 67.5 | — | 22 Jan 2026 |
| Brookline Nursing and Rehab | Mifflintown | 85 | 4 | 3 | 2 | 30 | 35.3 | — | 27 Feb 2026 |
All 3 facilities in Juniata County
Questions and answers
How many deficiencies has Locust Grove Retirement Village been cited for?
39 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Pennsylvania median is 26 per facility.
Has Locust Grove Retirement Village been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at Locust Grove Retirement Village compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Pennsylvania median of 3.6 and a national average of 3.9.
Who operates Locust Grove Retirement Village?
It is part of the Avardis Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Mifflin Parentco LLC, Juniata Holdco LLC and Paop Holdco LLC. Individual owners and managers are not listed on this site.
When was Locust Grove Retirement Village last inspected?
The most recent survey or investigation in the CMS record is dated 27 Jun 2025; the most recent standard health survey was 27 Jun 2025.
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.