Lutheran Home at Hollidaysburg
916 Hickory Street · Hollidaysburg, PA · 16648 · 8146964527
89 certified beds Non profit - Church related Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
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
2 abuse-related citations 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: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.03 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 3.71 | ≈ weekday level |
| Nursing turnover / year | 48% | median 45% |
| Fines (3-yr window) | 2 · $101,905 |
Inspection citations (39 in the current record)
-
Potential for harm · D December 10, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected December 18, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 10, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 18, 2025 · Quality of Life and Care
-
Potential for harm · D December 10, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 18, 2025 · Quality of Life and Care
-
Potential for harm · D December 10, 2025
Observe each nurse aide's job performance and give regular training.
Corrected December 18, 2025 · Nursing and Physician Services
-
Potential for harm · D December 10, 2025
Ensure that residents are free from significant medication errors.
Corrected December 18, 2025 · Pharmacy Service
-
Potential for harm · D December 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 18, 2025 · Nutrition and Dietary
-
Potential for harm · D December 10, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected December 18, 2025 · Administration
-
Potential for harm · D December 10, 2025
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected December 18, 2025 · Resident Rights
-
Potential for harm · D December 10, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected December 18, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D December 10, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected December 18, 2025 · Administration
-
Potential for harm · D December 10, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected December 18, 2025 · Infection Control
-
Potential for harm · D December 10, 2025
Provide training in compliance and ethics.
Corrected December 18, 2025 · Administration
-
Potential for harm · D December 10, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected December 18, 2025 · Nursing and Physician Services
-
Potential for harm · D December 10, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected December 18, 2025 · Administration
-
Potential for harm · D September 12, 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 November 1, 2024 · Resident Rights
-
Potential for harm · E September 12, 2024
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected November 1, 2024 · Resident Rights
-
Potential for harm · D September 12, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 1, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E September 12, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 1, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 1, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 1, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 1, 2024 · Quality of Life and Care
-
Potential for harm · E September 12, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 1, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 1, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 1, 2024 · Quality of Life and Care
-
Potential for harm · D September 12, 2024
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected April 5, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 25, 2024 | Fine | $11,132 |
| October 12, 2023 | Fine | $90,773 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 395427 · certified since June 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.