Snu Armstrong Co Memorial Hosp

Location & what’s nearby

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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

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.

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.

80.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 120 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 18.9% 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 53 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 2.52 therapist hours per resident per day in 2026Q1 — more than 100% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 36% 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.

Staffing

How full it usually is: this home is certified for 17 beds and averages 11.1 residents a day — about 65% occupied, or roughly 6 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 8.65 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 2.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.27 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 8.03 hrs/resident/day on weekends vs 8.89 on weekdays — 10% thinner on weekends. RN hours go from 2.85 to 2.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 20% is below the national median of 45%. 1 administrator has left in the past year.

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.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · Fcited before2025-07-09 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  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, resident records, a facility tour, and staff interview it was determined that the facility failed to ensure enhanced barrier precautions (EBP) were ordered and implemented creating the potential for cross contamination for four out of four sampled residents (Residents R111, R112, R113, and R114). Findings include: The facility Infection Control Plan for SNU policy dated 8/18 and last reviewed 12/24, indicated that enhanced barrier precautions are an infection control intervention designed to reduce transmission of multi-drug resistance organisms that employs targeted gown and glove use during high contact resident care activities used on conjunction with standard precautions. The facility Care Plan policy dated 7/25, indicated each resident will have an individualized care plan that is developed by the interdisciplinary team with input from the resident, family, friends, and/or significant other. The team will refer to the care plan when providing care. Develop a care plan…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-07-09 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  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 facility polices, observations, clinical records, and staff interviews it was determined that the facility failed to make certain that appropriate treatments and services were provided for the use of a foley catheter required for two of three residents (Resident R112 and R114). Findings include: Review of the facility Catheters Indwelling (Foley) last reviewed 6/3/25, stated an indwelling catheter is only to be used when there is a valid medical justification. The resident should be assessed for and provided cared and treatment needed to reach his or her highest level of continence possible. Review of the clinical record indicated Resident R112 was admitted to the facility on [DATE], with diagnoses of right below the knee amputation, high blood pressure, and weakness of both legs. During an observation on 7/7/25, at 10:28 a.m. Resident R112 was observed with a foley catheter intact. Review of Resident R112 physician orders on 7/7/25, at 11:40 a.m. failed to include and order or care plan for…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-09-19 · tag F0585 — failed to handle grievances — widespread
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interview, the facility failed to make certain that a complaint/grievance could be filed anonymously for 13 of 13 residents. Findings include: Review of the facility policy Grievances/Complaints Skilled Nursing Unit dated 12/1/24, indicated that any resident, family member, friend, or staff person has the right to file a complaint or grievance alleging a violation of applicable laws/regulations by the unit orally or in writing. The person filing has the right to file anonymously. During a tour of nursing unit on 9/17/24, at 9:53 a.m. a wall hanger with Resident/Family Concern Forms, was noted to be in the Activity/Dining Room, as well as at the Nurses Station. During an observation on 9/17/24, at 10:01 a.m. failed to identify a secure location for residents, family member, friend, or staff member to put a complaint or grievance anonymously. During an interview on 9/17/24, at 10:15 a.m. Nursing Home Administrator (NHA) stated, I tell them to give the form to one of my staff when they are done. When asked, If you have them give the form to your staff, is…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · tag F0583 — failed to protect personal privacy — isolated
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policy, observation, and staff interviews it was determined that the facility failed to maintain the confidentiality of residents' medical information on one of two medication carts (Cart on wheels One). Findings include: Review of the facility policy Security Codes/Passwords/Confidentiality Compliance last reviewed on 9/1/24, indicated that all persons who access computerized data are reminded that any breach of this policy may be a serious violation of patient privacy. During an observation on 9/18/24, at 7:48 a.m. the medication cart outside of resident room, in the corridor, was left unattended with the computer screen open with identifiable information so any passerby could see resident personal and confidential information. During an interview on 9/18/24, at 10:04 a.m. Registered Nurse Employee E1 stated, I ran to the medication room and didn't close the screen prior to leaving the medication cart. During an interview on 9/18/24, at 2:30 p.m. Nursing Home Administrator confirmed that the facility failed to maintain the confidentiality of residents'…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-19 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  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 maintain a safe, homelike environment for one of two elevators (Elevator 1). Findings include: An observation on 9/18/24, at 2:46 p.m. revealed a broken number one button in Elevator 1, where the center of the button was missing with exposed sharp edges. An observation on 9/19/24, at 8:37 a.m. revealed that the number one button on Elevator 1 remained broken with sharp edges exposed. During an interview on 9/19/24, at 11:46 a.m. the Nursing Home Administrator confirmed that the number one button on Elevator 1 was broken with exposed sharp edges, and that the facility failed to maintain a safe, homelike environment for one of two elevators as required. 28 Pa. Code 201.18 (b)(1)(3) Management

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop 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 review of facility policy, newly hired personnel records, and staff interviews it was determined that the facility failed to properly screen an employment by completing a state background check prior to hire for two of five personnel records reviewed (Nursing Assistant (NA) Employee E2 and Registered Nurse (RN) Employee E3). Findings include: The facility Abuse policy dated 10/1/24, indicated that the resident has the right to be free from verbal, sexual, physical, and mental abuse, corporal punishment, involuntary seclusion. The Skilled Nursing Unit (SNU) hereby recognizes these rights and establishes the following policies and procedures to protect the rights of the resident. At the time of application, all individuals will be asked to certify that they have not been discharged from any facility. The appropriate licensing boards and registries will be checked for information related to the applicant. Review of Nursing Assistant (NA) Employee E2's personal record indicated she was hired on 7/8/24. Review of NA Employee E2's personnel record did not include a state criminal…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · tag F0622 — isolated
  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
  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 make certain that the necessary resident information was communicated to the receiving health care provider for one out of three residents sampled with facility-initiated transfers (Closed record (CR) Resident R12). Findings include: Review of the clinical record indicated CR Resident R12 was admitted to the facility on [DATE]. Review of CR Resident R12's MDS (Minimum Data Set, periodic assessment of resident care needs) dated 7/17/24, indicated diagnoses of peripheral vascular disease (PVD, circulatory condition in which narrowed blood vessels reduce blood flow to the limbs), and diabetes (a metabolic disorder in which the body has high sugar levels for prolonged periods of time. Review of the clinical record indicated CR Resident R12 was transferred to the hospital on 7/17/24 and did not return to the facility. Review of CR Resident R12's clinical record revealed no documented evidence that the facility had…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal 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 review of clinical records, and staff interviews, it was determined that the facility failed to provide a transfer notice to a representative of the Office of the Long-Term Care Ombudsman Division for two of two residents (Closed Record (CR) Residents R7 and R12). Findings include: Review of the clinical record indicated CR Resident R7 was admitted to the facility on [DATE]. Review of CR Resident R7/'s MDS (Minimum Data Set, periodic assessment of resident care needs) dated 9/16/24, indicated coronary artery disease (damage or disease in the heart's major blood vessels), high blood pressure, and seizures. Review of the clinical record indicated CR Resident R7 was discharged to home on 9/16/24. Review of CR Resident R7's clinical record indicated the facility failed to include documented evidence that the facility provided a written transportation notification to the Office of Long-Term Care Ombudsman for the discharge to home on 9/16/24. Review of the clinical record indicated CR Resident R12 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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · tag F0625 — isolated
  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
  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 notify the resident or resident's representative of the facility bed-hold policy (an agreement for the facility to hold a bed for an agreed upon rate during a hospitalization) for one of two resident hospital transfers (Closed Record (CR) Resident R12). Findings Include: Review of the clinical record indicated Resident 12 was admitted to the facility on [DATE]. Review of CR Resident R12's MDS (Minimum Data Set, periodic assessment of resident care needs) dated 7/17/24, indicated diagnoses of peripheral vascular disease (PVD, circulatory condition in which narrowed blood vessels reduce blood flow to the limbs), and diabetes (a metabolic disorder in which the body has high sugar levels for prolonged periods of time. Review of the clinical record indicated CR Resident R12 was transferred to the hospital on 7/17/24 and did not return to the facility. Review of CR Resident R12's clinical record failed to include…

  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.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-19 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of facility documents, clinical record review, and staff interviews, it was determined that the facility failed to ensure residents who require dialysis (a machine filters wastes, salts and fluid from your blood when your kidneys are no longer healthy enough to do this work adequately) service receive such services consistent with professional standards of practice by failing to obtain a contract with a dialysis facility for one of three residents reviewed (Resident R68). Finding include: Review of the clinical record indicated Resident R68 was admitted to the facility on [DATE], with active diagnoses of dependence on renal dialysis, unspecified fall, and gastroesophageal reflux disease (GERD - a condition that occurs when stomach contents leak into the esophagus and cause irritation). Review of a physician order dated 9/8/24, indicated Resident R68 received dialysis every Monday, Wednesday, and Friday. During an interview on 9/18/24, at 12:30 p.m. the Nursing Home Administrator (NHA) stated that…

  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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“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.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 21 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner 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.

What families pay in PA