Richfield Healthcare and Rehabilitation Center

Name: Richfield Healthcare and Rehabilitation Center
Address: 631 MAIN STREET, Richfield, PA, 17086, US
Telephone: 7176943434

631 Main Street, Richfield, PA 17086 · Juniata County · 40 certified beds · avg 35 residents/day · certified since Sep 7, 2004

Part of chain: AKIKO IKE (6 facilities, chain avg rating 3.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.61

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: 5/5

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 (27)

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
Jan 22, 2026	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 22, 2026	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.
Jan 22, 2026	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.
Jan 22, 2026	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.
Jan 22, 2026	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.
Jan 22, 2026	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.
Jan 22, 2026	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.
Jan 22, 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 6, 2025	E · Potential for harm, repeated	The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint
Feb 6, 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 6, 2025	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.
Feb 6, 2025	D · Potential for harm, one-off	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.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 6, 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 6, 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.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Feb 6, 2025	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.
Feb 6, 2025	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.
Feb 6, 2025	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.
Mar 1, 2024	F · Potential for harm, facility-wide	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.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Mar 1, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 1, 2024	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).
Mar 1, 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.
Mar 1, 2024	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 (11 → 8).

Year	Citations	Worst severity that year
2024	8	F
2025	11	E
2026	8	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)	4.61	3.94	3.95	top 20% in Pennsylvania; top 20% in the U.S.
Registered Nurse hours	0.95	0.80	0.69	top 22% in Pennsylvania; top 18% in the U.S.
Weekend total nurse staffing	3.96	3.58	3.50	top 26% in Pennsylvania; top 24% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.45	0.56	0.48	top 48% in Pennsylvania; top 40% in the U.S.
Total nursing staff turnover (%)	31.1	44.5	45.8	top 17% in Pennsylvania; top 16% in the U.S.
RN turnover (%)	45.5	39.9	42.9	bottom 37% in Pennsylvania; bottom 43% 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 4.24, RN 0.87, weekend 3.64. Staffing rating: 5/5.

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: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Bowersox, Melissa	Individual	W-2 Managing Employee	NOT APPLICABLE	02/15/2022

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 percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Northern Dauphin Nursing and Rehabilitation Center	12.7 mi	Millersburg, PA	★★☆☆☆	2/5	abuse
Brookline Nursing and Rehab	14.0 mi	Mifflintown, PA	★★★★☆	3/5
Rolling Hills Healthcare and Rehabilitation Center	14.9 mi	Millmont, PA	★★★★☆	4/5
Manor at Penn Village, the	15.5 mi	Selinsgrove, PA	★★☆☆☆	2/5
Locust Grove Retirement Village	18.2 mi	Mifflin, PA	★★★☆☆	3/5
Premier at Perry Village for Nursing and Rehab, LL	18.8 mi	New Bloomfield, PA	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Richfield →

Facility data as of CMS processing date 2026-08-01. CCN 396093.

The Care File

Visit checklist — Richfield Healthcare and Rehabilitation Center

631 Main Street, Richfield, PA 17086 · 7176943434

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

Questions for the administrator:

☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 396093 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)