Nursing HomeInspections

Transitions Healthcare Autumn Grove Care Center

Nursing home in Harrisville, PA

Medicare & Medicaid certified2★ overall (CMS)

Call (724) 735-4224Send a messageMap ↗

Public-record details

Address
555 South Main Street, Harrisville, PA 16038
Phone
(724) 735-4224
Listed under
For-profit
Medicare CCN
395248
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
103
Average residents per day
98
Ownership
For-profit, limited Liability company
Legal business name
Bonetti Health Care Center, INC
Chain
Transitions Healthcare (6 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 23, 1968
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 395248. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 9, 2026. CMS lists 15 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 15, 2023 to Jul 9, 2026): 6 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 9, 2026Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 25, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 25, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 25, 2025Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
Aug 23, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 23, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 23, 2024Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 23, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 23, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Nov 15, 2023Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 15, 2023Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 15. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $179,218 in the last three years.

Sep 14, 2023Fine: $179,218

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.67 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
2.04 hours
Total nurse staffing on weekends
3.46 hours
Nursing staff turnover (yearly)
40%
RN turnover (yearly)
40%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.