Bedford Post Acute

Nursing Home · Bedford, PA

CMS overall rating 3/5 For profit - Limited Liability company

CMS certification number395221

Contact & location

136 Donahoe Manor Road
Bedford, PA 15522
Bedford County
Phone
(814) 623-9075
ZIP code
15522 – all care providers

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Facility details

Certified beds
72
Residents per day
63.9 (89% occupied)
Ownership
For profit - Limited Liability company
Legal name
Bedford SNF Healthcare LLC
Chain
Pacs Group (274 facilities, avg 2.9★)
Medicare certified since
August 1, 1968
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.0
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.0
Quality measures★★★★★ 3/5
State avg 3.6
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.53 (state 3.89 · U.S. 3.86)
Registered nurses (RN)
1.00 (state 0.79 · U.S. 0.69)
Licensed practical nurses
0.72 (state 0.91 · U.S. 0.86)
Nurse aides
1.80 (state 2.19 · U.S. 2.32)
Weekend total
3.19 (state 3.53 · U.S. 3.42)
Nursing staff turnover
36.1 (state 44.5 · U.S. 45.8)%
RN turnover
27.8 (state 39.9 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 17, 2026
Health deficiencies (last cycle)
14.0 (state 10.1 · U.S. 9.3)
From complaints
2
Citations on record (3 years)
41 health · 9 fire safety
DateCitationSeverityStatus
2026-06-17 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Provide special eating equipment and utensils for residents who need them and appropriate assistance.
F0810 · Nutrition and Dietary Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
F0887 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2026-06-17 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
F0944 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-29
2025-11-12 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.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-12-12
2025-09-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-09-30
2025-07-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 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.
F0688 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-07-02 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-05
2025-04-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-08
2024-08-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
F0661 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Observe each nurse aide's job performance and give regular training.
F0730 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 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.
F0761 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 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.
F0849 · Administration Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-08-01 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-09-23
2024-03-27 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.
F0585 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-22
2024-03-27 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-05-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Fisher, Maria (individual)Administrator · NOT APPLICABLE
Hancock, Mark (individual)Administrator · NOT APPLICABLE
Murray, Jason (individual)Administrator · NOT APPLICABLE
Zubak, George (individual)Administrator · NOT APPLICABLE
Apt, Frederick (individual)Managing Control - Governing Body · NOT APPLICABLE
Jergensen, Joshua (individual)Managing Control - Governing Body · NOT APPLICABLE
Mitchell, John (individual)Managing Control - Governing Body · NOT APPLICABLE
Apt, Frederick (individual)Operational/managerial Control · NOT APPLICABLE
Fisher, Maria (individual)Operational/managerial Control · NOT APPLICABLE
Jergensen, Joshua (individual)Operational/managerial Control · NOT APPLICABLE
Mitchell, John (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Bedford Post Acute?

Bedford Post Acute has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.0-star average in Pennsylvania.

How many beds does Bedford Post Acute have?

It has 72 certified beds and cares for about 64 residents per day.

Has Bedford Post Acute been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Bedford Post Acute?

It is part of Pacs Group and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Bedford Post Acute?

(814) 623-9075. The facility is located at 136 Donahoe Manor Road, Bedford, PA 15522.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.