Transitions Healthcare Autumn Grove Care Center
555 South Main Street, Harrisville, PA 16038 · Butler County · 103 certified beds · avg 98 residents/day · certified since Sep 23, 1968
Part of chain: TRANSITIONS HEALTHCARE (6 facilities, chain avg rating 2.7★)
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)
▲ Immediate jeopardy, facility-wide · 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): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · 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): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Nov 28, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (15)
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 |
|---|---|---|
| Jul 9, 2026 | 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. |
| Jul 9, 2026 | D · Potential for harm, one-off | 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. |
| Jul 25, 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. |
| Jul 25, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Jul 25, 2025 | D · Potential for harm, one-off | 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. |
| Aug 23, 2024 | 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 23, 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. |
| Aug 23, 2024 | 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 23, 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. |
| Aug 23, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Nov 15, 2023 | ▲ L · Immediate jeopardy, facility-wide | 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 |
| Nov 15, 2023 | ▲ K · Immediate jeopardy, repeated | 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 |
| Nov 15, 2023 | E · Potential for harm, repeated | 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 |
| Nov 15, 2023 | E · Potential for harm, repeated | 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 |
| Nov 15, 2023 | E · Potential for harm, repeated | 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 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| 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.
Fines and enforcement (last 3 years)
1 fine totaling $179,218.
| Date | Type | Amount / length |
|---|---|---|
| Sep 14, 2023 | Fine | $179,218 |
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) | 4.40 | 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, 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. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Feldman, Marc | Individual | 5% or Greater Indirect Ownership Interest | 33% | 09/01/2011 |
| Maurano, Matthew | Individual | 5% or Greater Indirect Ownership Interest | 33% | 09/01/2011 |
| Transitions Healthcare Autumn Grove LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2011 |
| Williams, Kevin | Individual | 5% or Greater Indirect Ownership Interest | 33% | 09/01/2011 |
| Capital Funding Group, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/20/2012 |
| Feldman, Marc | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2011 |
| Feldman, Marc | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2011 |
| Feldman, Marc | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2011 |
| Huff, Betsy | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/28/2024 |
| Huff, Betsy | Individual | ADP of the SNF | NOT APPLICABLE | 06/28/2024 |
| Maurano, Matthew | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2011 |
| Maurano, Matthew | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2011 |
| Maurano, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2011 |
| Stragand, Jarod | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/05/2022 |
| Stragand, Jarod | Individual | ADP of the SNF | NOT APPLICABLE | 01/05/2022 |
| Transitions Healthcare II LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2011 |
| Transitions Healthcare II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2011 |
| Williams, Kevin | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2011 |
| Williams, Kevin | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2011 |
| Williams, Kevin | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me about this citation and confirm your license and compliance status today?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Orchard Manor | 3.8 mi | Grove City, PA | ★★☆☆☆ | 2/5 | |
| Grove Manor | 4.6 mi | Grove City, PA | ★★★☆☆ | 4/5 | |
| Quality Life Services - Grove City | 4.8 mi | Grove City, PA | ★★★★☆ | 3/5 | |
| Avalon Springs Care Center | 15.0 mi | Mercer, PA | ★★★★☆ | 4/5 | |
| Quality Life Services - Mercer | 15.1 mi | Mercer, PA | ★★★★★ | 4/5 | |
| Shenango Presbyterian Seniorcare | 16.9 mi | New Wilmington, PA | ★★★★★ | 5/5 | |
| Kadima Rehabilitation & Nursing at New Wilmington | 17.0 mi | New Wilmington, PA | ★★★★☆ | 4/5 | |
| Quality Life Services - Chicora | 18.8 mi | Chicora, PA | ★☆☆☆☆ | 1/5 | |
| Jameson Nursing and Rehab Center | 18.9 mi | New Castle, PA | ★★★★★ | 5/5 | |
| Haven Convalescent Home, INC | 19.1 mi | New Castle, PA | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 395248.