Penn Highlands Jefferson Manor
Brookville, Jefferson County, Pennsylvania · CCN 395626 · Non-profit (Corporation) · not part of a chain
CMS rates Penn Highlands Jefferson Manor 2 of 5 overall as of August 2026. 160 certified beds, 89 residents a day on average. 23 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $15,160.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 3.88093 hours per resident per day |
|---|---|
| Registered nurses | 0.70384 hours per resident per day |
| Weekend total | 3.62561 hours per resident per day |
| Nursing staff turnover | 39.4% (registered nurses 29.4%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-03 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2026-02-03 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2025-12-18 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-05 |
| 2025-12-18 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-05 |
| 2025-01-09 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2025-01-09 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2025-01-09 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2025-01-09 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2025-01-09 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2025-01-09 | 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. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2025-01-09 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2025-01-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-03-10 |
| 2024-08-15 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-29 |
| 2024-08-15 complaint survey |
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. Administration Deficiencies · tag F0836 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-29 |
| 2024-04-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-05-20 |
| 2024-04-10 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-20 |
| 2024-04-10 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-20 |
| 2024-04-10 complaint survey |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · tag F0835 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-20 |
| 2024-03-08 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-04-19 |
| 2024-03-08 complaint survey |
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. Resident Rights Deficiencies · tag F0584 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-19 |
| 2024-03-08 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-19 |
| 2024-03-08 complaint survey |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-19 |
| 2024-01-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-09 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-08 | Fine | $12,015 |
| 2023-09-11 | Fine | $3,145 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Brookville Hospital Organization | 5% or greater direct ownership interest | 100% | 2019-04-01 |
| Dubois Regional Medical Center Organization | 5% or greater indirect ownership interest | — | 2019-04-01 |
| Penn Highlands Healthcare, Inc. Organization | 5% or greater indirect ownership interest | — | 2019-04-01 |
| Dubois Regional Medical Center Organization | adp of the snf | — | 2025-12-09 |
| Penn Highlands Healthcare, Inc. Organization | adp of the snf | — | 2019-04-01 |
| Penn Highlands Healthcare, Inc. Organization | operational/managerial control | — | 2019-04-01 |
| Bauer, Gregory Individual | adp of the snf | — | 2024-07-01 |
| Belczyk, Carlyn Individual | adp of the snf | — | 2024-07-01 |
| Cameron, Russell Individual | adp of the snf | — | 2024-07-01 |
| Chamberlain, William Individual | adp of the snf | — | 2024-07-01 |
| Conrad, Donald Individual | adp of the snf | — | 2025-07-01 |
| Devlin, James Individual | adp of the snf | — | 2022-07-01 |
| Fontaine, Steven Individual | adp of the snf | — | 2024-07-01 |
| Foradora, Scott Individual | adp of the snf | — | 2024-07-01 |
| Johnson, Trina Individual | adp of the snf | — | 2024-07-01 |
| Johnston, Oscar Individual | adp of the snf | — | 2024-07-01 |
| Kline, Brian Individual | adp of the snf | — | 2024-07-01 |
| Lewis, Samuel Individual | adp of the snf | — | 2024-07-01 |
| Lezzer, David Individual | adp of the snf | — | 2024-07-01 |
| Mcginley, Mark Individual | adp of the snf | — | 2024-07-01 |
| Norman, Mark Individual | adp of the snf | — | 2024-07-01 |
| O'Leary, Robert Individual | adp of the snf | — | 2024-07-01 |
| Pfingstler, Richard Individual | adp of the snf | — | 2024-07-01 |
| Ryan, James Individual | adp of the snf | — | 2024-07-01 |
| Ryan, Joanne Individual | adp of the snf | — | 2024-07-01 |
| Strishock, Jourdan Individual | adp of the snf | — | 2021-08-01 |
| Sutika, John Individual | adp of the snf | — | 2025-07-01 |
| Winner, Douglas Individual | adp of the snf | — | 2024-07-01 |
| Yahner, Edward Individual | adp of the snf | — | 2025-07-01 |
| Young, William Individual | adp of the snf | — | 2024-07-01 |
| Zimmerman, Alexis Individual | adp of the snf | — | 2024-01-01 |
| Bauer, Gregory Individual | corporate director | — | 2024-07-01 |
| Kline, Brian Individual | corporate director | — | 2024-07-01 |
| Strishock, Jourdan Individual | corporate director | — | 2021-08-01 |
| Bauer, Gregory Individual | corporate officer | — | 2024-07-01 |
| Belczyk, Carlyn Individual | corporate officer | — | 2021-10-01 |
| Cameron, Russell Individual | corporate officer | — | 2024-07-01 |
| Chamberlain, William Individual | corporate officer | — | 2024-07-01 |
| Conrad, Donald Individual | corporate officer | — | 2021-07-01 |
| Devlin, James Individual | corporate officer | — | 2022-07-01 |
| Fontaine, Steven Individual | corporate officer | — | 2024-07-01 |
| Foradora, Scott Individual | corporate officer | — | 2020-07-01 |
| Johnson, Trina Individual | corporate officer | — | 2024-07-01 |
| Johnston, Oscar Individual | corporate officer | — | 2024-07-01 |
| Lewis, Samuel Individual | corporate officer | — | 2021-02-01 |
| Lezzer, David Individual | corporate officer | — | 2021-07-01 |
| Mcginley, Mark Individual | corporate officer | — | 2021-10-01 |
| Norman, Mark Individual | corporate officer | — | 2024-07-01 |
| O'Leary, Robert Individual | corporate officer | — | 2021-07-01 |
| Pfingstler, Richard Individual | corporate officer | — | 2021-07-01 |
| Ryan, James Individual | corporate officer | — | 2020-07-01 |
| Ryan, Joanne Individual | corporate officer | — | 2022-07-01 |
| Sutika, John Individual | corporate officer | — | 2025-07-01 |
| Winner, Douglas Individual | corporate officer | — | 2024-07-01 |
| Yahner, Edward Individual | corporate officer | — | 2025-07-01 |
| Young, William Individual | corporate officer | — | 2021-07-01 |
| Belczyk, Carlyn Individual | managing control - governing body | — | 2024-07-01 |
| Chamberlain, William Individual | managing control - governing body | — | 2024-07-01 |
| Conrad, Donald Individual | managing control - governing body | — | 2025-07-01 |
| Devlin, James Individual | managing control - governing body | — | 2022-07-01 |
| Foradora, Scott Individual | managing control - governing body | — | 2024-07-01 |
| Johnston, Oscar Individual | managing control - governing body | — | 2024-07-01 |
| Lewis, Samuel Individual | managing control - governing body | — | 2024-07-01 |
| Lezzer, David Individual | managing control - governing body | — | 2024-07-01 |
| Mcginley, Mark Individual | managing control - governing body | — | 2024-07-01 |
| O'Leary, Robert Individual | managing control - governing body | — | 2024-07-01 |
| Pfingstler, Richard Individual | managing control - governing body | — | 2024-07-01 |
| Ryan, James Individual | managing control - governing body | — | 2024-07-01 |
| Ryan, Joanne Individual | managing control - governing body | — | 2024-07-01 |
| Sutika, John Individual | managing control - governing body | — | 2025-07-01 |
| Yahner, Edward Individual | managing control - governing body | — | 2025-07-01 |
| Young, William Individual | managing control - governing body | — | 2024-07-01 |
| Bauer, Gregory Individual | operational/managerial control | — | 2024-07-01 |
| Cameron, Russell Individual | operational/managerial control | — | 2024-07-01 |
| Fontaine, Steven Individual | operational/managerial control | — | 2024-07-01 |
| Johnson, Trina Individual | operational/managerial control | — | 2024-07-01 |
| Kline, Brian Individual | operational/managerial control | — | 2024-07-01 |
| Norman, Mark Individual | operational/managerial control | — | 2024-07-01 |
| Strishock, Jourdan Individual | operational/managerial control | — | 2021-08-01 |
| Winner, Douglas Individual | operational/managerial control | — | 2024-07-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Penn Highlands Jefferson Manor.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jefferson County.