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Nursing HomeMedicaid Investigative

Bedford Post Acute

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

136 Donahoe Manor Road, Bedford, PA 1552272 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.7/5

based on 26 Google reviews

5
4
3
2
1
Bedford Post Acute Nursing Home in Bedford, PA — Street View
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3/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (12 vs median 8.0)

Below average in PA · Meets national RN staffing standard · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

The facility is highly regarded for its compassionate nursing staff and clean environment, making it a strong candidate for those prioritizing a welcoming atmosphere. However, because there have been past reports of slow response times and missing items, we recommend asking management about their specific protocols for monitoring patient belongings and ensuring timely call-light response during night and weekend shifts.

Google Reviews

Google Reviews

26 reviews on Google
Bedford Post Acute receives high praise for its friendly, attentive, and professional staff who are frequently noted for their kindness toward residents, including those with dementia. While the vast majority of reviews are positive, highlighting a clean environment and good communication, there are isolated reports of concerns regarding patient neglect and missing personal items. Overall, families express high levels of comfort and satisfaction with the care provided to their loved ones.

Quality Themes

Tap a score for details
FoodN/AStaff9.0Clean9.0ActivitiesN/AMedsN/AMemory8.0Comms8.0ValueN/A

Strengths

  • Warm, attentive, and friendly nursing staff
  • Clean and well-maintained facility
  • Responsive and professional management
  • Effective communication with family members

Concerns

  • Slow response to call lights and neglect of patient needs (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.62019(5)4.82023(6)4.92024(15)5.02025(1)5.02026(3)

Distribution · 30 analyzed

5
25
4
3
3
1
2
0
1
1

How They Respond to Reviews

96%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed that your management team is very active in responding to online feedback; how does that same level of responsiveness translate to addressing family concerns or care plan changes once a resident is moved in?
  • 2With the facility having 72 residents, what specific processes do you have in place to ensure that call lights are answered promptly and that residents' immediate needs are met consistently?
  • 3Given the recent health inspection findings, what specific steps or quality improvement initiatives has the facility implemented to address those areas and ensure a higher standard of care moving forward?
  • 4Since your staffing rating is quite strong, how do you leverage that consistent team presence to ensure residents receive personalized attention throughout the day?
  • 5What does a typical daily activity schedule look like for residents here, and how do you encourage those who might be hesitant to participate in group events?
  • 6How does your nursing team coordinate with local hospitals or specialists if a resident experiences a sudden change in health status that requires urgent medical intervention?

Personalized based on this facility's data


Key Review Excerpts

The staff are so kind and accommodating. Courtney & Timberly take such good care of my grandfather.

Memory care family member · 2024★★★★★

The staff are friendly and take very good care of my mom. She has dementia and know that sometimes that can be a challenge. The center is very clean and Dr. Zubeck , sat and spoke with me in regard to my mom within a week of her being there, which made me feel a lot better.

Memory care family member · 2024★★★★★

Everyone at the facility has been friendly, helpful, and professional during a new and challenging experience for our family. Questions or concerns have been handled with understanding and consideration by the staff.

Rehab patient family member · 2024★★★★★
Source: 26 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.96hrs
OK
Registered nurses for medical care
Total Nursing
3.50hrs
85%
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
32%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

3

measures

Worse Than Avg

5

measures

Mixed Results

9

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
15.5%
PA
17.7%
Bedford
15.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility15.8%
Mixed vs Avgs
Here
15.8%
US
12.1%
PA
8.3%
Bedford
23.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
PA
6.4%
Bedford
7.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.7%
Mixed vs Avgs
Here
21.7%
US
19.5%
PA
19.9%
Bedford
28.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility93.7%
Mixed vs Avgs
Here
93.7%
US
93.4%
PA
87.1%
Bedford
98.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.5%
Mixed vs Avgs
Here
12.5%
US
15.3%
PA
18.4%
Bedford
11.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility49.8%
Worse than Avg
Here
49.8%
US
81.8%
PA
69.2%
Bedford
89.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility70.6%
Mixed vs Avgs
Here
70.6%
US
79.8%
PA
68.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.0%
Worse than Avg
Here
4.0%
US
1.6%
PA
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

11deficiencies
Above state avg (10.1)
13 complaint-triggered

Bedford Post Acute shows concerning patterns with 70 deficiencies across 10 surveys, including 15 complaint-triggered issues where families filed reports about problems. The facility has recurring issues with medication management, care planning, and safety hazards that appear multiple times across different inspections. Problems persist across surveys from 2023 through 2025, suggesting ongoing challenges with correcting deficiencies despite the facility providing correction dates for all violations.

Nov 12, 2025Complaint
1
0585Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

Sep 3, 2025Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jul 2, 2025Routine
11
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0223Potential for harm · PatternCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0354Potential for harm · PatternCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

Apr 7, 2025Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Aug 1, 2024Routine
20
0911Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Meet requirements for the installation and maintenance of electrical systems.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0867Potential for harm · PatternCorrected

Administration Deficiencies

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

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0661Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0730Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0947Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

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

0041Minimal · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

Aug 1, 2024Complaint
1
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bedford Post Acute

Organization Type

for profit

Chain Affiliation

Chain Name

Pacs Group

Chain Size

280 facilities nationwide

Chain avg rating: 2.9/5 · Rank 172 of 260

Ownership & Management

Key personnel

Apt, FrederickManaging Control - Governing BodyJergensen, JoshuaManaging Control - Governing BodyMitchell, JohnManaging Control - Governing BodyApt, FrederickManagerFisher, MariaManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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