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Crestview Center

262 Toll Gate Road, Langhorne, PA 19047 · For profit - Partnership · 180 certified beds · (215) 968-4650 Medicare & Medicaid certified

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Flagged for abuseResident-funds citation (F0565)1 actual-harm citation3 actual-harm citations CMS recorded as corrected before the inspection ended (past non-compliance)
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
  • fewer deficiencies at its most recent standard inspection than at the one before — a sign of improvement
Worth asking about
  • CMS has flagged it for abuse
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jul 2026
  • it has a citation for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0604) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has a citation for mishandling residents’ money or property (F0565)
  • it has 1 actual-harm citation
  • inspectors recorded 3 serious findings 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 (34) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (2/5)
  • about 23% of its spending goes to commonly-owned related companies

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.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 2 of 5
StaffingFrom payroll records (PBJ) 3 of 5
Quality measuresSelf-reported by the facility 4 of 5

Worth a closer look. This home's quality-measure rating runs 2 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Urgent care / clinic
1203 Langhorne-Newtown Road, St. Clare Building, Ste 334 · (215) 710-5234 · Call to confirm hours
Pharmacy
1203 Langhorne Newtown Rd · (215) 710-7427 · Call to confirm hours
Grocery
3 Summit Square Ctr · (215) 968-0676 · Call to confirm hours
Park
Tollgate Rd · (215) 757-0571 · Typically dawn to dusk
Place of worship
1271 Langhorne Newtown Rd · (445) 271-1505

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 4 of 5
Long-stay residentspeople who live here 4 of 5
Short-stay residentsrehab / post-hospital 4 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 held steady at 3 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.

Overall rating3★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased21.5%16.8%15.4%worse
Long-stay residents who lose too much weight4.3%6.2%5.4%better
Long-stay residents with a catheter left in their bladder0.1%0.7%0.9%better
Long-stay residents with a urinary tract infection0.9%1.5%2.0%better
Long-stay residents with depressive symptoms21.9%10.8%6.5%worse
Long-stay residents who were physically restrained0.0%0.2%0.1%better
Long-stay residents with falls causing major injury2.8%3.1%3.3%better
Long-stay residents whose ability to walk worsened18.5%17.0%16.1%worse
Long-stay residents on antianxiety or hypnotic medication22.0%20.0%18.9%worse
Long-stay residents given the seasonal flu vaccine95.3%93.5%95.3%typical
Long-stay residents with pressure ulcers9.3%4.8%4.7%worse
Long-stay residents with worsening bladder/bowel control28.0%25.5%21.2%worse
Long-stay residents who got an antipsychotic medication — see the note below the table8.4%17.7%17.1%better
Short-stay residents who newly got an antipsychotic medication1.3%1.4%1.4%typical
Short-stay residents given the seasonal flu vaccine49.4%68.7%79.4%worse
Short-stay residents rehospitalized after admission19.2%22.5%22.6%better
Short-stay residents with an outpatient ER visit4.8%9.5%12.0%better
Long-stay hospitalizations per 1,000 resident days1.571.621.67typical
Long-stay outpatient ER visits per 1,000 resident days0.731.181.80better

§ 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.

53.9% 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 149 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

53.9%U.S. median 51.5%
Got home and stayed home
9.5%U.S. median 10.7%
Went back to hospital
43.8%U.S. median 56.6%
Met the expected recovery
0.29U.S. median 0.31
Therapy hours / resident / day
0.13hours / resident / day
Physical therapy
0.13hours / resident / day
Occupational therapy
0.04hours / resident / day
Speech therapy

Met the expected recovery: 43.8% 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 105 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 0.29 therapist hours per resident per day in 2026Q1 — more than 45% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% 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
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF53.9%CMS range 44.6–61.751.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF9.5%CMS range 6.9–13.510.7%Oct 2022–Sep 2024no 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 discharge43.8%56.6%Oct 2024–Sep 2025CMS 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 discharge50.5%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge34.3%50.0%Oct 2024–Sep 2025CMS 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 identified96.6%98.7%Oct 2024–Sep 2025CMS 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 setting100.0%100.0%Oct 2024–Sep 2025CMS 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 discharge96.7%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.7%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened5.4%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization7.5%CMS range 4.8–10.77.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs1.131.02Oct 2022–Sep 2024CMS 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

0.72
RN hours/ resident / day
0.76
LPN hours/ resident / day
1.92
Aide hours/ resident / day
3.41
Total nurse hours/ resident / day
0.41
RN hoursweekends
45.3%
Total nursing turnover
46.2%
RN turnover

How full it usually is: this home is certified for 180 beds and averages 164.1 residents a day — about 91% occupied, or roughly 16 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 3.41 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.72 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.92 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 3.19 hrs/resident/day on weekends vs 3.49 on weekdays — 9% thinner on weekends. RN hours go from 0.85 to 0.41 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%.

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

4
deficiencies at the latest standard inspection (2025-07-03)
12
at the previous standard inspection (2024-09-06)

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.

ABCDEFGHIJKL

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.

34 citations, most serious first. The 14 most serious are shown; the remaining 20 are one tap away and print in full.

  • Actual harm · Gcited before2026-07-01 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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, facility policy, facility documentation, and interviews with residents and staff, it was determined the facility failed to ensure one of four residents reviewed was free from sexual abuse, resulting in psychosocial harm including being diagnosed with Post Traumatic Stress Disorder (Resident R1). This deficiency was identified as past noncompliance. Findings include: Review of facility policy titled, Abuse Prohibition revised 2025, revealed abuse is defined as the willful infliction of injury, unreasonable confinement, intimidation, or punishment with resulting physical harm, injury, or mental anguish. Abuse also includes the deprivation by an individual, including a caretaker, of goods and services that are necessary to attain or maintain physical, mental or psychosocial well-being. Instances of abuse of all patients, irrespective of any mental or physical condition, cause physical harm, pain, or mental anguish. It includes verbal abuse, sexual abuse, physical abuse, 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Actual harm · G2026-03-16 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    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, facility policy, and staff interview, it was determined the facility failed to timely identify and implement interventions to ensure that Resident R1 did not develop pressure ulcers. This failure resulted in actual harm to Resident R1 who developed an unstageable sacral pressure ulcer requiring hospitalization for one of two residents reviewed (Resident R1). Findings include: Review of the facility policy Skin Integrity and Wound Management, revised 2025, revealed staff are to perform comprehensive initial and ongoing assessments of factors affecting skin integrity, develop care plans reflective of assessment findings, and implement as well as revise interventions as needed to prevent skin breakdown. The policy further revealed staff are responsible for identifying residents at risk and implementing appropriate prevention and treatment interventions. Review of Resident R1's clinical record revealed resident was admitted to the facility on [DATE], with diagnoses including…

    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
  • Actual harm · Gcited before2026-03-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    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 reviews, review of facility documentation and interviews with staff, it was determined the facility failed to ensure Resident R1 was free from neglect related to failing to provide wound treatment in accordance with physician orders. This failure resulted in actual harm for Resident R1 who developed an infection of the left foot surgical site, for one of nine residents reviewed. This deficiency was cited as past non-compliance. (Resident R1). Findings include: Review of facility policy titled Abuse Prohibition, revised November 14, 2025, indicates Neglect is defined as the failure, indifference, or disregard of the center, its employees, or service providers to provide care, comfort, safety, goods and services to a patient that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. This includes the failure to implement an effective communication system across all shifts for communicating necessary care and information between center, patient, practitioner 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
  • Actual harm · Gcited before2026-03-11 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 clinical record reviews, review of facility documentation and interviews with staff, it was determined that the facility failed to ensure that Resident R1 was providing wound treatment in accordance with physician orders. This failure resulted in actual harm for Resident R1 who developed a wound infection of the left foot surgical site for one of nine residents reviewed. This deficiency was cited as past non-compliance. (Resident R1).Findings include: Review of facility policy titled Skin integrity and wound management revised September 15, 2025, indicates the A comprehensive initial and ongoing nursing assessment of intrinsic and extrinsic factors that influence skin health, skin/ wound impairment, and the ability of a wound to heal will be performed. The plan of care for the patient will be reflective of assessment findings from the comprehensive patient assessment and wound evaluation. Staff will continually observe and monitor patients for changes and implement revisions to the plan of care as…

    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 · Past Non-Compliance
  • Potential for harm · Dcited before2026-05-07 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical records an interview with staff it was determined that the facility failed to ensure that residents who have a change in clinical status were evaluated by a provider. For one of ten residents observed (Resident R1)Findings include: Review of Resident R1's clinical record revealed Resident R1 was admitted to the facility on [DATE], with diagnosis of but not limited to Centrilobular Emphysema (chronic lung disease). Review of progress note dated November 30, 2025, at 10:00 p.m. written by licensed nurse Employee E3 revealed a change in condition. At the time of evaluation resident/patient vital signs, weight and blood sugar were: Blood Pressure 92/43 (normal blood pressure 110/80) , Pulse: 90 (normal pulse 60 per 100 beats per minute) - RR (respiration rate):18.0 (normal 30 to 60 breath per minute)-Temperature: T 99.5 (normal body temperature 97.-95.5 degrees Fahrenheit), Weight: 91.2 pounds, Pulse Oximetry: O2 89.0 % ([NAME] oxygen level 95%-100%) - Method: Room Air. Outcomes 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 an interview with staff, it was determined that the facility failed to ensure that a physician's order was in place before administering oxygen for one of ten residents observed (Resident R1).Findings include: Review of Resident R1's clinical record revealed Resident R1 was admitted to the facility on [DATE], with diagnosis of but not limited to Centrilobular Emphysema (chronic lung disease). Review of progress note dated November 30, 2025, at 10:00 p.m. written by licensed nurse Employee E3 revealed a change in condition. At the time of evaluation resident/patient vital signs, weight and blood sugar were: Blood Pressure 92/43 (normal blood pressure 110/80) , Pulse: 90 (normal pulse 60 per 100 beats per minute) - RR (respiration rate):18.0 (normal 30 to 60 breath per minute)-Temperature: T 99.5 (normal body temperature 97.-95.5 degrees Fahrenheit), Weight: 91.2 pounds, Pulse Oximetry: O2 89.0 % ([NAME] oxygen level 95%-100%) - Method: Room Air. Outcomes of Physical Assessment:…

    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 · Dcited before2026-01-22 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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, observation, and staff and resident interviews, it was determined that the facility failed to ensure timely assessment, identification, and documentation of a change in condition related to skin integrity for one of four residents reviewed (Resident R1).Review of facility policy Skin Integrity and Wound Management, revised 2025, revealed the nursing assistant will observe skin daily and report any changes or concerns to the nurse. The licensed nurse will:- Evaluate any reported or suspected skin changes or wounds;- Document newly identified skin/wound impairments as a change in condition; -Document skin/wound findings on the 24-hour Report;-Perform and document skin inspection on all newly admitted /readmitted patients weekly thereafter and with any significant change of condition.Review of Resident R1's clinical record revealed Resident R1 was admitted to the facility on [DATE] with a diagnosis of brain neoplasm (brain tumor), epilepsy (brain condition that causes recurring…

    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 · D2025-07-03 · tag F0641 — isolated
    Ensure each resident receives an accurate assessment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, review of facility policy, clinical record review and staff interviews, it was determined that the facility failed to ensure that resident assessments accurately reflected resident diagnoses for one of nine residents reviewed. (Resident R148) Finding includes:Review of facility policy titled Social Service Assessment revised March 15, 2024, revealed residents will have a social service assessment completed upon admission, quarterly, annually and with a significant change in condition.Review of Resident R148's clinical record revealed that on October 21, 2024, resident was given the diagnosis of anorexia. Review of Resident R148's care plan last revised on May 28, 2025, revealed that this resident has potential for nutrition hydration risk due to advanced age currently stable nutritionally.Interview with DON Employee E2 on July 3, 2025, at 09:40 a.m. revealed that the diagnosis of anorexia for Resident R148 was not accurate. It is believed that the diagnosis of Anorexia was used for that practitioners visit for the purpose of a billing code and transcribed into…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-03 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, review of facility policy, review of clinical records, and staff interview, it was determined that the facility failed to develop and implement a person center care plan related to elopement for one out of 33 residents reviewed. (Resident R77) Findings include: Review of facility policy titled Center Operations Policies and Procedures dated October 24, 2022, revealed A comprehensive, individualized care plan will be developed within seven days after completion of the comprehensive assessment (admission, annual or significant change in status) and review and revise the care plan after each assessment. Review of review of Resident R 77's was admitted into the facility February 2, 2023, with diagnosis' including autistic disorder (significant language delays, social and communication challenges, unusual behaviors and interests) anxiety disorder, personal history of traumatic brain injury, dementia severity with agitation, depression and psychotic disturbance, mood disturbance. Review of the quarterly Minimum Data Set (MDS- a federal mandated assessment tool 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-07-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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 documentation, review of clinical record, observation and staff interviews, it was determined that the facility failed to provide adequate supervision for two of 33 residents reviewed. (Resident R90 and Resident 136). Findings:Review of facility policy titled Safe Resident Handling/Transfer Equipment, revised 2024, revealed Safe Resident Handling involves the use of assistive devices to ensure that patients can be transferred safely and that care providers avoid performing high risk patient handling tasks. The purpose is to optimize staff safety and the safety, comfort, and function of patients during transfers, ambulation, and/or repositioning. Clinical record review revealed Resident R90 was admitted to the facility on [DATE] with a diagnosis of chronic obstructive pulmonary disease (condition that prevents airflow to the lungs, causing breathing problems), chronic kidney disease (condition where kidneys are damaged and can't filter blood properly), and polyneuropathy (type of nerve…

    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 · D2025-07-03 · tag F0880 — failed to prevent and control infections — isolated
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of clinical record, facility policy, observations, and interviews with staff, it was determined that the facility failed to exercise proper infection control techniques for one of three nursing units observed (East wing).Findings include:Review of facility policy titled Enhanced Barrier Precautions, revised 2025, revealed personal protective equipment (PPE) should be readily accessible and located outside of the patient's room. Before exiting room, remove and place PPE (e.g., gowns and gloves) in the trash and perform hand hygiene upon exiting room. Observation on June 30, 2025 at 10:10 a.m. on east wing (rooms 300-330) revealed 17 resident rooms (rooms 301, 302, 304, 306, 307, 308, 309, 311, 312, 314, 316, 318, 319, 321, 322, 323, 328) with enhanced barrier precaution (EBP) signage on door and no appropriate disposal container available in the resident room to allow for removal of PPE inside the room. Further observation on June 30, 2025 at 10:20 p.m. revealed 10 of 17 resident rooms on EBP (rooms 304, 306, 309, 311, 312, 314, 316, 319, 323, 328) did not have 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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-01-30 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a tour of resident care areas, review of facility documentation, review of clinical records, and staff and resident interviews it was determined that the facility failed to ensure dependent residents received the necessary services to maintain persona hygiene for two of four residents reviewed (Resident R1 and Resident R2). Findings Include: Review of documentation submitted by the facility on January 20, 2025, to the State Survey Agency via the Event Reporting System (electronic database that collects reports of resident events from healthcare facilities), revealed on January 18, 2025, it was reported that there was no hot water available on the nursing units. Maintenance was contacted and was able to successfully restore one of two hot water heaters. The facility reported being unable to maintain comfortable water temperatures during times of peak water demand due to only one hot water heater supplying hot water to the entire center. Continued review of facility documentation submitted to the Event…

    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 · Dcited before2025-01-21 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide 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 staff interviews, review of facility policy and the review of clinical records, it was determined that the facility failed to assess, monitor and notify the physician regarding an injury of unknown origin for one of two residents reviewed. (Resident R1) Findings include: Review of facility policy on Assessment revealed that under section POLICY: The Center will conduct initially and periodically a comprehensive, standardized, reproducible assessment of each patient's functional capacity. The assessment must accurately reflect the patient's status at the time of assessment. Routine and focused assessments will be performed on an ongoing basis as needed. The assessment process must include direct observation and communication with the patient, as well as communication with licensed and non-licensed direct care staff members on all shifts. Under section PURPOSE: To determine patient's condition and clinical needs. Under section PRACTICE STANDARDS 4. Conduct a change in condition assessment as needed using…

    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 · E2024-09-06 · tag F0565 — failed to support the resident council — pattern
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of resident council minutes, resident and group interviews and interviews with staff, and facility policy, it was determined the facility failed to ensure the residents were offered a private group meeting during resident council for 6 of 6 residents interviewed (Resident R9, R47, R82, R120, R133, and R145) Findings include: Review of the facility policy titled, Recreation Services Policies and Procedures revised on 8/7/23 states the facility will promote and support self-governing and decision-making Resident Councils to provide an opportunity to meet regularly and without interference. The same policy states to provide appropriate accommodations and a meeting place that is private. During Resident Group with 6 alert and oriented residents on September 4, 2024, at approximately 11:00 a.m. Resident R82 indicated during resident council some of the members did not like to use their name if there was a concern or problem so the facility doesn't get told. Members of the resident council were asked, during the time they meet in private would it be more comfortable to…

    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
Show the remaining 20 citations
  • Potential for harm · E2024-09-06 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
    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 ensure a comfortable and homelike environment in one of eight resident's rooms observed (Resident 114 and Resident 124). Findings include: Observation on September 3rd, 2024 at 9:50 am revealed that Resident R114 and Resident R124 double bed room had a hole in the wall and bed sheets hanging up on the windows. Resident R114 and Resident R124 stated the hole in the wall and bed sheets hanging instead of curtains, did not feel like a comfortable and homelike environment. Interview with Employee E10, Maintenance Director, confirmed the hole in the wall needed to be repaired and the bed sheets needed to be replaced with curtains. 28 Pa. Code 201.29(j) Resident rights. 28 Pa. Code 207.2(a) Administrator's responsibility.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-06 · tag F0679 — failed to provide activities — pattern
    Provide activities to meet all resident's needs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on interviews with residents and staff, and facility policy, it was determined that the facility failed to provide activities that enhanced the resident's interactions in the community based on the identified preferences/interests for six of six residents attending resident council (Resident R9, R47, R82, R120, R133, and R145) Findings include: Review of the facility's policy titles, Resident Rights stated, The resident has a right to interact with members of the community and participate in community activities both inside and outside the community. During Resident Group with 6 alert and oriented residents on September 4, 2024, at approximately 11:00 a.m. the group all agreed they wanted to go on trips again like they did previously. Resident R82 stated, We used to go on trips, but we don't go out anymore. We used to see a Christmas play around the holidays then eat at a nearby popular restaurant, but the facility stopped it. We were told we can't because of the facility's new van service. On September 5, 2024, at 2:00 p.m., interview with the Director of Nursing (DON) said…

    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 · E2024-09-06 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
    Provide safe and appropriate respiratory care for a resident when needed.
    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 observations, review of facility policy, review of clinical records, and staff and resident interviews, it was determined that the facility failed to ensure that a resident who is dependent on oxygen therapy consistent with physician orders for three of three residents with oxygen reviewed (Resident R25, R118, and R127). Findings Include: Review of Resident R25's quarterly Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated July 5, 2024, revealed the resident was cognitively intact and had a diagnosis of respiratory failure and chronic obstructive pulmonary disease (COPD - progressive lung disease characterized by persistent respiratory symptoms such as breathlessness and cough). Review of Resident R25's physician orders revealed an order dated June 9, 2024, for continuous oxygen every shift. Further review of Resident R25's physician orders revealed an order dated April 10, 2024, for oxygen tubing to be changed weekly and label each component with date and initials.…

    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 · E2024-09-06 · tag F0921 — failed to keep a safe, functional, sanitary building — pattern
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, interviews with resident and staff and review of facility documentation, revealed the facility failed to provide a safe functional, sanitary, and comfortable environment for residents for one of three main shower rooms. (100-unit Main Shower) Findings include: Observation conducted on September 3, 2024, of the 100-unit Main Shower room revealed a sign indicating it was out of order. During Resident Group on September 4, 2024, at approximately 11:00 a.m. three residents who reside in the 100-unit, Resident R47, R120, and R133 voiced their concerns about the 100-unit hallway and bathroom. Resident R47 stated, The Shower room its always out of order and has been for a very long time. Resident R120 said, They make us go to another bathroom instead and My room is close to the shower room and it bothered my allergies, Resident R133 stated, It smells too! They tell us, 'Yeah we are working on it' or 'We're waiting on a part.' ''This has been going on for a very long time! On September 6, 2024, at 10:00 a.m. interview with the Maintenance Director stated the problem…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-06 · tag F0925 — failed to control pests — pattern
    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations of the physical environment interviews with staff and reviews of the pest control operators reports, it was determined that the facility was not maintaining an effective pest control program. Fndings include: Observations of the main kitchen of the food and nutrition department were completed with the director od dietary services, Employee E8 at 9:30 a.m., on September 3, 2024. Common household pests (flies) were observed throughout the dish room area, food preparation areas and the hallway located outside the food and nutrition department. The doorway leading from the hallway into the main kitchen was open allowing easy access to the main kitchen. Observations of the three windows located above the three compartment sink inside the main kitchen revealed that the windows were opened to the outside and contained no screens to prevent pest (flies) entry into the kitchen. The large window area located adjacent to the juice dispensing system contained an ill-fitting screen. The screen was torn and not secured into the window allowing easy access for pests into the…

    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.

    Environmental Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-06 · tag F0554 — isolated
    Allow residents to self-administer drugs if determined clinically appropriate.
    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 observations, review of clinical records, and staff and resident interviews, it was determined that the facility failed to determine if residents were safe to self-administer medications for two of two residents observed (Resident R25 and R61). Findings Include: Review facility policy on Self Administration of Medication with a most recent review date of March 1, 2022, revealed that under section Policy, patients who request to self-administer medications will be evaluated for safe and clinically appropriate capability based on the patients. functionality and health condition. If it is determined that the patient is able to self-administer, a physician / advanced practice provider order is required. Self-administration and medication self-storage must be planned. When applicable, patient must be provided with a secure, locked area to maintain medications. Patients must be instructed in self-administration. Evaluation of capability must be performed initially, quarterly and with any significant change 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-06 · tag F0604 — failed to not use physical restraints improperly — isolated
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policies, clinical record review, observations and staff interviews, it was determined the facility failed to identify the placement of a bed against the wall as a restraint and failed to assess the functional status of an individual resident to determine the use of the restraint for one of nine residents reviewed. (Residents R44). Findings Include: Review of facility policy titled, Restraints: Use of with a revision date of December 2022, revealed Patients have the right to be free from any physical or chemical restrains imposed for the purposes of discipline or convenience, and not required to treat the patient's medical symptoms Clinical record review indicated Resident R44 was admitted to the facility December 23, 2023 with a diagnosis of Cerebral Infarction (disrupted blood flow to the brain due to problems with the blood vessels that supply it), Hemiplegia and Hemiparesis (muscle weakness on one side of the body), and Hypertension (high blood pressure). Review of Resident R44's Minimum Data Set (MDS) assessment (a mandated assessment of a resident'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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-06 · tag F0655 — isolated
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    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, clinical records, and staff interviews, it was determined at the facility failed to develop a baseline care plan that includes the instructions needed to provide effective and person-centered care within 48 hours of admission for respiratory care, communication, and total parenteral nutrition for three of 31 residents reviewed. (Resident R369, R143, Resident R150) Findings include: Review of facility policy on person centered care plan. With the most recent review date of October 24, 2022, revealed that under section Policy: the Center must develop and implement a baseline person centered care plan within 48 hours of admission readmission for each patient/ resident (herein after patient) that includes the instructions needed to provide effective and person-centered care that meet professional standards of quality care. Person centered care means to focus on the patient as the focus of control and support the patient in making their own choices and having control over their…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-06 · tag F0656 — failed to write and follow a full care plan — isolated
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    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 record was determined that the facility failed to develop a person-centered care plan related to antibiotic use via Midline intravenous catheter for one of 31 residents reviewed. (Resident R61) Findings include: Review Facility policy on Person Centered Care Plan with a most recent review date of October 24, 2022, revealed that under Section Policy: A comprehensive individualized care plan will be developed within seven days after completion of the comprehensive assessment (admission, annual or significant change in status), Care plan includes measurable objectives and timetables to meet a patient's medical, nursing, nutrition, and mental and psychosocial needs that are identified in the comprehensive assessments for newly admitted patients. The Comprehensive care plan must be completed within seven days of the completion of the comprehensive assessment and no more than 21 days after admission. The care plan will be prepared by the interdisciplinary team. The interdisciplinary team,…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-06 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations,staff interviews, review of clinical records and facility documentation, it was determined that the facility failed to provide care and services in accordance with professional standards of practice to prevent accident and falls for one of 31 resident records reviewed (Resident R6). Findings include: Resident R6 was admitted to the facility on [DATE], diagnosed with a contractured right knee, chronic pain, major depression, anxiety, morbid (severe) obesity, mild cognitive impairment and dependent on a wheelchair for mobility. Review of Resident R6 nursing progress note dated, May 13, 2024, stated a staff member was pushing Resident R6 down the ramp, next in line, to play an outdoor activity and the resident fell out of her the wheelchair, noting bilateral abrasion to the knees and lip. The resident was transferred to the hospital post fall and returned the facility on the same day. Interview with Resident R6, on September 4, 2024, at 2:00 p.m. said during an activity a staff member wheeled…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-06 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure 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, review of facility documentation, clinical record review and interviews with staff, it was determined that the facility failed to ensure that a resident received adequate supervision for one of seven residents reviewed for falls (Resident R157). This deficiency was identified as past non-compliance. Findings Include: Review of facility policy Safe Resident Handling/Transfer Equipment revised March 1, 2024, revealed patients will be assessed upon admission and on an ongoing basis to determine the patient's ability to transfer and reposition and the need for safe resident handling equipment. Review of Resident R157's comprehensive Minimum Data Set (MDS - federally mandated resident assessment and care screening) dated February 16, 2024, revealed the resident had severe cognitive impairment and diagnoses of adult failure to thrive, and contractures of the left and right knee. Further review of Resident R157's MDS dated [DATE], revealed the resident had impairment in range 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.

    Quality of Life and Care Deficiencies · Past Non-Compliance
  • Potential for harm · D2024-04-18 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
    Reasonably accommodate the needs and preferences of each resident.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, observation and staff and resident interviews, it was determined the facility failed to ensure that a resident's call bell was within reach for one of 14 residents reviewed. (Resident R2) Findings include: Based on facility policy titled Call Lights revised June 1, 2021, revealed that to ensure safety and communication, all residents will have a call light or alternative communication device within their reach at all times when unattended. Review of facility grievances of the past three months revealed on January 15, 2024, February 8, 2024, February 14, 2024, and February 19, 2024 there were documented grievances describing concerns related to a delay response to call bells. Further review of the grievances revealed that all concern has been addressed and resolved by implementing education for staff and call bell audits. Observation of Resident R2 on April 18, 2024 at 8:47 a.m. revealed that Resident R2 was calling for help. Resident R2 stated she did not feel well and needed a nurse. Resident stated she needed to be cleaned; an odor of feces 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 · D2024-04-18 · tag F0693 — failed to provide proper feeding-tube care — isolated
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, review of clinical record, review of manufacture directions and staff interview, it was determined that the facility failed to ensure that an opened container of enteral feeding formula was label and dated for one of one resident review on enteral feeding. (Resident R1) Findings include: Review of facility policy titled Enteral Management revised March 1, 2022, revealed that the purpose is to provide safe and effective management of enteral tubes to provide nutrition when the resident is unable to consume food orally. Further review of the policy states that enteral feeding may be provided by a syringe bolus when ordered by a physician. This method is for select situations for stable patients who do not have a history of gastrointestinal reflux or previous aspiration pneumonia, who have normal gastric function and are able to protect their airways or provide their own care. Review of Resident R1's clinical record revealed the diagnoses of fracture of right pubis, history of traumatic brain injury, severe protein calorie malnutrition, fusion 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-12-07 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
    Provide 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

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, review of clinical record and staff and resident interviews, it was determined that the facility failed to ensure that residents were provided with showers for one of eight residents reviewed (Resident R1). Findings include: Review of Resident R1's clinical record revealed that Resident R1 was admitted to the facility on [DATE]. Further review of Resident R1's clinical record revealed that Resident R1 had the diagnoses of Cerebral Infarction (a condition that occurs as a result of disrupted blood flow to the brain due to problems with blood vessels that supply it. A lack of blood supplies to the brain cells deprives them of Oxygen and vital nutrients which can cause parts of the brain to die off), Hemiplegia (Paralysis of one side of the body)/Hemiparesis (weakness of one side of the body) and Aphasia (a language disorder that affects a person's ability to communicate. It can occur suddenly after a stroke) following cerebral infarction. Review of Resident R1's admission Minimal Data Set…

    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 · Ecited before2023-11-17 · tag F0656 — failed to write and follow a full care plan — pattern
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of clinical records and staff interviews, it was determined that the facility failed to incorporate individualized medical approaches into the comprehensive care plans for three of three residents with Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body). (Resident R357, R138 and R358). Findings include: An undated document provided by the facility titled LVAD-Left Ventricular Assist Device revealed that Blood pressure is taken with a Doppler. -A peripheral pulse may not be palpable -If parameters are out of range call LVAD coordinator -Driveline dressing changed weekly and as needed-Must be sterile dressing change. -If there is yellow or red alarm notify LVAD coordinator ASAP! -A q shift test needed to be completed to ensure the LVAD is working properly-Press and hold the battery button on the system controller, then screen displays self-test- the audio alarm will…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-17 · tag F0658 — failed to meet professional standards of care — pattern
    Ensure 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 review of professional literature, clinical records, facility documentation, resident and staff interviews, it was determined that the facility failed to provide care and services to meet the accepted standards of practice for three of three residents reviewed for care and management of Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body) (Resident R357, R138 and R358). Findings Include: Review of journal from American Nurses Today (Facility provided document) volume 12, Number 5, Caring for Patients with a left ventricular assist device dated May 2017, revealed the following information: Proper Assessment Caring for the hospitalized patient with an LVAS begins with through assessment of both LVAD and patient. Monitor blood pressure and mean arterial pressure (MAP), the goal is 60 mm Hg to 90 mm Hg. Elevated MAP decreases flow and perfusion. If MAP is too high, the patient…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-17 · tag F0659 — pattern
    Provide care by qualified persons according to each resident's written plan of care.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review, facility procedures and interview with staff, it was determined that the facility failed to ensure that Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body) care and services were provided by a qualified person (Registered Nurses), in accordance with facility protocol and acceptable standards for three of three residents reviewed. (Resident R138, R357 and R358). Findings Include: Review of an undated facility education document Post acute care of patient with VAD-Principles and Practices revealed that Prior to admission: Prepare a VAD treatment plan specific to your patient and center. Include patient history. Plan for staff education Center specific VAD treatment plan Draft VAD standing orders with Nurse Practitioner and according to Genesis Policy and Procedure. Contact discharging hospital's VAD coordinator to schedule onsite training for core staff…

    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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2023-11-17 · tag F0684 — failed to provide proper treatment and quality of care — pattern
    Provide 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 observations, interview with staff and residents it was determined that the facility did not ensure that residents receive treatment and care in accordance with professional standards of practice related to skin assessments and not following physician orders for two out of 33 residents reviewed (Resident R5 and R138) Findings include: Review of facility's policy 'Skin Integrity and Wound Management', revised on February 1, 2023, The nursing assistant will observe skin daily and report any changes or concerns to the nurse. The licensed nurse will evaluate any reported or suspected skin changes or wounds. Review of Resident R5's care plan, revised on August 1, 2023, revealed that Resident R5 was at risk for skin breakdown related to advanced age, contractures, decreased activity, frail fragile skin, history of pressure ulcer, impaired cognition, impaired sensation, incontinence, hypotension, hypoxia and had actual skin breakdown. The intervention included for the resident to wear heel boots to bilateral feet at all times. Remove for skin checks. Observation of Resident R5'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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-11-17 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on the review of facility documentation and staff interview, it was determined that the facility failed to ensure that nursing staff possessed the appropriate competencies and skill sets related to the care and assessment of Left Ventricular Assist Device (LVAD-mechanical pumps that are attached directly to the heart. One end of the pump is attached to the left chamber (left ventricle) which helps pump blood out of the ventricle to the aorta and then to the rest of the body) for 16 of 16 staff reviewed (Employee 13, 14, 15. 16. 17, 18, 19, 20. 21, 22, 23, 24, 25, 26, 27 and 28) Findings include: Review of an undated facility education document Post acute care of patient with VAD-Principles and Practices revealed that Prior to admission: Prepare a VAD treatment plan specific to your patient and center. Include patient history. Plan for staff education Center specific VAD treatment plan Draft VAD standing orders with Nurse Practitioner and according to Genesis Policy and Procedure. Contact discharging hospital's VAD coordinator to schedule onsite training for core staff if…

    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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-11-17 · tag F0694 — isolated
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, reviews of clinical records and review of facility policies and procedures, it was determined that the facility failed to provide adequate treatment for midline catheter (a long, thin, flexible tube that is inserted into a large vein in the upper arm. It is used to safely administer medication into the bloodstream) line in accordance with professional standards of practice for one of 30 residents reviewed (Resident R356). Findings include: Review of the facility policy Midline Catheter Dressing Change, dated February 2022 revealed that Sterile dressing change using transparent dressings is performed. Upon admission: If transparent dressing is dated, clean, dry and intact, the admission dressing change may be omitted and scheduled 7 days from the date on the dressing label. Review Resident R356's physician order dated November 7, 2023 revealed an order to change midline catheter transparent dressing every seven days. Observation of Resident R356 on November 14, 2023, at 10:18 a.m. revealed that the resident had a left upper extremity midline line insertion. The…

    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.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • 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.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to GENESIS HEALTHCARE — 184 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.4-0.4 vs chain
Health inspection 2 of 52.3-0.3 vs chain
Staffing 3 of 52.5+0.5 vs chain
Quality measures 4 of 53.5+0.5 vs chain
The other 183 homes this chain runs (chain average 2.4★, per CMS)
1 of 5Alexandria Care CenterLos Angeles, CA 1 of 5Bay Crest Care CenterTorrance, CA 1 of 5Bethlehem North Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bethlehem South Skilled Nursing And RehabilitationBethlehem, PA 1 of 5Bridgeville Rehabilitation & Care CenterBridgeville, PA 1 of 5Brightwood CenterFollansbee, WV 1 of 5Carlisle Skilled Nursing And Rehabilitation CenterCarlisle, PA 1 of 5Casa De Oro CenterLas Cruces, NM 1 of 5Devonshire Care CenterHemet, CA 1 of 5Gettysburg CenterGettysburg, PA 1 of 5Glenwood CenterFlorence, AL 1 of 5Heritage CenterHuntington, WV 1 of 5Hidden Valley CenterOak Hill, WV 1 of 5Inners Creek Skilled Nursing And Rehabilitation CeDallastown, PA 1 of 5Jersey Shore Skilled Nursing And Rehabilitation CeJersey Shore, PA 1 of 5Kingston Court Skilled Nursing And RehabilitationYork, PA 1 of 5Las Palomas CenterAlbuquerque, NM 1 of 5Lebanon Center, Genesis HealthCareLebanon, NH 1 of 5Lebanon Skilled Nursing And Rehabilitation CenterLebanon, PA 1 of 5Linden Grove Health Care CenterPuyallup, WA 1 of 5Magnolia RidgeGardendale, AL 1 of 5Marmet CenterMarmet, WV 1 of 5Meridian CenterHigh Point, NC 1 of 5Merry Wood LodgeElmore, AL 1 of 5Mount Olive CenterMount Olive, NC 1 of 5Mountain Ridge Center, Genesis HealthCareFranklin, NH 1 of 5Oak Grove CenterWaterville, ME 1 of 5Oceanside Skilled Nursing And RehabilitationHampton, NH 1 of 5Orchard Park Health Care & Rehab CenterTacoma, WA 1 of 5Parkersburg CenterParkersburg, WV 1 of 5Pembroke CenterPembroke, NC 1 of 5Pine LodgeBeckley, WV 1 of 5Playa Del Rey CenterPlaya del Rey, CA 1 of 5Pocahontas CenterMarlinton, WV 1 of 5Pottstown Skilled Nursing and Rehabilitation CentePottstown, PA 1 of 5Putnam CenterHurricane, WV 1 of 5Ridgewood CenterRidgewood, NJ 1 of 5Rio Rancho CenterRio Rancho, NM 1 of 5River City CenterDecatur, AL 1 of 5River Ridge CenterKennebunk, ME

Showing 40 of 183; lowest-rated first.

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleShareSince
GENESIS PA HOLDINGS LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 06/20/2007
FC-GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
GENESIS OPERATIONS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST; ADP OF THE SNFNO PERCENTAGE PROVIDEDsince 02/19/2025
GHC HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 06/01/2018
SUN HEALTHCARE GROUP INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/02/2015
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 02/22/2015
BERG, MICHAELIndividualCORPORATE OFFICERsince 03/02/2015
BRIDGEFORD, LAURAIndividualCORPORATE OFFICERsince 06/01/2024
MENDELSON, AVIIndividualCORPORATE OFFICERsince 06/01/2024
GRIFFIES-EDWARDS, KIMBERLYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/11/2022
MAJMUNDAR, SAPANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/04/2025
GENESIS ADMINISTRATIVE SERVICES LLCOrganizationADP OF THE SNFsince 01/01/2019

CMS files one row per role, so the 20 rows in the source record cover these 17 parties — each is shown once here with every role it holds. Nothing is omitted.

11 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.

$21.4M
Net patient revenuemost recent cost report
-0.1%
Operating marginrevenue minus expenses
$5.0M
Related-party expense23% of expenses
Who pays — share of resident-days
Medicaid 71%Medicare 9%Other / private 20%

About 71% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $5.0M paid to related parties — landlords or management companies under common ownership — equal to about 23% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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

$372per resident / day
operating cost
$11,324per month
≈ monthly operating cost
$372per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2024). 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

Paying with Medicaid

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.

Typical monthly cost in Pennsylvania
$11,954/mo
Nursing home (semi-private)
$13,688/mo
Nursing home (private)
$6,480/mo
Assisted living

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 395459. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-07-03, 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.

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