Quality Life Services - Westmont

Name: Quality Life Services - Westmont
Address: 787 GOUCHER STREET, Johnstown, PA, 15905, US
Telephone: 8142555539

787 Goucher Street, Johnstown, PA 15905 · Cambria County · 41 certified beds · avg 37 residents/day · certified since Dec 1, 2011

Part of chain: QUALITY LIFE SERVICES (10 facilities, chain avg rating 2.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.29

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.

All citations in the current public record (31)

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
Mar 12, 2026	E · Potential for harm, repeated	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Mar 12, 2026	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.
Mar 12, 2026	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.
Mar 12, 2026	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.
Feb 20, 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.
Feb 20, 2025	E · Potential for harm, repeated	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.
Feb 20, 2025	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.
Feb 20, 2025	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.
Feb 20, 2025	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.
Feb 20, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 20, 2025	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.
Feb 20, 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.
Feb 20, 2025	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.
Feb 20, 2025	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.
Feb 20, 2025	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.
Apr 3, 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.
Apr 3, 2024	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.
Apr 3, 2024	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Apr 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.
Apr 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.
Apr 3, 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.
Apr 3, 2024	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.
Apr 3, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Apr 3, 2024	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.
Apr 3, 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.
Apr 3, 2024	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.
Apr 3, 2024	D · Potential for harm, one-off	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Dec 26, 2023	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Oct 12, 2023	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Oct 12, 2023	D · Potential for harm, one-off	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. · from a complaint
Aug 31, 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. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 4).

Year	Citations	Worst severity that year
2023	4	E
2024	12	E
2025	11	E
2026	4	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)

No fines or payment denials in the published 3-year window.

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)	3.29	3.94	3.95	bottom 29% in Pennsylvania; bottom 26% in the U.S.
Registered Nurse hours	0.89	0.80	0.69	top 27% in Pennsylvania; top 21% in the U.S.
Weekend total nurse staffing	2.87	3.58	3.50	bottom 20% in Pennsylvania; bottom 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.62	0.56	0.48	top 29% in Pennsylvania; top 22% in the U.S.
Total nursing staff turnover (%)	38.2	44.5	45.8	top 33% in Pennsylvania; top 32% 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 3.67, RN 0.99, weekend 3.20. Staffing rating: 3/5.

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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Carter, Christine	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Carter, Christine	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Encova Mutual Insurance Group INC	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
First National Insurance Agency	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
Gray, Patrick	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Holsinger PC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2024
Kania, Tonia	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Lopiccolo, Bonnie	Individual	Corporate Director	NOT APPLICABLE	05/05/2025
Lopiccolo, Bonnie	Individual	ADP of the SNF	NOT APPLICABLE	05/05/2025
Markivich, Michael	Individual	Corporate Officer	NOT APPLICABLE	11/01/2024
Mary Susan Tack-Yurek Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
Reckner, Emily	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Reckner, Emily	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Stafford, Lisa	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024
Stafford, Lisa	Individual	ADP of the SNF	NOT APPLICABLE	11/01/2024
Steven D Tack Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
Sugar Creek Rest, INC	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
Susan Tack Beardsley Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
Tack Family Ventures LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/05/2026
Tack, Steven	Individual	Operational/Managerial Control	NOT APPLICABLE	11/01/2024

Questions to ask on your visit

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

"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"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
Heritage Ridge Senior Living at Johnstown	0.1 mi	Johnstown, PA	★☆☆☆☆	1/5	abuse
Hilltop Heights Health & Rehab Center	1.6 mi	Johnstown, PA	★☆☆☆☆	1/5
Conemaugh Memorial Medical Center Tcu	2.0 mi	Johnstown, PA	★★★★★	5/5
Concordia at Arbutus Park	3.9 mi	Johnstown, PA	★★★☆☆	3/5
Laurel View Village	4.3 mi	Davidsville, PA	★★★☆☆	3/5
Richland Nursing and Rehab	6.3 mi	Johnstown, PA	★★★☆☆	3/5
Windber Woods Senior Living & Rehabilitation Ctr	6.8 mi	Windber, PA	★★☆☆☆	2/5
Maple Winds Healthcare and Rehabilitation, LLC	15.4 mi	Portage, PA	★★★☆☆	2/5
Bethlen HM of the Hungarian RF of America	15.7 mi	Ligonier, PA	★☆☆☆☆	2/5
Maple Heights Health & Rehab Center, LLC	18.1 mi	Ebensburg, PA	★☆☆☆☆	1/5	abuseSFF
Somerset Healthcare & Rehabilitation Center	19.7 mi	Somerset, PA	★☆☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Johnstown →

Facility data as of CMS processing date 2026-08-01. CCN 396132.

The Care File

Visit checklist — Quality Life Services - Westmont

787 Goucher Street, Johnstown, PA 15905 · 8142555539

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "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 396132 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)