PENN HIGHLANDS JEFFERSON MANOR

417 ROUTE 28
BROOKVILLE, PA, 15825
8148498026
CCN: 395626
3
Overall
3
Health
4
Staffing
3
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (8)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
BAL COR HEALTH SERVICES
1128a1
Excluded 1993-03-04
GENESIS MEDICAL SERVICES, INC
1128b7
Excluded 1998-10-05
HEALTH CAREERS, INC
1128a1
Excluded 1995-05-09
MEDICAL SERVICES CORPS, INC
1128a1
Excluded 2000-05-18
METRO AMBULANCE SERVICES, INC
1128b5
Excluded 2000-03-20
PRIME CARE SERVICES, INC
1128a1
Excluded 2005-02-20
REGENCY HEALTH SERVICES, INC
1128b7
Excluded 2004-05-06
SAS HEALTHCARE SERVICES INC
1128b7
Excluded 1996-09-27
Ownership
NameRole%
BROOKVILLE HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTEREST100%
DUBOIS REGIONAL MEDICAL CENTER5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
PENN HIGHLANDS HEALTHCARE, INC.5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
BAUER, GREGORYCORPORATE DIRECTORNOT APPLICABLE
STRISHOCK, JOURDANCORPORATE DIRECTORNOT APPLICABLE
KLINE, BRIANCORPORATE DIRECTORNOT APPLICABLE
YOUNG, WILLIAMCORPORATE OFFICERNOT APPLICABLE
MCGINLEY, MARKCORPORATE OFFICERNOT APPLICABLE
NORMAN, MARKCORPORATE OFFICERNOT APPLICABLE
O'LEARY, ROBERTCORPORATE OFFICERNOT APPLICABLE
PFINGSTLER, RICHARDCORPORATE OFFICERNOT APPLICABLE
RYAN, JAMESCORPORATE OFFICERNOT APPLICABLE
RYAN, JOANNECORPORATE OFFICERNOT APPLICABLE
SUTIKA, JOHNCORPORATE OFFICERNOT APPLICABLE
WINNER, DOUGLASCORPORATE OFFICERNOT APPLICABLE
YAHNER, EDWARDCORPORATE OFFICERNOT APPLICABLE
BAUER, GREGORYCORPORATE OFFICERNOT APPLICABLE
BELCZYK, CARLYNCORPORATE OFFICERNOT APPLICABLE
CAMERON, RUSSELLCORPORATE OFFICERNOT APPLICABLE
CHAMBERLAIN, WILLIAMCORPORATE OFFICERNOT APPLICABLE
CONRAD, DONALDCORPORATE OFFICERNOT APPLICABLE
DEVLIN, JAMESCORPORATE OFFICERNOT APPLICABLE
FONTAINE, STEVENCORPORATE OFFICERNOT APPLICABLE
FORADORA, SCOTTCORPORATE OFFICERNOT APPLICABLE
JOHNSON, TRINACORPORATE OFFICERNOT APPLICABLE
JOHNSTON, OSCARCORPORATE OFFICERNOT APPLICABLE
LEWIS, SAMUELCORPORATE OFFICERNOT APPLICABLE
LEZZER, DAVIDCORPORATE OFFICERNOT APPLICABLE
JOHNSON, TRINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KLINE, BRIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NORMAN, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
STRISHOCK, JOURDANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WINNER, DOUGLASOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FONTAINE, STEVENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
CAMERON, RUSSELLOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BAUER, GREGORYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PENN HIGHLANDS HEALTHCARE, INC.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (2)
DateTypeAmount
2024-03-08Fine$12K
2023-09-11Fine$3K
Health Deficiencies (21)
2025-12-18 · Health
D
F755 · Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-01-09 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
D
F761 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F584 · Resident Rights Deficiencies
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.
D
F578 · Resident Rights Deficiencies
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.
2024-08-15 · Health
D
F836 · Administration Deficiencies
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.
D
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-04-10 · Health
D
F835 · Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2024-03-08 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
E
F584 · Resident Rights Deficiencies
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.
2024-01-22 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.71
3.68
RN Hrs/Resident/Day
0.66
0.54
LPN Hrs/Resident/Day
1.22
0.81
CNA Hrs/Resident/Day
1.82
2.33
PT Hrs/Resident/Day
0.08
0.12
Data as of 2026-03-01