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Health Inspection

Mt Macrina Manor

August 14, 2025 · Uniontown, PA · 520 West Main Street
Citations 13
CMS Rating 2/5
Beds 124
Provider ID 395629
Healthcare Facility
Mt Macrina Manor
Uniontown, PA  ·  View full profile →
Inspection Summary

MT MACRINA MANOR in UNIONTOWN, PA — inspection on August 14, 2025.

Found 13 citations. Severity: Standard violations.

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

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Inspection Findings

FF0628
Resident Rights Deficiencies
Potential for Minimal Harm

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2025-08-14.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

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

This was one of 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0636 during a standard health inspection conducted on 2025-08-14.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

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

This was one of 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0638 during a standard health inspection conducted on 2025-08-14.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assure that each resident’s assessment is updated at least once every 3 months.

Scope/Severity Level B: isolated, no actual harm with potential for minimal harm.

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

This was one of 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0727 during a standard health inspection conducted on 2025-08-14.

Category: Nursing and Physician Services Deficiencies

The facility was found deficient in the following area: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Scope/Severity Level F: widespread, 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 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0868 during a standard health inspection conducted on 2025-08-14.

Category: Administration Deficiencies

The facility was found deficient in the following area: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-14.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level F: widespread, 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 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2025-08-14.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Implement a program that monitors antibiotic use.

Scope/Severity Level F: widespread, 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 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0941 during a standard health inspection conducted on 2025-08-14.

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 C: pattern, no actual harm with potential for minimal harm.

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

This was one of 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0942 during a standard health inspection conducted on 2025-08-14.

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 B: isolated, no actual harm with potential for minimal harm.

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

This was one of 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0943 during a standard health inspection conducted on 2025-08-14.

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 E: pattern, 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 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0944 during a standard health inspection conducted on 2025-08-14.

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 B: isolated, no actual harm with potential for minimal harm.

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

This was one of 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0945 during a standard health inspection conducted on 2025-08-14.

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 E: pattern, 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 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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Federal health inspectors cited MT MACRINA MANOR in UNIONTOWN, PA for a deficiency under regulatory tag F-F0949 during a standard health inspection conducted on 2025-08-14.

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 B: isolated, no actual harm with potential for minimal harm.

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

This was one of 13 deficiencies cited during this inspection of MT MACRINA MANOR.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-01.

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 UNIONTOWN, 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 MT MACRINA MANOR or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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