Home / Pennsylvania / Johnstown
Quality Life Services - Westmont
787 Goucher Street, Johnstown, PA 15905 · Cambria County · (814) 255-5539
41 certified beds, about 37 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2011
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 396132 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 12, 2026, inspectors cited 4 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
None of its 30 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.67 hours per resident per day, against 3.89 across Pennsylvania and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
38.2% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Quality Life Services, an affiliated group of 10 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.
210/23
112/23
1204/24
1102/25
403/26
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 30 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
21D
9E
0F
Potential for minimal harm
0A
0B
0C
March 12, 2026Standard inspection · 4 citations
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to notify the resident and the resident's representative, in writing regarding the reason for transfer to the hospital eight of 22 residents reviewed (Residents 3, 4, 5, 7, 17, 18, 32, 41).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on review of policies 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 one of 22 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 review of facility policies and medication package inserts, as well as observations and staff interviews, it was determined that the facility failed to label one bottle of eye drops with the opened date, in one of two medication carts reviewed (B cart), failed to label two vials of tuber sol (a solution injected into the body to detect tuberculosis) with the opened date, in one of one medication room refrigerator reviewed, and failed to discard expired medical supplies in one of one medication rooms reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that proper infection control practices were followed while providing medications for one of 22 residents reviewed (Resident 25).
February 20, 2025Standard inspection · 11 citations
- E 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 provide care and treatment in accordance with professional standards of practice, by failing to follow physician's orders to provide medications as ordered by the physician for two of 26 residents reviewed (Residents 24, 25) and failing to obtain a physician's order for fortified foods and health shakes for one of 26 residents reviewed (Resident 14).
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to provide medication as ordered by the physician, resulting in significant medication errors for one of 26 residents reviewed (Resident 32).
- 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 interviews, it was determined that the facility failed to ensure that food was served under sanitary conditions.
- 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 maintain compliance with nursing home regulations and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
- D 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 facility policies, clinical records, and investigation documents, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from verbal abuse for one of 26 residents reviewed (Resident 19). This deficiency was cited as past non-compliance.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of facility policies, clinical records, investigation documents, and the Department of Health's Event Reporting System (ERS), as well as staff interviews, it was determined that the facility failed to ensure that staff reported allegations of verbal abuse in a timely manner for two of 26 residents reviewed (Resident 19, 136). This deficiency was cited as past non-compliance.
- 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 three of 26 residents reviewed (Residents 14, 24, 32).
- 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 review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that resident-centered care plans were developed and implemented for one of 26 residents reviewed (Resident 6) who was on Enhanced Barrier Precautions (EBP) for having a surgically implanted drain.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to monitor a resident's weight as recommended by the dietician for one of 23 residents reviewed (Resident 14). This deficiency was cited as past non-compliance.
- 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 clinical records, as well as staff interviews, it was determined that the facility failed to maintain a complete and accurate accounting of controlled medications (medications with the potential to be abused) for one of 26 residents reviewed (Resident 33).
- D 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 review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that non-pharmacological (non-medication) interventions were attempted prior to the administration of anti-anxiety medications for one of 26 residents reviewed (Resident 33).
April 3, 2024Standard inspection · 12 citations
- E 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 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 three of 26 residents reviewed (Residents 1, 4, 12).
- E 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 that physician's orders for medications were followed for three of 26 residents reviewed (Resident 1, 4, 12).
- 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 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 three of 26 residents reviewed (Residents 1, 30, 31).
- 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 review of the clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure a clean and homelike environment related to the cleanliness of wheelchairs for one of 26 residents reviewed (Resident 18).
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on review of policies and personnel files, as well as staff interviews, it was determined that the facility failed to complete a professional licensure verification with the Pennsylvania State Board of Nursing prior to hire for one of four employees reviewed (Licensed Practical Nurse 3).
- 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 develop individualized care plans that included resident-centered interventions for two of 26 residents reviewed (Residents 23, 30).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on review of policies, clinical records, and facility investigation reports, as well as staff interviews, it was determined that the facility failed to ensure that assistance devices to prevent accidents or injury were in place as care planned for one of 26 residents reviewed (Resident 12) who was at risk for falls.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on facility policies and clinical record reviews, as well as staff interviews, it was determined that the facility failed to ensure that a physician's order was obtained to provide oxygen therapy for two of 26 residents reviewed (Residents 12, 30).
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on review of facility policy, 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 26 residents reviewed (Resident 12).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on review of facility policies, as well as observations and staff interviews, it was determined that the facility failed to discard two expired multi-dose insulin vials in one of one medication carts reviewed (B Hall), and failed to securely store medication in one of one medication carts reviewed (B Hall).
- 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 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 not discarding an opened, expired food item.
- 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 correct and/or maintain compliance with quality deficiencies and ensure that plans to improve the delivery of care and services effectively addressed recurring deficiencies.
December 26, 2023Complaint 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 review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to ensure that the resident and/or resident's representative was notified of changes in condition and new physician's orders for one of three residents reviewed (Resident 1).
October 12, 2023Complaint inspection · 2 citations
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of policies, clinical records, and investigative reports, as well as staff interviews, it was determined that the facility failed to complete thorough investigations of incidents to rule out neglect and/or abuse for one of three residents reviewed (Resident 2).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on review of policies and clinical records, as well as observations and staff interviews, it was determined that the facility failed to ensure that care plans were updated to reflect changes in care needs for one of three residents reviewed (Resident 2).
Fire safety inspections
8 fire safety citations on file: 8 on April 3, 2024.
Every fire safety citation8 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- 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 Have an enclosure around a vertical opening shaft.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install corridor and hallway doors that block smoke.
- E Meet requirements for the installation and maintenance of electrical systems.
- E Have power receptacles that are properly grounded.
- C Address subsistence needs for staff and patients.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Pennsylvania | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.67 | 3.89 | 3.86 |
| Registered nurses | 0.99 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.53 | 3.42 |
| Nurse aides | 1.80 | ||
| Licensed practical nurses | 0.88 | ||
| Nursing staff turnover (share who left in a year) | 38.2% | 44.5% | 45.8% |
| Registered nurse turnover | 25.0% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.27 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 3.86 on weekdays and 3.20 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.67 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 | 3.67 | 0.99 | 3.86 | 3.20 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 3.87 | 1.05 | 4.00 | 3.53 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 3.78 | 1.07 | 3.92 | 3.42 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 3.80 | 1.08 | 3.97 | 3.36 | 0.0% | 0 of 91 | 35 |
| 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 | 20.0 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.9 | 1.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.1 | 17.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.7 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.5 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 22.5 | 9.5 | 12.0 |
Owners and operators
Legal business name: QUALITY LIFE SERVICES - WESTMONT, LLC. CMS links this home to Quality Life Services, a group of 10 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lopiccolo, Bonnie | Corporate director | Individual | 05/05/2025 | |
| Markivich, Michael | Corporate officer | Individual | 11/01/2024 | |
| Carter, Christine | Operational/managerial control | Individual | 11/01/2024 | |
| Reckner, Emily | Operational/managerial control | Individual | 11/01/2024 | |
| Stafford, Lisa | Operational/managerial control | Individual | 11/01/2024 | |
| Tack, Steven | Operational/managerial control | Individual | 11/01/2024 | |
| Tack-Beardsley, Susan | Operational/managerial control | Individual | 11/01/2024 | |
| Tack-Yurek, Mary | Operational/managerial control | Individual | 11/01/2024 | |
| Encova Mutual Insurance Group Inc | Adp of the SNF | Organization | 03/05/2026 | |
| First National Insurance Agency | Adp of the SNF | Organization | 03/05/2026 | |
| Holsinger PC | Adp of the SNF | Organization | 11/01/2024 | |
| Mary Susan Tack-Yurek Irrevocable Trust | Adp of the SNF | Organization | 03/05/2026 | |
| Steven D Tack Irrevocable Trust | Adp of the SNF | Organization | 03/05/2026 | |
| Sugar Creek Rest, Inc | Adp of the SNF | Organization | 03/05/2026 | |
| Susan Tack Beardsley Irrevocable Trust | Adp of the SNF | Organization | 03/05/2026 | |
| Tack Family Ventures LLC | Adp of the SNF | Organization | 03/05/2026 | |
| Westmont Woods, LP | Adp of the SNF | Organization | 11/01/2024 | |
| Carter, Christine | Adp of the SNF | Individual | 11/01/2024 | |
| Gray, Patrick | Adp of the SNF | Individual | 11/01/2024 | |
| Kania, Tonia | Adp of the SNF | Individual | 11/01/2024 | |
| Lopiccolo, Bonnie | Adp of the SNF | Individual | 05/05/2025 | |
| Reckner, Emily | Adp of the SNF | Individual | 11/01/2024 | |
| Stafford, Lisa | Adp of the SNF | Individual | 11/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on March 12, 2026: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on March 12, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on February 20, 2025: "Ensure each resident receives an accurate assessment."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on February 20, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Heritage Ridge Senior Living at Johnstown Johnstown, 0.1 mi · 1 of 5 stars · 68 citations
- Hilltop Heights Health & Rehab Center Johnstown, 1.6 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, 3.9 mi · 3 of 5 stars · 27 citations
- Laurel View Village Davidsville, 4.3 mi · 3 of 5 stars · 18 citations
- Richland Nursing and Rehab Johnstown, 6.3 mi · 2 of 5 stars · 37 citations
- Windber Woods Senior Living & Rehabilitation Ctr Windber, 6.8 mi · 2 of 5 stars · 50 citations
- Maple Winds Healthcare and Rehabilitation, LLC Portage, 15.4 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 Quality Life Services - Westmont's Medicare star rating?
- CMS rates Quality Life Services - Westmont 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Quality Life Services - Westmont get at its last inspection?
- 4 health deficiencies at the standard inspection on March 12, 2026. The Pennsylvania average is 10.
- Has Quality Life Services - Westmont been fined?
- CMS lists no fines in the last three years.
- Does Quality Life Services - Westmont 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 Quality Life Services - Westmont?
- CMS lists 23 owners and managers, and links the home to Quality Life Services. Legal business name: QUALITY LIFE SERVICES - WESTMONT, 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.