01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-10 | 15 | 2025-12-10 | 0 |
| Cycle 2 | 2024-09-12 | 17 | 2024-09-12 | 5 |
| Cycle 3 | 2023-10-12 | 8 | 2023-10-12 | 2 |
CMS CCN 3954272026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Lutheran Home At Hollidaysburg
916 Hickory Street · Hollidaysburg, PA 16648 · Blair County
Certified beds89CMS provider file
Recent citation rows47current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
47 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Past Non-Compliance · complaint2025-12-10 · HEALTHF0655Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0730Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0941Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0942Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0943Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0944Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0945Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0946Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide training in compliance and ethics.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0947Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Correction field: Deficient, Provider has date of correction · 2025-12-182025-12-10 · HEALTHF0949Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Correction field: Deficient, Provider has date of correction · 2025-12-182024-09-12 · FIREE0039Severity C · widespread; potential for minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-11-022024-09-12 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-12 · HEALTHF0623Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-12 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-12 · HEALTHF0657Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-12 · HEALTHF0676Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-12 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-12 · HEALTHF0686Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2024-11-012024-09-12 · HEALTHF0689Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-11-0103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-06-25 | Fine | $11,132 | 0 |
| 2023-10-12 | Fine | $90,773 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- EVANS, CHADIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 09/20/2006
- REIGHARD, CHRISTOPHERIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 05/24/1999
- SAVAGE, PATRICIAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 01/26/1996
- BOWERSOX, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2016
- BRADLEY, THOMASIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2008
- BRENNEMAN, HELENIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/20/2006
- COBAUGH, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2010
- FREDERICK, CAROLIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2016
- GLEN, SUZANNEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2016
- LLOYD, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2011
- MEARKLE, AMYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/01/2012
- MILLER, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2016
- REIGHARD, CHRISTOPHERIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/24/1999
- RHYNE, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2016
- SAVAGE, PATRICIAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/20/2006
- SMITH, ELAINEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2016
- THOMPSON, WILLIAMIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/20/2006
- WHIPKEY, RICHARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2012
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.16per resident day
RN hours0.89per resident day
Weekend nurse hours3.81per resident day
Staff turnover48.2%CMS reported field