All citations for Lutheran Home at Hollidaysburg

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Lutheran Home at Hollidaysburg

Last standard health inspection on record

December 10, 2025

Showing 1 to 25 of 40 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of June 25, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (June 24, 2024).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  3. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0623, Resident Rights Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  4. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  5. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  6. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  7. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0867, Administration Deficiencies. Inspection of September 12, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 1, 2024).

  8. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  9. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2024).

  10. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 28, 2023).

  11. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of October 12, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 2, 2024).

  12. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 18, 2026. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

  13. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  16. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  17. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  18. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  19. No harm, with potential for more than minimal harm

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0941, Administration Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  20. No harm, with potential for more than minimal harm

    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0942, Resident Rights Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  21. No harm, with potential for more than minimal harm

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0943, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  22. No harm, with potential for more than minimal harm

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0944, Administration Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  23. No harm, with potential for more than minimal harm

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0945, Infection Control Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  24. No harm, with potential for more than minimal harm

    Provide training in compliance and ethics.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0946, Administration Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

  25. No harm, with potential for more than minimal harm

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of December 10, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.