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Data / Nursing homes / Pennsylvania / Locust Grove Retirement Village

Locust Grove Retirement Village, Mifflin, PA: 3 star rating, fined $12,831 across 1 fine

Locust Grove Retirement Village in Mifflin, PA is owned by Mifflin Parentco LLC, is rated 3 of 5 stars by Medicare, and was fined $12,831 across 1 fine in the three years to October 1, 2026. CMS lists 32 health citations from inspections in that time, the latest survey on July 10, 2026, and 1 of them found actual harm or immediate jeopardy.

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Address
69 Cottage Road, Mifflin, PA 17058
Overall rating
3 of 5 stars
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measure rating
4 of 5
Certified beds
104
Residents per day
68 on average
Ownership type
For profit, limited liability company
Legal business name
69 Cottage Road OPCO LLC
Chain
Avardis Health, 38 facilities
Fines
$12,831 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
32, of which 1 with actual harm or immediate jeopardy
Latest survey
July 10, 2026
CMS Certification Number
395350
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 3, 2024Fine$12,831Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 10, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 10, 2026F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 10, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
July 10, 2026F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 6, 2026data.cms.gov
June 27, 2025F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
June 27, 2025F742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
June 27, 2025F697Provide safe, appropriate pain management for a resident who requires such services.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
June 27, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
June 27, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
June 27, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
June 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
June 27, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 22, 2025data.cms.gov
October 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 15, 2024data.cms.gov
June 18, 2024F790Provide routine and 24-hour emergency dental care for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 5, 2024data.cms.gov
May 3, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceMarch 28, 2024data.cms.gov
May 3, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F758Implement 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov
May 3, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 14, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 14 individual or personal trusts (8 managers, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Mifflin Parentco LLCDirect owner100%May 1, 2025data.cms.gov
Juniata HOLDCO LLCIndirect ownerNot listedMay 1, 2025data.cms.gov
Paop HOLDCO LLCIndirect ownerNot listedMay 1, 2025data.cms.gov
SNF MGR LLCOperational or managerial controlNot listedMay 1, 2025data.cms.gov
Mifflin Re Owner, LLCSecurity interestNot listedMay 1, 2025data.cms.gov
Mifflin Re Owner, LLCAdditional disclosable partyNot listedMay 1, 2025data.cms.gov
SNF MGR LLCAdditional disclosable partyNot listedApril 11, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.