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.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| May 3, 2024 | Fine | $12,831 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| July 10, 2026 | F812 | Procure 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 harm | Corrected | August 6, 2026 | data.cms.gov |
| July 10, 2026 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 6, 2026 | data.cms.gov |
| July 10, 2026 | F656 | Develop 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 harm | Corrected | August 6, 2026 | data.cms.gov |
| July 10, 2026 | F584 | Honor 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 harm | Corrected | August 6, 2026 | data.cms.gov |
| June 27, 2025 | F744 | Provide 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 harm | Corrected | August 22, 2025 | data.cms.gov |
| June 27, 2025 | F742 | Provide 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 harm | Corrected | August 22, 2025 | data.cms.gov |
| June 27, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 22, 2025 | data.cms.gov |
| June 27, 2025 | F689 | Ensure 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 harm | Corrected | August 22, 2025 | data.cms.gov |
| June 27, 2025 | F688 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 22, 2025 | data.cms.gov |
| June 27, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | August 22, 2025 | data.cms.gov |
| June 27, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | August 22, 2025 | data.cms.gov |
| June 27, 2025 | F656 | Develop 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 harm | Corrected | August 22, 2025 | data.cms.gov |
| October 9, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | November 15, 2024 | data.cms.gov |
| June 18, 2024 | F790 | Provide routine and 24-hour emergency dental care for each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 5, 2024 | data.cms.gov |
| May 3, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G: isolated, actual harm | Past noncompliance | March 28, 2024 | data.cms.gov |
| May 3, 2024 | F880 | Provide and implement an infection prevention and control program. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F761 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F758 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F744 | Provide 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 harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F726 | Ensure 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 harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F725 | Provide 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 harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F699 | Provide care or services that was trauma informed and/or culturally competent. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F688 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F677 | Provide 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 harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F584 | Honor 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 harm | Corrected | June 14, 2024 | data.cms.gov |
| May 3, 2024 | F578 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | June 14, 2024 | data.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.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Mifflin Parentco LLC | Direct owner | 100% | May 1, 2025 | data.cms.gov |
| Juniata HOLDCO LLC | Indirect owner | Not listed | May 1, 2025 | data.cms.gov |
| Paop HOLDCO LLC | Indirect owner | Not listed | May 1, 2025 | data.cms.gov |
| SNF MGR LLC | Operational or managerial control | Not listed | May 1, 2025 | data.cms.gov |
| Mifflin Re Owner, LLC | Security interest | Not listed | May 1, 2025 | data.cms.gov |
| Mifflin Re Owner, LLC | Additional disclosable party | Not listed | May 1, 2025 | data.cms.gov |
| SNF MGR LLC | Additional disclosable party | Not listed | April 11, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Pennsylvania
- Every nursing home Paop HOLDCO LLC owns or manages
- Every nursing home SNF MGR LLC owns or manages
- This facility on Medicare Care Compare
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.