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Dubois Nursing Home

212 S. Eighth St., Dubois, PA 15801 · Clearfield County · (814) 375-9100

140 certified beds, about 129 residents a day · Non profit - Corporation · Medicare and Medicaid since 1979

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
1 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 395430 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 30, 2026, inspectors cited 13 health deficiencies (the Pennsylvania average is 10, the national average 9.2).

Of 50 health citations since January 2024, 5 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $17,225 in the last three years; the largest was $8,824, and the latest is dated April 10, 2024.

Nurses and nurse aides worked 3.38 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.

57.9% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).

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 50 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
5G
0H
0I
Potential for more than minimal harm
32D
13E
0F
Potential for minimal harm
0A
0B
0C
July 22, 2026Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · 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) August 6, 2026
    Inspectors wroteBased on review of clinical records and shower schedules, as well as staff interviews, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for four of seven residents reviewed (Residents 2, 4, 6 and 7).
April 30, 2026Standard inspection, Complaint inspection · 13 citations
  1. G
    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.
    F742 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to implement interventions to prevent physical and verbal behaviors, and/or failed to develop and implement new interventions to address ongoing physical and verbal behaviors for two of 44 residents reviewed (Residents 8, 68) resulting in psychosocial harm for one resident (Resident 68).
  2. E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that non pharmalogical interventions were attempted prior to the administration of a psychotropic medication for one of 44 residents reviewed (Resident 75).
  3. E
    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, pattern · Corrected (the home has a date of correction) July 21, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders were followed for three of 44 residents reviewed (Residents 6, 8, 11) and failed to ensure that laboratory test results for monitoring anticoagulant medications were reported to the physician which resulted in a delay in treatment for one of 44 residents reviewed (Resident 123).
  4. E
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to flush an intravenous (IV) line as ordered by the physician for one of 44 residents reviewed (Resident 134).
  5. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 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 it was free from significant medication errors for two of 44 residents reviewed (Residents 19, 145).
  6. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on review of policies, as well as observations and interviews with residents and staff, it was determined that the facility failed to serve food that was palatable and at proper temperatures.
  7. 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) June 10, 2026
    Inspectors wroteBased on a review of cleaning schedules, as well as observations and staff interviews, it was determined that the facility failed to store and prepare food under sanitary conditions.
  8. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on review of established infection control guidelines and 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 44 residents reviewed (Resident 145).
  9. 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) June 10, 2026
    Inspectors wroteBased on review of facility policy and clinical records, as well as staff interviews, it was determined that the facility failed to develop a comprehensive care plan that included specific and individualized interventions to address the care needs for one of 44 residents reviewed (Resident 11)
  10. 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) June 10, 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 review and revise residents' care plans for two of 44 residents reviewed (Residents 5, 86).
  11. 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) June 10, 2026
    Inspectors wroteBased on clinical record reviews, observations, and staff interviews, it was determined that the facility failed to ensure that each resident received assistive devices to prevent accidents for one of 44 residents reviewed (Resident 75).
  12. 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) June 10, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to change an indwelling urinary catheter as ordered by the physician for one of 44 residents reviewed (Resident 137).
  13. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 10, 2026
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to notify the physician of laboratory test results for one of 44 residents reviewed (Resident 123).
March 3, 2026Complaint inspection · 2 citations
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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) April 7, 2026
    Inspectors wroteBased on review of facility policy and clinical records, as well as observations and staff interviews, it was determined that the facility failed to provide appropriate respiratory care for one of seven residents reviewed (Resident 5).
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 7, 2026
    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 seven residents reviewed (Resident 7).
February 6, 2026Complaint inspection · 3 citations
  1. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · 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) March 10, 2026
    Inspectors wroteBased on review clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that residents were provided with proper colostomy care for one of four residents reviewed (Resident 4).
  2. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · 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) March 10, 2026
    Inspectors wroteBased on review of facility policy and clinical records, as well as observations staff interviews, it was determined that the facility failed to provide adequate treatment and care for a peripherally inserted central catheter (PICC - a thin tube that's inserted through a vein in your arm and passed through to the larger veins near your heart) for one of four residents reviewed (Resident 4).
  3. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · 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) March 10, 2026
    Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that residents' clinical records were complete and accurately documented for one of four residents reviewed (Resident 1).
January 2, 2026Complaint inspection · 2 citations
  1. G
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2026
    Inspectors wroteBased on review of Pennsylvania's Nursing Practice Act, clinical records and staff interviews, it was determined that the facility failed to enter a new resident's physician's orders into the electronic health record which caused the resident to miss two doses of insulin resulting in hospitalization for elevated blood sugars, for one of five residents reviewed (Resident 3).
  2. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 28, 2026
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents received care and treatment in accordance with professional standards of practice, by failing to ensure that physician's orders were followed for one of five residents reviewed (Resident 3).
November 21, 2025Complaint inspection · 1 citation
  1. D
    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.
    F584 · 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) January 28, 2026
    Inspectors wroteBased on review of facility policies, as well as observations and staff interviews, it was determined that the facility failed to provide a clean and homelike environment in residents' rooms for 10 of 14 residents reviewed (Residents 3 and 7).
September 9, 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) October 29, 2025
    Inspectors wroteBased on review of facility policy and clinical record reviews, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders for dressing changes were followed for one of three residents reviewed (Resident 2).
May 15, 2025Standard inspection · 13 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) June 24, 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 a resident's environment remained free of accident hazards by failing to ensure care-planned interventions were in place for one of 49 residents reviewed (Resident 17) who were at risk for falls, and failed to ensure that other residents' environment remained free of accident hazards from a resident with aggressive behaviors for one of 49 residents reviewed (Resident 93).
  2. E
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of facility policies and clinical record, as well as and staff interviews, it was determined that the facility failed to provide appropriate treatment and services for two of 49 residents reviewed (Residents 38, 93) who had dementia.
  3. E
    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, pattern · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of 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 49 residents reviewed (Resident 62).
  4. 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) June 24, 2025
    Inspectors wroteBased on clinical record reviews, as well as resident and staff interviews, it was determined that the facility failed to develop an individualized care plan for three of 49 residents reviewed (Residents 26, 48, 110).
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on clinical record review, as well as staff interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards for two of 49 residents reviewed (Residents 62, 126).
  6. 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) June 24, 2025
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that medications were provided as ordered by the physician for one of 49 residents reviewed (Resident 62).
  7. 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) June 24, 2025
    Inspectors wroteBased on review of facility policies, clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that residents received proper care for indwelling urinary catheters for three of 49 residents reviewed who had an indwelling urinary catheter (Residents 55, 59, 106).
  8. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to flush a peripherally-inserted central catheter (PICC, a long, thin tube that is inserted through a vein in the arm and passed through to the larger veins near the heart), and a midline (a thin soft tube that's inserted through a vein in the arm and passed through to where the tip is at or near armpit level) as ordered by the physician for one of 49 residents reviewed (Resident 96).
  9. 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) June 24, 2025
    Inspectors wroteBased on review of nurse aides' dates of hire and their most recent performance review dates, it was determined that the facility failed to complete annual nurse aide performance evaluations for two of three nurse aides reviewed (Nurse Aides 6, 7).
  10. D
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on a review of facility policies and information provided by the facility, as well as observations and staff interviews, it was determined that the facility failed to serve food items at appetizing temperatures.
  11. 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) June 24, 2025
    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.
  12. 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) June 24, 2025
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to maintain their infection prevention and control program for hand hygiene during wound care for one of 49 residents reviewed (Resident 59).
  13. D
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 24, 2025
    Inspectors wroteBased on review of policies and cleaning schedules/documents, as well as observations and staff interviews, it was determined that the facility failed to ensure that essential kitchen equipment was maintained in a safe operating condition.
August 27, 2024Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · 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) September 6, 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 the resident's responsible party was notified about a resident requiring oxygen for one of five residents reviewed (Resident 2).
June 27, 2024Standard inspection · 11 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on review of facility policy 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 the care needs for three of 40 residents reviewed (Residents 50, 62, 101).
  2. E
    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, pattern · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to review and revise residents' care plans for five of 40 residents reviewed (Residents 2, 10, 22, 48, 105).
  3. 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 16, 2024
    Inspectors wroteBased on review of facility policies, clinical records, and facility investigation reports, as well as observations and staff interviews, it was determined that the facility failed to provide an environment that was free of accident hazards for residents who were at risk for falls, by failing to follow physician-ordered and care-planned interventions for one of 40 residents reviewed (Resident 50), resulting in a fall; failed to ensure resident safety during transportation in a wheelchair for two of 40 residents reviewed (Residents 60, 80); and failed to ensure that air mattresses were assessed for potential safety hazards for one of 40 residents reviewed (Resident 61).
  4. 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) August 16, 2024
    Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interviews, it was determined that the facility failed to enhance each resident's dignity by failing to provide clean durable medical equipment for one of 40 residents reviewed (Resident 105).
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on clinical record reviews, observations, and staff interviews, it was determined that the facility failed to accommodate the residents' needs by failing to ensure the proper positioning needed for eating for one of 40 residents reviewed (Resident 10) who had nutritional and self-care concerns.
  6. 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 16, 2024
    Inspectors wroteBased on review of clinical record reviews, as well as staff interviews, it was determined that the facility failed to ensure that physician's orders for a maintenance nursing program were followed for one of 40 residents reviewed (Resident 22) and failed to complete wound treatments as ordered for one of 40 residents reviewed (Resident 48).
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that treatments for pressure ulcers were provided as ordered by the physician for one of 40 residents reviewed (Resident 2).
  8. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on review of facility policies and clinical records, as well as staff interview, it was determined that the facility failed to ensure that residents were assessed and received trauma-informed care to eliminate or mitigate triggers for residents with the diagnosis of Post Traumatic Stress Disorder (PTSD - a mental and behavioral disorder that develops related to a terrifying event) for one of 40 residents reviewed (Resident 50).
  9. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 16, 2024
    Inspectors wroteBased on clinical record reviews, and staff interviews, it was determined that the facility failed to provide appropriate treatment and services for one of 40 residents reviewed (Resident 30) who had dementia.
  10. 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) August 16, 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 maintain compliance with nursing home regulations and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
  11. 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) August 16, 2024
    Inspectors wroteBased on review of established infection control guidelines 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 40 residents reviewed (Residents 17).
April 10, 2024Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on review of investigation documents and residents' clinical records, as well as staff interviews, it was determined that the facility failed to maintain a safe environment for one of five residents reviewed (Resident 2), resulting in a fall with fracture. This deficiency was cited as past non-compliance.
January 11, 2024Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on review of facility policies, investigation reports, clinical records, and staff education records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from abuse or neglect caused by staff failing to properly secure a resident in a motor vehicle, which led to a resident sustaining a facial fracture for one of five residents reviewed (Resident 2). This deficiency will be cited as past noncompliance.

Fire safety inspections

6 fire safety citations on file: 2 on May 15, 2025, 4 on June 27, 2024.

Every fire safety citation6 citations
  1. D
    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 · May 15, 2025 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 15, 2025 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 27, 2024 · Corrected (the home has a date of correction)
  4. C
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 27, 2024 · Corrected (the home has a date of correction)
  5. C
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · June 27, 2024 · Corrected (the home has a date of correction)
  6. B
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 27, 2024 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
April 10, 2024Fine $8,401
January 11, 2024Fine $8,824

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)3.383.893.86
Registered nurses0.550.790.69
All nursing staff on weekends2.913.533.42
Nurse aides1.98
Licensed practical nurses0.84
Nursing staff turnover (share who left in a year)57.9%44.5%45.8%
Registered nurse turnover31.3%39.9%42.9%
Administrators who leftnot reported

CMS expects 3.41 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 3.57 on weekdays and 2.91 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 31.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.38 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.380.553.572.91 31.5%0 of 90129
Oct to Dec 20253.620.623.793.21 35.3%0 of 92124
Jul to Sep 20253.780.543.943.38 36.6%0 of 92123
Apr to Jun 20253.760.563.943.32 24.6%0 of 91118
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
20.416.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.11.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.73.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.71.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.317.014.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.94.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
29.317.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
22.822.523.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
10.49.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.81.61.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.21.8

Owners and operators

Legal business name: DUBOIS CONTINUUM OF CARE COMMUNITY, INC..

NameRoleTypeShareSince
Brown, KarenContracted managing employeeIndividual04/01/2021
Tami, MarkContracted managing employeeIndividual04/25/2022
Adams, JohnCorporate directorIndividual09/01/1997
Adamson, DennisCorporate directorIndividual09/01/2017
Allison, KelliCorporate directorIndividual01/11/2023
Clement, MichaelCorporate directorIndividual02/01/2021
Javens, RobertCorporate directorIndividual03/01/2017
Johnston, KristieCorporate directorIndividual08/13/2014
Kirsch, RichardCorporate directorIndividual09/01/2017
Martella, DennisCorporate directorIndividual03/11/2009
Oberlin, JohnCorporate directorIndividual02/11/2015
Clement, MichaelCorporate officerIndividual01/11/2023
Javens, RobertCorporate officerIndividual01/01/2021
Johnston, KristieCorporate officerIndividual01/11/2023
Oberlin, JohnCorporate officerIndividual01/01/2019
Chr Consulting Services IncOperational/managerial controlOrganization04/25/2022
Complete Healthcare Resources-Eastern, Inc.Operational/managerial controlOrganization10/01/1999

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 22 problems in this area, most recently on July 22, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on April 30, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  3. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on April 30, 2026: "Provide and implement an infection prevention and control program."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 21, 2025: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the Pennsylvania average of 3.53.

Other nursing homes nearby

Pennsylvania contacts for a concern about a nursing home

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Common questions

What is Dubois Nursing Home's Medicare star rating?
CMS rates Dubois Nursing Home 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Dubois Nursing Home get at its last inspection?
13 health deficiencies at the standard inspection on April 30, 2026. The Pennsylvania average is 10.
Has Dubois Nursing Home been fined?
Yes. CMS lists 2 fines totaling $17,225 in the last three years.
Does Dubois Nursing Home 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 Dubois Nursing Home?
CMS lists 17 owners and managers. Legal business name: DUBOIS CONTINUUM OF CARE COMMUNITY, INC..

Sources

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