Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 395427

Lutheran Home At Hollidaysburg

39 federal citations on record , and 2 federal enforcement actions totaling $101,905.

Record summary

Federal record · Q1 2026
39
Total citations
39
Last 3 years
2
Actual harm+
2
Federal penalties
$101,905
Total fines
2
Overall ★ rating

Most common violation categories here

Quality of Care9 Care Planning7 Administration6 Medication & Pharmacy5 Nursing & Physician Services3

Most common F-tags at this facility

F6842 F6862 F6002 F6562 F6572

Citation history

39 on record
SurveyF-TagViolationSeveritySource
Dec 10, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.DStandard
Dec 10, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DStandard
Dec 10, 2025F946Provide training in compliance and ethics.DStandard
Dec 10, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.DStandard
Dec 10, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.DStandard
Dec 10, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.DStandard
Dec 10, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.DStandard
Dec 10, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.DStandard
Dec 10, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Dec 10, 2025F760Ensure that residents are free from significant medication errors.DStandard
Dec 10, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Dec 10, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 10, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Dec 10, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Sep 12, 2024F880Provide and implement an infection prevention and control program.DStandard
Sep 12, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Sep 12, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Sep 12, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard
Sep 12, 2024F761Ensure 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.DStandard
Sep 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Sep 12, 2024F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.DStandard
Sep 12, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Sep 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Sep 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Sep 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Sep 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Sep 12, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
Sep 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Sep 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Sep 12, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard
Sep 12, 2024F578Honor 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.DStandard
Jun 25, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Oct 12, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Oct 12, 2023F761Ensure 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.EStandard
Oct 12, 2023F758Implement 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.EStandard
Oct 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 12, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Oct 12, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 12, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 2 civil money penalties totaling $101,905 .

DateTypeFinePayment denial
Jun 25, 2024Fine$11,132—
Oct 12, 2023Fine$90,773—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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