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Nursing HomeMedicaid Investigative

Bethlen Hm of the Hungarian Rf of America

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

66 Carey School Road, Ligonier, PA 1565876 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 6 Google reviews

5
4
3
2
1
Bethlen Hm of the Hungarian Rf of America Nursing Home in Ligonier, 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 (17 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

This facility receives high marks for its therapy and nursing staff responsiveness, making it a potential option for rehabilitation. However, because there are serious allegations regarding management and patient care standards, we strongly recommend requesting a tour to observe staff-patient interactions firsthand and asking specifically about their internal quality assurance processes.

Google Reviews

Google Reviews

6 reviews on Google
Bethlen Home receives polarized feedback, with some families praising the attentive care and effective therapy, while others express deep concerns regarding management and staff professionalism. While the facility is noted for its physical appearance, critics allege significant issues with patient care standards and administrative oversight.

Quality Themes

Tap a score for details
FoodN/AStaff5.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Effective rehabilitation therapy
  • Attentive and kind nursing staff
  • Thorough medical communication
  • Well-maintained physical facility

Concerns

  • Poor management and administrative oversight

Rating Trends

Tap a year to see what changed

2343.02018(1)5.02019(1)1.02023(1)1.02024(1)5.02025(2)

Distribution · 6 analyzed

5
3
4
0
3
1
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard great things about the rehabilitation therapy here; could you tell us more about how the therapy program supports residents' recovery goals?
  • 2Since we value clear communication, how do the nurses and doctors typically keep family members updated on any changes in a resident's medical condition?
  • 3What specific steps is the facility taking to address recent health inspection findings and ensure all care standards are being met?
  • 4How does the administrative team work to ensure that the high quality of the nursing staff is reflected in the overall management of the facility?
  • 5Could you describe what a typical day looks like for residents, including any social activities or group events scheduled?
  • 6In the event of a medical emergency during the night, what is the protocol for notifying the family and ensuring immediate care?

Personalized based on this facility's data


Key Review Excerpts

Everyone on the staff was kind, caring, attentive, and ALWAYS smiling. I've dealt with many nursing facilities and this is, by FAR, the best.

Family member of rehab patient · 2025★★★★★

People don't get the care they need, staff speaks negativity about patients. HIPA law is probably broken atleast 10 times a day. I can not blame the nurses, its the people in charge.

Unspecified · 2024☆☆☆☆
Source: 6 Google reviews

Quality Measures

Quality Measures

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

Medicare Rating
4/ 5
Better Than Avg

6

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility38.7%
Worse than Avg
Here
38.7%
US
19.5%
PA
19.9%
Westmoreland
19.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
12.1%
PA
8.3%
Westmoreland
12.5%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
15.5%
PA
17.7%
Westmoreland
15.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility82.6%
Worse than Avg
Here
82.6%
US
93.4%
PA
87.1%
Westmoreland
93.4%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility87.8%
Worse than Avg
Here
87.8%
US
95.5%
PA
93.5%
Westmoreland
94.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.6%
Mixed vs Avgs
Here
25.6%
US
19.4%
PA
26.0%
Westmoreland
24.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
79.8%
PA
68.7%
Westmoreland
73.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility77.3%
Mixed vs Avgs
Here
77.3%
US
81.8%
PA
69.2%
Westmoreland
77.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
1.6%
PA
1.4%
Westmoreland
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
Well above state avg (10.1)
16 complaint-triggered

This facility has significant ongoing problems across multiple areas, with families filing complaints that triggered inspections. The most persistent issues involve resident assessment and care planning, medication management, and food safety - problems that have recurred across multiple surveys over the past two years. While the facility corrects deficiencies when cited, the pattern of repeated violations in critical care areas suggests systemic challenges that may impact quality of care.

Mar 10, 2026Complaint
1
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

Feb 2, 2026Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Sep 5, 2025Routine
14
0605Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0628Potential for harm · PatternCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

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

Jun 20, 2025Complaint
2
0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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.

Mar 27, 2025Complaint
1
0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Dec 30, 2024Complaint
2
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bethlen Hm of the Hungarian Rf of America

Organization Type

nonprofit

Chain Affiliation

Chain Name

Concordia Lutheran Ministries

Chain Size

9 facilities nationwide

Chain avg rating: 3.3/5 · Rank 7 of 8

Ownership & Management

Owners

Concordia Care Network

Owner · Organization

100%

Key personnel

Frndak, KeithOfficer / DirectorGrubesky, EricaOfficer / DirectorHortert, BrianOfficer / DirectorIngram, MistyOfficer / DirectorMckay, NatalieOfficer / Director
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 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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