CareSentinel

Federal Nursing-Home Survey Record

BEDFORD POST ACUTE

CCN 395221 · 136 DONAHOE MANOR ROAD, BEDFORD, PA, 15522

Record as of May 2026 · Updated monthly from CMS · Data incorrect? Contact records@caregiverhelpnow.com

Does BEDFORD POST ACUTE have a federal violation or abuse history?

According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), BEDFORD POST ACUTE (CCN 395221), in BEDFORD, PA, has federal inspection findings on its record.

In its current inspection cycle, CMS cited the facility for 11 deficiencies; the most serious carries scope/severity E on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2025-07-02. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.

The Federal Record

The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.

Below is this facility's federal survey record as on file with CMS.

Scope & Severity — current cycle

ANo Harm
BNo Harm
CNo Harm
DPotential
EPotential
FPotential
GActual Harm
HActual Harm
IActual Harm
JImm. Jeopardy
KImm. Jeopardy
LImm. Jeopardy

CMS's own A–L scope/severity grid. Plotted cells mark this facility's most recent (current-cycle) citations, as on file with CMS.

Overall CMS star rating: this facility vs the CMS-published state average

This facility: 2  ·  CMS state average: 3.0

Side-by-side with the CMS-published Overall CMS star rating for this state. This is the government's own published state average — not a CareSentinel-computed figure or delta.

Deficiency timeline — full federal history

2025-11-12
CURRENT CYCLE
F585S/S D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

2025-09-03
CURRENT CYCLE
F689S/S D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-07-02
CURRENT CYCLE
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-07-02
CURRENT CYCLE
F583S/S D

Keep residents' personal and medical records private and confidential.

2025-07-02
CURRENT CYCLE
F755S/S D

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2025-07-02
CURRENT CYCLE
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-07-02
CURRENT CYCLE
F757S/S D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2025-07-02
CURRENT CYCLE
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2025-07-02
CURRENT CYCLE
F761S/S D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

2025-07-02
CURRENT CYCLE
F688S/S D

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

2025-07-02
CURRENT CYCLE
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

45 citations from earlier inspection cycles — historical, not current (expand)
2025-04-07
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-01
HISTORICAL
F867S/S E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2024-08-01
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2024-08-01
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2024-08-01
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2024-08-01
HISTORICAL
F550S/S D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

2024-08-01
HISTORICAL
F730S/S D

Observe each nurse aide's job performance and give regular training.

2024-08-01
HISTORICAL
F623S/S D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

2024-08-01
HISTORICAL
F641S/S D

Ensure each resident receives an accurate assessment.

2024-08-01
HISTORICAL
F880S/S D

Provide and implement an infection prevention and control program.

2024-08-01
HISTORICAL
F849S/S D

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

2024-08-01
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-08-01
HISTORICAL
F661S/S D

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

2024-08-01
HISTORICAL
F761S/S D

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

2024-08-01
HISTORICAL
F684S/S D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2024-08-01
HISTORICAL
F947S/S D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

2024-03-27
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2024-03-27
HISTORICAL
F585S/S D

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

2023-08-17
HISTORICAL
F755S/S E

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

2023-08-17
HISTORICAL
F584S/S E

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

2023-08-17
HISTORICAL
F641S/S E

Ensure each resident receives an accurate assessment.

2023-08-17
HISTORICAL
F658S/S E

Ensure services provided by the nursing facility meet professional standards of quality.

2023-08-17
HISTORICAL
F686S/S E

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2023-08-17
HISTORICAL
F689S/S E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2023-08-17
HISTORICAL
F758S/S E

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

2023-08-17
HISTORICAL
F761S/S E

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

2023-08-17
HISTORICAL
F812S/S E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2023-08-17
HISTORICAL
F867S/S E

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

2023-08-17
HISTORICAL
F607S/S D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2023-08-17
HISTORICAL
F698S/S D

Provide safe, appropriate dialysis care/services for a resident who requires such services.

2023-08-17
HISTORICAL
F690S/S D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

2023-08-17
HISTORICAL
F759S/S D

Ensure medication error rates are not 5 percent or greater.

2023-08-17
HISTORICAL
F657S/S D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

2023-08-17
HISTORICAL
F882S/S D

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2023-08-17
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-08-17
HISTORICAL
F883S/S D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

2023-07-24
HISTORICAL
F760S/S E

Ensure that residents are free from significant medication errors.

2023-07-06
HISTORICAL
F836S/S E

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

2023-07-06
HISTORICAL
F684S/S E

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2023-07-06
HISTORICAL
F561S/S E

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

2023-07-06
HISTORICAL
F580S/S D

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2023-07-06
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

2023-07-06
HISTORICAL
F842S/S D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

2023-05-10
HISTORICAL
F656S/S D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

2023-05-10
HISTORICAL
F677S/S D

Provide care and assistance to perform activities of daily living for any resident who is unable.

Each citation below is a federal survey finding, dated and labeled with its CMS deficiency tag, as on file with CMS. Older inspection cycles are de-emphasized; only the most recent cycle is current.

Document what happened

Have a concern about care at BEDFORD POST ACUTE?

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Step 1 of 3 · What happened

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