I stayed here for rehab and later transitioned to long-term care - the rehab team (PT/OT/speech) was amazing and my speech and mobility improved noticeably. The staff were consistently friendly and supportive, activities staff kept me engaged, and their COVID precautions made me feel safe, so I left in stable health and very pleased with the care.
Documented therapy progress, including speech improvement
Supportive and considerate nursing staff
Engaged activities staff
Successful short-term transition to long-term care for some residents
Stable clinical status achieved for some residents after care
Cons
Inconsistent staff conduct and communication tone
Low staffing levels and uneven licensed-nurse coverage
Inconsistent housekeeping and laundry controls
Allegations of theft and inadequate personal-item security
Inconsistent meal quality and limited therapeutic menu options
Interrupted or inconsistent activity programming during infection-control periods
Restrictive infection-control practices affecting resident access and engagement
Poor management responsiveness and limited family communication
High fees and opaque billing/payment resolution processes
Summary of reviews
Overall, reviewers describe a facility with meaningful clinical strengths in short-term rehabilitation alongside notable operational and service inconsistencies. The facility appears to provide on-site physical, occupational, and speech therapy with examples of measurable improvement and successful transitions from rehab to long-term placement. Several families credited nurses and certain staff members with kindness and competent clinical care that supported stabilization of residents’ health.
At the same time, there is a clear pattern of variability in day-to-day operations. Staffing levels and coverage are a recurrent concern: reviewers described periods with limited licensed-nurse presence and staff leaving posts to manage access, which respondents linked to delayed responses. Reports indicate uneven staff conduct and communication tone, with accounts ranging from considerate caregivers to interactions perceived as discourteous; this suggests inconsistent staff performance and supervision.
Dining and housekeeping emerged as consistent problem areas. Multiple accounts described unappealing or inadequate meals and menus that did not meet the needs of medically fragile residents, as well as interruptions to food service quality. Housekeeping and laundry processes were criticized for cleanliness lapses and missing or mishandled personal items; there are also allegations of theft and inadequate safeguards for residents’ belongings. These issues point to gaps in environmental services controls and property security procedures.
Activities and infection-control practices are another mixed area. Activity staff were described as engaged and able to interact positively with residents when programming was active. However, several reviewers reported interruptions to activities and periods of isolation related to infection-control measures, which affected resident engagement and family access. Management and administrative responsiveness were described as limited in some accounts: families reported difficulties resolving billing disputes, unclear communication about facility operations, and frustration with the responsiveness of leadership.
Taken together, the pattern is one of competent clinical rehabilitation and positive individual caregiver interactions in some cases, contrasted with operational weaknesses in staffing consistency, environmental services, dining, and management communication. Prospective residents and families should weigh the facility’s therapeutic capabilities against these operational concerns, and consider asking targeted questions about staffing ratios, laundry and belongings procedures, menu planning for therapeutic diets, activity schedules during infection-control events, security of personal items, and the facility’s process for addressing billing or grievance issues before making a placement decision.
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Medicare Ratings
2·/ 5
Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Penn Highlands Jefferson Manor is located at 417 PA-28, Brookville, PA, 15825.
About Penn Highlands Jefferson Manor
Penn Highlands Jefferson Manor sits at 417 Route 28 in Brookville, Pennsylvania, and you'll find they take care of seniors who need different kinds of help, like skilled nursing, independent living, and personal care, so if someone needs short-term rehabilitation or everyday support, they've got those services in the same place, with a total of 160 certified beds and a focus on making things feel homelike even while providing medical care. Staffed by a skilled team, they deliver around-the-clock nursing and offer therapies like physical, occupational, and speech, and there's also memory support available in secure areas, which helps residents who need extra safety and routine. The whole place is operated by Penn Highlands Healthcare, with managerial oversight from Brookville Hospital and Dubois Regional Medical Center, so it's run by an organization rather than a private owner or chain, and they're a non-profit corporation, so the focus is more on care than making money. They follow rules on infection control and residents' rights, including letting people refuse treatment or take part in research if they wish, and they put a lot of effort into creating a respectful, compassionate atmosphere, though an inspection has noted an infection-related deficiency in the past. They provide care planning and work to help residents keep a good quality of life, with privacy practices and a non-discrimination policy in place. You can reach out by phone, email, or online at any time for referrals, since they take them 24/7 from doctors, families, or anyone helping a patient, though their main office hours run Monday through Friday, 8:00 to 4:00. The nurse turnover rate comes to 46.2%, and nurses provide about 3.66 hours of care per resident each day, and while the exact amenities or activities aren't listed, the emphasis stays on safety, comfort, and reliable medical and personal care for every resident living there.
People often ask...
Penn Highlands Jefferson Manor offers independent living, assisted living, memory care, and skilled nursing.
Yes, Penn Highlands Jefferson Manor allows residents to age in place and adjust their level of care as needed.
The full address for this community is 417 PA-28, Brookville, PA 15825.
No, Penn Highlands Jefferson Manor does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Pennsylvania, the Department of Human Services licenses personal care homes and assisted living residences and publishes its licensing inspection summaries.
Investigated multiple deficiencies in resident care, safety, and administration. A second provisional license was issued with potential fines if corrections are not completed.
55 Pa.Code § 2600.15aResident Abuse Report
55 Pa.Code § 2600.16cWritten Incident Report
55 Pa.Code § 2600.17Record Confidentiality
55 Pa.Code § 2600.23aActivities of Daily Living Assistance
55 Pa.Code § 2600.25bContract Signatures
55 Pa.Code § 2600.25cPayment Responsibility
55 Pa.Code § 2600.42bAbuse
55 Pa.Code § 2600.60aStaffing
55 Pa.Code § 2600.65gAnnual Training Content
55 Pa.Code § 2600.89bHot Water Temperature
55 Pa.Code § 2600.100aExterior - Free of Hazards
55 Pa.Code § 2600.101j7Lighting/Operable Lamp
55 Pa.Code § 2600.102iSoap Dispenser
55 Pa.Code § 2600.103cFood Protected
55 Pa.Code § 2600.103dStoring Food Off Floor
55 Pa.Code § 2600.105gLint Removal and Duct Cleaning
55 Pa.Code § 2600.132aMonthly Fire Drill
55 Pa.Code § 2600.132gFire Drills Days/Times
55 Pa.Code § 2600.183bMeds and Syringes Locked
55 Pa.Code § 2600.187bDate/Time of Medication Admin
Found violations involving failure to report suspected abuse promptly, failure to notify the Department within 24 hours, and incomplete medication administration documentation.
2600.15aResident Abuse Report
2600.16cWritten Incident Report
2600.187bDate/Time of Medication Admin.
21 Aug 2025Inspection
21 Aug 2025Inspection
Found failures to promptly report abuse allegations. Also found failures to report to authorities within required timelines and to implement supervisor plans.
Type A2600.15aResident Abuse Report
Type B2600.15bSupervisor Plan
c2600.16cWritten Incident Report
13 Feb 2025Inspection
13 Feb 2025Inspection
Investigated identified multiple deficiencies across admissions, safety, and care planning. Found missing signatures, safety hazards, and incomplete documentation.
2600Contract Signatures
2600Resident Personal Equipment
2600Support Plan Medical/Dental
2600Support Plan Signatures
2600Medical Evaluation
2600Preadmission Screening
2600No Objection Statement
2600Admission Support Plan
23 Jul 2024Inspection
23 Jul 2024Inspection
Found numerous deficiencies in care, documentation, and facility operations and issued a first provisional license pending corrective actions.
55 Pa.Code Chapter 2600Resident Abuse Report
55 Pa.Code Chapter 2600Medical Evaluation
55 Pa.Code Chapter 2600Preadmission Screening
55 Pa.Code Chapter 2600No Objection Statement
55 Pa.Code Chapter 2600Post Current License
55 Pa.Code Chapter 2600Incident Policies
55 Pa.Code Chapter 2600Written Contract and Review
55 Pa.Code Chapter 2600Direct Care Staff
55 Pa.Code Chapter 2600FS Orientation 1st Day
55 Pa.Code Chapter 2600Rights/Abuse 40 Hours
55 Pa.Code Chapter 2600Initial Direct Care Training
Investigated an abuse allegation and found failures to report promptly and to supervise staff after the incident.
Type A2600.15.a.Resident Abuse Reporting
Type A2600.15.b.Plan for supervising staff after abuse allegation
Type A2600.16.c.Written Incident Report
Type A2600.42.b.Abuse
23 Nov 2022Inspection
23 Nov 2022Inspection
Found no deficiencies.
21 Apr 2022Inspection
21 Apr 2022Inspection
Determined that compliance was achieved and continued compliance must be maintained.
12 Oct 2021Inspection
12 Oct 2021Inspection
Found a violation related to abuse due to inadequate supervision that allowed inappropriate sexual behavior between residents in the dementia care unit.
42.bAbuse and mistreatment prohibited
19 Aug 2021Inspection
19 Aug 2021Inspection
Found no deficiencies.
18 Feb 2021Inspection
18 Feb 2021Inspection
Identified deficiencies in equipment certification, bedside furnishings and lighting, medication management, and resident support plans. The findings required corrective actions to address these issues.
34 Pa. Code Chapter 405; 2600.97Elevators and Lifting Devices
2600.101.j.5Bedside Table/Shelf
2600.101.j.7Lighting/Operable Lamp
2600.183.dPrescription Current
2600.224.aPreadmission Screen Form
2600.227.dSupport Plan Medical/Dental
2600.234.bSupport Plan Needs Elements
07 Oct 2020Inspection
07 Oct 2020Inspection
Approved a regular license renewal for the operation.
17 Sept 2020Inspection
17 Sept 2020Inspection
Found that a resident did not receive 24-hour direct supervision as required, and that positive interventions to address dangerous behaviors were not developed.
2600.23aActivities of Daily Living (ADL) Assistance
2600.201Safe Management Techniques
22 Apr 2020Inspection
22 Apr 2020Inspection
Determined that the submitted plan of correction was fully implemented and ongoing compliance must be maintained.
24 Feb 2020Inspection
24 Feb 2020Inspection
Found no deficiencies.
31 Jan 2020Inspection
31 Jan 2020Inspection
Found no deficiencies.
18 Sept 2019Inspection
18 Sept 2019Inspection
Found no deficiencies. No regulatory citations were identified.
10 Sept 2019Inspection
10 Sept 2019Inspection
The department issued a renewal license following a name change and noted that an on-site inspection would occur within the next year.
27 Feb 2019Inspection
27 Feb 2019Inspection
Cited multiple deficiencies in staff orientation, emergency planning, fire drill procedures, and medication labeling during the February 27, 2019 visit.
55 Pa.Code §2600.65(a)Orientation prior to first work day
55 Pa.Code §2600.65(b)Orientation within 40 scheduled hours
56 Pa.Code §2600.132Exit routes used during fire drills
55 Pa.Code §2600.184(a)Medication labeling – original containers
02 Aug 2018Inspection
02 Aug 2018Inspection
Issued a regular license after renewal application. Noted that an onsite inspection is required at least annually.
01 Mar 2018Inspection
01 Mar 2018Inspection
Found violations for failing to provide the required minimum hours of personal care services during waking hours.
Type A55 Pa.Code §26002600.57(d) - At least 75% of the personal care service hours specified in §2600.57(b) and §2600.57(c) shall be available during waking hours
Type A55 Pa.Code §2600Minimum hours of personal care services during waking hours
22 Feb 2018Inspection
22 Feb 2018Inspection
The provider was found to have several deficiencies related to posting required licensing information, adequate staffing for personal care, and medication storage procedures. These findings indicate lapses in core licensing and resident-care requirements.
2600.57(c)Posting of license and inspection summary
2600.57(c)Posting of license and inspection summary
2600.57(d)Direct care hours during waking hours
2600.185(a)Storage, access, security of medications
12 Jan 2018Inspection
12 Jan 2018Inspection
Identified no regulatory violations following licensing visit.
15 Nov 2017Inspection
15 Nov 2017Inspection
Found no deficiencies.
27 Jul 2017Inspection
27 Jul 2017Inspection
Granted a regular license to operate a Personal Care Home after renewal, authorizing care for up to 48 residents.
01 Jun 2017Inspection
01 Jun 2017Inspection
Investigated alleged abuse and related conduct; identified violations involving abuse reporting, notification of incidents, staff supervision, and resident dignity.
2600.15(a)The home shall immediately report suspected abuse of a resident
2600.15(b)If there is an allegation of abuse by a staff member, the home shall develop and implement a plan of supervision or suspend the staff involved
2600.15(d)The home shall immediately notify the resident and the resident's designated person of a report of suspected abuse or neglect
2600.16(c)The home shall report the incident or condition to the Department's regional office or complaint hotline within 24 hours
2600.42(c)A resident shall be treated with dignity and respect
27 Apr 2017Inspection
27 Apr 2017Inspection
Authorized a waiver of direct care staff qualifications for a licensed home, with conditions requiring school attendance, diploma submission, and ongoing compliance with regulations.
23 Feb 2017Inspection
23 Feb 2017Inspection
Identified multiple regulatory violations, including posting requirements, staff training, safety detectors, equipment maintenance, refrigeration accuracy, and medication handling and labeling.
55 Pa.Code §2600.3(c)Posting of license and inspection summary
55 Pa.Code §2600.65(g)Direct care staff training; resident rights
55 Pa.Code §2600.103(f)Food storage and refrigeration
55 Pa.Code §2600.190(a)Medication administration training
55 Pa.Code §2600.184(a)Medication labeling
13 Dec 2016Inspection
13 Dec 2016Inspection
Found violations of medication administration requirements because a staff member had not completed the required annual practicum and administered medications on 12/3/16; an emotional abuse allegation related to staff conduct was also noted.
Type A55 Pa.Code §2600.190(a)Medication administration – annual practicum/competency
25 Oct 2016Inspection
25 Oct 2016Inspection
Found deficiencies related to following prescriber directions, improper handling of medications, and inadequate documentation of resident care plans.
Type A2600.187(d)Follow directions of prescriber
Type A2600.187(d)Follow directions of prescriber
Type A2600.187(d)Follow directions of prescriber
Type A2600.227(d)Documentation of resident support plans
05 Aug 2016Inspection
05 Aug 2016Inspection
Granted a license to operate a personal care home at the listed address, with validity through November 24, 2017.
19 Apr 2016Inspection
19 Apr 2016Inspection
Investigators found several deficiencies involving abuse reporting, resident care and supervision, safety of equipment, and preadmission screening and documentation.
Type A55 Pa.Code §2600.15(a)Reporting suspected abuse
Type A55 Pa.Code §2600.23(a)Assistance with activities of daily living
Type A55 Pa.Code §2600.84Safety of heat sources
Type A55 Pa.Code §2600.231(b)Preadmission cognitive screening
Type A55 Pa.Code §2600.225(c)Medical evaluation
Type A55 Pa.Code §2600.234(a)Plan of correction (POC)
12 Jan 2016Inspection
12 Jan 2016Inspection
Regulator found failures to timely report unexplained bruising and suspected abuse to the appropriate authorities, with subsequent delays in notifications to aging and licensing agencies.
55 Pa.Code § 2600.16(c)The home shall report the incident or condition to the Department's personal care home regional office or the personal care complaint hotline within 24 hours
55 Pa.Code § 2600.15(a)The home shall immediately report suspected abuse of a resident
05 Nov 2015Inspection
05 Nov 2015Inspection
Found multiple deficiencies including failure to report abuse promptly, incomplete medication documentation, and failure to follow prescriber directions as well as staff qualification controls.
2600.15(a)Immediate reporting of suspected abuse
2600.187(b)Medication administration documentation at time of administration
2600.189(a)Adverse drug reaction - consult physician or seek emergency treatment
2600.54(a)Direct care staff qualifications
2600.187(d)Follow prescriber directions
06 Aug 2015Inspection
06 Aug 2015Inspection
Issued a license to operate a 48-capacity personal care home; noted an onsite inspection would occur within the next year.
05 Aug 2015Inspection
05 Aug 2015Inspection
Granted a waiver of the direct care staff qualification requirement with conditions requiring GED completion, documentation in personnel files, annual review, and expiration on a specified date.
19 Feb 2015Inspection
19 Feb 2015Inspection
Granted a waiver of qualifications for direct care staff under 55 Pa.Code § 2600.54(a)(2). Granted under the authority of 55 Pa.Code § 2600.19.
27 Jan 2015Inspection
27 Jan 2015Inspection
Identified no regulatory violations following a licensing visit.
13 Nov 2014Inspection
13 Nov 2014Inspection
Investigated a complaint alleging abuse; found violations of mandatory reporting requirements and documented an incident involving injections administered to a resident against their wishes.
Type A55 Pa. Code § 2600.15(a)Reporting suspected abuse
11 Sept 2014Inspection
11 Sept 2014Inspection
Investigated a failure to follow prescribing directions when a resident's Donepezil prescription was not available for administration on 9/12/2014; the last recorded dose was 8/28/14.
55 Pa.Code § 2600.187(d)The home shall follow the directions of the prescriber
06 Aug 2014Inspection
06 Aug 2014Inspection
Renewed and issued a regular license following renewal application; notified that an onsite inspection will occur at least once every twelve months.
22 Jul 2014Inspection
22 Jul 2014Inspection
Conducted a licensing visit and found no regulatory violations.
27 Jan 2014Inspection
27 Jan 2014Inspection
Granted a waiver of certain admission and resident medical evaluation and screening requirements with conditions.
20 Sept 2013Inspection
20 Sept 2013Inspection
Identified several regulatory violations, including inadequate food and water supplies, missing emergency preparedness planning, incomplete resident assessments, and failure to follow prescriber orders.
Type A55 Pa.Code §2600.107(a)Food and water supply
Type A55 Pa.Code §2600.107(a)Emergency preparedness plan familiarity
Type A55 Pa.Code §2600.225(a)Resident assessment
Type A55 Pa.Code §2600.187(d)Prescriber directions
16 Aug 2013Inspection
16 Aug 2013Inspection
Found no deficiencies and issued a license to operate a Personal Care Home with a 48-resident total capacity and a 24-resident dementia care unit.
13 Dec 2012Inspection
13 Dec 2012Inspection
Identified a violation for failing to report an incident to the Department within the required timeframe after a resident incident.
Type A55 Pa.Code §2600.16(c)Reporting of incidents to the Department
19 Nov 2012Inspection
19 Nov 2012Inspection
Identified deficiencies related to safety temperature controls and documentation of medical evaluations and resident care plans.
2600.89(b)Hot water temperature
2600.227(d)Resident medical evaluation documentation
2600.227(d)Resident medical evaluation documentation
2600.227(d)Resident support plan documentation
25 Oct 2011Inspection
25 Oct 2011Inspection
Regulators found deficiencies in emergency communication among staff and in medication handling at the facility.
55 Pa.Code §2600Emergency communication system
55 Pa.Code §2600Medication storage/availability and administration
Identified a deficiency due to lack of written approvals for exit-door locking devices.
55 Pa.Code §2600Regulation 55 Pa.Code §2600
29 Oct 2010Inspection
29 Oct 2010Inspection
Found a fire-safety violation due to lint buildup in the dryer's lint trap; a sign was posted by the dryer to remind staff to empty it.
55 Pa.Code §2600Lint trap maintenance
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Mirador Living is not affiliated with the owner or operator(s) of Penn Highlands Jefferson Manor. The information above has not been verified or approved by the owner or operator. For exact information, please contact Penn Highlands Jefferson Manor directly. There is no cost for this service. We are compensated by the community you select.
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