Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

LOCUST GROVE RETIREMENT VILLAGE

MIFFLIN, PA · 104 certified beds · Last Life Safety survey June 27, 2025

CMS Certification Number 395350 · first certified May 1976

Ownership

Operated by AVARDIS HEALTH · For profit - Corporation

  • New ownershipOwnership changed June 1, 2025 (change of ownership)from LOCUST GROVE FACILITY OPERATIONS, LLC
11
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within PA

11 citations — more than 51% of the 656 certified nursing homes in PA. Compared within PA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to June 2026), and past the point by which nine in ten PA facilities have been surveyed. This facility’s last Life Safety survey was June 2025. Facilities in PA are typically surveyed 10–12 months after the last one (median 11), measured over 1,113 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

1 of the 11 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 11 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0584 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.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in PA, and nationally. Surveyors differ markedly between states, so the PA figure is the meaningful one.

This facility11PA median10National median11
Citations on file over three years, compared
MeasureCitations
This facility11
Median facility in PA10
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-0862024-0522025-06
Citations at each Life Safety survey
Survey dateCitations
August 4, 20233
May 3, 20246
June 27, 20252

Most-cited tags

Most-cited tags at this facility
K-03213K-03241K-03531K-09201K-01001K-09121E-00061K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-06-27
K-0324Provide properly protected cooking facilities.12024-05-03
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-05-03
K-0920Ensure proper usage of power strips and extension cords.12023-08-04
K-0100Meet other general requirements.12024-05-03
K-0912Have power receptacles that are properly grounded.12024-05-03
E-0006Conduct risk assessment and an All-Hazards approach.12024-05-03
K-0363Install corridor and hallway doors that block smoke.12025-06-27

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Construction Deficiencies 1
  • Emergency Preparedness Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies3
Construction Deficiencies1
Emergency Preparedness Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 27, 2025 — 2 citations

Citations issued on June 27, 2025
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (July 7, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 7, 2025)

May 3, 2024 — 6 citations

Citations issued on May 3, 2024
TagWhat the surveyor checksStatus
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (June 29, 2024)
K-0100Meet other general requirements.Deficient, Provider has date of correction (June 29, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 29, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 29, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 29, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (June 29, 2024)

August 4, 2023 — 3 citations

Citations issued on August 4, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 2, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (October 2, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 2, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.