BROAD ACRES HEALTH AND REHAB

πŸ“ 1883 SHUMWAY HILL ROAD, wellsboro, PA 16901 πŸ“ž 5707243559 πŸ›οΈ 120 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐⭐
3/5

Inspection History Overview

77
Total Violations
8 years of data
$650
Total Fines
1 penalties
6
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 1 violations

Tag 0755 D May 8, 2024

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

βœ“ Corrected: Jun 14, 2024

2023 5 violations

Tag 0550 D Oct 6, 2023

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

βœ“ Corrected: Nov 17, 2023
Tag 0677 D Oct 6, 2023

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

βœ“ Corrected: Nov 17, 2023
Tag 0692 D Oct 6, 2023

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

βœ“ Corrected: Nov 17, 2023
Tag 0812 E Oct 6, 2023

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

βœ“ Corrected: Nov 17, 2023
Tag 0690 D Aug 31, 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.

2022 7 violations

Tag 0656 D Oct 28, 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: Dec 9, 2022
Tag 0684 E Oct 28, 2022

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

βœ“ Corrected: Dec 9, 2022
Tag 0695 D Oct 28, 2022

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

βœ“ Corrected: Dec 9, 2022
Tag 0759 D Oct 28, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Dec 9, 2022
Tag 0761 D Oct 28, 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: Dec 9, 2022
Tag 0677 E May 9, 2022

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

βœ“ Corrected: Jun 3, 2022
Tag 0688 E May 9, 2022

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: Jun 3, 2022

2021 10 violations

Tag 0563 E Nov 5, 2021

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

βœ“ Corrected: Dec 3, 2021
Tag 0578 D Nov 5, 2021

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: Dec 3, 2021
Tag 0641 D Nov 5, 2021

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Dec 3, 2021
Tag 0684 D Nov 5, 2021

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

βœ“ Corrected: Dec 3, 2021
Tag 0690 D Nov 5, 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: Dec 3, 2021
Tag 0692 D Nov 5, 2021

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

βœ“ Corrected: Dec 3, 2021
Tag 0775 D Nov 5, 2021

Keep complete, dated laboratory records in the resident's record.

βœ“ Corrected: Dec 3, 2021
Tag 0790 D Nov 5, 2021

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Dec 3, 2021
Tag 0880 E Nov 5, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 3, 2021
Tag 0881 D Nov 5, 2021

Implement a program that monitors antibiotic use.

βœ“ Corrected: Dec 3, 2021

2020 7 violations

Tag 0558 D Oct 7, 2020

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Nov 6, 2020
Tag 0561 D Oct 7, 2020

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

βœ“ Corrected: Nov 6, 2020
Tag 0641 D Oct 7, 2020

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 6, 2020
Tag 0676 D Oct 7, 2020

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Nov 6, 2020
Tag 0697 D Oct 7, 2020

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Nov 6, 2020
Tag 0842 E Jul 23, 2020

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

βœ“ Corrected: Aug 14, 2020
Tag 0656 D Feb 18, 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 9, 2020

2019 13 violations

Tag 0550 D May 17, 2019

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

βœ“ Corrected: Jul 9, 2019
Tag 0578 D May 17, 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: Jul 9, 2019
Tag 0585 E May 17, 2019

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.

βœ“ Corrected: Jul 9, 2019
Tag 0641 D May 17, 2019

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jul 9, 2019
Tag 0656 D May 17, 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: Jul 9, 2019
Tag 0686 D May 17, 2019

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

βœ“ Corrected: Jul 9, 2019
Tag 0688 D May 17, 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: Jul 9, 2019
Tag 0690 D May 17, 2019

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: Jul 9, 2019
Tag 0697 E May 17, 2019

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jul 9, 2019
Tag 0700 D May 17, 2019

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: Jul 9, 2019
Tag 0759 D May 17, 2019

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jul 23, 2019
Tag 0812 F May 17, 2019

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

βœ“ Corrected: Jul 9, 2019
Tag 0814 C May 17, 2019

Dispose of garbage and refuse properly.

βœ“ Corrected: Jul 9, 2019

2018 20 violations

Tag 0554 D Jun 8, 2018

Allow residents to self-administer drugs if determined clinically appropriate.

βœ“ Corrected: Jul 31, 2018
Tag 0561 E Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0604 D Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0610 D Jun 8, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: Jul 31, 2018
Tag 0623 B Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0641 E Jun 8, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Jul 31, 2018
Tag 0645 D Jun 8, 2018

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jul 31, 2018
Tag 0655 D Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0661 D Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0676 D Jun 8, 2018

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Jul 31, 2018
Tag 0686 D Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0689 E Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0695 D Jun 8, 2018

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

βœ“ Corrected: Jul 31, 2018
Tag 0697 D Jun 8, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Jul 31, 2018
Tag 0725 D Jun 8, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Jul 31, 2018
Tag 0758 D Jun 8, 2018

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: Jul 31, 2018
Tag 0761 D Jun 8, 2018

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: Jul 31, 2018
Tag 0790 D Jun 8, 2018

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Jul 31, 2018
Tag 0791 E Jun 8, 2018

Provide or obtain dental services for each resident.

βœ“ Corrected: Jul 31, 2018
Tag 0880 D Jun 8, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 31, 2018

2017 14 violations

Tag 0221 E Jul 20, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

βœ“ Corrected: Aug 30, 2017
Tag 0225 E Jul 20, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Aug 30, 2017
Tag 0278 D Jul 20, 2017

Ensure each resident receives an accurate assessment by a qualified health professional.

βœ“ Corrected: Aug 30, 2017
Tag 0279 D Jul 20, 2017

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

βœ“ Corrected: Aug 30, 2017
Tag 0323 D Jul 20, 2017

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

βœ“ Corrected: Aug 30, 2017
Tag 0325 D Jul 20, 2017

Ensure residents maintain acceptable nutritional status.

βœ“ Corrected: Aug 30, 2017
Tag 0328 D Jul 20, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

βœ“ Corrected: Oct 4, 2017
Tag 0329 E Jul 20, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Aug 30, 2017
Tag 0332 D Jul 20, 2017

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

βœ“ Corrected: Oct 4, 2017
Tag 0412 D Jul 20, 2017

Provide or obtain dental services for each resident.

βœ“ Corrected: Aug 30, 2017
Tag 0428 D Jul 20, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Aug 30, 2017
Tag 0520 E Jul 20, 2017

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

βœ“ Corrected: Aug 30, 2017
Tag 0309 D Apr 4, 2017

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

βœ“ Corrected: Apr 28, 2017
Tag 0312 D Apr 4, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Apr 28, 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

2021 1 penalties totaling $650

$650
Fine
August 9, 2021
Average: $650 | Range: $650 - $650

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

May 8, 2024
0.00

Health

October 6, 2023
0.00

Health

August 31, 2023
0.00

Health

October 28, 2022
0.00

Health

May 9, 2022
0.00

Health

November 5, 2021
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
395352
395352
5707243559
Tioga

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Individual
August 25, 2025
Individual