Home / Pennsylvania / Coal Township
Mountain View Rehabilitation and Senior Living Ctr
2050 Trevorton Road, Coal Township, PA 17866 · Northumberlnd County · (570) 644-4400
271 certified beds, about 185 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395045 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 1, 2026, inspectors cited 23 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 81 health citations since June 2024, 5 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $24,854 in the last three years; the largest was $14,015, and the latest is dated August 26, 2025.
Nurses and nurse aides worked 3.82 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
49.0% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Allaire Health Services, an affiliated group of 21 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.
1606/24
107/24
207/24
111/24
102/25
2705/25
105/25
107/25
108/25
209/25
302/26
2305/26
206/26
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 81 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
5G
0H
0I
Potential for more than minimal harm
48D
27E
1F
Potential for minimal harm
0A
0B
0C
June 26, 2026Complaint inspection · 2 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 a review of select facility policies and procedures, clinical record review, personnel record review, and staff interview, it was determined that the facility failed to protect a resident's right to be free from physical abuse by staff that resulted in actual harm with a serious injury of a rib fracture for one of seven residents reviewed (Resident 1).
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to provide written notice to a resident's responsible party before the resident's room change for one of seven residents reviewed (Resident 2).
May 1, 2026Standard inspection, Complaint inspection · 23 citations
- E 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 clinical record review and staff interview it was determined that the facility failed to ensure that active physician orders incorporated resident or appropriate resident representative's wishes related to end-of-life care for seven of 14 residents reviewed for advance directives concerns (Residents 2, 3, 6, 13, 14, 22, and 71).
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to thoroughly investigate and report to the appropriate agencies an incident of resident abuse for one of one resident reviewed for resident-to-resident abuse concerns (Resident 2); and failed to implement abuse prevention policies related to screening newly hired employees for three of five employees reviewed (Employees 4, 6, and 8).
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to provide a dependent resident with activities of daily living assistance for two of five residents reviewed (Residents 84 and 64).
- E Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, clinical record review, and resident, family, and staff interview, it was determined that the facility failed to ensure residents received proper treatment and assistive devices to maintain hearing abilities for three of five residents reviewed for vision/hearing concerns (Residents 3, 14, and 68).
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to implement interventions to prevent resident fall recurrence for one of nine residents reviewed for falls (Resident 3); and failed to ensure an environment free from potential accident hazards on three of four open nursing units (F Unit, Residents 3, 26, 68, 74, and 166; B and E common lounge area, and Cranberry common dining area).
- E Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of facility documentation, observation, clinical record review, and resident and staff interview, it was determined that the facility failed to implement interventions to promote acceptable parameters of nutrition for three of 13 residents reviewed for nutritional concerns (Residents 12, 18, and 84); and provide nutritional supplements as per the physician order to promote acceptable parameters of nutrition for three of 13 residents reviewed for nutritional concerns (Residents 29, 107, and 170).
- E Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to provide food in accordance with resident preference and physician ordered diets on one of four open nursing units (F Unit, Residents 4, 26, 71, 127, and 175).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to prepare/serve food items in accordance with professional standards of practice in the facility's main kitchen.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, observation, and resident, family, and staff interview, it was determined that the facility failed to ensure an environment free from the potential spread of infection on one of four open nursing units (F Unit, Residents 3, 4, 68, and 74).
- E 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.
Inspectors wroteBased on review of facility documentation and staff interview it was determined that the facility failed to maintain documentation of staff COVID-19 vaccination status, for two of two staff reviewed (Employees 27 and 28).
- 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.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to ensure a clean, comfortable, and homelike environment on two of four open nursing units (G unit emergency exit doorway, and F unit, Residents 4, 95, and 127).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to monitor the use of psychotropic medications for one of five residents reviewed for potentially unnecessary medications (Resident 2).
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, clinical record review, review of select facility documents, and staff and resident interview, it was determined that the facility failed to provide resident assistance to attend activities of interest for one of two residents reviewed for activities (Resident 140).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, review of facility documentation, and staff and resident interview, it was determined that the facility failed to provide the highest practical care regarding physician ordered medications, allergies, and devices for three of 35 residents reviewed (Residents 53, 116, and 140).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on a review of select facility policy and procedure, clinical record review, and staff interview, it was determined that the facility failed to provide care consistent with professional standards of practice, for a resident who required dialysis services for one of two residents reviewed for dialysis concerns (Resident 7).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to identify triggers related to a resident's diagnosis of Post-Traumatic Stress Disorder, to provide culturally, competent, trauma-informed care, and to eliminate or mitigate re-traumatization for one of one resident reviewed for mood and behaviors (Resident 9).
- D Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on review of facility documentation, and staff interview, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care and assessment of residents with indwelling catheters and assessments for two of four employees reviewed (Employees 31 and 32).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on employee personnel review and staff interview, it was determined that the facility failed to complete a performance evaluation of each nurse aide at least once every 12 months for two of three nurse aides reviewed (Employees 29 and 30). Findings Include: The facility noted the following hire dates for two current employees reviewed for performance evaluations: Employee 29's (nurse aide) hire date of May 20, 2018; and Employee 30's (nurse aide) hire date of April 28, 2025. [...]
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement an individualized person-centered care plan to address dementia and cognitive loss displayed by one of three residents reviewed (Resident 2).
- D 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 clinical record review and staff interview, it was determined that the facility failed to ensure that the resident's attending physician addressed and responded appropriately to pharmacy recommendations for three of five residents reviewed (Resident 18).
- 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 observation, and staff interview, it was determined that the facility failed to ensure that all drugs used in the facility are stored and disposed of in accordance with professional standards, on one of four nursing units (G nursing unit).
- D Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on a review of Quality Assurance and Performance Improvement (QAPI) meeting attendance and staff interview it was determined that the facility failed to ensure the committee consisted of the minimum members (Medical Director) at least quarterly.
- D Keep all essential equipment working safely.
Inspectors wroteBased on observations and staff interviews it was determined that the facility failed to ensure all electrical equipment was in safe operating condition (facility bathroom - kitchen).
February 26, 2026Complaint inspection · 3 citations
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to provide written notice, including the reason for the change, prior to moving a resident to another room, for 2 of 3 residents reviewed for room moves (Residents CR2 and 3).
- 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 clinical record review and staff interview, it was determined that the facility failed to notify the responsible party of a resident's change in condition requiring hospitalization for one of 12 residents reviewed (Resident CR2).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to maintain clinical records that were complete and accurate for four of 12 residents reviewed (Residents 1, 2, 8, and CR1). Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to maintain clinical records that were complete and accurate for two of 12 residents reviewed (Residents 1, 2, 8, and CR1).
September 17, 2025Complaint inspection · 2 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 clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to protect residents from staff neglect resulting in a fall from a wheelchair with serious injury for one of seven residents reviewed (Resident CR1). This deficiency is cited as past noncomplianceFindings include: Closed clinical record review for Resident CR1 revealed a diagnosis list that included vascular dementia (a type of dementia caused by reduced blood flow to the brain and leading to cognitive impairments such as memory loss, loss of judgment, and loss of complex motor skills). Review of facility documentation titled, Fall Risk, dated July 18, 2025, at 1:09 PM revealed that the facility assessed Resident CR1 as a score of 11, which indicated a category of High Risk. [...]
- 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.
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to provide a clean, comfortable, homelike environment on two of four nursing units (A and B Nursing Units), the facility chapel area, a common dining area, and the main kitchen.
August 26, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to implement interventions related to fall injury prevention and failed to provide adequate supervision resulting in a fall with injury for one of three residents reviewed (Resident CR1). This deficiency is cited as past noncomplianceFindings include: Closed clinical record review for Resident CR1 revealed a diagnosis list that included Alzheimer's Disease with Late Onset (a progressive brain disorder that affects memory, thinking, and language), the need for assistance with personal care, and lack of coordination. Review of facility documentation titled, Fall Risk, dated July 18, 2025, at 4:57 PM revealed that facility staff assessed the resident as a score of 10, which indicated a category of High Risk. [...]
July 14, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to provide the highest practicable care regarding elopements for one of one resident reviewed (Resident 1).
May 28, 2025Complaint inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to maintain clinical records that were complete, accurate, and readily accessible for one of five residents reviewed (Resident 1).
May 2, 2025Standard inspection, Complaint inspection · 27 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to store food and maintain food service equipment in accordance with professional standards for food service safety in the facility's main kitchen, and two of four open nursing units (F, G, and B).
- E 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.
Inspectors wroteBased on observation and staff and resident interview, it was determined that the facility failed to provide a clean, comfortable, homelike environment on two of four open nursing units (F Nursing Unit: Resident 114 and G Nursing Unit: Residents 148 and 131).
- E 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.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to complete restorative nursing programs related to range of motion for three of four residents reviewed (Residents 23, 47, and 151).
- E Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspectors wroteBased on a review of facility documentation, clinical record review, employee personnel record information, and staff and resident interview, it was determined that the facility failed to ensure that nursing staff possessed the specific competencies and skill sets related to medication administration, the care and assessment of residents with indwelling urinary catheters, gastrostomy tubes, and transfer techniques for two of three employees reviewed (Employees 3 and 5, G nursing unit: Residents 36, 104, 43, and 101).
- 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 clinical record review and staff interview, it was determined that the facility failed to ensure that the resident's attending physician addressed and responded appropriately to pharmacy recommendations for three of five residents reviewed (Residents 30, 48, and 133).
- E Provide or obtain dental services for each resident.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to obtain professional dental services for four of eight residents reviewed for dental concerns (Residents 43, 30, 47, and 133).
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to serve food that is palatable and attractive on three of four open nursing units (Nursing Units B, F, and G; Residents 60, 76, 100, 131, 151, 157, 170, and 172) and in one of two dining areas reviewed (Cranberry Dining Room; Residents 106 and 148).
- E Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Inspectors wroteBased on observation, review of facility scheduled mealtimes, and resident and staff interview, it was determined that the facility failed to ensure the provision of a nourishing (satisfying to the resident) evening snack when greater than 14 hours elapsed from the supper meal to breakfast on two of four open nursing units (F and G; Residents 8 and 43).
- E 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.
Inspectors wroteBased on a review of select facility policies and procedures, clinical record review, and staff interview, it was determined that the facility failed to offer and administer a COVID immunization for four of five residents reviewed for immunizations (Resident 47, 151, 31, and 133).
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to ensure an effective pest control program to ensure a pest free environment on three of four nursing units, and in the facility's main kitchen (Nursing Unit B, F and G; Residents 43, 60, 100, 114, 131, 148, 157, and 170).
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on clinical record review and resident, and staff interview, it was determined that the facility failed to develop and implement a discharge planning process to align with the resident's goals for one of two residents reviewed (Resident 60).
- 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 review and resident and staff interview, it was determined that the facility failed to implement a comprehensive person-centered care plan regarding a pacemaker (Resident 112) and percutaneous endoscopic gastrostomy tube (Resident 81) out of 35 residents reviewed. Findings Include: Clinical record review for Resident 81 revealed a current physician's order for bolus tube feedings and water through a percutaneous endoscopic gastrostomy tube (PEG tube, a type of medical tubing passed through the abdominal wall and into the stomach to facilitate feeding and hydration). Observation of Resident 81 on May 1, 2025, at 12:42 PM revealed that he had a capped PEG tube present in his abdomen. [...]
- 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 review, observation, and staff interview, it was determined that the facility failed to revise a resident's comprehensive care plan for one of 35 residents reviewed (Resident 104).
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to implement interventions to maintain mobility for one of one resident reviewed for rehabilitation concerns (Resident 61).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to ensure a dependent resident received assistance with shaving for one of four residents reviewed for activities of daily living concerns (Resident 129).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to implement a physician ordered positioning device for one of four residents reviewed for range of motion concerns (Resident 104).
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on clinical record review and resident and staff interview, it was determined that the facility failed to arrange vision practitioner services for one of three residents reviewed for vision and hearing concerns (Resident 129).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, clinical record review, and staff interview, it was determined that the facility failed to implement necessary treatment and services to promote healing for one of five residents reviewed for pressure ulcer concerns (Resident 104).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to implement an intervention to prevent potential resident injury for one of eight residents reviewed for falls (Resident 104).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to implement interventions to promote acceptable parameters of nutrition for two of eight residents reviewed (Residents 181 and 104).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on clinical record review, observation, and staff interview, it was determined that the facility failed to provide respiratory, and tracheostomy care consistent with professional standards of practice for one of one resident reviewed with a tracheostomy (Resident 81) and one of four residents reviewed for respiratory concerns (Resident 435).
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on clinical record review and staff and resident interview, it was determined that the facility failed to identify triggers related to a resident's diagnosis of Post-Traumatic Stress Disorder, to provide culturally, competent, trauma-informed care, and to eliminate or mitigate re-traumatization for one of four residents reviewed for mood/behavior (Resident 165).
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to develop and implement behavior health interventions that were individualized to attain or maintain the highest practical physical, mental, or psychosocial well-being for one of four residents reviewed for behavior concerns (Resident 135).
- 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 select facility policies and procedures, observation, clinical record review, and staff interview, it was determined that the facility failed to ensure adequate storage of medications and biologicals on one of four nursing units (F nursing unit); and failed to ensure accurate labeling of administered medication for one of nine residents observed during medication administration pass (Resident 101).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, and resident and staff interview, it was determined that the facility failed to implement transmission-based contact precautions for one of 35 residents reviewed (Resident 14) and failed to provide the highest practicable care regarding Enhanced Barrier Precautions for one of 35 residents reviewed (Resident 81).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to provide recommended pneumococcal immunizations for one of five residents reviewed for immunizations (Resident 47).
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on a review of employee personnel and education records and staff interview, it was determined that the facility failed to ensure that each nurse aide received 12 hours of in-service training annually for one of one nurse aide reviewed (Employee 5).
February 20, 2025Complaint inspection · 1 citation
- E 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.
Inspectors wroteBased on observation and staff interview, it was determined that the facility failed to provide a clean, comfortable, homelike environment on three of four nursing units ( A, B, and F Wing Nursing Units) and Chapel, (Residents 1, 7, 8, 9, and 10).
November 15, 2024Complaint inspection · 1 citation
- G 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 select facility policies and procedures, clinical record review, and resident and staff interview, it was determined that the facility failed to protect a resident's right to be free from neglect by staff that resulted in actual harm with a serious injury of an ankle fracture for one of 10 residents reviewed (Resident 1).
July 24, 2024Complaint inspection · 2 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 a review of select facility policies and procedures, clinical record review, personnel record review, and staff interview, it was determined that the facility failed to protect a resident's right to be free from physical abuse by staff that resulted in actual harm with a serious injury of a facial fracture for one of nine residents reviewed (Resident 1, Unit A).
- 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.
Inspectors wroteBased on a review of select facility policies and procedures, facility grievance log documentation, and resident and staff interview, it was determined that the facility failed to make a prompt effort to resolve resident grievances for two of nine residents reviewed (Residents 8 and 9, Unit B).
July 11, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, review of facility documentation, and resident and staff interview, it was determined that the facility failed to ensure that the resident environment remains free of accident hazards for two of two residents reviewed (Residents 1 and 2).
June 7, 2024Standard inspection, Complaint inspection · 16 citations
- E 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.
Inspectors wroteBased on observation and resident and staff interview, it was determined that the facility failed to provide a clean, comfortable, and homelike environment on four of four nursing units reviewed (Nursing Units A, B, F, and G; Residents 54, 95, 122, and 163).
- E Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on clinical record review, review of select policies and procedures, and staff interview, it was determined that the facility failed to implement their abuse policy regarding completion of a thorough investigation and reporting for allegations of abuse for five of five residents reviewed (Residents 34, 64, 66, 80 and 102).
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on review of facility reported incident investigations, review of staff scheduling and timecards, and staff interview, it was determined that the facility failed to protect residents from an alleged perpetrator of abuse during investigation for three of five residents reviewed (Resident 34, 64, and 102).
- E Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to develop and implement individualized person-centered care plans to address dementia and cognitive loss displayed by three of three residents reviewed (Residents 32, 90, and 163).
- 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 clinical record review and staff interview, it was determined that the facility failed to ensure that the resident's attending physician addressed pharmacy recommendations for five of seven residents reviewed (Residents 32, 43, 55, 130, and 165).
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure a resident's medication regime was free from potentially unnecessary medications for three of five residents reviewed (Residents 55, 130, and 163).
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to store food and maintain equipment in a sanitary manner to prevent the potential spread of foodborne illness in the facility's main kitchen.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on clinical record review, observation, and resident and staff interview, it was determined that the facility failed to accommodate resident needs regarding the accessibility to a call bell for two of 35 residents reviewed (Residents 17 and 54).
- 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 clinical record review and staff interview, it was determined that the facility failed to establish clear and consistent resident wishes regarding advance directives for one of seven residents reviewed (Resident 32).
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observations and staff interview, it was determined that the facility failed to ensure confidentiality of personal health information and a resident's right to privacy for one of five nursing units reviewed (Nursing Unit F; Resident 23).
- 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 review, written transfer and ombudsman notices, and staff interview, it was determined that the facility failed to ensure that a written notice of a facility initiated hospital transfer and discharge of the resident was provided to the resident, the resident's representative, and ombudsman for one of eight residents sampled (Resident 181).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, clinical record review, and staff interview, it was determined that the facility failed to provide the necessary treatment and services consistent with professional standards of practice regarding pressure ulcer treatment for one of four residents reviewed (Resident 6)
- 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 clinical record review, review of select facility policies and procedures, and staff interview, it was determined that the facility failed to provide appropriate treatment and services regarding incontinence and catheter use for two of five residents reviewed (Residents 130 and 152).
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on employee personnel review and staff interview, it was determined that the facility failed to complete a performance evaluation of each nurse aide at least once every 12 months for three of three nurse aides reviewed (Employees 1, 7, and 8). Findings Include: The facility noted the following hire dates for three employees reviewed for performance evaluations: Employee 1's hire date of April 18, 2023; Employee 7's hire date of March 22, 2023; and Employee 8's hire date of June 6, 2022. A request to review the annual performance evaluations revealed no documented evidence that the facility is completing the evaluations at least once every 12 months. Interview with the Director of Nursing on June 7, 2024, at 1:00 PM confirmed that performance evaluations were not completed on any staff. 28 Pa. Code 201.19 (2) Personnel policies and procedures
- 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 select facility policies and procedures, observation, and staff interview, it was determined that the facility failed to properly store resident medications on two of five nursing units (Unit B and Unit F).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on clinical record review and staff interview, it was determined that the facility failed to ensure a resident received or was offered pneumococcal conjugate vaccines for two of five residents reviewed for immunization concerns (Residents 7 and 89).
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 26, 2025 | Fine | $14,015 |
| November 15, 2024 | Fine | $10,839 |
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) | 3.82 | 3.89 | 3.86 |
| Registered nurses | 0.47 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.53 | 3.42 |
| Nurse aides | 2.37 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 49.0% | 44.5% | 45.8% |
| Registered nurse turnover | 38.1% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.89 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 4.08 on weekdays and 3.19 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 24.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.90 in April to June 2025 to 3.82 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 | 3.82 | 0.47 | 4.08 | 3.19 | 24.1% | 0 of 90 | 185 |
| Oct to Dec 2025 | 4.03 | 0.50 | 4.31 | 3.34 | 29.3% | 0 of 92 | 179 |
| Jul to Sep 2025 | 4.12 | 0.52 | 4.42 | 3.35 | 28.3% | 0 of 92 | 174 |
| Apr to Jun 2025 | 3.90 | 0.45 | 4.21 | 3.14 | 34.2% | 0 of 91 | 179 |
| 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 | 6.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.3 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.5 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.6 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.4 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 1.2 | 1.8 |
Owners and operators
Legal business name: 2050 TREVORTON ROAD OPCO LLC. CMS links this home to Allaire Health Services, a group of 21 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Brague, Michele | Managing control - governing body | Individual | 01/01/2025 | |
| Kurland, Benjamin | Managing control - governing body | Individual | 01/01/2025 | |
| Miller, Wayne | Managing control - governing body | Individual | 01/01/2025 | |
| Brague, Michele | Operational/managerial control | Individual | 01/01/2025 | |
| Kurland, Benjamin | Operational/managerial control | Individual | 01/01/2025 | |
| Miller, Wayne | Operational/managerial control | Individual | 01/01/2025 | |
| Kurland, Benjamin | Trustee of the SNF | Individual | 01/01/2025 | |
| 2050 Trevorton Road Opco LLC | Adp of the SNF | Organization | 01/01/2025 | |
| Gv Consulting | Adp of the SNF | Organization | 01/01/2025 | |
| Brague, Michele | Adp of the SNF | Individual | 02/28/2025 | |
| Kurland, Benjamin | Adp of the SNF | Individual | 01/01/2025 |
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 27 problems in this area, most recently on May 1, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 15 problems in this area, most recently on June 26, 2026: "Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 8 problems in this area, most recently on June 26, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on May 1, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- 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.
Other nursing homes nearby
- Mount Carmel Senior Living Community Mt Carmel, 6.2 mi · 1 of 5 stars · 64 citations
- Grandview Nursing and Rehabilitation Danville, 12 mi · not rated · 115 citations
- Emmanuel Center for Nursing Danville, 12.1 mi · 2 of 5 stars · 43 citations
- Nursing and Rehabilitation at the Mansion Sunbury, 12.4 mi · 3 of 5 stars · 32 citations
- Sunbury Skilled Nursing and Rehabilitation Center Sunbury, 12.5 mi · 3 of 5 stars · 29 citations
- Tremont Health & Rehabilitation Center Tremont, 14.2 mi · 5 of 5 stars · 18 citations
- Nottingham Village Northumberland, 14.4 mi · 3 of 5 stars · 31 citations
- Manor at Penn Village, the Selinsgrove, 16.2 mi · 2 of 5 stars · 65 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 Mountain View Rehabilitation and Senior Living Ctr's Medicare star rating?
- CMS rates Mountain View Rehabilitation and Senior Living Ctr 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mountain View Rehabilitation and Senior Living Ctr get at its last inspection?
- 23 health deficiencies at the standard inspection on May 1, 2026. The Pennsylvania average is 10.
- Has Mountain View Rehabilitation and Senior Living Ctr been fined?
- Yes. CMS lists 2 fines totaling $24,854 in the last three years.
- Does Mountain View Rehabilitation and Senior Living Ctr 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 Mountain View Rehabilitation and Senior Living Ctr?
- CMS lists 11 owners and managers, and links the home to Allaire Health Services. Legal business name: 2050 TREVORTON ROAD 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.