Home / Pennsylvania / Johnstown
Heritage Ridge Senior Living at Johnstown
807 Goucher Street, Johnstown, PA 15905 · Cambria County · (814) 255-6844
63 certified beds, about 61 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1979
CMS abuse icon: cited for abuse in a recent inspection Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395439 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 14, 2026, inspectors cited 10 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 68 health citations since January 2024, 4 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $22,289 in the last three years; the largest was $11,465, and the latest is dated April 14, 2026.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
41.4% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Continuum Healthcare, an affiliated group of 13 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.
101/24
1402/24
105/24
408/24
309/24
110/24
212/24
101/25
1802/25
104/25
207/25
1001/26
804/26
205/26
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 68 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
43D
21E
0F
Potential for minimal harm
0A
0B
0C
May 13, 2026Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of the Pennsylvania Nursing Practice Act and 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 obtain urine culture results timely for treatment of a urinary tract infection, resulting in a delay in treatment for one of five residents reviewed (Resident 1).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on review of facility policies, clinical records, observations, shower schedules, as well as staff and resident interviews, it was determined that the facility failed to ensure that residents were provided with showers as scheduled for two of five residents reviewed (Residents 3 and 5).
April 14, 2026Complaint inspection · 8 citations
- K Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on a review of facility policies, clinical records, grievances, and resident and staff interviews, it was determined that the facility failed to promptly take measures necessary to protect residents from sexual abuse after abuse was identified for four of 15 residents reviewed (Residents 1, 6, 7, 14). This failure placed the residents in immediate jeopardy due to the actual sexual abuse that already occurred, as well as the potential for further sexual abuse to occur.
- G Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of facility policies, personnel files, clinical records, and grievances filed by residents, as well as resident, family and staff interviews, it was determined that the facility failed to implement its abuse policy by not immediately protecting residents who were at risk of sexual abuse, which led to three more residents being sexually abused by a staff member for four of 15 residents reviewed (Residents 1, 6, 7, 14).
- G Respond appropriately to all alleged violations.
Inspectors wroteBased on review of policies, clinical records, family member interview, resident interviews, and staff interviews, it was determined that the facility failed to complete thorough investigations of incidents to rule out sexual abuse, which led to three more residents being sexually abused by a staff member for four of 15 residents reviewed (Residents 1, 6, 7, 14).
- E Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on review of job descriptions and the deficiencies cited during the current survey, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to assume responsibility for effective management of the facility to ensure that the residents' environment remained free of abuse. Based on review of job descriptions and the deficiencies cited during the current survey, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to assume responsibility for effective management of the facility to ensure that the residents' environment remained free of abuse.
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on a review of facility policies, clinical record review, and resident and staff interviews, it was determined that the facility failed to provide care in a manner that maintained dignity for one of 15 residents reviewed (Resident 6).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of policies, clinical records, observations, resident interviews, and staff interviews, it was determined that the facility failed to report multiple incidents of alleged sexual abuse for four of 15 residents reviewed (Residents 1, 6, 7, 14).
- D Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that the Pulmonologist wrote, signed, and dated progress notes with each visit for one of 15 residents reviewed (Resident 2).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to ensure the accountability of controlled medications for one of 15 residents reviewed (Resident 1). Based on review of facility policy, clinical records and staff interviews, it was determined that the facility failed to ensure the accountability of controlled medications for one of 15 residents reviewed (Resident 1).
January 14, 2026Standard inspection · 10 citations
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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 residents medication regimen was free from unnecessary psychotropic medication (drugs that affect a person's mental state, emotions, and behavior) for two of 33 residents reviewed (Residents 20 and 39).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 medications were provided as ordered by the physician for three of 33 residents reviewed (Resident 6, 9, 28).
- E Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on review of clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that residents received proper care for nephrostomy tubes (a small, flexible catheter inserted through the skin in the back directly into the kidney to drain urine when there's a blockage in the urinary system) for one of 33 residents reviewed who had nephrostomy tubes (Resident 4).
- E Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a peripherally inserted central catheter (PICC- a thin, flexible tube that is inserted into a vein in the upper arm) was flushed according to facility policy for one of 33 residents reviewed (Resident 9).
- E Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to obtain laboratory studies as ordered by the physician for one of 33 residents reviewed (Resident 13).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to serve palatable food that was at appropriate temperatures.
- D Ensure each resident receives an accurate assessment.
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 33 residents reviewed (Residents 4 and 41).
- 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.
Inspectors wroteBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to discard a multi-use vial of Tubersol (solution used to detect tuberculosis infection) and an expired multidose medication for one resident (Resident 10) in one of one medication rooms reviewed.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on a review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to maintain clinical records that were complete and accurately documented for one of 33 residents reviewed (Resident 42).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
July 8, 2025Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of facility policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure neurological assessments including vital signs and neurological checks were completed following an unwitnessed fall for three of seven residents reviewed (Residents 1, 2, and 6).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
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 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 seven residents reviewed (Resident 6).
April 17, 2025Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to complete a thorough investigation for an incident that occurred for one of four residents reviewed (Resident 2).
February 12, 2025Standard inspection · 18 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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 care and treatment for five of 29 residents reviewed (Resident 1, 24, 26, 37, 38).
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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 monthly pharmacy medication reviews were completed for seven of 29 residents reviewed (Residents 16, 21, 23, 26, 33, 38, 50).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on review of facility policy, observations, and staff interviews, it was determined that the facility failed to serve palatable food that was at appropriate temperatures.
- D 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.
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 the resident and/or resident representative had an opportunity to develop an advance directive (instructions regarding the provision of health care when the resident is incapacitated) or assist in formulating an advance directive for one of 29 residents reviewed (Resident 33).
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on a review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a resident's attending physician was notified about medication refusals of insulin and requests to speak to the physician for one of 29 residents reviewed (Resident 26).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to notify the resident and/or resident's representative and the ombudsman in writing of the transfer and reason for hospitalization for four of 29 residents reviewed (Residents 13, 23, 33, 37).
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on review of clinical records, as well as staff interviews, it was determined that the facility failed to provide a written notice of the facility's bed-hold policy to the resident and/or the resident's representative at the time of a transfer for four of 29 residents reviewed (Residents 13, 23, 33, 37).
- D Ensure each resident receives an accurate assessment.
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 six of 29 residents reviewed (Residents 9, 17, 21, 26, 37, 42).
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on facility policies and clinical record reviews, as well as staff interviews, it was determined that the facility failed to ensure that resident-centered care plans were developed and implemented for three of 29 residents reviewed (Residents 7, 16, 33).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 two of 29 residents reviewed (Residents 9, 13).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of clinical records and staff interviews, it was determined that the facility failed to ensure that assistance devices to prevent accidents or injury were in place for three of 29 residents reviewed (Residents 13, 17, 24)
- 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.
Inspectors wroteBased on review of facility policies and 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 (a flexible catheter used to drain urine from the bladder into a drainage collection bag) and nephrostomy tubes (thin, flexible tube inserted into the kidney through the skin to drain urine directly into a collection bag) for two of 29 residents reviewed (Residents 1, 37).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of facility 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 29 residents reviewed (Resident 26).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on a review of facility policies, clinical records, and staff interviews, it was determined that the facility failed to ensure that it was free from significant medication errors for one of 29 residents reviewed (Resident 21).
- 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.
Inspectors wroteBased on review of facility policies, observations, and staff interviews, it was determined that the facility failed to properly label a multi-use vial of Aplisol in one of one medication room reviewed.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to obtain laboratory services as ordered by the physician for one of 29 residents reviewed (Resident 1).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to use proper infection control practices to reduce the spread of infections and prevent cross-contamination for one of 29 residents reviewed (Resident 1).
January 23, 2025Complaint inspection · 1 citation
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on review of facility policies and written menus, as well as observations and staff and resident interviews, it was determined that the facility failed to ensure that dietary staff served the planned portion sizes and had condiments available per resident preference.
December 18, 2024Complaint inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of facility policies, as well as observations and staff interviews, it was determined that the facility failed to store and prepare food in accordance with professional standards for food service safety by failing to store food under sanitary conditions, failing to ensure that food was served under sanitary conditions, and by failing to properly label and date refrigerated and frozen foods.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on 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.
October 24, 2024Complaint inspection · 1 citation
- D Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on review of written menus, as well as observations and staff interviews, it was determined that the facility failed to ensure that dietary staff served the planned portion sizes.
September 18, 2024Complaint inspection · 3 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of facility policies and residents' clinical records, as well as staff interviews, it was determined that the facility failed to review and revise care plans for two of five residents reviewed (Residents 2, 4).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, as well as interviews with facility staff and residents, it was determined that the facility failed to ensure that dentures were in place to maintain the ability to chew foods for one of five residents reviewed (Resident 4).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to to ensure that food items stored in the nutrition room were labeled, dated, and secured, and that outdated foods were discarded.
August 5, 2024Complaint inspection · 4 citations
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of policies, investigation reports, and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from neglect for one of three residents reviewed (Resident 3), resulting in a large laceration that required surgical intervention and repair.
- D Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on review of the facility's policies, documents, and residents' clinical records, as well as staff interviews, it was determined that the facility failed to provide timely medical record access to residents and/or their legal representative for one of seven residents reviewed (Resident 2).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to initiate and conduct a thorough investigation to rule out neglect for one of seven residents reviewed (Resident 5).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on review of facility policy, clinical records, and investigation documents, as well as staff interviews, it was determined that the facility failed to ensure that clinical records were complete and accurately documented for one of seven residents reviewed (Resident 3).
May 14, 2024Complaint inspection · 1 citation
- E 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.
Inspectors wroteBased on review of policies, clinical records, and facility grievance forms, as well as staff interviews, it was determined that the facility's policy failed to indicate a reasonable expected time frame for completing the review of the grievances, and that the facility failed to make prompt efforts to resolve a grievance by not having documented evidence of 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 eight of 11 residents reviewed (Residents 4 through 11).
February 29, 2024Standard inspection · 14 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record reviews, observations, and staff interviews, it was determined that the facility failed to complete safety assessments to ensure that the use of air mattresses did not create safety hazards for four of 25 residents reviewed (Residents 22, 25, 31, 33).
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to initiate nutritional interventions to prevent weight loss for one of 25 residents reviewed (Resident 11).
- E Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on a review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that a tube feeding was documented in accordance with the facility's policy and the resident's care plan for one of 25 residents reviewed (Resident 13).
- E Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on review of facility contracts and clinical records, and staff interview, it was determined that the facility failed to maintain records relating to dialysis communication and collaboration for one of one residents reviewed for dialysis (Resident 37).
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on review of facility policy 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 three of 25 residents reviewed (Residents 22, 31, 33).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, as well as resident and staff interviews, it was determined that the facility failed to serve food items that were palatable.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on review of policies, as well as observations and staff interviews, it was determined that the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to provide the required notice to the resident or the resident's representative following the end of their Medicare coverage for three of three residents reviewed (Residents 10, 39, 146) who remained in the facility for long-term care.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that resident-centered care plans were developed and implemented for two of 25 residents reviewed (Residents 13, 25).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to review and revise care plans for one of 25 residents reviewed (Resident 25).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that physician's orders were followed regarding a resident's enteral feeding (feeding through a tube inserted directly into the stomach) and calorie count for one of 25 residents reviewed (Resident 22) and failed to obtain and document a pain level every shift for one of 25 residents reviewed (Resident 33).
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on review of clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that the medication error rate was less than five percent.
- 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.
Inspectors wroteBased on observations and staff interviews, it was determined that the facility failed to ensure that labeling of medication matched physician's orders for three of 25 residents reviewed (Residents 20, 28, 33).
January 31, 2024Complaint inspection · 1 citation
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record reviews and staff interviews, it was determined that the facility failed to ensure that the physician was notified about the unavailability of medications for two of five residents reviewed (Residents 1, 3).
Fire safety inspections
12 fire safety citations on file: 1 on January 14, 2026, 2 on February 12, 2025, 9 on February 29, 2024.
Every fire safety citation12 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Install corridor and hallway doors that block smoke.
- F Implement emergency and standby power systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
- C Conduct testing and exercise requirements.
- C Have simulated fire drills held at unexpected times.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 14, 2026 | Fine | $11,465 |
| August 5, 2024 | Fine | $10,824 |
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.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.64 | 3.89 | 3.86 |
| Registered nurses | 0.84 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.57 | 3.53 | 3.42 |
| Nurse aides | 1.83 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 41.4% | 44.5% | 45.8% |
| Registered nurse turnover | 23.1% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.60 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 3.57 on weekends, 3% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.64 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.64 | 0.84 | 3.67 | 3.57 | 3.1% | 0 of 90 | 61 |
| Oct to Dec 2025 | 3.54 | 0.84 | 3.62 | 3.33 | 8.5% | 0 of 92 | 60 |
| Jul to Sep 2025 | 3.45 | 0.86 | 3.59 | 3.09 | 2.1% | 0 of 92 | 61 |
| Apr to Jun 2025 | 3.44 | 0.98 | 3.60 | 3.05 | 0.0% | 0 of 91 | 59 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Pennsylvania, Jan to Mar 2026 | 3.69 | 0.65 | 3.82 | 3.34 | 11.3% | 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.
| Measure | This home | Pennsylvania | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.2 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.3 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.2 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 34.3 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.0 | 9.5 | 12.0 |
Owners and operators
Legal business name: JOHNSTOWN PA OPCO LLC. CMS links this home to Continuum Healthcare, a group of 13 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bruckstein, Daniel | Indirect ownership interest | Individual | 06/01/2023 | |
| Johnstown Pa Propco LLC | 5% or greater mortgage interest | Organization | 06/01/2023 | |
| Litman, Warren | Corporate director | Individual | 06/01/2024 | |
| Dorn, Cheryl | Corporate officer | Individual | 06/01/2023 | |
| Mandelbaum, Daniel | Corporate officer | Individual | 06/01/2023 | |
| Continuum Healthcare I Inc | Operational/managerial control | Organization | 06/01/2023 | |
| Berlingo, Ronald | Operational/managerial control | Individual | 06/01/2023 | |
| Dorn, Cheryl | Operational/managerial control | Individual | 06/01/2023 | |
| Fockler, Craig | Operational/managerial control | Individual | 06/01/2023 | |
| Litman, Warren | Operational/managerial control | Individual | 06/01/2024 | |
| Mandelbaum, Daniel | Operational/managerial control | Individual | 06/01/2023 | |
| Continuum Healthcare I Inc | Adp of the SNF | Organization | 06/30/2025 | |
| Johnstown Pa Propco LLC | Adp of the SNF | Organization | 06/01/2023 | |
| Berlingo, Ronald | Adp of the SNF | Individual | 06/01/2023 | |
| Bruckstein, Daniel | Adp of the SNF | Individual | 06/01/2023 | |
| Fockler, Craig | Adp of the SNF | Individual | 06/01/2023 |
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.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 14 problems in this area, most recently on May 13, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- When is the care plan meeting, and can family attend it?Inspectors cited 10 problems in this area, most recently on May 13, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 10 problems in this area, most recently on April 14, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on April 14, 2026: "Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions."
Other nursing homes nearby
- Quality Life Services - Westmont Johnstown, 0.1 mi · 3 of 5 stars · 30 citations
- Hilltop Heights Health & Rehab Center Johnstown, 1.5 mi · 1 of 5 stars · 75 citations
- Conemaugh Memorial Medical Center Tcu Johnstown, 2 mi · 5 of 5 stars · 5 citations
- Concordia at Arbutus Park Johnstown, 4 mi · 3 of 5 stars · 27 citations
- Laurel View Village Davidsville, 4.4 mi · 3 of 5 stars · 18 citations
- Richland Nursing and Rehab Johnstown, 6.4 mi · 2 of 5 stars · 37 citations
- Windber Woods Senior Living & Rehabilitation Ctr Windber, 6.9 mi · 2 of 5 stars · 50 citations
- Maple Winds Healthcare and Rehabilitation, LLC Portage, 15.5 mi · 2 of 5 stars · 62 citations
Pennsylvania contacts for a concern about a nursing home
These are the official offices in Pennsylvania. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Pennsylvania Department of Health, Division of Nursing Care Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Pennsylvania Long-Term Care Ombudsman Program, Department of Aging, 717-783-8975. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Pennsylvania Department of Health Nursing Care Facility Locator, where Pennsylvania publishes its own records on licensed homes.
Common questions
- What is Heritage Ridge Senior Living at Johnstown's Medicare star rating?
- CMS rates Heritage Ridge Senior Living at Johnstown 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Ridge Senior Living at Johnstown get at its last inspection?
- 10 health deficiencies at the standard inspection on January 14, 2026. The Pennsylvania average is 10.
- Has Heritage Ridge Senior Living at Johnstown been fined?
- Yes. CMS lists 2 fines totaling $22,289 in the last three years.
- Does Heritage Ridge Senior Living at Johnstown 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 Heritage Ridge Senior Living at Johnstown?
- CMS lists 16 owners and managers, and links the home to Continuum Healthcare. Legal business name: JOHNSTOWN PA OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.