PENN HIGHLANDS JEFFERSON MANOR

CMS abuse icon · Continuing care retirement community · CCN 395626 · JEFFCO HEALTH SERVICES INC. · Non profit - Corporation · 160 certified beds · Jefferson · PA


PENN HIGHLANDS JEFFERSON MANOR is a 160-bed nursing home in BROOKVILLE, Pennsylvania. CMS has certified it for Medicare and Medicaid since 1984-01-01. It averages 89.2 residents a day.

What harm was found in the violations cited at PENN HIGHLANDS JEFFERSON MANOR?

CMS lists 23 health-inspection deficiencies for PENN HIGHLANDS JEFFERSON MANOR, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-02-03.

Survey dateTagDeficiencySeverity
2026-02-03F0600, F0689Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2025-12-18F0684, F0755Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2025-01-09F0578, F0584, F0641, F0684, F0695, F0761, F0842, F0880Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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. / Ensure each resident receives an accurate assessment. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.D
2024-08-15F0686, F0836Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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.D
2024-04-10F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J
2024-04-10F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2024-04-10F0657, F0835Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Administer the facility in a manner that enables it to use its resources effectively and efficiently.D
2024-03-08F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F
2024-03-08F0584Honor 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.E
2024-03-08F0695, F0842Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2024-01-22F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E

Why was PENN HIGHLANDS JEFFERSON MANOR fined 2 times?

DateTypeAmount
2024-03-08Fine$12,015
2023-09-11Fine$3,145

How is PENN HIGHLANDS JEFFERSON MANOR staffed relative to the PA average?

MeasureThis facilityPA average
Total nurse staffing hours per resident per day3.880933.88823
Total nursing staff turnover (%)39.444.5
Average number of residents per day89.2104.6

Who owns PENN HIGHLANDS JEFFERSON MANOR?

PENN HIGHLANDS JEFFERSON MANOR is registered with CMS as Non profit - Corporation, operates under the legal business name JEFFCO HEALTH SERVICES INC.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTBROOKVILLE HOSPITALsince 04/01/2019
5% OR GREATER INDIRECT OWNERSHIP INTERESTDUBOIS REGIONAL MEDICAL CENTER, PENN HIGHLANDS HEALTHCARE, INC.since 04/01/2019
MANAGING CONTROL - GOVERNING BODYBELCZYK, CARLYN, CHAMBERLAIN, WILLIAM, CONRAD, DONALD, DEVLIN, JAMES, FORADORA, SCOTT, JOHNSTON, OSCAR, LEWIS, SAMUEL, LEZZER, DAVID, MCGINLEY, MARK, O'LEARY, ROBERT, PFINGSTLER, RICHARD, RYAN, JAMES, RYAN, JOANNE, SUTIKA, JOHN, YAHNER, EDWARD, YOUNG, WILLIAMsince 07/01/2022
CORPORATE DIRECTORBAUER, GREGORY, KLINE, BRIAN, STRISHOCK, JOURDANsince 07/01/2024
CORPORATE OFFICERBAUER, GREGORY, BELCZYK, CARLYN, CAMERON, RUSSELL, CHAMBERLAIN, WILLIAM, CONRAD, DONALD, DEVLIN, JAMES, FONTAINE, STEVEN, FORADORA, SCOTT, JOHNSON, TRINA, JOHNSTON, OSCAR, LEWIS, SAMUEL, LEZZER, DAVID, MCGINLEY, MARK, NORMAN, MARK, O'LEARY, ROBERT, PFINGSTLER, RICHARD, RYAN, JAMES, RYAN, JOANNE, SUTIKA, JOHN, WINNER, DOUGLAS, YAHNER, EDWARD, YOUNG, WILLIAMsince 02/01/2021
OPERATIONAL/MANAGERIAL CONTROLPENN HIGHLANDS HEALTHCARE, INC., BAUER, GREGORY, CAMERON, RUSSELL, FONTAINE, STEVEN, JOHNSON, TRINA, KLINE, BRIAN, NORMAN, MARK, STRISHOCK, JOURDAN, WINNER, DOUGLASsince 04/01/2019
ADP OF THE SNFDUBOIS REGIONAL MEDICAL CENTER, PENN HIGHLANDS HEALTHCARE, INC., BAUER, GREGORY, BELCZYK, CARLYN, CAMERON, RUSSELL, CHAMBERLAIN, WILLIAM, CONRAD, DONALD, DEVLIN, JAMES, FONTAINE, STEVEN, FORADORA, SCOTT, JOHNSON, TRINA, JOHNSTON, OSCAR, KLINE, BRIAN, LEWIS, SAMUEL, LEZZER, DAVID, MCGINLEY, MARK, NORMAN, MARK, O'LEARY, ROBERT, PFINGSTLER, RICHARD, RYAN, JAMES, RYAN, JOANNE, STRISHOCK, JOURDAN, SUTIKA, JOHN, WINNER, DOUGLAS, YAHNER, EDWARD, YOUNG, WILLIAM, ZIMMERMAN, ALEXISsince 01/01/2024

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