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Bedford Post Acute

136 Donahoe Manor Road, Bedford, PA 15522 · Bedford County · (814) 623-9075

72 certified beds, about 64 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1968

Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395221 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 17, 2026, inspectors cited 12 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

None of its 41 health citations since March 2024 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.53 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 1.00 of those hours.

36.1% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

CMS links it to PACS Group, an affiliated group of 275 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
36D
5E
0F
Potential for minimal harm
0A
0B
0C
June 17, 2026Standard inspection · 12 citations
  1. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to notify the ombudsman (an independent, impartial official appointed to investigate and help resolve complaints) of a transfer to the hospital for five of 35 residents reviewed (Residents 1, 6, 9, 65 and 75).
  2. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure the environment remained as free of accident hazards as possible for two of 35 residents reviewed (Residents 2, 37) and failed to ensure that each resident received assistance devices to prevent accidents for two of 35 residents reviewed (Residents 15, 53).
  3. D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to inform the resident and/or resident representative in advance of the risks and benefits of psychotropic medications (medications that affect the persons mental state, emotions and behavior) and the treatment alternatives prior to initiating the administration of the medication for two of 35 residents reviewed (Residents 51 and 59).
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on a review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for two of 35 residents reviewed (Residents 42 and 65).
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to follow physician's orders for one of 35 residents reviewed (Resident 10), and failed to follow consultant recommendations to send a representative/staff member to an appointment for a resident unable to communicate causing the appointment to be canceled and a delay in treatment for one of 35 residents reviewed (Resident 68).
  6. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of facility policies, manufacturer's instructions and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that medications were properly labeled for two of 35 residents reviewed (Residents 42, 63) and failed to label one multi-dose vial of Tubersol solution with the date it was opened in one of two medications rooms reviewed.
  7. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of policies and clinical records, observations, and staff interviews, it was determined that the facility failed to ensure that staff provided assistive devices to eat as ordered by the physician for one of 35 residents reviewed (Resident 37).
  8. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of the facility's plans of correction and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
  9. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to ensure that proper hand-washing techniques were used during medication administration for one of 35 residents observed (Residents 7).
  10. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that each resident was offered and/or received the influenza and/or the pneumococcal immunizations for four of 35 residents reviewed (Residents 3, 13, 37, 42).
  11. D
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to provide accurate and timely documentation related to offering the COVID-19 vaccination for one of 35 residents reviewed (Resident 13).
  12. D
    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
    F944 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 29, 2026
    Inspectors wroteBased on review of the Nursing Assistant job description, facility documents and staff interviews, it was determined that the facility failed to provide Quality Assurance and Performance Improvement (QAPI) training to five of five nurse aides reviewed (Nurse Aides 6, 7, 8, 9, and 10).
November 12, 2025Complaint inspection · 1 citation
  1. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 12, 2025
    Inspectors wroteBased on review of policies, clinical records, and information provided by the facility, as well as staff interviews, it was determined that the facility failed to ensure that a thorough investigation was completed into the resident's and their family member's concern for one of three residents reviewed (Resident 2).
September 3, 2025Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2025
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that fall/injury prevention interventions were in place for one of 3 residents reviewed (Resident 1).
July 2, 2025Standard inspection · 9 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on review of clinical record reviews, as well as observations and staff interviews, it was determined that the facility failed to complete safety assessments for three of 25 residents reviewed (Residents 9, 17, 36) who used an air mattress.
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on review of facility policies and observations, as well as interviews with staff, it was determined that the facility failed to maintain the confidentiality of medical information for one of 25 residents reviewed (Resident 46).
  3. D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on review of policies and personnel files, as well as staff interviews, it was determined that the facility failed to ensure that the status of nursing licenses was checked with the State Board of Nursing for two of two nurses reviewed (Registered Nurse 2, Licensed Practical Nurse 3), and failed to complete a Nurse Aide Registry verification for one of three nurse aides reviewed (Nurse Aide 4).
  4. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on facility policy, clinical record reviews, and resident and staff interviews, it was determined that the facility failed to follow physician's orders related to bowel protocols for one of 25 residents reviewed (Resident 45).
  5. D
    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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on a review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's recommendations for brace application were followed for one of 25 residents reviewed (Resident 25).
  6. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain accountability for controlled medications (drugs with the potential to be abused) for one of 25 residents reviewed (Resident 17).
  7. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on review of facility policies and clinical record reviews, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from unnecessary psychotropic medications (medications that affect the mind, emotions and behavior), by failing to ensure that non-pharmacological (non-medication) behavioral interventions (individualized, non-pharmacological approaches to care) were attempted prior to the administration of as needed antianxiety medications (psychotropic medication used to treat anxiety) for one of 25 residents reviewed (Resident 47).
  8. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on review of facility policies, manufacturer's instructions, and clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain a medication error rate of less than five percent.
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 5, 2025
    Inspectors wroteBased on review of facility policies, as well as observations and staff interviews, it was determined that the facility failed to ensure that medications were properly secured in the medication cart.
April 7, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 8, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to follow policy/protocols set forth regarding alerting the physician of a resident's change in condition, for one of three residents reviewed (Resident 3).
August 1, 2024Standard inspection, Complaint inspection · 15 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of work history reports and observations, as well as staff interviews, it was determined that the facility failed to ensure that food was served under sanitary conditions.
  2. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of the facility's plans of correction for previous surveys, and the results of the current survey, it was determined that the facility's Quality Assurance Performance Improvement (QAPI) committee failed to correct quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of facility policies, review of clinical records, observations, and staff interviews, it was determined that the facility failed to maintain the dignity of three of 33 residents reviewed (Residents 48, 65, 67) who had an indwelling urinary catheter.
  4. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to notify the resident and legal guardian in writing regarding the reason for hospitalization for two of 33 residents reviewed (Residents 19, 22).
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of the Resident Assessment Instrument (RAI) User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate comprehensive Minimum Data Set assessments for two of 33 residents reviewed (Residents 51, 64).
  6. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to develop comprehensive care plans that included specific and individualized interventions to address resident care needs for five of 33 residents reviewed (Residents 18, 21, 23, 66, 68).
  7. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for one of 33 residents reviewed (Resident 48).
  8. D
    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
    F661 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that a discharge summary, including a recapitulation of the resident's stay, was completed for one of two discharged residents reviewed (Resident 63).
  9. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physicians orders were followed for two of 33 residents reviewed (Residents 44, 68).
  10. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders were obtained for an indwelling urinary catheter for one of 33 residents reviewed (Resident 65).
  11. D
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of personnel files, as well as staff interviews, it was determined that the facility failed to ensure that nurse aide performance evaluations were completed annually based on hire dates for two of five nurse aides reviewed (Nurse Aide 2, Nurse Aide 5).
  12. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of manufacturer's instructions, facility policies, and clinical records, as well as observations and staff interviews, it was determined that the facility failed to label multi-dose containers of eye drops with the date they were opened in one of two medication carts reviewed (Cart 2).
  13. D
    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.
    F849 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of facility policies and residents' clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the designated interdisciplinary team member obtained the required information from the contracted hospice provider for two of 33 residents reviewed (Residents 29, 34) who received hospice services.
  14. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on review of established infection control guidelines, facility policy, and residents' clinical records, as well as observations and staff interviews, it was determined that the facility failed to follow infection control guidelines from the Centers for Medicare/Medicaid Services (CMS) and the Centers for Disease Control (CDC) to reduce the spread of infections and prevent cross-contamination for one of 33 residents reviewed (Resident 21).
  15. D
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 23, 2024
    Inspectors wroteBased on a review of a list of nurse aides currently employed by the facility, including their hire dates and training hours, as well as staff interviews, it was determined that the facility failed to ensure that nurse aides had 12 hours of in-service training annually for three of five nurse aides reviewed (Nurse Aide 1, Nurse Aide 2, Nurse Aide 3).
March 27, 2024Complaint inspection · 2 citations
  1. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 22, 2024
    Inspectors wroteBased on review of policies, resident council meeting minutes, and facility grievance/complaint logs, as well as staff interviews, it was determined that the facility failed to follow its grievance policies regarding maintaining a log of all grievances received and failed to ensure that grievances were responded to in a timely manner for one of seven residents reviewed (Resident 4), and failed to include the steps taken to investigate the grievance, a summary of the pertinent findings or conclusion regarding the resident's concerns, or any corrective action taken or to be taken by the facility as a result of the grievance for one of seven residents reviewed (Resident 7).
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 22, 2024
    Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's care plan was updated/revised to reflect the resident's specific care needs for one of seven residents reviewed (Resident 2).

Fire safety inspections

9 fire safety citations on file: 1 on June 17, 2026, 2 on July 2, 2025, 6 on August 1, 2024.

Every fire safety citation9 citations
  1. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 17, 2026 · Corrected (the home has a date of correction)
  2. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · July 2, 2025 · Corrected (the home has a date of correction)
  3. E
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 2, 2025 · Corrected (the home has a date of correction)
  4. F
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · August 1, 2024 · Corrected (the home has a date of correction)
  5. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 1, 2024 · Corrected (the home has a date of correction)
  6. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · August 1, 2024 · Corrected (the home has a date of correction)
  7. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 1, 2024 · Corrected (the home has a date of correction)
  8. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 1, 2024 · Corrected (the home has a date of correction)
  9. C
    Implement emergency and standby power systems.
    E 41 · August 1, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homePennsylvaniaUnited States
All nursing staff (RN, LPN and aides)3.533.893.86
Registered nurses1.000.790.69
All nursing staff on weekends3.193.533.42
Nurse aides1.80
Licensed practical nurses0.72
Nursing staff turnover (share who left in a year)36.1%44.5%45.8%
Registered nurse turnover27.8%39.9%42.9%
Administrators who left0

CMS expects 4.50 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.67 on weekdays and 3.19 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.58 in April to June 2025 to 3.53 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.531.003.673.19 2.7%0 of 9064
Oct to Dec 20253.500.963.633.18 4.6%0 of 9265
Jul to Sep 20253.531.103.673.17 7.2%0 of 9263
Apr to Jun 20253.581.203.743.17 8.5%0 of 9159
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Pennsylvania, Jan to Mar 20263.690.653.823.3411.3%0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homePennsylvaniaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.716.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.51.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.43.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.41.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.717.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.24.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
26.317.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.122.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.29.512.0

Owners and operators

Legal business name: BEDFORD SNF HEALTHCARE LLC. CMS links this home to PACS Group, a group of 275 nursing homes averaging 2.9 stars overall.

NameRoleTypeShareSince
Apt, FrederickManaging control - governing bodyIndividual11/01/2024
Jergensen, JoshuaManaging control - governing bodyIndividual11/01/2024
Mitchell, JohnManaging control - governing bodyIndividual11/01/2024
Apt, FrederickOperational/managerial controlIndividual11/01/2024
Fisher, MariaOperational/managerial controlIndividual11/01/2024
Jergensen, JoshuaOperational/managerial controlIndividual11/01/2024
Mitchell, JohnOperational/managerial controlIndividual11/01/2024
Fisher, MariaAdp of the SNFIndividual11/01/2024
Hancock, MarkAdp of the SNFIndividual11/01/2024
Murray, JasonAdp of the SNFIndividual11/01/2024
Zubak, GeorgeAdp of the SNFIndividual11/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on June 17, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on June 17, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on June 17, 2026: "Ensure each resident receives an accurate assessment."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 6 problems in this area, most recently on June 17, 2026: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.19 hours per resident per day, below the Pennsylvania average of 3.53.

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Common questions

What is Bedford Post Acute's Medicare star rating?
CMS rates Bedford Post Acute 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bedford Post Acute get at its last inspection?
12 health deficiencies at the standard inspection on June 17, 2026. The Pennsylvania average is 10.
Has Bedford Post Acute been fined?
CMS lists no fines in the last three years.
Does Bedford Post Acute accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Bedford Post Acute?
CMS lists 11 owners and managers, and links the home to PACS Group. Legal business name: BEDFORD SNF HEALTHCARE LLC.

Sources

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