Emerald Nursing And Rehabilitation
320 South Market Street, Elizabethtown, PA 17022 · For profit - Limited Liability company · 73 certified beds · (717) 367-1377 Medicare & Medicaid certified
This home has serious findings on its record. Read them closely before you consider it.
- fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
- it has an abuse, neglect, or exploitation citation (F0606), cited Apr 2024
- it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
- it has 3 actual-harm citations
- inspectors recorded 1 serious finding as past non-compliance — the problem was found, fixed, and verified before the survey closed, so it is history rather than a current condition, but it is still worth asking what changed
- a high number of inspection citations overall (40) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
- the CMS record shows $144,615 in federal fines (most recent 2026-02-04)
- its independent health-inspection rating is low (2/5)
- its payroll-based staffing rating is low (2/5)
- nursing-staff turnover (70%) runs well above the national median (45%)
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 2 of 5 |
| StaffingFrom payroll records (PBJ) | 2 of 5 |
| Quality measuresSelf-reported by the facility | 3 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 3 of 5 |
| Long-stay residentspeople who live here | 2 of 5 |
| Short-stay residentsrehab / post-hospital | 3 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 2 to 1 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 10.0% | 16.8% | 15.4% | better |
| Long-stay residents who lose too much weight | 13.6% | 6.2% | 5.4% | worse |
| Long-stay residents with a catheter left in their bladder | 2.7% | 0.7% | 0.9% | worse |
| Long-stay residents with a urinary tract infection | 0.5% | 1.5% | 2.0% | better |
| Long-stay residents with depressive symptoms | 28.5% | 10.8% | 6.5% | check this† — see note marked dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.2% | 0.1% | better |
| Long-stay residents with falls causing major injury | 3.8% | 3.1% | 3.3% | worse |
| Long-stay residents whose ability to walk worsened | 10.9% | 17.0% | 16.1% | better |
| Long-stay residents on antianxiety or hypnotic medication | 45.2% | 20.0% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 94.5% | 93.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.6% | 4.8% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 34.1% | 25.5% | 21.2% | worse |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 31.1% | 17.7% | 17.1% | worse |
| Short-stay residents who newly got an antipsychotic medication | 2.7% | 1.4% | 1.4% | worse |
| Short-stay residents given the seasonal flu vaccine | 64.0% | 68.7% | 79.4% | worse |
| Short-stay residents rehospitalized after admission | 18.1% | 22.5% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 9.3% | 9.5% | 12.0% | better |
| Long-stay hospitalizations per 1,000 resident days | 2.51 | 1.62 | 1.67 | worse |
| Long-stay outpatient ER visits per 1,000 resident days | 1.88 | 1.18 | 1.80 | typical |
† This value is several times the typical-state benchmark. It can be real, or it can be a coding artifact in what the facility submitted. Weigh it against the inspection record above.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
52.5% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 133 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 49.4% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 89 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 51% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 52.5%CMS range 41.5–61.4 | 51.5% | Oct 2022–Sep 2024 | no different from U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.1%CMS range 7.8–14.7 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 49.4% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 43.8% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 40.5% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 97.7% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | not reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure. | — | ||
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 6.2% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 5.5%CMS range 3.2–8.7 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.00 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 73 beds and averages 66.7 residents a day — about 91% occupied, or roughly 6 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.70 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.53 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.03 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.18 hrs/resident/day on weekends vs 3.91 on weekdays — 19% thinner on weekends. RN hours go from 0.57 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 70% is well above the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
40 citations, most serious first. The 14 most serious are shown; the remaining 26 are one tap away and print in full.
- Immediate jeopardy · Jcited before2025-12-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policies and documentation, clinical record reviews, and interviews with staff, it was determined the facility failed to provide adequate supervision to one of twelve residents reviewed (Resident R1) who was inaccurately assessed as a low risk for elopement. This failure resulted in Resident R1 exiting nursing unit via the elevator and walking out the front entrance doors. The facility was not aware Resident R1 was missing until the resident's daughter called and informed the facility Resident R1 had walked to her house crossing multiple busy streets. This failure placed the resident at high risk for injury and was identified as an Immediate Jeopardy of past non-compliance. (Resident R1)Findings include: Review of facility policy, titled, wandering and elopements, revealed the facility will identify residents who are at risk of unsafe wandering and strive to prevent while maintaining the least restrictive environment for residents. Review of Resident R1's clinical record revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · H2026-05-01 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — patternProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility policy and procedure, clinical record review, and staff interviews, it was determined the facility failed to provide adequate urinary catheter care for four of six residents reviewed (Residents 6, 8, 28, and 47) resulting in actual harm for three of six residents who contracted urinary tract infections requiring subsequent hospitalizations (Resident 6, 28 and 47).Findings include: Review of the facility's policy, Catheter Care, Urinary (revised September 2014), revealed documentation of catheter care should be documented in the resident's medical record. This documentation should include the date and time catheter care was given, the name of the staff providing the catheter care, and all assessment data obtained during catheter care. Review of Resident 6's Physician Orders revealed the resident was admitted to the facility on [DATE], with a suprapubic catheter (tube inserted through a small abdominal incision directly into the bladder to drain urine when the urethra is blocked or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · Gcited before2026-03-27 · tag F0684 — failed to provide proper treatment and quality of care — isolatedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records, and staff interviews, it was determined that the facility failed to ensure physician's orders were followed for one three of five residents reviewed resulting in actual harm to one, resident Resdient1. (Resident 1, 2, and 3).Findings include: Review of Resident 1's quarterly Minimum Data Set (MDS) assessment (mandated assessment of a resident's abilities and care needs) dated November 27, 2025, revealed the resident was cognitively intact; dependent on staff for daily care needs, and had a diagnosis of Chronic diastolic (congestive) Heart Failure (CHF-progressive condition where the heart cannot pump blood effectively, causing blood to back up and fluid to accumulate in the lungs and body). Review of Resident 1's physician's orders revealed an order dated November 22, 2025, for Torsemide (medication used to treat high blood pressure and fluid retention caused by congestive heart failure) 120 mg (milligrams) by mouth twice a day for CHF (congestive heart failure). Further…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Actual harm · Gcited before2024-05-30 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of facility policy, clinical record and facility documentation, observations, resident and staff interview, it was determined that the facility failed to ensure that one of two residents reviewed was provided with adequate supervision to prevent accidents which resulted in actual harm to Resident 1 sustaining a fall, requiring transfer to the hospital via emergency medical services and the diagnosis of a fracture involving the neck of the right humerus (long bone of the upper arm). Findings include: Review of facility policy, Safety and Supervision of Residents, revised July 2017, revealed the care team shall target interventions to reduce individual risks related to hazards in the environment, including adequate supervision and assistive devices. Review of Resident 1's clinical record included diagnoses of, but not limited to, Malignant Neoplasm (cancer) of the kidney and Muscle Weakness. Review of Resident 1's current care plan revised April 28, 2023, identified the resident was at moderate…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Fcited before2026-05-01 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based upon observation and interview, it was determined that the facility failed to ensure appropriate sanitization monitoring and documentation was completed for daily dishwasher sanitization for one of one dishwasher observed.Findings include:Observation of the facility dishwashing machine located in the kitchen on April 20, 2026, at 10:00 a.m. revealed the dishwashing machine to be running.Interview with Employee E6 on April 20, 2026, at 10:00 a.m. revealed the dishwasher water temperature to be 125 degrees.Review of the dishwasher log on April 20, 2026, at 10:00 a.m. revealed the log to be completed.Observation during a second visit to the kitchen on April 22, 2026, at 10:15 a.m. revealed the dishwasher to be running.Interview with Employee E6 on April 22, 2026, at 10:15 a.m. revealed that no test strips were immediately available to test the sanitization of the water coming out of the dishwasher.Upon locating test strips, the water was tested and revealed to be greater than 100 PPM (parts per million).Review of the dishwasher sanitization log on April 22, 2026, at 10:15 a.m.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2026-05-01 · tag F0628 — patternProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of clinical records and interview with staff, it was determined that the facility failed to notify the office of the state long term care ombudsman of emergency transfers for four of eight residents reviewed (Residents 2, 5, 8, and 9). Findings include: Review of Resident 2's progress note of January 7, 2026, revealed that the resident was seen by the wound nurse practitioner (NP) and was noted to have a painful, red lump to the incision line. NP recommended to reach out to wound center and or surgeon. An additional note on January 7, 2026, revealed that a representative from the surgical group suggested that the resident be sent to the emergency department. Resident was admitted for left above the knee amputation cellulitis (bacterial infection of the deep skin layers). Review of facility documentation failed to reveal evidence that the State Ombudsman's office was notified of Resident 2's transfer and admission to the hospital. Review of Resident 5's progress note of January 9, 2026, revealed that 911 was activated to take Resident 5 to the hospital for treatment…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-05-01 · tag F0641 — isolatedEnsure each resident receives an accurate assessment.
What the surveyor found here — the official record, unedited, may be distressing
Based on clinical record review and staff interview, it was determined that the facility failed to ensure that resident assessments accurately reflected the resident's status for one of 24 residents reviewed (Resident 2).Findings include:Review of Resident 2's quarterly MDS (Minimum Data Set - periodic assessment of resident needs) of March 22, 2026, section N0350 - Insulin, indicated that the resident was receiving insulin on one day in the last seven days Further review of the physician's orders and Medication Administration Record revealed no evidence that the resident received insulin during the assessment lookback period.Interview with licensed staff, E4, on April 23, 2026, at 1:35 p.m. confirmed that the assessment was coded inaccurately.28 Pa. Code 211.5(f) Clinical records
- Potential for harm · Dcited before2026-05-01 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility policy, review of clinical records and interview with staff, it was determined that the facility failed to obtain accurate weights and verify weights to maintain acceptable parameters of nutritional status for one of 24 residents reviewed (Resident 31).Findings include:Review of facility policy, Weight Assessment and Intervention revised September 2008, revealed that any weight change of 5% or more since the last weight assessment will be retaken the next day for confirmation. Review of Resident 31's weights revealed a weight of 131.0 pounds on December 2, 2025, and 111.0 pounds on January 8, 2026 indicating a loss of 20 pounds or 15.3%. Further review of the clinical record revealed that no reweight was obtained. Resident 31's weight was recorded as 113.0 pounds on January 15, 2026, and 125.0 pounds on January 20, 2026, indicating a gain of 14 pounds or 12.6% with no reweight obtained. Next weight of 116.0 pounds was obtained on February 3, 2026, indicating a loss of 9 pounds or 7.2% with no reweight obtained. Interview with Employee E4 on April 23,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-05-01 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based upon review of facility policy and procedure and observation, it was determined that the facility failed to ensure medications were administered following facility infection prevention protocol for one of two residents observed (Resident 1).Findings include:Review of facility policy and procedure titled Administering Medications revealed Staff follows established facility infection control procedures (e.g. handwashing, antiseptic technique, gloves, isolation preventions, etc.) for the administration of medications, as applicable.Observation of medication administration on April 22, 2026, at 9:00 a.m. revealed Licensed Employee E3 cut open medication pill packets and spill the medications onto the top of the medication cart. Licensed Employee E3 picked up the medications off of the top of the medication cart and placed them in a medication cup and administered them to Resident 1.The above information was conveyed to Licensed Employee E4 and the Nursing Home Administrator on April 23, 2026, at 1:00 p.m. 28 Pa. Code 211.12(c)(d)(1)(5) Nursing ServicesPreviously cited 5/22/2025,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-03-27 · tag F0584 — failed to keep a safe, clean, comfortable home — isolatedHonor 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.
What the surveyor found here — the official record, unedited, may be distressing
Based on observation and staff interview, it was determined that the facility failed to ensure residents were provided with a clean and homelike environment for one of three bathrooms observed (Resident 2's bathroom). Findings: An observation was conducted in Resident 2's bathroom on March 27, 2026, at 12:10 p.m., in the presence of licensed nurse Employee E3. The observations revealed the following: dried brown substances in front of the toilet bowl; brown substances in the toilet bowl; two used towels in the sink; one used drawsheet, a used gown, and a wet washcloth with brown stains on the bathroom floor; and a garbage can overflowed with used incontinent briefs. An interview with Employee E3 was conducted on March 27, 2026, at 12:15 p.m. Employee E3 confirmed that the resident's bathroom smelled of urine. The above findings were conveyed to the Nursing Home Administrator on March 27, 2026, at 3:00 p.m. The facility failed to ensure Resident 2's bathroom was maintained clean. 28 Pa. Code 201.18(b)(1)(3)(e)(1) Management
- Potential for harm · Dcited before2026-02-04 · tag F0880 — failed to prevent and control infections — isolatedProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, observations and staff interviews it was determined the facility failed to provide PPE and signage for residents who require enhanced barrier precautions for one of six residents reviewed. (Resident 1)Findings Include:Review of facility policy titled Enhanced Barrier Precautions, effective March 2024, revealed EPB (enhanced barrier precautions) are indicated (when contact precautions do not otherwise apply) for residents with wounds and/or indwelling medical devices regardless of MDRO (multi-drug resistant organism) colonization .Signs are posted in the door or wall outside the resident room indicating the type of precautions and PPE (personal protective equipment) required .PPE is available outside of the resident rooms.Observation of Resident 1 on February 4, 2026 at approximately 12:05PM revealed the resident had an indwelling urinary catheter (a flexible tube inserted into the bladder to continuously drain urine into an external bag). Further observations revealed there was no PPE in the room and there was no sign for EBP.Two Licensed Practical…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-12-22 · tag F0835 — failed to run the facility competently — isolatedAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on the review of clinical records, job descriptions, review of facility policy, facility documentation and interviews with staff, it was determined that the Nursing Home Administrator (NHA) and the Director of Nursing (DON) did not effectively manage the facility to ensure the safety of one of twelve residents reviewed (Resident R1) with a diagnosis of Dementia who eloped from the facility. This failure resulted in an Immediate Jeopardy situation for Resident R1. (Resident R1)Findings Include:Review of the job description for the Nursing Home Administrator (NHA) states, Position Summary-this position is responsible to establish and maintain systems that are efficient and effective to operate the nursing home in a manner to safely meet resident's needs in accordance with federal, state and local regulations. Also, develop and maintain systems that are effective and efficient to operate the facility in a financially sound manner.Further review of the NHA job description revealed, Essential Duties and Responsibilities-. Develop, maintain and implement operational policies and…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-07-16 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations as well as resident and staff interviews, it was determined that the facility failed to maintain a safe, comfortable, and home-like interior one of two nursing units (2nd floor). Findings include: The grievance log documented on May 4, 2025, environmental concerns pertaining to lack of cleanliness in the building and overflowing trash. Observation in Resident 8's room on July 14, 2025, at 2:25 PM: the trash can at the sink was overflowing; one package of wipes under Resident 8's bed and brown food crumbs on the floor around the bed; a white powdery film on the night stand (able to be wiped away with a paper towel); the baseboard to the right of the door had a dried brown substance; behind the door were 2 enabler bars, a dusty blue foam square cushion and a headboard from Resident 8's bed; and the windowsill contained a white film and dried watermarks around the plants. Resident 8 stated that her room has not been cleaned by housekeeping since July 10th, and nursing staff have not emptied the trash can at the sink. Observation with the Nursing Home Administrator…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-07-16 · tag F0658 — failed to meet professional standards of care — isolatedEnsure services provided by the nursing facility meet professional standards of quality.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review and staff interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards for two of 6 resident clinical records reviewed (Residents 2 and 6).Clinical record review of Resident 2 documented diagnoses that included: metabolic encephalopathy (a brain disorder caused by a chemical imbalance in the blood stemming from an underlying illness or organ dysfunction), diabetes mellitus (the body's ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood and urine), obesity, frequent falls, chronic obstructive pulmonary disease (a group of lung disease that block airflow and make it difficult to breathe), atrial fibrillation (irregular, often rapid heart rate that causes poor blood flow), dysphagia (difficulty swallowing), congestive heart failure (the heart can't pump enough blood to meet the body's need), and shortness of breath. Review of Resident 2's Medication Administration Record…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 26 citations
- Potential for harm · D2025-07-16 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review, observations, and staff interviews it was determined that the facility failed to maintain adequate personal hygiene and grooming of residents' dependent on staff for assistance with incontinence care for two of 15 resident s reviewed (Residents 12, and 16).Review of resident council meeting minutes documented:June 19, 2025, call bells are taking over an hour to be answered, staff turning off call bells without helping the resident or stating they'll be back and never return, Nursing Assistants sitting at the nursing desk on their phone on 2nd and 3rd shift, ear buds in during care. The expectation was for call bells to be answered in 10-20 minutes.May 15, 2025, call bells are not being answered or are being turned off without resident's needs being met (mainly 3rd shift), and ear buds are worn during care. Discussed calling down to the receptionist if call bells are being ignored and to Nursing Home Administrator over the weekend and calling the Director of Nursing or the Nursing Home Administrator in real time to report Nursing Assistants.April 17,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-05-22 · tag F0698 — failed to provide proper dialysis care — patternProvide safe, appropriate dialysis care/services for a resident who requires such services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences, for one of one resident reviewed for dialysis (Resident 23). Findings Include: Review of facility policy, titled End Stage Renal Disease, Care of a Resident with, last reviewed on March 31, 2025, read, in part, Residents with end stage renal disease (ESRD) will be cared for according to currently recognized standards of care. Staff caring for residents with ESRD, including residents receiving dialysis care outside the facility, shall be trained in the care and special needs of these residents. Education and training of staff includes, specifically: the type of assessment data that is to be gathered about the resident's condition on a daily or per shift basis. The resident's comprehensive care plan will reflect the resident's needs related to ESRD/dialysis…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-05-22 · tag F0730 — patternObserve each nurse aide's job performance and give regular training.
What the surveyor found here — the official record, unedited, may be distressing
Based on review of select facility documentation and staff interview, it was determined that the facility failed to ensure that nurse aide performance evaluations were completed at least once every 12 months for four of five nurse aides reviewed (Employee 7, 8, 9, and 10). Findings include: Review of select facility documentation revealed a list of nurse aides that had worked at the facility for greater than a year; Employees 6, 7, 8, 9, and 10 were selected from the list to review their last annual nurse aide performance evaluations. During an interview with the Director of Nursing on May 22, 2025, at 9:54 AM, she revealed she was unable to locate annual evaluations in the past 12 months for Employees 7, 8, 9, and 10; and she would expect them to be available and located in their employee files. 28 Pa. Code 201.14(a) Responsibility of licensee 28 Pa. Code 201.18(b)(1) Management
- Potential for harm · E2025-05-22 · tag F0756 — failed to review each resident's drug regimen — patternEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure Medication Regimen Reviews (MRRs) were completed at least once a month by a consultant pharmacist and responded to in a timely manner by the attending physician or prescriber for four of five residents reviewed for unnecessary medications (Resident's 14, 23, 30, and 46). Findings include: Review of facility policy, titled Medication Regimen Review (Monthly Report), without revision date, revealed, The consultant pharmacist reviews the medication regimen of each resident at least monthly. Recommendations are acted upon by the facility staff and or prescriber. Review of Resident 14's clinical record revealed diagnoses that included hypertensive heart disease (a condition where heart problems develop due to prolonged high blood pressure) and chronic kidney disease (a progressive condition where the kidneys gradually lose their ability to filter waste and excess fluid from the blood). Review of Resident 14's electronic medical record failed to reveal any…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2025-05-22 · tag F0812 — failed to store, cook, and serve food safely — patternProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, observations, and staff interview, it was determined that the facility failed to store food and beverages and utilize kitchen equipment in accordance with professional standards for food service safety in the main kitchen. Findings include: Review of facility policy, titled Food Storage last reviewed March 31, 2025, read, in part, It is the policy of this facility that food storage areas be maintained in a clean, safe, and sanitary manner. Food storage areas should be clean at all times. All perishable food items shall be labeled with the name of the product and an 'opened date' after opening product. Food items should be closed to air to prevent decline of quality in product and cross contamination. Open should be discarded after 5 days. A food storage audit shall be conducted on a weekly basis by dietary manager or designee. All expired foods shall be discarded immediately upon finding. Scoops are not to be stored in containers with food products such as flour, sugar, and thickener, etc. Scoops are to be stored in a separate container with a lid or…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2025-05-22 · tag F0868 — patternHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of select facility documentation provided and a staff interview, it was determined that the required members of the facility's Quality Assurance Committee failed to meet on a quarterly basis for two quarters of four reviewed (last quarter of 2024 and first quarter of 2025). Findings include: Review of the facility's Quality Assurance Committee meeting signatory pages revealed that the required members of the facility's Quality Assurance Committee, including the Medical Director (MD) or designee, the Nursing Home Administrator (NHA), and the Director of Nursing (DON), did not have a meeting where they were all in attendance, during the last quarter of year 2024 (October, November, and December). Review of the facility's Quality Assurance Committee meeting signatory pages revealed that the required members of the facility's Quality Assurance Committee, including the MD or designee, the NHA, and the DON, did not have a meeting where they were all in attendance, during the first quarter of year 2025 (January, February, and March). During an interview with the NHA on May…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-22 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident, and staff interviews, it was determined the facility failed to ensure each resident is treated with dignity and care in a manner and environment that maintains and enhances his or her quality of life for one of 16 residents (Resident 166). Findings include: Review of Resident 166's clinical record revealed diagnoses that included heart failure (the heart can't pump enough blood to meet the body's needs) and chronic kidney disease (a progressive condition where the kidneys gradually lose their ability to filter waste and excess fluid from the blood). During an interview with Resident 166 on May 19, 2025, at 10:12 AM, she revealed that she is continent of her bladder, however, due to long call bell wait times she has had several accidents, especially when she first arrived at the facility. Resident 166 revealed that she was embarrassed when she did not receive assistance to make it to the bed pan in time. Review of the facility's Resident Council Meeting Minutes for May…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-22 · tag F0607 — failed to have anti-abuse policies — isolatedDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, personnel file reviews, and staff interview, it was determined that the facility failed to implement written policies and procedures by not conducting a criminal background check upon hire for two of five personnel files reviewed (Employees 4 and 5). Findings include: Review of facility policy, titled Abuse, Neglect, Exploitation and Misappropriation Prevention Program last reviewed March 31, 2025, read, in part, Residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation. Conduct employee background checks and not knowingly employ of otherwise engage any individual who has: been found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law. Review of Employee 4's (Licensed Practical Nurse) personnel file revealed a hire date of March 1, 2025. Further review of Employee 4's personnel file failed to reveal a criminal background check was conducted at the time of hire. Review of Employee 5's (Nurse Aide) personnel file revealed a hire date of March 5,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0628 — isolatedProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy reviews, clinical record review, and staff interview, it was determined that the facility failed to ensure that the resident and/or their representative received written notice of transfer, or the facility bed-hold policy at the time of transfer, for one of three residents reviewed for hospitalizations (Resident 3). Findings Include: Review of facility policy, titled Facility Bed-Hold and Return to Facility Policy and Procedure last reviewed March 31, 2025, read, in part, Before a resident is transferred to the hospital, the facility must provide written information to the resident or the resident representative regarding the facility's bed hold and return policy. Review of facility, titled Transfer or Discharge Documentation last reviewed March 31, 2025, read, in part, When a resident is transferred or discharged from the facility, the following information will be documented in the medical record: that an appropriate notice was provided to the resident and/or legal representative.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-22 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on record review, observations, and staff interview, it was determined that the facility failed to receive proper treatment and assistive devices to maintain vision and hearing abilities for one of 21 residents reviewed (Resident 36). Findings Include: Review of Resident 36's clinical record revealed diagnoses of Dementia (a decline in mental ability, such as memory, thinking, and reasoning, that is severe enough to interfere with daily life) and chronic kidney disease (a progressive condition where the kidneys gradually lose their ability to filter waste and excess fluid from the blood). Observations of Resident 36 on May 19, 2025, at 1:09 PM; May 20, 2025, at 1:01 PM; and May 21, 2025, at 12:01 PM, revealed Resident 36 lying in bed not wearing hearing aids. Review of Resident 36's care plan failed to reveal any care plan regarding hearing aids. Review of Resident 36's current physician orders revealed physician orders to apply Resident 36's hearing aids every morning and remove them every evening, with an order start date of April 14, 2025. Interview with the Director of…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolatedEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, clinical record review, observations, and staff interview, it was determined that the facility failed to ensure that the resident environment remains as free of accident hazards as is possible to prevent accidents for one of two residents reviewed for falls (Resident 46). Findings include: Review of facility policy, titled Fall Risk Assessment last reviewed on March 31, 2025, read, in part, The staff and attending physician will collaborate to identify and address modifiable fall risk factors and interventions to try to minimize the consequences of risk factors that are not modifiable. Review of Resident 46's clinical record revealed diagnoses that included dementia (a chronic disorder of the mental processes caused by brain disease, marked by memory disorders, personality changes, and impaired reasoning) and severe protein-calorie malnutrition (an imbalance between the nutrients the body needs to function and the nutrients it gets). Observations in Resident 46's room on May 19, 2025, at 10:41 AM; May 20, 2025, at 9:40 AM; and May 22, 2025, at 11:44…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2025-05-22 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on facility policy review, clinical record review, and staff interviews, it was determined that the facility failed to ensure proper monitoring to maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range, for one of three residents reviewed for nutritional status (Resident 46). Findings include: Review of facility policy, titled Weight Assessment and Intervention last reviewed on March 31, 2025, read, in part, The nursing staff will measure resident's weights on admission, the next day, and weekly for two weeks thereafter. If no weight concerns are noted at that point, weights will be measured monthly thereafter. Weights will be recorded in each unit's weight record chart or notebook and in the individual's medical record. Any weight change of 5% or more since the last weight assessment will be retaken the next day for confirmation. The physician and the multidisciplinary team will identify conditions and medications that may be causing anorexia, weight loss or increasing the risk of weight loss. Review of Resident 46's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-22 · tag F0755 — failed to provide safe pharmacy services — isolatedProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to implement procedures to ensure availability of prescribed medications for one of 16 Residents reviewed (Resident 166). Findings include: Review of Resident 166's clinical record revealed diagnoses that included heart failure (the heart can't pump enough blood to meet the body's needs) and chronic kidney disease (a progressive condition where the kidneys gradually lose their ability to filter waste and excess fluid from the blood). Review of Resident 166's clinical record revealed she was admitted to the facility on [DATE]. Review of Resident 166's May 2025 Medication Administration Record (MAR) revealed she had an order for Furosemide Oral Tablet 40 milligrams (mg), give one tablet by mouth one time a day for chronic heart failure, with a start date of May 15, 2025. Further review of Resident 166's May 2025 MAR revealed that the order was blank from May 15-18, 2025, indicating she did not receive the medication on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2025-05-22 · tag F0804 — failed to serve food at safe, palatable temperature — isolatedEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on review of facility meal assessment form, completion of one meal test tray, and resident and staff interviews, it was determined that the facility failed to provide coffee that was at a palatable and appealing temperature. Findings include: Review of document, titled Food and Nutrition Services Meal Assessment last revised November 1, 2011, revealed coffee should have a temperature of 135 degrees Fahrenheit (F) or above at the time of service. Interview with Resident 24 on May 19, 2025, at 12:36 PM, revealed the coffee provided by the facility is never served hot. A test tray was completed on May 21, 2025, at 12:11 PM, upon the completion of lunch meal service with Employee 11 (Food Service Director). Employee 11 took the temperature of the coffee on the test tray as 110 degrees F, the coffee was not palatable or appealing to drink. Interview with Employee 11 on May 21, 2025, at 12:13 PM, revealed coffee should be poured and lidded between 5-10 minutes prior to meal service to ensure it stays hot to meet the minimum acceptable temperature at point of service; and that it was…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-04-19 · tag F0561 — failed to honor residents' choices — patternHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on resident interviews, and review of clinical records, it was determined that the facility failed to afford residents the opportunity to select their preferred method of bathing and incorporate those preferences into the residents' personal care routine for three of five residents reviewed (Residents 8, 29, and 59). Findings include: During a Resident Council Meeting conducted on March 17, 2024, at 10:00 a.m., it was revealed that Residents 8, 29, and 59 were only receiving bed baths even though they preferred showers. Review of Resident 8's Annual Minimum Data Set (MDS - periodic assessment of resident care needs) dated February 2, 2024, revealed under Section F - Preferences for Customary Routine and Activities that it was coded as Very Important for the resident to choose between a tub bath, shower, bed bath, or sponge bath. Review of Resident 8's Activities of Daily Living (ADL) care plan revealed an intervention added April 8, 2022, to provide a sponge bath when a full bath or shower cannot be tolerated. Review of Resident 8's task documentation revealed in the 30 day…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-04-19 · tag F0584 — failed to keep a safe, clean, comfortable home — patternHonor 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.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, and staff interview, it was determined the facility failed to maintain a clean homelike environment for one of two floors (2nd floor). Findings Include: During an environmental. tour conducted of the 2nd floor nursing unit on April 16, 2024, at aproximately 9:45 a.m., the following were observed: At 9:45 a.m., room [ROOM NUMBER] was observed to have an air conditioner with a thin layer of dust covering the unit. At 9:46 a.m., room [ROOM NUMBER] was observed to have an air conditioner with a thin layer of dust covering the unit. At 9:46 a.m., room [ROOM NUMBER] was observed to have an air conditioner with a thin layer of dust covering the unit. At 9:46 a.m., room [ROOM NUMBER] was observed to have an air conditioner with a thin layer of dust covering the unit. At 9:46 a.m., room [ROOM NUMBER] was observed to have an air conditioner with a thin layer of dust covering the unit. At 9:47 a.m., room [ROOM NUMBER] was observed to have an air conditioner with a thin layer of dust covering the unit.…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2024-04-19 · tag F0606 — failed to not employ staff found guilty of abuse — patternNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
What the surveyor found here — the official record, unedited, may be distressing
Based on facility policy and procedure review, facility documentation review and staff interview it was determined the facility failed to perform criminal background checks for 3 of five personnel records reviewed. (Employees E1, E2, and E5) Findings Include: Review of facility policy and procedure titled Residents Right to Freedom from Abuse, Neglect, and Exploitation Policy and Procedure, dated 2022, revealed the facility will not employ or otherwise engage individuals who: have been found guilty of abuse, neglect, exploitation, misappropriation of property, or mistreatment by a court of law. Review of Employee E1, E2, and E5's personnel records revealed the facility failed to obtain a criminal background check prior to hire. Interview with the Nursing Home Administrator on April 19, 2024 at 11:30 a.m. confirmed no criminal background check had been completed prior to hiring Employees E1, E2, and E3. 28 Pa. Code 201.14(a) Responsibility of Licensee 28 Pa. Code 201.18(b)(1)(3)(e)(1) Management 28 Pa. Code 201.29(a)(d) Resident Rights
- Potential for harm · Ecited before2024-04-19 · tag F0684 — failed to provide proper treatment and quality of care — patternProvide appropriate treatment and care according to orders, resident’s preferences and goals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review and staff interview it was determined the facility failed to follow physician orders for three of 15 residents reviewed. (Residents 17, 30, and Resident 42) Findings include: Review of Resident 17's diagnosis list revealed diagnoses including Irritable Bowel Syndrome (disorder of the intestines characterized by abdominal pain, intestinal gas, and altered bowel habits, including diarrhea, constipation, or both) and Diverticulitis (inflammation of small pouches that form in the lining of the large intestine). Review of Resident 17's physician's orders revealed an order dated November 30, 2022, for Milk of Magnesia (medication used to treat constipation) 30 milliliters by mouth if no bowel movement after 3 days. Further review of Resident 17's physician's orders revealed an order dated November 30, 2022, for Dulcolax (laxative that stimulates bowel movements) suppository if no bowel movement after 24 hours upon receiving Milk of Magnesia. Further review of Resident 17's physician's orders revealed an order dated November 30, 2022, for a fleet enema to be…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Ecited before2024-04-19 · tag F0692 — failed to prevent malnutrition and dehydration — patternProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility policy and procedure review and staff interview it was determined the facility failed to monitor the nutritional status for five of nine residents reviewed. (Residents 16, 17, 35, 42, and Resident 47). Findings include: Review of facility policy and procedure titled Weight Assessment and Interventions revealed nursing staff will measure residents' weights on admission, the next day, and weekly for two weeks thereafter. Any weight change of 5% or more since the last weight assessment will be retaken the next day for confirmation. Review of Resident 16's clinical record revealed a weight of 209.0 pounds (lbs.) on July 6, 2023, and a weight of 233.0 lbs. on August 2, 2023, a 11.48% increase in weight. There was no reweight taken to confirm Resident 16's weight. Interview with the Nursing Home Administrator on April 19, 2024, at 10:05 a.m. confirmed Resident 16's weights were not monitored as recommend by facility policy. Review of Resident 17's physician's orders revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-19 · tag F0558 — failed to accommodate residents' needs and preferences — isolatedReasonably accommodate the needs and preferences of each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observations, staff and resident interview, and clinical record review, it was determined that the facility failed to ensure that a bathroom was accessible to one of 15 residents reviewed (Resident 56). Findings include: Interview with Resident 56 on April 17, 2024, at 12:15 p.m. revealed the resident complained that she was unable to access the bathroom due to the location of the bathroom and size of her wheelchair. Observation conducted at this time revealed the resident was in a bed by the door, and the bathroom was located across from the resident's roommate's bed by the window. The resident's wheelchair would have to fit through the space between the resident's roommate's bed and dresser to get to the bathroom. The resident stated that because of this issue, she is forced to use a bed pan. Interview with Resident 56's nurse aide, Employee E7, at the same time confirmed the resident would be able to be toileted if the resident could be wheeled into the bathroom, and staff were using a bed pan on the resident for this reason. Review of Resident 56's care plan revealed a…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-19 · tag F0657 — failed to keep the care plan current — isolatedDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review and observation, it was determined the facility failed to update care plans to accurately reflect the resident's current status for one of 15 residents reviewed (Resident 56). Findings include: Review of Resident 56's clinical record revealed diagnoses including Bipolar Disorder (mental disorder characterized by recurrent depression or mania), Depression, and Anxiety. Review of Resident 56's progress notes revealed a nurse's note dated August 27, 2023, which indicated: this nurse witnessed resident grab call bell from either side of her neck, close her eyes, tie the call ball and pull making her face bright red. I said her name which startled her during the process of pulling, she opened her eyes and looked at this nurse, this nurse stated no, resident says oh and unties and removes call bell from person and sets it on the bed. Review of Resident 56's care plan for suicidal ideation revealed an intervention added on August 28, 2023, to provide the resident with a hand bell and remove the call bell. Observation of Resident 56 on April 17, 2024, at…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-19 · tag F0773 — isolatedProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review and staff interview it was determined the facility failed to report critical results of laboratory studies to the physician in a timely manner for one of 15 residents reviewed (Resident 56). Findings include: Review of Resident 56's progress notes revealed a nurse's note dated December 21, 2023, at 11:50 a.m. which stated: Received call from [laboratory] w/ a critical calcium level of 12.9. Asked to fax to unit. Supervisor made aware. Further review of the progress notes from December 21, 2023, revealed a nurse's note at 4:12 p.m. which stated that the lab results were faxed to the physician's office. Further review of Resident 56's progress notes revealed a nurse's note dated December 28, 2023, at 8:40 a.m. which stated that the resident's critical lab was refaxed to the physician's office and a telephone call was made to the physician on this day to communicate the results. Interview with the Nursing Home Administrator on April 18, 2024, at 2:30 p.m. confirmed that critical lab values should not be faxed and that there was a week-long delay in…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2024-04-19 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on clinical record review and staff interview it was determined the facility failed to maintain accurate record for one of 24 residents reviewed. (Resident 14) Findings Include: Review of Resident 14's admission Skin Evaluation, dated April 1, 2024 revealed the resident had no pressure ulcers. Review of Resident 14's Wound Care Notes, dated April 2, 2024 revealed a Stage 3 pressure ulcer (a wound caused by prolonged pressure which has subcutaneous fat visible, but bone, tendon, or muscle is not exposed) to the sacrum (triangular bone at the base of the spine) measuring 1.5 centimeters (cm) long x 0.3 cm wide x 0.2 cm deep. Review of Resident 14's Weekly Skin/Body Checks, dated April 3, 2024 revealed the resident had no pressure ulcers. Review of Resident 14's admission Minimum Data Set (MDS-periodic assessment of resident needs), dated April 6, 2024 revealed the resident was coded as having a stage 3 pressure ulcer on admission. Review of Resident 14's Wound Care Notes, dated April 9, 2024 revealed there was no documentation of a stage 3 pressure ulcer to the sacrum only an…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- No harm found · C2026-05-01 · tag F0575 — widespreadPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations and interviews with residents and staff, it was determined that the facility failed to post the name, address, and telephone number of the State Survey Agency on two of two units (Station 2 and Station 3).Findings include:Observations on all days of the survey on both units revealed no posting of the contact information for the State Survey Agency. An interview with residents during a group interview on April 21, 2026, at 1:00 p.m. revealed that the residents were not aware of a posting containing the contact information for the State Survey Agency. Interview with the Nursing Home Administrator on April 23, 2026, at 12:50 p.m. confirmed that there was no posting of the State Survey Agency contact information on the nursing units. 28 Pa. Code 201.14(a) Responsibility of licenseePreviously cited 12/22/25, 8/4/25, 5/22/25
- No harm found · C2026-05-01 · tag F0577 — widespreadAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations and interviews with residents and staff, it was determined that the facility failed to post the results of the most recent Department of Health survey in a place readily accessible to residents for two of two units (Stations 2 and 3).Findings include:Observations during all days of the survey revealed a posting that the state survey results were available in the lobby.Interview with residents during a group meeting on April 21, 2026, at 1:00 p.m. revealed that they were not aware of the location of the state survey results. The residents also revealed that they do not have access to the lobby and the elevator to the lobby requires a code.Interview with the Nursing Home Administrator on April 23, 2026, at 12:50 p.m. confirmed that the survey results were only located in the lobby which is not readily accessible to the residents.28 Pa. Code: 201.14(a) Responsibility of licensee.Previously cited 12/22/25, 8/4/25, 5/22/25
- No harm found · C2025-05-22 · tag F0732 — widespreadPost nurse staffing information every day.
What the surveyor found here — the official record, unedited, may be distressing
Based on observations and staff interview, it was determined that the facility failed to post daily current staffing, including the facility name, date, census, and total hours of nursing staff directly responsible for resident care per shift for the following dates: May 19, 20, and 21, 2025. Findings include: During entrance to the facility on May 19, 2025, at 9:06 AM, the posted staffing was reviewed and observed to be dated May 16, 2025. Observation on May 21, 2025, at 1:13 PM, the posted staffing was reviewed and observed to be dated May 19, 2025. During an interview with the Director of Nursing on May 21, 2025, at 2:06 PM, she confirmed that the Employee 1 (Nursing Scheduler) who is assigned to post the daily staffing didn't post it on the aforementioned dates, and she would expect daily staffing to be posted per the federal regulation. 28 Pa. Code 201.14(a) Responsibility of licensee
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
$144,615 in federal fines across 4 penalties.
- $109,350 — penalty dated 2026-02-04
- $13,260 — penalty dated 2025-12-22
- $13,987 — penalty dated 2025-05-22
- $8,018 — penalty dated 2024-04-19
Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| PA 3 OPCO LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | since 06/01/2023 |
| PA 3 HOLDCO | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 06/01/2023 |
| BORNSTEIN, SHLOMO | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 08/23/2023 |
| ELKOUBY, DAVID | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/01/2023 |
| FERZIGER, BENZION | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/01/2023 |
| FISHBANE, BENZION | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/01/2023 |
| MENDIOWITZ, CHAIM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/01/2023 |
| SENDEROVITS, ELIEZER | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 08/23/2023 |
| STEINBERG, EPHRAIM | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNF | NO PERCENTAGE PROVIDED | since 06/01/2023 |
| ER 320 PROPERTY LLC | Organization | ADP OF THE SNF | — | since 04/03/2025 |
| FOWLER, ELIZABETH | Individual | ADP OF THE SNF | — | since 08/23/2023 |
CMS files one row per role, so the 19 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.
3 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $265K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in PA
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Pennsylvania Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 395469. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-05-01, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.