The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
Nursing home report
BETHLEN HM OF THE HUNGARIAN RF OF AMERICA
LIGONIER, PA · Medicare-certified · 76 beds
In good standing
Non-profitChain member
2 of 5 overall
2 of 5 stars overall. Health inspections are also 2 stars, staffing is 3 stars, and reported nurse staffing is 3.68 hours per resident per day versus the 4.1-hour federal benchmark; quality measures are 4 stars, with $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.6756 hrs/resident/day
Quality measures
Last inspection: March 10, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6756.
Staffing detail
- Registered nurses
- 0.77
- Licensed practical nurses
- 1.05
- Nurse aides
- 1.85
- Weekend nursing
- 3.39
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 8%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
28%Worsening
Residents with a fall causing major injury
5.8%Improving
Residents with pressure ulcers (bedsores)
2.5%Improving
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
5.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.1%Improving
Residents whose ability to walk got worse
14.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
38.7%Worsening
Short-stay residents newly given an antipsychotic
1.3%Steady
Residents with a long-term catheter
1.2%Worsening
Residents with new or worsening incontinence
25.6%Improving
Residents with depressive symptoms
22.9%Worsening
Long-stay residents given the seasonal flu vaccine
87.8%Steady
Long-stay residents given the pneumonia vaccine
82.6%Improving
Short-stay residents given the seasonal flu vaccine
24.6%Steady
Short-stay residents given the pneumonia vaccine
77.3%Improving
What the inspectors found
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited September 2025 — limited pattern, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2024 — limited pattern, potential for harm.
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F-Tag 584 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
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- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CONCORDIA LUTHERAN MINISTRIES · 9 homes · 3.7 stars avg
- Occupancy
- 65.3 residents on an average day (86% of 76 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 43 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.