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Health Inspection

Lutheran Home At Hollidaysburg

Inspection Date: December 10, 2025
Total Violations 14
Facility ID 395427
Location HOLLIDAYSBURG, PA
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Inspection Findings

F-Tag F0655

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-12-10.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-12-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-12-10.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0730

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0730 during a standard health inspection conducted on 2025-12-10.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-12-10.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-12-10.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0941

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0941 during a standard health inspection conducted on 2025-12-10.

Category: Administration Deficiencies

The facility was found deficient in the following area: Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0942

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0942 during a standard health inspection conducted on 2025-12-10.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0943

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0943 during a standard health inspection conducted on 2025-12-10.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0944

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0944 during a standard health inspection conducted on 2025-12-10.

Category: Administration Deficiencies

The facility was found deficient in the following area: Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0945

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0945 during a standard health inspection conducted on 2025-12-10.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0946

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0946 during a standard health inspection conducted on 2025-12-10.

Category: Administration Deficiencies

The facility was found deficient in the following area: Provide training in compliance and ethics.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0947

Nursing and Physician Services Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0947 during a standard health inspection conducted on 2025-12-10.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0949

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA for a deficiency under regulatory tag F-F0949 during a standard health inspection conducted on 2025-12-10.

Category: Administration Deficiencies

The facility was found deficient in the following area: Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 14 deficiencies cited during this inspection of LUTHERAN HOME AT HOLLIDAYSBURG.

Correction Status: Deficient, Provider has no plan of correction.

πŸ“‹ Inspection Summary

LUTHERAN HOME AT HOLLIDAYSBURG in HOLLIDAYSBURG, PA inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in HOLLIDAYSBURG, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LUTHERAN HOME AT HOLLIDAYSBURG or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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