A 48-bed rural PA home holds the state's highest immediate-jeopardy count
Penn Highlands Jefferson Manor in rural Brookville, Jefferson County recorded 21 immediate-jeopardy findings in its PA DHS OLTL inspection history — more than any other licensed memory care facility in Pennsylvania.
Top 10 PA memory care facilities by immediate-jeopardy count
| Category | immediate-jeopardy findings |
|---|---|
| Penn Highlands Jefferson Manor | 21 |
| Woodbridge Place | 16 |
| The Remington of Yardley | 15 |
| Quality Life Services-mercer | 14 |
| Elm Terrace Gardens | 13 |
| Lecom Parkside at Glenwood | 13 |
| Belle Reve Senior Living Center | 13 |
| The Manor at Market Square | 13 |
| Parkside Suites/parkside at North East | 13 |
| The Pines of Mt. Lebanon | 12 |
Source: PA DHS OLTL · inspection record 2002–2026 · Data as of 2026-06-07 · Includes only publishable PA facilities with ≥1 IJ finding
Why a small rural home?
Jefferson County sits in rural north-central Pennsylvania — absent from most memory care market conversations, which concentrate on Philadelphia and Pittsburgh. Penn Highlands Jefferson Manor is a licensed Personal Care Home with 48 beds serving a county where families have few nearby alternatives.
IJ citations accumulate across inspection cycles, not from a single event. PA DHS OLTL issues an IJ finding when surveyors determine that a practice or condition placed one or more residents at immediate risk of serious harm or death. The facility must submit an acceptable plan of correction before surveyors close the finding. The 21 here span the full inspection history on record.
The facility's profile shows the specific 55 Pa Code sections cited, the inspection dates, and enforcement escalations — the citation codes and their dates tell more than the headline count.
Source: PA DHS OLTL · inspection record 2002–2026 · Refreshed 2026-06-07
What the IJ record actually shows
IJ findings cite specific regulation sections. Whether they cluster in staffing ratios, medication administration, or abuse/neglect definitions tells you which category of risk the facility struggled with — and when. A facility with 21 findings concentrated in 2018–2020 and a clean record since reads differently than one with findings distributed evenly through last year.
In rural counties with limited competition, facilities face less market pressure to correct chronic problems. PA DHS OLTL can issue a Provisional License or initiate Revocation proceedings when citations remain uncorrected — both of which appear on the StarlynnCare profile.
Frequently asked questions
What does 'immediate jeopardy' mean in a PA DHS inspection record?
An immediate-jeopardy (IJ) finding means PA DHS surveyors concluded that a facility's practice or condition placed one or more residents in immediate risk of serious harm, injury, impairment, or death. It is the most severe citation level PA DHS OLTL issues under its enforcement framework for licensed Personal Care Homes and Assisted Living Residences. Facilities cited at the IJ level must provide an acceptable plan of correction before surveyors close the deficiency.
Is Penn Highlands Jefferson Manor still open?
Penn Highlands Jefferson Manor P.C. in Brookville, Jefferson County holds an active PA DHS license as of this analysis. Individual facility profiles on StarlynnCare display the current license status and full inspection history. Families should verify current operating status and any enforcement actions directly on the PA DHS Human Services Provider Directory before making a decision.
Why do small rural facilities sometimes have high immediate-jeopardy counts?
A high IJ count can accumulate from a single period of serious staffing problems, from repeated complaint-triggered inspections, or from a long license history with multiple routine survey cycles. The citation codes matter: IJ findings in medication management, abuse prevention, and supervision of cognitively impaired residents represent different risk profiles. The StarlynnCare profile shows which regulation sections were cited and in which inspection year — that timeline tells you whether the problems are historical or recent.
How does this compare to the Pennsylvania state average?
Among the 354 publishable PA memory care facilities in the StarlynnCare dataset, the median IJ count is significantly lower than 21. Raw IJ-count comparisons favor facilities with shorter license histories or fewer inspection cycles. The county hub pages on StarlynnCare show where a facility's IJ count ranks against its county peers — a more useful comparison than statewide rankings that don't control for license age.
Sources
PA DHS OLTL Human Services Provider Directory — inspection and deficiency records for licensed Personal Care Homes and Assisted Living Residences.