Lutheran Home at Hollidaysburg

Name: Lutheran Home at Hollidaysburg
Address: 916 HICKORY STREET, Hollidaysburg, PA, 16648, US
Telephone: 8146964527

916 Hickory Street, Hollidaysburg, PA 16648 · Blair County · 89 certified beds · avg 41 residents/day · certified since Jun 1, 1979

2/5

Health inspection rating (on-site)

Serious findings on record

$101,905

Fines, last 3 years

4.47

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

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 · Jun 25, 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: Jun 24, 2024 (Past Non-Compliance)

▲ Actual harm, one-off · Oct 12, 2023 · F-0600

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: Nov 28, 2023 (Deficient, Provider has date of correction)

All citations in the current public record (40)

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 18, 2026	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. · from a complaint
Dec 10, 2025	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.
Dec 10, 2025	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.
Dec 10, 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.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not observe each nurse aide's job performance or provide regular training as required.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Dec 10, 2025	D · Potential for harm, one-off	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.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not develop or maintain an effective training program for its direct care staff, including training on how to communicate effectively with residents.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not educate its staff on residents' rights and the facility's responsibilities toward residents. Staff can only respect rights they've been taught about.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not make sure its nurse aides had the skills needed to care for residents, including training in dementia care and abuse prevention.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs.
Sep 12, 2024	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Sep 12, 2024	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Sep 12, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Sep 12, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Sep 12, 2024	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Sep 12, 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.
Sep 12, 2024	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.
Sep 12, 2024	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Sep 12, 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.
Sep 12, 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.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Sep 12, 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.
Sep 12, 2024	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.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Sep 12, 2024	D · Potential for harm, one-off	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.
Sep 12, 2024	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Sep 12, 2024	D · Potential for harm, one-off	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.
Jun 25, 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
Oct 12, 2023	▲ 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.
Oct 12, 2023	E · Potential for harm, repeated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Oct 12, 2023	E · Potential for harm, repeated	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.
Oct 12, 2023	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.
Oct 12, 2023	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Oct 12, 2023	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.
Oct 12, 2023	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.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (17 → 14).

Year	Citations	Serious (G–L)	Worst severity that year
2023	7	1	G ▲
2024	18	1	G ▲
2025	14	0	D
2026	1	0	D

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)

2 fines totaling $101,905.

Date	Type	Amount / length
Jun 25, 2024	Fine	$11,132
Oct 12, 2023	Fine	$90,773

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)	4.47	3.94	3.95	top 23% in Pennsylvania; top 24% in the U.S.
Registered Nurse hours	0.96	0.80	0.69	top 22% in Pennsylvania; top 18% in the U.S.
Weekend total nurse staffing	4.10	3.58	3.50	top 23% in Pennsylvania; top 20% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.61	0.56	0.48	top 30% in Pennsylvania; top 22% in the U.S.
Total nursing staff turnover (%)	48.2	44.5	45.8	bottom 38% in Pennsylvania; bottom 42% in the U.S.
RN turnover (%)	40.0	39.9	42.9	bottom 48% in Pennsylvania; top 46% 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 4.16, RN 0.89, weekend 3.81. 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: 3/5 · short-stay residents: 4/5

Who owns this facility

Non profit - Church related

Owner / manager	Type	Role	Stake	Since
Bowersox, Edward	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Bradley, Thomas	Individual	Corporate Officer	NOT APPLICABLE	07/01/2008
Brenneman, Helen	Individual	Corporate Officer	NOT APPLICABLE	09/20/2006
Cobaugh, David	Individual	Corporate Officer	NOT APPLICABLE	01/01/2010
Evans, Chad	Individual	W-2 Managing Employee	NOT APPLICABLE	09/20/2006
Frederick, Carol	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Glen, Suzanne	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Lloyd, William	Individual	Corporate Officer	NOT APPLICABLE	05/01/2011
Mearkle, Amy	Individual	Corporate Officer	NOT APPLICABLE	05/01/2012
Miller, John	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Reighard, Christopher	Individual	W-2 Managing Employee	NOT APPLICABLE	05/24/1999
Reighard, Christopher	Individual	Corporate Officer	NOT APPLICABLE	05/24/1999
Rhyne, Michael	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Savage, Patricia	Individual	W-2 Managing Employee	NOT APPLICABLE	01/26/1996
Savage, Patricia	Individual	Corporate Officer	NOT APPLICABLE	09/20/2006
Smith, Elaine	Individual	Corporate Officer	NOT APPLICABLE	01/01/2016
Thompson, William	Individual	Corporate Officer	NOT APPLICABLE	09/20/2006
Whipkey, Richard	Individual	Corporate Officer	NOT APPLICABLE	01/01/2012
Williamson, Susan	Individual	Corporate Officer	NOT APPLICABLE	01/01/2013

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?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How often do you evaluate your nurse aides and what ongoing training do they receive?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"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	Flags
Hollidaysburg Veterans Home	0.2 mi	Hollidaysburg, PA	★★★☆☆	2/5	abuse
Presbyterian Homes-Presby	0.9 mi	Hollidaysburg, PA	★★★★☆	3/5
Garvey Manor	1.0 mi	Hollidaysburg, PA	★★★★☆	3/5
Hilltop Healthcare and Rehabilitation Center	3.8 mi	Altoona, PA	★★☆☆☆	2/5
Maybrook Hills Rehabilitation and Healthcare Cente	5.5 mi	Altoona, PA	★★☆☆☆	2/5
Midtown Oaks Health & Rehab Center	5.7 mi	Altoona, PA	★☆☆☆☆	1/5
Homewood Living Martinsburg, INC	9.5 mi	Martinsburg, PA	★★★★☆	4/5
Morrisons Cove Home	9.5 mi	Martinsburg, PA	★★★★★	4/5
Maple Winds Healthcare and Rehabilitation, LLC	15.4 mi	Portage, PA	★★★☆☆	2/5
Maple Heights Health & Rehab Center, LLC	17.0 mi	Ebensburg, PA	★☆☆☆☆	1/5	abuseSFF
Cedarwood Rehabilitation & Healthcare Center	18.0 mi	Tyrone, PA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Hollidaysburg →

Facility data as of CMS processing date 2026-08-01. CCN 395427.

The Care File

Visit checklist — Lutheran Home at Hollidaysburg

916 Hickory Street, Hollidaysburg, PA 16648 · 8146964527

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $101,905

Most serious findings on record:

▲ Jun 25, 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.
▲ Oct 12, 2023 (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?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How often do you evaluate your nurse aides and what ongoing training do they receive?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "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 395427 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)