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BEACON RIDGE

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BEACON RIDGE is a non profit - corporation facility in INDIANA, PA with 118 certified beds and a 3-star overall CMS rating. The facility has 34 deficiency records on file.

1515 WAYNE AVENUE, INDIANA, PA 15701

Phone: 7243495300

Overall Rating

3/5

Health Inspection

3/5

Staffing

3/5

Quality Measures

4/5

Long-Stay Quality

5/5

Facility Information

Provider Number
395702
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
118
Residents
80
In Hospital
No
County
Indiana
Last Inspection
May 22, 2025

Staffing Data

RN Hours
0.44 (nat'l avg: 0.68)
LPN Hours
1.06
CNA Hours
2.31
Total Nursing Hours
3.81 (nat'l avg: 3.89)
PT Hours
0.07
Nursing Turnover
47.5%
RN Turnover
58.3%

What the CMS Record Reveals About BEACON RIDGE

BEACON RIDGE operates 118 certified beds in INDIANA, PA with approximately 80 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (3★), and quality measures (4★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 34 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.81 total nursing hours per resident day (national average 3.89), with RN coverage at 0.44 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, BEACON RIDGE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 47.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (34 most recent)

D — Isolated - Minimal harm May 22, 2025 Tag: 0867

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

Category: Administration Deficiencies

Corrected: Jul 1, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 1, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jul 1, 2025

E — Pattern - Minimal harm May 22, 2025 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 1, 2025

E — Pattern - Minimal harm May 22, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2025

D — Isolated - Minimal harm May 22, 2025 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 1, 2025

E — Pattern - Minimal harm May 22, 2025 Tag: 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.

Category: Resident Rights Deficiencies

Corrected: Jul 1, 2025

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 15, 2024

E — Pattern - Minimal harm Jun 6, 2024 Tag: 0867

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

Category: Administration Deficiencies

Corrected: Jul 15, 2024

F — Widespread - Minimal harm Jun 6, 2024 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0805

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 21, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0773

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Category: Administration Deficiencies

Corrected: Jul 15, 2024

E — Pattern - Minimal harm Jun 6, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 15, 2024

E — Pattern - Minimal harm Jun 6, 2024 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 15, 2024

E — Pattern - Minimal harm Jun 6, 2024 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2024

E — Pattern - Minimal harm Jun 6, 2024 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jun 6, 2024 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Jul 15, 2024

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 13, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 13, 2023

E — Pattern - Minimal harm Jul 27, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 13, 2023

E — Pattern - Minimal harm Jul 27, 2023 Tag: 0755

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

Category: Pharmacy Service Deficiencies

Corrected: Sep 13, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2023

E — Pattern - Minimal harm Jul 27, 2023 Tag: 0694

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2023

E — Pattern - Minimal harm Jul 27, 2023 Tag: 0693

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2023

E — Pattern - Minimal harm Jul 27, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 13, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 13, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.5% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 7.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 93.1% No
Percentage of long-stay residents with pressure ulcers Long Stay 2.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 7.9% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 18.7% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for BEACON RIDGE?
BEACON RIDGE has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (3★), and quality measures (4★).
What are the staffing levels at BEACON RIDGE?
BEACON RIDGE reports 3.81 total nursing hours per resident day (national average: 3.89). RN hours are 0.44 per resident day (national average: 0.68). Nursing staff turnover is 47.5%.
How many beds does BEACON RIDGE have?
BEACON RIDGE has 118 certified beds with approximately 80 residents. The facility is located at 1515 WAYNE AVENUE, INDIANA, PA 15701.
Does BEACON RIDGE have any deficiencies on record?
Yes, BEACON RIDGE has 34 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has BEACON RIDGE received any fines or penalties?
No, BEACON RIDGE has no fines or penalties on record.
Who owns BEACON RIDGE?
BEACON RIDGE is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was BEACON RIDGE last inspected?
The most recent health inspection for BEACON RIDGE was on May 22, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for BEACON RIDGE?
BEACON RIDGE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial