Home / Pennsylvania / Harrisville
Transitions Healthcare Autumn Grove Care Center
555 South Main Street, Harrisville, PA 16038 · Butler County · (724) 735-4224
103 certified beds, about 98 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1968
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 395248 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 9, 2026, inspectors cited 2 health deficiencies (the Pennsylvania average is 10, the national average 9.2).
Of 15 health citations since November 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 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 0.60 of those hours.
39.6% of nursing staff left within the year CMS measured (Pennsylvania average 44.5%).
CMS links it to Transitions Healthcare, an affiliated group of 6 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.
511/23
508/24
307/25
207/26
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
1L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
6E
0F
Potential for minimal harm
0A
0B
0C
July 9, 2026Standard inspection · 2 citations
- 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 facility policy, observations, and resident and staff interviews, it was determined that the facility failed to maintain a clean, safe, homelike environment for one of 57 rooms observed and for two of 57 bathrooms observed.
- D Provide appropriate foot care.
Inspectors wroteBased on review of clinical records, observations, and resident and staff interviews, it was determined that the facility failed to consistently provide timely and necessary foot care for one of 19 residents reviewed (Resident R1).
July 25, 2025Standard inspection, Complaint inspection · 3 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, observations, and staff interviews, it was determined that the facility failed to serve food in a safe and sanitary manner during tray line and ensure that food was stored in accordance with standards for food safety, and failed to label food brought into the facility with the resident's name and use by date, and failed to maintain sanitary conditions in one of two pantry refrigerators (CD Unit).
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on review of facility policy, observation, and staff interview, it was determined that the facility failed to maintain an effective pest control program to ensure a pest free environment in one of two pantries (CD Unit).
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on review of clinical records and facility policy, and staff interview, it was determined that the facility failed to provide a clinical rationale for the continued use of a PRN (as needed) psychotropic (affecting the mind) medication beyond 14-days one of five residents reviewed (Resident R5). A facility policy entitled Behavior Health Program dated 4/21/25, indicated that the physician will limit the timeframe for PRN psychotropic mediations to 14 days, unless a longer timeframe is deemed appropriate by the attending physician or prescribing practitioner. Residents R5's clinical record revealed an admission date of 1/13/24, with diagnoses that included bipolar disorder (mental health condition that causes extreme mood swings that include emotional highs, called mania, and lows, known as depression) liver failure, difficulty eating, gall stones, and heart disease. [...]
August 23, 2024Standard inspection · 5 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, observations, and staff interviews, it was determined that the facility failed to store food and food containers in a safe and sanitary manner in two of two nourishment refrigerators (A/B Unit, C/D/Unit).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on review of clinical records, observations, and staff interviews, it was determined that the facility failed provide an environment that enhances resident's quality of life for three of 21 residents reviewed (Residents R25, R65, R69).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on review of clinical records and Minimum Data Set (MDS - federally mandated standardized assessment conducted at specific intervals to plan resident care), and staff interview, it was determined that the facility failed to ensure that MDS assessments accurately reflected the status of two of 21 residents reviewed (Residents R15 and R32).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on review of facility policy and clinical records, observations, and staff interview, it was determined that the facility failed to maintain proper care of respiratory equipment for one of two residents reviewed for respiratory services (Resident R66).
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on review of facility dialysis (a blood purifying treatment given when your kidneys are not functioning) center contract, facility policy, and clinical record, and staff interview, it was determined that the facility failed to maintain records relating to dialysis communication for one of one residents reviewed for dialysis (Resident R79).
November 15, 2023Complaint inspection · 5 citations
- L Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Inspectors wroteBased on review of facility policy, clinical records, facility documents, staff documentation, and coroner's report and staff interviews, it was determined the facility failed to provide emergency life-saving interventions as required for one resident who was choking and still breathing where professional licensed staff did not attempt life-saving interventions to Resident R1 as required. This failure placed all 100 residents that may have needed emergency life-saving interventions, at a high risk for death and resulted in an Immediate Jeopardy situation.
- K Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on review of clinical records, facility documents and coroner's report, and staff interviews it was determined the facility failed to provide food in a form designed to meet individual needs for one resident (Resident R1) who choked and ceased to breath as a result. This failure placed nine residents that had similar diet needs for bite-sized pieces at a high risk for death and resulted in an Immediate Jeopardy situation for Residents R2, R3, R4, R5, R6, R7, R8, R9, and R10.
- E Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on review of facility policies, facility documentation and staff interviews, it was determined that the facility failed to ensure facility staff were properly trained to provide basic life support including, Heimlich Maneuver (emergency life-saving procedure that is done immediately when a person is choking which can increase the chances of survival after choking) and cardiopulmonary resuscitation (CPR-emergency life-saving procedure that is done when breathing or a heartbeat has stopped and when performed immediately can double or triple chances of survival after cardiac arrest) for 85 of 135 facility personnel.
- 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 review of job descriptions, facility cardiopulmonary resuscitation (CPR-emergency life-saving procedure that is done when breathing or a heartbeat has stopped and when performed immediately can double or triple chances of survival after cardiac arrest) records, facility assessment, and staff interviews, it was determined that the facility failed to ensure that licensed nursing staff have the specific competencies and skill sets necessary to care for resident's needs.
- E Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Inspectors wroteBased on review of facility records and job descriptions, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) failed to effectively manage the facility to make certain that professional licensed staff implemented life-saving interventions in response to a choking episode that led to death and failed to ensure the provision of food in a form to meet individual resident needs.
Fire safety inspections
16 fire safety citations on file: 1 on July 9, 2026, 6 on July 25, 2025, 9 on August 23, 2024.
Every fire safety citation16 citations
- C Install a fire alarm system that can be heard throughout the facility.
- 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 Have restrictions on the use of highly flammable decorations.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C Meet other general requirements.
- C 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 Inspect, test, and maintain automatic sprinkler systems.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have properly installed electrical wiring and gas equipment.
- C Provide properly protected cooking facilities.
- C Have proper medical gas storage and administration areas.
- B Have properly located and lighted "Exit" signs.
- B Have power receptacles that are properly grounded.
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 | 0.60 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.46 | 3.53 | 3.42 |
| Nurse aides | 2.04 | ||
| Licensed practical nurses | 1.04 | ||
| Nursing staff turnover (share who left in a year) | 39.6% | 44.5% | 45.8% |
| Registered nurse turnover | 40.0% | 39.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.20 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 3.76 on weekdays and 3.46 on weekends, 8% 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 3.66 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 | 0.60 | 3.76 | 3.46 | 0.0% | 0 of 90 | 98 |
| Oct to Dec 2025 | 3.53 | 0.53 | 3.62 | 3.30 | 0.0% | 0 of 92 | 99 |
| Jul to Sep 2025 | 3.52 | 0.61 | 3.63 | 3.26 | 0.0% | 0 of 92 | 98 |
| Apr to Jun 2025 | 3.66 | 0.70 | 3.77 | 3.39 | 0.0% | 0 of 91 | 98 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Pennsylvania
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Pennsylvania, all employers | |||
| CNAs (nursing assistants) | $21.44 | $18.88 to $22.52 | 67,740 |
| LPNs and LVNs | $30.74 | $29.02 to $35.01 | 38,260 |
| Registered nurses | $46.36 | $38.75 to $50.35 | 146,520 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 23.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 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 | 3.8 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 29.4 | 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 | 42.9 | 17.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.8 | 22.5 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.2 | 9.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.2 | 1.8 |
Owners and operators
Legal business name: BONETTI HEALTH CARE CENTER, INC. CMS links this home to Transitions Healthcare, a group of 6 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Transitions Healthcare Autumn Grove LLC | 5% or greater direct ownership interest | Organization | 100% | 09/01/2011 |
| Feldman, Marc | 5% or greater indirect ownership interest | Individual | 33% | 09/01/2011 |
| Maurano, Matthew | 5% or greater indirect ownership interest | Individual | 33% | 09/01/2011 |
| Williams, Kevin | 5% or greater indirect ownership interest | Individual | 33% | 09/01/2011 |
| Capital Funding Group, LLC | 5% or greater mortgage interest | Organization | 10/20/2012 | |
| Feldman, Marc | Corporate officer | Individual | 09/01/2011 | |
| Maurano, Matthew | Corporate officer | Individual | 09/01/2011 | |
| Williams, Kevin | Corporate officer | Individual | 09/01/2011 | |
| Transitions Healthcare II LLC | Operational/managerial control | Organization | 09/01/2011 | |
| Feldman, Marc | Operational/managerial control | Individual | 09/01/2011 | |
| Huff, Betsy | Operational/managerial control | Individual | 06/28/2024 | |
| Maurano, Matthew | Operational/managerial control | Individual | 09/01/2011 | |
| Stragand, Jarod | Operational/managerial control | Individual | 01/05/2022 | |
| Williams, Kevin | Operational/managerial control | Individual | 09/01/2011 | |
| Transitions Healthcare II LLC | Adp of the SNF | Organization | 09/01/2011 | |
| Feldman, Marc | Adp of the SNF | Individual | 09/01/2011 | |
| Huff, Betsy | Adp of the SNF | Individual | 06/28/2024 | |
| Maurano, Matthew | Adp of the SNF | Individual | 09/01/2011 | |
| Stragand, Jarod | Adp of the SNF | Individual | 01/05/2022 | |
| Williams, Kevin | Adp of the SNF | Individual | 09/01/2011 |
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 4 problems in this area, most recently on July 9, 2026: "Provide appropriate foot care."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on July 25, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on July 9, 2026: "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."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on November 15, 2023: "Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.46 hours per resident per day, below the Pennsylvania average of 3.53.
Other nursing homes nearby
- Orchard Manor Grove City, 3.8 mi · 2 of 5 stars · 17 citations
- Grove Manor Grove City, 4.6 mi · 3 of 5 stars · 17 citations
- Quality Life Services - Grove City Grove City, 4.8 mi · 5 of 5 stars · 14 citations
- Avalon Springs Care Center Mercer, 15 mi · 4 of 5 stars · 5 citations
- Quality Life Services - Mercer Mercer, 15.1 mi · 5 of 5 stars · 7 citations
- Shenango Presbyterian Seniorcare New Wilmington, 16.9 mi · 5 of 5 stars · 1 citation
- Kadima Rehabilitation & Nursing at New Wilmington New Wilmington, 17 mi · 4 of 5 stars · 9 citations
- Quality Life Services - Chicora Chicora, 18.8 mi · 1 of 5 stars · 69 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 Transitions Healthcare Autumn Grove Care Center's Medicare star rating?
- CMS rates Transitions Healthcare Autumn Grove Care Center 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Transitions Healthcare Autumn Grove Care Center get at its last inspection?
- 2 health deficiencies at the standard inspection on July 9, 2026. The Pennsylvania average is 10.
- Has Transitions Healthcare Autumn Grove Care Center been fined?
- CMS lists no fines in the last three years.
- Does Transitions Healthcare Autumn Grove Care Center 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 Transitions Healthcare Autumn Grove Care Center?
- CMS lists 20 owners and managers, and links the home to Transitions Healthcare. Legal business name: BONETTI HEALTH CARE CENTER, INC.
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.