Juniata County, Pennsylvania · Nursing home
Brookline Nursing and Rehab
4 of 5 overall from CMS
2 Manor Boulevard, Mifflintown, PA 17059
At a glance
- Overall rating 4 of 5 Above the state average of 3.0
- Nurse time per resident, per day 3.64 hours Below the state average of 3.89
- Nursing staff who left in a year 37.3% Below the state average of 44.5%
- Health citations, last 3 inspection cycles 30 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 95.6% of 85 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Brookline Nursing and Rehab is a 85-bed nursing home in Mifflintown, Pennsylvania (Juniata County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.64 nurse staffing hours per resident per day, below the Pennsylvania average of 3.89. CMS lists no fines in the past three years.
- Certified beds
- 85
- Residents per day (average)
- 81.3
- Certified since
- 1979 (47 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidContinuing care retirement community
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Brookline Nursing and Rehab
Chosen from this home's public data.
- CMS counts 11 health deficiencies in the latest inspection cycle (the standard inspection on Feb 27, 2026 plus complaint and infection-control inspections); the Pennsylvania average is 10.0. Which have been corrected?Inspection results in CMS data
- About 95.6% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- Registered nurse time is 0.51 hours per resident per day; the Pennsylvania average is 0.79. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Pennsylvania average 3.0
- Health inspections 3 of 5 Pennsylvania average 2.8
- Staffing 2 of 5 Pennsylvania average 3.0
- Quality measures 5 of 5 Pennsylvania average 3.6
The vertical line marks the Pennsylvania average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.64 h Pennsylvania average 3.89
- Nurse aides 2.09 h Pennsylvania average 2.19
- Licensed practical nurses 1.04 h Pennsylvania average 0.91
- Registered nurses 0.51 h Pennsylvania average 0.79
- All staff, weekends 3.42 h Pennsylvania average 3.53
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Pennsylvania average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover37.3%
- Pennsylvania average44.5%
- Registered nurse turnover12.5%
- Pennsylvania average39.9%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Pennsylvania and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 5.3% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.4% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.4% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.4% | 1.5% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 45.8% | 10.8% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.4% | 3.1% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 87.5% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 12.0% | 17.0% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.6% | 20.0% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% | 93.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.7% | 4.8% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.2% | 25.5% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 14.6% | 17.7% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.45 | 1.62 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.14 | 1.18 | 1.78 |
Short-stay residents
| Measure | This home | Pennsylvania | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% | 70.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 100.0% | 68.7% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% | 22.5% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% | 9.5% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 30 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 1 was cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Feb 27, 2026 | 11 | 2 |
| Mar 21, 2025 | 10 | 1 |
| Mar 22, 2024 | 9 | 1 |
Pennsylvania homes averaged 10.0 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (30)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 15, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 15, 2026)
Show 25 more
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Apr 15, 2026)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 17, 2026)
-
EPotential for more than minimal harm, pattern
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (May 6, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 6, 2025)
-
EPotential for more than minimal harm, pattern
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Resident Rights · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (May 6, 2025)
-
DPotential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (May 6, 2025)
-
CPotential for minimal harm, widespread
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 6, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 30, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2024)
-
EPotential for more than minimal harm, pattern
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.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · Deficient, Provider has date of correction (Apr 30, 2024)
-
DPotential for more than minimal harm, isolated
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 30, 2024)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Pennsylvania homes averaged 0.8 fines and $25,774 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Pennsylvania
- Size471 of 656 by certified beds
- Pennsylvania average residents per day104.6
- ChainNone listed
- Resident or family councilResident
- Homes in Juniata County3
Common questions
What is the CMS star rating for Brookline Nursing and Rehab?
Brookline Nursing and Rehab has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 2 and quality measures is 5.
How many beds does Brookline Nursing and Rehab have?
Brookline Nursing and Rehab has 85 certified beds. It averages 81.3 residents per day, about 95.6% of its certified beds.
How much nursing care do residents get at Brookline Nursing and Rehab?
The home reports 3.64 hours of nurse staffing per resident per day, including 0.51 hours from registered nurses. The Pennsylvania average is 3.89 hours and 0.79 hours from registered nurses.
Has Brookline Nursing and Rehab been fined?
CMS lists no fines for this home in the past three years.
Does Brookline Nursing and Rehab accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 3 of 5 Locust Grove Retirement Village 104beds 63.7%in use 3.91nurse hours a day
- 3 of 5 Greenwood Center for Rehabilitation and Nursing 134beds 95.9%in use 3.24nurse hours a day
- 4 of 5 William Penn Nursing and Rehab 121beds 96.5%in use 3.39nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Juniata County
Who to call in Pennsylvania
These offices serve residents of every nursing home in Pennsylvania.
- Long-term care ombudsman Pennsylvania Long-Term Care Ombudsman Program 717-783-8975 An advocate for residents and their families.
- File a complaint about a nursing home Division of Nursing Care Facilities 1-800-254-5164 The state agency that inspects nursing homes.
Pennsylvania staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 395418. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.