Locust Grove Retirement Village

Name: Locust Grove Retirement Village
Address: 69 COTTAGE ROAD, Mifflin, PA, 17058, US
Telephone: 7174368921

69 Cottage Road, Mifflin, PA 17058 · Juniata County · 104 certified beds · avg 66 residents/day · certified since May 12, 1976

Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)

3/5

Health inspection rating (on-site)

Serious findings on record

$12,831

Fines, last 3 years

4.26

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 3, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Mar 28, 2024 (Past Non-Compliance)

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 27, 2025	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 27, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jun 27, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 27, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jun 27, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jun 27, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jun 27, 2025	D · Potential for harm, one-off	The facility did not provide appropriate treatment and services to residents with a mental health condition, difficulty adjusting emotionally, or a history of trauma or post-traumatic stress disorder (PTSD).
Jun 27, 2025	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint
Oct 9, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jun 18, 2024	D · Potential for harm, one-off	The facility did not provide routine dental care and 24-hour emergency dental care for residents. · from a complaint
May 3, 2024	▲ G · Actual harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
May 3, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
May 3, 2024	E · Potential for harm, repeated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint
May 3, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 3, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 3, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
May 3, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
May 3, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
May 3, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.
May 3, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 3, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
May 3, 2024	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
May 3, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 3, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
May 3, 2024	D · Potential for harm, one-off	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint
May 3, 2024	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience.
May 3, 2024	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
May 3, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not provide safe and appropriate pain management for a resident who needed it.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not observe each nurse aide's job performance or provide regular training as required.
Aug 4, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Aug 4, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (18 → 8).

Year	Citations	Serious (G–L)	Worst severity that year
2023	11	0	E
2024	20	1	G ▲
2025	8	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $12,831.

Date	Type	Amount / length
May 3, 2024	Fine	$12,831

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Pennsylvania avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.26	3.94	3.95	top 29% in Pennsylvania; top 30% in the U.S.
Registered Nurse hours	0.66	0.80	0.69	top 49% in Pennsylvania; top 41% in the U.S.
Weekend total nurse staffing	3.54	3.58	3.50	top 41% in Pennsylvania; top 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.43	0.56	0.48	bottom 49% in Pennsylvania; top 43% in the U.S.
Total nursing staff turnover (%)	34.3	44.5	45.8	top 23% in Pennsylvania; top 22% in the U.S.
RN turnover (%)	25.0	39.9	42.9	top 21% in Pennsylvania; top 20% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.91, RN 0.60, weekend 3.24. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Juniata Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2025
Mifflin Parentco LLC	Organization	5% or Greater Direct Ownership Interest	100%	05/01/2025
Paop Holdco LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2025
Clark, Alyssa	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Clark, Alyssa	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Clark, Alyssa	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Criag, Michele	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Criag, Michele	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Hoback, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Jones, Tequilla	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Mifflin Re Owner, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	05/01/2025
Mifflin Re Owner, LLC	Organization	ADP of the SNF	NOT APPLICABLE	05/01/2025
Roscoe, Brandon	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Roscoe, Brandon	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
Simpson, Louann	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2025
Simpson, Louann	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2025
SNF Mgr LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	05/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Brookline Nursing and Rehab	4.7 mi	Mifflintown, PA	★★★★☆	3/5
Greenwood Center for Rehabilitation and Nursing	8.4 mi	Lewistown, PA	★★★☆☆	2/5
William Penn Nursing and Rehab	9.2 mi	Lewistown, PA	★★★★☆	3/5
Premier at Perry Village for Nursing and Rehab, LL	15.5 mi	New Bloomfield, PA	★★★★☆	4/5
Valley View Haven, INC	15.7 mi	Belleville, PA	★★★★★	4/5
Richfield Healthcare and Rehabilitation Center	18.2 mi	Richfield, PA	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Mifflin →

Facility data as of CMS processing date 2026-08-01. CCN 395350.

The Care File

Visit checklist — Locust Grove Retirement Village

69 Cottage Road, Mifflin, PA 17058 · 7174368921

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $12,831

Most serious findings on record:

▲ May 3, 2024 (F-0600, Actual harm, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What mental health services do you offer on-site, and how do you care for residents with depression, anxiety, or a history of trauma?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 395350 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)