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Part of chain: TRANSITIONS HEALTHCARE (6 facilities, chain avg rating 2.7★)
2/5
Health inspection rating (on-site)
inspected Jul 9, 2026
2
Serious findings on record
most recent Nov 15, 2023
$179,218
Fines, last 3 years
4.40
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, widespread · Nov 15, 2023 · F-0836 · triggered by a complaint
The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards.
Why it matters: A facility operating outside the law may be cutting corners that affect resident safety and care.
Severity (L): Immediate jeopardy to resident health or safety was cited. The scope was widespread: a systemic or pervasive problem. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, pattern · Nov 15, 2023 · F-0805 · triggered by a complaint
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
D · Potential for more than minimal harm, isolated
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584
D · Potential for more than minimal harm, isolated
The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. F-0687
E · Potential for more than minimal harm, pattern
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. F-0812
View all 15 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
Date
Severity
What the facility was cited for
Jul 9, 2026
D · Potential for more than minimal harm, isolated
The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jul 9, 2026
D · Potential for more than minimal harm, isolated
The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687
Jul 25, 2025
E · Potential for more than minimal harm, pattern
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. · F-0812
Jul 25, 2025
E · Potential for more than minimal harm, pattern
The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint · F-0925
Jul 25, 2025
D · Potential for more than minimal harm, isolated
The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Aug 23, 2024
E · Potential for more than minimal harm, pattern
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. · F-0812
Aug 23, 2024
D · Potential for more than minimal harm, isolated
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. · F-0550
Aug 23, 2024
D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Aug 23, 2024
D · Potential for more than minimal harm, isolated
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. · F-0695
Aug 23, 2024
D · Potential for more than minimal harm, isolated
The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Nov 15, 2023
▲ L · Immediate jeopardy, widespread
The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · from a complaint · F-0836
Nov 15, 2023
▲ K · Immediate jeopardy, pattern
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · from a complaint · F-0805
Nov 15, 2023
E · Potential for more than minimal harm, pattern
The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. · from a complaint · F-0678
Nov 15, 2023
E · Potential for more than minimal harm, pattern
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 · F-0726
Nov 15, 2023
E · Potential for more than minimal harm, pattern
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations:
5
Serious citations (G–L):
2
2024
All citations:
5
Serious citations (G–L):
0
2025
All citations:
3
Serious citations (G–L):
0
2026
All citations:
2
Serious citations (G–L):
0
All bars start at zero. Exact values and supporting details remain below.
Year
Citations
Serious (G–L)
Worst severity that year
2023
5
2
L ▲
2024
5
0
E
2025
3
0
E
2026
2
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.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
Date
Type
Amount / length
Sep 14, 2023
Fine
$179,218
Nurse staffing (from payroll records, adjusted for how much care residents need)
Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityPennsylvania averageU.S. average
Total nurse staffing (hours per resident per day)
This facility:
4.40
Pennsylvania average:
3.94
U.S. average:
3.95
Registered Nurse hours
This facility:
0.72
Pennsylvania average:
0.80
U.S. average:
0.69
Weekend total nurse staffing
This facility:
4.15
Pennsylvania average:
3.58
U.S. average:
3.50
All bars start at zero. Exact values and supporting details remain below.
Measure
This facility
Pennsylvania avg
U.S. avg
Where it stands
Total nurse staffing (hours per resident per day)
4.40
3.94
3.95
top 25% in Pennsylvania; top 26% in the U.S.
Registered Nurse hours
0.72
0.80
0.69
top 42% in Pennsylvania; top 35% in the U.S.
Weekend total nurse staffing
4.15
3.58
3.50
top 21% in Pennsylvania; top 19% in the U.S.
Weekend RN hours (not acuity-adjusted)
0.40
0.56
0.48
bottom 45% in Pennsylvania; top 47% in the U.S.
Total nursing staff turnover (%)
39.6
44.5
45.8
top 35% in Pennsylvania; top 35% 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 0.60, weekend 3.46.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.67 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
No verified facility-specific private-pay price is available in our data for Transitions Healthcare Autumn Grove Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
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All 20 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Transitions Healthcare — 6 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
CMS records place this facility in Butler, PA — 11 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.