Locust Grove Retirement Village
69 Cottage Road · Mifflin, PA · 17058 · 7174368921
104 certified beds For profit - Corporation Chain: Avardis Health
- Inspection results have improved across recent cycles.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.96 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.55 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 1 · $12,831 |
Inspection citations (39 in the current record)
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Potential for harm · D June 27, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
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.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · E June 27, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D June 27, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · D October 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D June 18, 2024 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected July 5, 2024 · Quality of Life and Care
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Actual harm · G May 3, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 28, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 3, 2024
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.
Corrected June 14, 2024 · Resident Rights
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Potential for harm · D May 3, 2024
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.
Corrected June 14, 2024 · Resident Rights
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Potential for harm · D May 3, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 14, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 3, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 14, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 3, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 14, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 14, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
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.
Corrected June 14, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected June 14, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Provide care or services that was trauma informed and/or culturally competent.
Corrected June 14, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected June 14, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024
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.
Corrected June 14, 2024 · Pharmacy Service
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Potential for harm · D May 3, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected June 14, 2024 · Pharmacy Service
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Potential for harm · E May 3, 2024
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.
Corrected June 14, 2024 · Pharmacy Service
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Potential for harm · E May 3, 2024
Provide and implement an infection prevention and control program.
Corrected June 14, 2024 · Infection Control
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 3, 2024 | Fine | $12,831 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395350 · certified since May 12, 1976. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.