DONAHOE MANOR

πŸ“ 136 DONAHOE MANOR ROAD, bedford, PA 15522 πŸ“ž 8146239075 πŸ›οΈ 72 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

112
Total Violations
7 years of data
$100,095
Total Fines
5 penalties
10
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 1 violations

Tag 0684 D Apr 7, 2025

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

βœ“ Corrected: May 8, 2025

2023 27 violations

Tag 0584 E Aug 17, 2023

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.

βœ“ Corrected: Sep 27, 2023
Tag 0607 D Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0641 E Aug 17, 2023

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Sep 27, 2023
Tag 0656 D Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0657 D Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0658 E Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0686 E Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0689 E Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0690 D Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0698 D Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0755 E Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0758 E Aug 17, 2023

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.

βœ“ Corrected: Sep 27, 2023
Tag 0759 D Aug 17, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Sep 27, 2023
Tag 0761 E Aug 17, 2023

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.

βœ“ Corrected: Sep 27, 2023
Tag 0812 E Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0867 E Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0882 D Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0883 D Aug 17, 2023

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

βœ“ Corrected: Sep 27, 2023
Tag 0760 E Jul 24, 2023

Ensure that residents are free from significant medication errors.

Tag 0561 E Jul 6, 2023

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

2022 14 violations

Tag 0580 D Aug 4, 2022

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

βœ“ Corrected: Sep 6, 2022
Tag 0584 D Aug 4, 2022

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.

βœ“ Corrected: Sep 6, 2022
Tag 0636 D Aug 4, 2022

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

βœ“ Corrected: Sep 6, 2022
Tag 0638 D Aug 4, 2022

Assure that each resident’s assessment is updated at least once every 3 months.

βœ“ Corrected: Sep 6, 2022
Tag 0641 D Aug 4, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Sep 6, 2022
Tag 0656 D Aug 4, 2022

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

βœ“ Corrected: Sep 6, 2022
Tag 0658 D Aug 4, 2022

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

βœ“ Corrected: Sep 6, 2022
Tag 0686 D Aug 4, 2022

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

βœ“ Corrected: Sep 6, 2022
Tag 0755 D Aug 4, 2022

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

βœ“ Corrected: Sep 6, 2022
Tag 0761 D Aug 4, 2022

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.

βœ“ Corrected: Sep 6, 2022
Tag 0880 E Aug 4, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 6, 2022
Tag 0655 D Jun 30, 2022

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Aug 17, 2022
Tag 0656 D Jun 30, 2022

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

βœ“ Corrected: Aug 17, 2022
Tag 0880 D Jun 30, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Aug 17, 2022

2021 18 violations

Tag 0684 D Sep 9, 2021

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

βœ“ Corrected: Nov 2, 2021
Tag 0689 D Sep 9, 2021

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

βœ“ Corrected: Nov 2, 2021
Tag 0695 D Sep 9, 2021

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Nov 2, 2021
Tag 0761 E Sep 9, 2021

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.

βœ“ Corrected: Nov 2, 2021
Tag 0812 E Sep 9, 2021

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

βœ“ Corrected: Nov 2, 2021
Tag 0583 J Apr 22, 2021

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: May 11, 2021
Tag 0600 J Apr 22, 2021

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: May 11, 2021
Tag 0677 E Apr 22, 2021

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

βœ“ Corrected: May 11, 2021
Tag 0688 D Apr 22, 2021

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.

βœ“ Corrected: May 11, 2021
Tag 0689 D Apr 22, 2021

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

βœ“ Corrected: May 11, 2021
Tag 0690 D Apr 22, 2021

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

βœ“ Corrected: May 11, 2021
Tag 0835 E Apr 22, 2021

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

βœ“ Corrected: May 11, 2021
Tag 0658 D Apr 12, 2021

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

βœ“ Corrected: May 11, 2021
Tag 0760 E Apr 12, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: May 11, 2021
Tag 0770 D Apr 12, 2021

Provide timely, quality laboratory services/tests to meet the needs of residents.

βœ“ Corrected: May 11, 2021
Tag 0580 D Mar 31, 2021

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

βœ“ Corrected: May 11, 2021
Tag 0684 E Mar 31, 2021

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

βœ“ Corrected: May 11, 2021
Tag 0692 E Mar 31, 2021

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: May 11, 2021

2020 20 violations

Tag 0880 E Nov 17, 2020

Provide and implement an infection prevention and control program.

Tag 0558 D Feb 19, 2020

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Mar 17, 2020
Tag 0607 D Feb 19, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0584 E Jan 30, 2020

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.

βœ“ Corrected: Mar 17, 2020
Tag 0638 D Jan 30, 2020

Assure that each resident’s assessment is updated at least once every 3 months.

βœ“ Corrected: Mar 17, 2020
Tag 0641 D Jan 30, 2020

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Mar 17, 2020
Tag 0656 D Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0657 D Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0658 D Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0677 D Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0686 D Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0690 D Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0711 D Jan 30, 2020

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

βœ“ Corrected: Mar 17, 2020
Tag 0761 D Jan 30, 2020

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.

βœ“ Corrected: Mar 17, 2020
Tag 0812 E Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0842 E Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0849 D Jan 30, 2020

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.

βœ“ Corrected: Mar 17, 2020
Tag 0867 E Jan 30, 2020

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

βœ“ Corrected: Mar 17, 2020
Tag 0880 D Jan 30, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 17, 2020
Tag 0921 D Jan 30, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Mar 17, 2020

2019 22 violations

Tag 0600 G Oct 22, 2019

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Dec 4, 2019
Tag 0657 D Oct 22, 2019

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

βœ“ Corrected: Dec 4, 2019
Tag 0689 D Oct 22, 2019

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

βœ“ Corrected: Dec 4, 2019
Tag 0557 D Jun 30, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Aug 7, 2019
Tag 0604 D Jun 30, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Aug 7, 2019
Tag 0558 D Jan 24, 2019

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Mar 20, 2019
Tag 0578 D Jan 24, 2019

Honor 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.

βœ“ Corrected: Mar 20, 2019
Tag 0610 D Jan 24, 2019

Respond appropriately to all alleged violations.

βœ“ Corrected: Mar 20, 2019
Tag 0641 D Jan 24, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Mar 20, 2019
Tag 0655 D Jan 24, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Mar 20, 2019
Tag 0656 D Jan 24, 2019

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

βœ“ Corrected: Mar 20, 2019
Tag 0657 D Jan 24, 2019

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

βœ“ Corrected: Mar 20, 2019
Tag 0688 D Jan 24, 2019

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.

βœ“ Corrected: Mar 20, 2019
Tag 0689 D Jan 24, 2019

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

βœ“ Corrected: Mar 20, 2019
Tag 0693 D Jan 24, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

βœ“ Corrected: Mar 20, 2019
Tag 0695 D Jan 24, 2019

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Mar 20, 2019
Tag 0755 D Jan 24, 2019

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

βœ“ Corrected: Mar 20, 2019
Tag 0759 D Jan 24, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Mar 20, 2019
Tag 0761 D Jan 24, 2019

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.

βœ“ Corrected: Mar 20, 2019
Tag 0842 E Jan 24, 2019

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

βœ“ Corrected: Mar 20, 2019

2017 10 violations

Tag 0558 D Dec 28, 2017

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Feb 6, 2018
Tag 0641 D Dec 28, 2017

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Feb 6, 2018
Tag 0656 D Dec 28, 2017

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

βœ“ Corrected: Feb 6, 2018
Tag 0658 D Dec 28, 2017

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

βœ“ Corrected: Feb 6, 2018
Tag 0758 D Dec 28, 2017

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.

βœ“ Corrected: Feb 6, 2018
Tag 0812 E Dec 28, 2017

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

βœ“ Corrected: Feb 6, 2018
Tag 0842 D Dec 28, 2017

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

βœ“ Corrected: Feb 6, 2018
Tag 0908 D Dec 28, 2017

Keep all essential equipment working safely.

βœ“ Corrected: Feb 6, 2018
Tag 0309 E Aug 30, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Sep 19, 2017
Tag 0514 E Aug 30, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Sep 19, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 2 penalties totaling $8,250

$5,000
Fine
June 30, 2022
$3,250
Fine
June 30, 2022
Average: $4,125 | Range: $3,250 - $5,000

2021 1 penalties totaling $34,970

$34,970
Fine
March 31, 2021
Average: $34,970 | Range: $34,970 - $34,970

2020 1 penalties totaling $4,615

$4,615
Fine
November 17, 2020
Average: $4,615 | Range: $4,615 - $4,615

2019 1 penalties totaling $52,260

$52,260
Fine
October 22, 2019
Average: $52,260 | Range: $52,260 - $52,260

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

August 17, 2023
0.00

Health

July 24, 2023
0.00

Health

July 6, 2023
0.00

Health

May 10, 2023
0.00

Health

August 4, 2022
0.00

Health

June 30, 2022
0.00

Health

September 9, 2021
0.00

Health

April 22, 2021
0.00

Health

April 12, 2021
0.00

Health

March 31, 2021
0.00

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Ownership Information

For profit - Corporation
Independent (Not part of a chain)
395221
395221
8146239075
Bedford

Historical Ownership Records

August 25, 2025