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Vibra Rehabilitation Center

707 Sheperdstown Rd, Mechanicsburg, PA 17055 · For profit - Limited Liability company · 48 certified beds · (717) 591-2125 Medicare only — no Medicaid

Call the home — (717) 591-2125 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citation on record (F0600) — cited Jan 20253 actual-harm citations
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
Worth asking about
  • it has an abuse, neglect, or exploitation citation (F0600), cited Jan 2025
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 3 actual-harm citations
  • a high number of inspection citations overall (37) — 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)
  • nursing-staff turnover (68%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

3/5
CMS overall
3 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 5 of 5

Worth a closer look. This home's quality-measure rating runs 3 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

Hospital
★★★ 3/5 CMS · Emergency dept. usually open 24/7 · ER 24/7
Urgent care / clinic
6108 Carlisle Pike
Pharmacy
36 E Main St · (717) 697-8404 · Call to confirm hours
Grocery
308 Cheryl Ave · (717) 918-0138 · Call to confirm hours
Park
211 N Arch St · Typically dawn to dusk
Place of worship

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 5 of 5
Short-stay residentsrehab / post-hospital 5 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 2 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 rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Short-stay residents who newly got an antipsychotic medication1.0%1.4%1.4%better
Short-stay residents given the seasonal flu vaccine96.5%68.7%79.4%better
Short-stay residents rehospitalized after admission13.4%22.5%22.6%better
Short-stay residents with an outpatient ER visit1.6%9.5%12.0%better

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.

72.2% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 138 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

72.2%U.S. median 51.5%
Got home and stayed home
11.8%U.S. median 10.7%
Went back to hospital
65.9%U.S. median 56.6%
Met the expected recovery
1.11U.S. median 0.31
Therapy hours / resident / day
0.46hours / resident / day
Physical therapy
0.55hours / resident / day
Occupational therapy
0.10hours / resident / day
Speech therapy

Met the expected recovery: 65.9% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 88 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 1.11 therapist hours per resident per day in 2026Q1 — more than 98% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% 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 SNF72.2%CMS range 63.1–79.051.5%Oct 2022–Sep 2024better than U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.8%CMS range 8.5–18.210.7%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 discharge65.9%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 discharge73.9%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 discharge50.0%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 identified91.0%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 settingnot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality 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 discharge100.0%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 stay0.0%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 worsened1.0%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 hospitalization7.3%CMS range 4.4–12.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.801.02Oct 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

1.21
RN hours/ resident / day
0.78
LPN hours/ resident / day
1.85
Aide hours/ resident / day
3.84
Total nurse hours/ resident / day
1.04
RN hoursweekends
67.5%
Total nursing turnover
60.0%
RN turnover

How full it usually is: this home is certified for 48 beds and averages 38.8 residents a day — about 81% occupied, or roughly 9 beds typically open. It usually has some room. 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 3.84 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.21 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.85 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 3.48 hrs/resident/day on weekends vs 3.99 on weekdays — 13% thinner on weekends. RN hours go from 1.28 to 1.04 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 68% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

10
deficiencies at the latest standard inspection (2025-08-28)
6
at the previous standard inspection (2024-09-19)

Deficiencies are more than at the previous inspection — worsening. 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.

37 citations, most serious first. The 13 most serious are shown; the remaining 24 are one tap away and print in full.

  • Actual harm · Gcited before2026-06-04 · 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 clinical record review and staff interviews, it was determined that the facility failed to ensure that residents receive necessary treatment and services, consistent with professional standards of practice, to promote healing of a pressure ulcer for three of four residents reviewed for pressure ulcers (Residents 1, 2 and 4), which resulted in actual harm for Resident 2 as evidenced by increased size and surface area of the pressure ulcer.Findings Include: During an interview with the Director of Nursing (DON) on June 3, 2026, at 2:41 PM, it was revealed that the facility does not have a pressure ulcer policy. Review of Resident 1's clinical record revealed she was readmitted to the facility from the hospital on May 19, 2026, with diagnoses that included pressure ulcer of sacral region stage 3 (injury to the skin and underlying tissue caused by prolonged pressure on the skin), hypertension (HTN- persistent high blood pressure), and weakness. Review of Resident 1's hospital records revealed Pressure…

    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 before2026-05-22 · 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 clinical record review and staff interviews, it was determined that the facility failed to ensure care and services were provided for a resident with hypoglycemia (low blood sugar) in accordance with professional standards of practice that meet each resident's physical, mental, and psychosocial needs, for one of 18 residents reviewed (Resident 1), which resulted in actual harm as evidenced by Resident 1 becoming unresponsive and requiring hospitalization. Findings Include: Review of Resident 1's clinical record revealed she was admitted to the facility on [DATE], with diagnoses that included Type 2 Diabetes Mellitus (a chronic condition where the body either resists the effects of insulin or doesn't produce enough of it) and congestive heart failure (CHF-when the heart muscle doesn't pump blood as well as it should, leading to a backup of fluid in the lungs and body tissues). Review of Resident 1's Medication Administration Record (MAR) dated May 2026, revealed an order, with a start date of May 1,…

    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 · G2025-01-30 · 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

    Based on clinical record review, facility policy review, review of investigation documentation, as well and resident and staff interviews, it was determined that the facility failed to ensure that residents were free from abuse, resulting in actual harm as evidenced by skin tears, bruising, and mental anguish caused by rough treatment, for one of four residents reviewed (Resident 1). Findings include: Review of facility policy, Abuse, Neglect and Exploitation, effective November 1, 2017, revealed, Each resident has the right to be free from abuse, neglect, misappropriation of resident property and exploitation . Residents must not be subject to abuse by anyone, including, but not limited to; Facility staff, other residents, consultants, contractors, volunteers, or staff of other agencies, family members, legal guardians, friends or other individuals .The facility and its staff will: .not use verbal, mental, sexual or physical abuse, corporal punishment, or involuntary seclusion. Review of Resident 1's clinical record revealed diagnoses that included chronic congestive heart failure…

    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 · D2026-06-15 · 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

    Based on clinical record review, review of select facility documents, and staff interviews, it was determined that the facility failed to provide adequate supervision and interventions to prevent accidents for one of 10 residents reviewed (Resident 5). Findings Include: Review of Resident 5's clinical record revealed diagnoses that included hypertension (high blood pressure) and depression. Review of Resident 5's fall care plan revealed a care plan, dated May 30, 2026, stating that Resident 5 was a high risk for falls related to impulsiveness. Review of Resident 5's ADL (activities of daily living) care plan revealed an intervention, dated May 30, 2026, stating that Resident 5's transfer status was a two moderate assist related to impulsiveness and unsteadiness. Review of Resident 5's incident report, dated June 9, 2026, revealed that at approximately 4:10 AM, Employee 1 (Nurse Aide) was assisting Resident 5 to the bathroom, after Resident 5 activated her call bell for toileting assistance. The incident report further stated that, per nurse aide report, Resident 5 was transferred 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
  • Potential for harm · D2026-06-04 · tag F0657 — failed to keep the care plan current — isolated
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to ensure that the care plan was reviewed and revised to reflect the resident's current status for one of seven residents reviewed (Resident 4). Findings Include: Review of Resident 4's clinical record revealed Resident 4 was admitted to the facility on [DATE], with diagnoses that included congestive heart failure (CHF- when the heart muscle doesn't pump blood as well as it should, leading to a backup of fluid in the lungs and body tissues) and hypertension (elevated blood pressure). Review of Resident 4's admission nursing progress note, dated May 13, 2026, revealed the Resident was noted with a stage 2 pressure ulcer to the coccyx (tailbone). Review of Resident 4's facility form titled IDT admission Evaluation with Baseline Care Plan, dated May 13, 2026, revealed the Resident had a stage 2 pressure ulcer to the coccyx. Review of Resident 4's TAR, dated May 2026, revealed a treatment order, dated May 13, 2026, 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 Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-06-04 · 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 clinical record review and staff interviews, it was determined that the facility failed to ensure that residents receive necessary treatment and services consistent with professional standards of practice for two of 7seven residents reviewed (Residents 1 and 7).Findings include: Review of Resident 1's clinical record revealed she was readmitted to the facility from the hospital on May 19, 2026, with diagnoses that included pressure ulcer of sacral region stage 3 (injury to the skin and underlying tissue caused by prolonged pressure on the skin), hypertension (HTN- persistent high blood pressure), and weakness. Review of Resident 1's IDT admission Evaluation with Baseline Care Plan assessment revealed it was signed by the Director of Nursing (DON) on May 31, 2026. The assessment noted Resident 1 had a pressure ulcer but did not note the measurements of the pressure ulcer. Review of Resident 1's nursing progress notes failed to reveal any notes or assessments related to her being readmitted to 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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-06-04 · tag F0760 — failed to prevent significant medication errors — isolated
    Ensure that residents are free from significant medication errors.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interviews, it was determined that the facility failed to ensure that its residents are free of any significant medication errors for two of seven residents reviewed (Residents 2 and 5). Findings include: Review of Resident 2's clinical record revealed Resident 2 was admitted to the facility on [DATE], with diagnoses that included Type 2 Diabetes Mellitus (a chronic condition where the body either resists the effects of insulin or doesn't produce enough of it) and atrial fibrillation (AFib- an irregular and often very rapid heart rhythm). Resident 2 also had a history of a liver transplant and kidney transplant. Review of Resident 2's physician orders revealed an order, dated to start May 16, 2026, for Tacrolimus (an immunosuppressant medication that prevents the body from rejecting transplanted organs) ER (extended release) oral tablet 4 mg (milligrams), give one tablet in the morning for kidney transplant, give with 2 mg to equal 6 mg. Further review of Resident 2'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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2026-05-22 · 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 clinical record review and staff interview, it was determined that the facility failed to ensure that the resident received care, consistent with professional standards of practice, to treat pressure ulcers for one of 18 residents reviewed (Resident 1). Findings Include: Review of Resident 1's clinical record revealed she was admitted to the facility on [DATE], with diagnoses that included Type 2 Diabetes Mellitus (a chronic condition where the body either resists the effects of insulin or doesn't produce enough of it) and congestive heart failure (CHF-when the heart muscle doesn't pump blood as well as it should, leading to a backup of fluid in the lungs and body tissues). Review of Resident 1's nursing progress notes revealed an eMAR note on April 23, 2026, at 5:03 AM, stating that Resident 1 was reporting a 4/10 buttock pain, concern for stage 2 pressure injury. Zinc oxice paste was applied, which provided relief. Review of Resident 1's nursing progress note on April 23, 2026, at 6:00 AM, revealed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-05-22 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and staff interview, it was determined that the facility failed to maintain complete clinical records for one of 18 residents reviewed (Resident 1). Findings Include: Review of Resident 1's clinical record revealed she was admitted to the facility on [DATE], with diagnoses that included Type 2 Diabetes Mellitus (a chronic condition where the body either resists the effects of insulin or doesn't produce enough of it) and congestive heart failure (CHF-when the heart muscle doesn't pump blood as well as it should, leading to a backup of fluid in the lungs and body tissues). Review of Resident 1's TAR (treatment administration record) dated April 2026, revealed that on April 24, 2026, a treatment order was received for Resident 1's left elbow skin tear. The order stated to cleanse the left elbow skin tear with normal saline solution and then apply bordered gauze, every day shift. Review of Resident 1's clinical record, including progress notes, revealed no mention of how Resident 1…

    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 · Fcited before2025-08-28 · tag F0880 — failed to prevent and control infections — widespread
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of facility policy, clinical record review, observations, and resident and staff interviews, it was determined that the facility failed to establish Enhanced Barrier Precautions (EBP) and maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable diseases and infections on two of two nursing units; and failed to maintain an effective infection control program related to the administration of medications for one resident observed during medication administration observation (Resident 63). Findings include: Review of facility policy, Enhanced Barrier Precautions (EBP), effective 2024 and revised 2024, read, in part, EBP are indicated for residents with any of the following: infection or colonization with a CDC [Center for Disease Control] targeted MDRO when Contact Precautions do not otherwise apply; or wounds and/or indwelling medical devices even if the resident is not known to be infected or colonized with a MDRO. Chronic wounds include unhealed surgical…

    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 · Ecited before2025-08-28 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, personnel file review, and staff interviews, it was determined that the facility failed to implement their written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property by failing to determine residency status in order to perform the accurate criminal history background checks prior to hire for five of five personnel files reviewed (Employees 9, 10, 12, 13, and 14); and failed to validate and verify licensure status for one of two nurse personnel files reviewed (Employee 10).Findings include: Review of facility policy, titled Abuse, Neglect and Exploitation, dated November 1, 2017, with a last review date of September 10, 2024, revealed Background, reference and credentials' checks should be conducted on employees prior to or at the time of employment by the Facility in accordance with applicable state and federal regulations. Review of Employee 9's personnel file revealed her hire date was June 3, 2025, and that a Pennsylvania State Criminal Background check 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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-08-28 · tag F0812 — failed to store, cook, and serve food safely — pattern
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, review of facility policy, and staff interviews, it was determined that the facility failed to store and serve food/beverages in accordance with professional standards for food safety in the kitchen, in one of two nourishment centers (300/400 pantry), and in the creamery (an accessible lounge area).Findings include: Review of facility policy, Food Safety Requirements, not dated, read, in part, keep foods covered or in a tight container; and label, date and monitor foods to ensure they are utilized by the use-by date or frozen or discarded. Review of facility policy, Use and Storage of Food Brought in by Family or Visitors, not dated, read in part, all food items brought into the facility must be labeled with content and dated. Review of facility policy, Ice machines and Portable Ice Carts, revised and implemented August 27, 2025, read, in part, it is the policy of the facility to ensure that ice machines are clean and maintained. Ice machines will be cleaned at a frequency specified by the manufacturer. Review of manufacturer use and care guide, page 10, read,…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2025-08-28 · tag F0837 — pattern
    Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility documentation review and staff interview, it was determined that the facility failed to ensure that the governing body was responsible and accountable for the facility Quality Assurance Performance Improvement (QAPI) program.Findings include: Review of the facility Quality Assurance Performance Improvement (QAPI) Plan undated indicated the following, in part, VibraLife's governing body is ultimately responsible for overseeing the QAPI committee. The owner/president has direct oversight responsibility for all functions of the QAPI Committee and reports directly to the governing body. The QAPI Committee, which includes the medical director, is ultimately responsible for assuring compliance with federal and state requirements and continuous improvement in quality of care and customer satisfaction. Review of QAPI attendance sign-in sheets for January-March 2025, failed to reveal that the facility Medical Director (MD) or the Nursing Home Administrator (NHA) attended any of the monthly meetings in the quarter. Review of QAPI attendance sign-in sheets for April-June…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
Show the remaining 24 citations
  • Potential for harm · E2025-08-28 · tag F0868 — pattern
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of the facility provided attendance sign-in sheets for the facility's Quality Assurance Performance Improvement (QAPI) Committee and staff interview, it was determined that two of the required members failed to attend at least one meeting in two out of three quarters.Findings include: Review of QAPI attendance sign-in sheets for January-March 2025, failed to reveal that the facility Medical Director or the Nursing Home Administrator (NHA) attended any of the monthly meetings in the quarter. Employee 3 (Executive Director) had signed as the NHA. Review of QAPI attendance sign-in sheets for April-June 2025, failed to reveal that the facility Medical Director or the NHA attended any of monthly meetings in the quarter. Employee 3 had signed as the NHA. During a staff interview with Employee 3, the Director of Nursing, and Employee 6 (Assistant Director of Nursing) on August 28, 2025, at 2:49 PM, Employee 3 confirmed that he is not the NHA, and that the facility's NHA nor the Medical Director had attended the QAPI meetings. He further indicated that he communicates via…

    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.

    Administration Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-28 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review and staff interviews, it was determined the facility failed to complete a comprehensive assessment after a significant change in condition for one of 13 residents reviewed (Resident 23).Findings include: Review of Resident 23's clinical record revealed diagnoses that included cerebrovascular disease (disease affecting blood flow to the brain), atrial fibrillation (an irregular, often rapid heart rate that commonly causes poor blood flow), and hypertension (high blood pressure). Further review of Resident 23's clinical record revealed that he was admitted to hospice services on July 7, 2025. Review of Resident 23's Minimum Data Set's (MDS- an assessment tool to review all care areas specific to the resident such as a resident's physical, mental or psychosocial needs) with the assessment reference date (last day of the assessment period) of July 21, 2025, revealed that the assessment was still in progress with three sections lacking completion. During a staff interview with Employee 5 (the Registered Nurse Assessment Coordinator) on August 27, 2025, at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-28 · 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

    Based on facility policy review, clinical record review, observations, and resident and staff interviews, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards of practice that met each resident's physical, mental, and psychosocial needs for one of 13 residents reviewed (Resident 49).Findings include: Review of facility policy, titled Negative Pressure Wound Therapy [wound vac], last reviewed on September 10, 2024, revealed, in part, Change dressings per physician orders and manufacturer guidelines. 13. Turn pump on: a. initiate negative pressure setting on the pump as ordered (-125 mm/HG [milliliters of mercury] is a typical default setting;]. b. Establish negative pressure setting (as ordered). Document the following in the resident's medical record: 1. The wound status at time of application of negative pressure. 2. The number of sponge pieces used in the wound dressing. 3. The negative pressure and time settings on the pump. 4. The resident's tolerance of the procedure. 5. The date and time of the dressing…

    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 · D2025-08-28 · tag F0761 — failed to label and store drugs safely — isolated
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, staff interview, and facility policy review, it was determined that the facility failed to store drugs and biologicals in accordance with accepted professional standards for one of one medication carts observed (300/400 hall medication cart).Findings include:Review of facility policy, titled Medication Storage; Storage of Medication, last reviewed September 10, 2024, revealed subsection 12 stated, Insulin products should be stored in the refrigerator until opened. Note the date on the label for insulin vials and pens when first used.During observation of the 300/400 medication cart on August 27, 2025, at approximately 10:00 AM, revealed that an insulin pen for Resident 19 had been opened and previously used with no open date written on the pen. During the observation, it was revealed that the medication cart contained a manufacturer's box of single-use polyvinyl alcohol 1.4% eye drop applicators. Review of the single-use eye drop applicators and the box that they were contained in revealed that the lot number (number assigned to a manufactured good to allow…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-08-28 · tag F0808 — failed to follow doctor-ordered diets — isolated
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observations, clinical record review, and resident and staff interviews, it was revealed that the facility failed to ensure that five of 20 residents reviewed during meal service received a therapeutic diet per physician order (Residents 17, 19, 22, 40, and 59) .Findings include: Clinical record reviews for Residents 17, 19, 22, 40, and 59 revealed diagnoses that included diabetes mellitus (the body's ability to produce or respond to the hormone insulin is impaired, resulting in abnormal metabolism of carbohydrates and elevated levels of glucose in the blood and urine) and physician orders for a no concentrated sweets diet. During an interview with Resident 40 on August 26, 2025, at 9:50 AM it as revealed she is diabetic and feels the meals are carbohydrate heavy. A review of the diet spreadsheet for August 27, 2025, (day 23 of the Spring/Summer menu 2025) lunch meal revealed the no concentrated sweet diet (liberal diabetic diet) were to be served fruit cup in place of the pudding for dessert. Observation of tray line on August 27, 2025, at 12:05 PM, revealed Residents 17,…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2025-08-28 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of personnel training records and staff interviews, it was determined that the facility failed to ensure each nurse aide was provided with the required in-service training consisting of no less than 12 hours per year for one of five employee records reviewed (Employee 7); and failed to provide annual training that included dementia management for one of five employee records reviewed (Employee 8).Findings include: Review of personnel information revealed Employee 7's hire date was March 5, 2024. Review of her training record from August 29, 2024, through August 28, 2025, revealed that she had only completed 9.5 hours of annual training. Review of personnel information revealed Employee 8's hire date was May 21, 2024. Review of her training record from August 29, 2024, through August 28, 2025, revealed that she had not completed any dementia management training. During a staff interview with Employee 4 (Human Resources Director) on August 27, 2025, at 10:59 AM, she confirmed that Employee 7 did not complete the required training hours and that Employee 8 did not…

    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 · E2024-09-19 · tag F0623 — pattern
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on document review and staff interview, it was determined that the facility failed to ensure information regarding its transferred residents is forwarded to a representative of the Office of the State Long-Term Care Ombudsman for 32 of 37 residents transferred to the hospital for 8 of 9 months reviewed (January 2024-August 2024). Findings Include: A review of the facility's hospital transfer information beginning January 2024 revealed information regarding 32 of the 37 residents transferred was not shared with the State Long-Term Care Ombudsman. An interview with the Director of Social Services (Employee 3) on September 17, 2024, at 10:03 AM, revealed an awareness of the information not being sent and the expression that the transferred resident information would be forwarded beginning September 2024. 28 Pa. Code 201.14 (a) Responsibility of licensee

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-09-19 · tag F0730 — pattern
    Observe each nurse aide's job performance and give regular training.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on document review and staff interviews, it was determined that the facility failed to complete a performance review of every nurse aide at least once every 12 months for one of five nurse aide files reviewed (Employee 6). Findings Include: A performance appraisal, also referred to as a performance review, performance evaluation, development discussion, or employee appraisal, sometimes shortened to 'PA', is a periodic and systematic process whereby the job performance of an employee is documented and evaluated. A review of the facility's nurse aide information revealed a hire date for Employee 6 of August 10, 2021. A review of Employee 6's performance appraisal form revealed the most recent dated December 28, 2022. An interview with the Director of Nursing on September 18, 2024, at approximately 1:00 PM, revealed employees are to be evaluated on an annual basis. An interview with the Nursing Home Administrator on September 19, 2024, at 11:17 AM, confirmed the facility could not locate a more recent performance evaluation for Employee 6 after December 28, 2022. 28 Pa. Code…

    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 · D2024-09-19 · tag F0577 — isolated
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on observation and staff interview, it was determined that the facility failed to ensure residents the right to examine the results of the most recent survey of the facility conducted by Federal or State surveyors for one of one facility survey results book reviewed (facility lobby area). Findings Include: An observation of the facility's designated survey results book revealed the most recent Federal and State survey information dated November 2023. A review of the facility's history revealed the most recent survey dated February 16, 2024. An interview with the Nursing Home Administrator on September 17, 2024, at 1:21 PM, confirmed the facility's survey book did not contain the most recent survey for resident review. 28 Pa. Code 201.14 (a) Responsibility of licensee

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-09-19 · tag F0607 — failed to have anti-abuse policies — isolated
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on facility policy review, personnel file review, and staff interviews, it was determined that the facility failed to implement their written policies and procedures that prohibit and prevent abuse, neglect, and exploitation of residents and misappropriation of resident property by failing to perform criminal history background checks prior to hire for one of five personnel files reviewed (Employee 4); failing to verify the nurse aide registry prior to hire for one of five personnel files reviewed (Employee 4); and failing to perform reference checks prior to hire for two of five personnel files reviewed (Employees 4 and 5). Findings Include: Review of facility policy, titled Abuse, Neglect and Exploitation, dated November 1, 2017, revealed Background, reference and credentials' checks should be conducted on employees prior to or at the time of employment by the Facility in accordance with applicable state and federal regulations. Review of Employee 4's (Nurse Aide) personnel file revealed a hire date of June 18, 2024. In an email correspondence with the Director of Nursing…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-09-19 · tag F0610 — failed to investigate and act on abuse reports — isolated
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on document review, clinical record review, policy review, and staff interviews, it was determined that the facility failed to ensure allegations of neglect are thoroughly investigated for one concern form reviewed (Resident 153). Findings Include: A review of the facility's policy, titled Abuse, Neglect, and Exploitation, effective November 1, 2017, read, in part, When suspicion of abuse, neglect or exploitation, or reports of abuse, neglect or exploitation occur, an investigation will be initiated immediately. The policy defined neglect as failure of the Facility, its employees, or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. The policy continued, Components of an investigation may include: 3. Interview all witnesses separately. Include roommates, residents in adjoining rooms, staff members in the area, and visitors in the area. Obtain witness statements, according to appropriate policies. All statements should be signed and dated by the person making the statement. 4.…

    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 · Dcited before2024-09-19 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — the official record, unedited, may be distressing

    Based on document review and staff interview, it was determined that the facility failed to ensure the required in-service training for nurse aides include dementia management training and resident abuse prevention training for one of five nurse aide training documents reviewed (Employee 7). Findings Include: A review of the facility's annual training documentation for Employee 7 revealed none regarding resident abuse and none regarding dementia care. An interview with the Nursing Home Administrator on September 19, 2024, at 11:17 AM, revealed the required training for Employee 7 could not be located at the time of the survey. 28 Pa. Code 201.19 (7) Personnel policies and procedures

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-01-04 · 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 clinical record review and staff interview, it was determined that the facility failed to ensure care and services were provided in accordance with professional standards of practice to meet each resident's physical, mental, and psychosocial needs for three of three residents reviewed (Residents 3, 4, and 6). Findings Include: Review of Resident 3's clinical record revealed diagnoses that included fracture of medial condyle of left femur (lower extremity of the upper leg bone near the knee) and chronic obstructive pulmonary disease (COPD - chronic inflammatory lung disease that causes obstructed airflow from the lungs). Review of Resident 3's December 2023 MAR (Medication Administration Record - form used to document physician orders as well as when and how medications are administered to a resident) revealed an order for Lovenox (anticoagulant) injection each morning for deep vein thrombosis prevention (condition where blood clots form in veins located deep inside the body, usually in the thigh or lower legs causing pain and swelling ). Further review of the MAR revealed…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-01-04 · tag F0755 — failed to provide safe pharmacy services — pattern
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review and staff interview, it was determined that the facility failed to ensure that medication was obtained and provided as ordered by the physician for three of three residents reviewed for medication administration (Residents 3, 4, and 6). Findings include: Review of Resident 3's clinical record revealed diagnoses that included fracture of medial condyle of left femur (lower extremity of the upper leg bone near the knee) and chronic obstructive pulmonary disease (COPD - chronic inflammatory lung disease that causes obstructed airflow from the lungs). Review of Resident 3's December 2023 MAR (Medication Administration Record - form used to document physician orders as well as when and how medications are administered to a resident) revealed an order for Lovenox (anticoagulant) injection each morning for deep vein thrombosis prevention (condition where blood clots form in veins located deep inside the body, usually in the thigh or lower legs causing pain and swelling ). Further review of the MAR revealed that Lovenox was not administered to Resident 3 on…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2023-10-05 · 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 observation, staff interviews, and record review, the facility failed to develop a person-centered care plan for two of 14 residents reviewed (Residents 1 and 71). Findings include: Review of Resident 1's clinical record on October 3, 2023, at approximately 1:20 PM, revealed diagnoses that included senile degeneration of the brain (a decrease in cognitive abilities or mental decline) and chronic kidney disease (CKD - gradual loss of kidney function over time). Review of Resident 1's physician orders revealed an order for insertion of a foley catheter due to urine retention, written on May 8, 2023. Review of Resident 1's comprehensive plan of care revealed Resident 1 did not have a care plan developed or implemented that addressed the foley catheter. During an interview with the Director of Nursing (DON) and Nursing Home Administrator on October 4, 2023, at approximately 1:50 PM, it was revealed that it was the facility's expectation that Resident 1's comprehensive plan of care would include the foley catheter. A review of the clinical record on October 3, 2023, for Resident…

    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 · D2023-10-05 · 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

    Based on observation, clinical record review, policy review, and staff interview, it was determined that the facility failed to ensure residents are assessed for medication self-administration for one of three residents reviewed for medication administration (Resident 74). Findings include: Review of facility pharmacy policy titled, 2.1 Self Administering Medications, revealed in section, Procedure, stated, Facility should comply with Facility policy, Applicable Law and the State Operations Manual with respect to resident Self-Administration of Medications .Facility, in conjunction with the Interdisciplinary Care Team, should assess and determine, with respect to each resident, whether Self-Administration of medications is safe and appropriate . Review of Resident 74's clinical record on October 4, 2023, at approximately 8:50 AM, revealed diagnoses that included hypertension (elevated/high blood pressure) and osteoarthritis (degenerative joint disease, which is characterized by the breakdown of soft tissue in the joints). During medication observations on October 3, 2023, at…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-05 · tag F0582 — isolated
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on a review of facility documentation, clinical record review, and staff interview, it was determined the facility failed to timely issue the Skilled Nursing Facility Advanced Beneficiary Notice form (SNF ABN CMS-10055), and a Notice of Medicare Non-Coverage form published by the Centers for Medicare and Medicaid Services (NOMNC CMS-10123), for one of three residents reviewed (Resident 77). Findings include: Review of Resident 77's clinical record documented the Resident was admitted to the facility on [DATE]. Review of the Beneficiary Protection Notification Review Form revealed the facility failed to provide the Resident and/or Resident Representative the required Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF-ABN) form that details the cost of care and services no longer covered under Medicare beginning June 21, 2023. Review of the Notice of Medicare Non-Coverage form published by the Centers for Medicare and Medicaid Services (NOMNC CMS-10123), which provides…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-10-05 · tag F0637 — isolated
    Assess the resident when there is a significant change in condition
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on clinical record review and staff interview, it was determined that the facility failed to conduct a comprehensive assessment after a significant change in health status for one of nine residents reviewed (Resident 2). Findings include: Review of Resident 2's clinical record on October 2, 2023, at approximately 11:00 AM, revealed diagnoses that included diabetes mellitus type II (decreased ability of the body to utilize insulin for the transport of glucose from the blood stream into the cells for nourishment) and hypertension (elevated/high blood pressure). Review of Resident 2's clinical record revealed Resident 2 had a Quarterly Minimum Data Set Assessment (MDS - assessment tool utilized to identify a resident's physical, mental, and psychosocial needs) with an assessment reference date of September 3, 2023. Review of the Quarterly MDS revealed section H. Bladder and Bowel was assessed as not having an indwelling catheter; section M. Skin Conditions was assessed as having one stage II pressure ulcer; section N. Medications was assessed as no antibiotic use; and section O.…

    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 · D2023-10-05 · 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 clinical record review and staff interview, it was determined that the faciliy failed to ensure accuracy of the resident assessment for one of nine residents reviewed (Resident 1). Findings include: Review of Resident 1's clinical record on October 3, 2023, at approximately 10:00 AM, revealed diagnoses that included senile degeneration of the brain (a decrease in cognitive abilities or mental decline), unspecified fracture of left femur (a break in the bone connecting the hip and knee), and periprosthetic fracture around internal prosthetic left knee joint (a broken bone that occurs around the implant of a knee replacement). Review of Resident 1's admission Minimum Data Set (MDS - assessment tool utilized to identify a residents physical, mental, and psychosocial needs) with an Assessment Reference Date of March 7, 2023, revealed that Section J - Health Conditions, subsection J1700 - Fall History on Admission/Entry or Reentry, section A was coded No, for Did the resident have a fall any time in the last month prior to admission/entry or reentry?; section B was coded No, 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 · D2023-10-05 · 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 clinical record review and staff interview, it was determined that the facility failed to ensure a baseline care plan was developed and implemented for one of nine residents reviewed (Resident 121). Findings include: Review of Resident 121's clinical record on October 2, 2023, at approximately 11:50 AM, revealed diagnoses that included hypothyroidism (condition in which the body does not produce adequate hormones via the thyroid gland) and depression (prolonged feelings of sadness and depressed mood that is characterized by changes in appetite, decrease enjoyment of activities, and possible difficulties performing day to day tasks). Review of Resident 121's clinical record revealed that Resident 121 was admitted to the facility on [DATE]. Review of Resident 121's comprehensive plan of care revealed that areas designated for staff to specify individualized information for Resident 121 were not completed by staff. Areas left incomplete included Resident 121's assistance needs and number of staff required…

    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 · D2023-10-05 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, staff interviews, and record review, it was determined that the facility failed to provide appropriate urinary catheter (tubing inserted into the bladder to drain urine into a bag) care for one of 11 residents reviewed (Resident 75). Findings include: Review of Resident 75's clinical record on October 3, 2023, revealed Resident 75 had diagnoses that included urinary retention (unable to empty bladder completely during urination) and benign prostate hyperplasia (BPH -age-associated prostate gland enlargement that can cause urinary difficulty). Review of physician orders dated October 2023, identified that Resident 75 had an indwelling urinary catheter in place per physician orders Observation of Resident 75 on October 2, 2023, at 12:23 PM, revealed Resident 75's catheter bag and tubing dragging on the floor as he was mobile in his wheelchair, both in his room and in the hall. During an interview with the Employee 2 (Assistant Director of Nursing) on October 2, 2023, at 12:25 PM, she observed Resident 75's foley catheter bag and tubing dragging on the floor, 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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2023-10-05 · tag F0697 — failed to manage pain — isolated
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on observation, clinical record review, and staff interviews, it was determined that the facility failed to ensure pain management was provided per order for one of nine residents reviewed (Resident 2). Findings include: Review of Resident 2's clinical record on October 2, 2023, at approximately 11:00 AM, revealed diagnoses that included diabetes mellitus type II (decreased ability of the body to utilize insulin for the transport of glucose from the blood stream into the cells for nourishment) and hypertension (elevated/high blood pressure). Review of Resident 2's physician's orders revealed an order for hydrocodone-acetaminophen (combination narcotic medication used to treat pain) 5-325 milligrams (mg - metric unit of measure) give one tablet by mouth every 24 hours as needed for pain, give one half hour prior to dressing change, which was dated September 29, 2023; and Hydrocodone-acetaminophen 5-325 mg give one tablet by mouth two times a day for severe pain, which was dated September 26, 2023. Review of Resident 2's hydrocodone-acetaminophen narcotic controlled substance…

    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 before2023-10-05 · 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 observation, facility policy review, and staff interviews, it was determined that the facility failed to ensure infection prevention strategies were implemented for one of two medication carts observed (300 hall medication cart). Findings include: Review of facility policy, titled Glucometer Disinfection, last reviewed April 21, 2023, revealed the policy stated, VibraLife shall provide guidelines for the disinfection of capillary-blood sampling devices to prevent transmission of blood borne disease to residents and employees .The glucometers should be disinfected with a wipe pre-saturated with an EPA registered healthcare disinfectant that is effective against HIV, Hepatitis C and Hepatitis B virus .Glucometers should be cleaned and disinfected after each use and according to manufacturer's instructions regardless of whether they are intended for single resident or multiple resident use . During general observations on October 3, 2023, at approximately 8:20 AM, Employee 11 was observed exiting a resident room with a glucometer (hand held device used to test a small amount…

    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 before2023-10-05 · tag F0947 — failed to train nurse aides adequately — isolated
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    What the surveyor found here — an excerpt from the official record, may be distressing

    Based on review of personnel records and staff interview, it was determined that the facility failed to complete annual training on dementia management, behavioral health, and abuse for one of five nurse aide personnel records reviewed (Employee 9), and the facility failed to complete annual training on abuse for one of five nurse aide personnel records reviewed (Employee 10). Findings include: Review of Employee 9's (Nurse Aide) personnel record indicated a date of hire on August 10, 2021, and that Employee 9 received the annual performance evaluation covering the period of July 31, 2022, through August 10, 2023. Review of the annual in-service documentation and personnel records did not include a training on dementia management, behavioral management, or abuse for Employee 9. Review of Employee 10's (Nurse Aide) personnel record indicated a date of hire on January 31, 2017, and that Employee 10 received the annual performance evaluation covering the period of March 1, 2022, through March 1, 2023. Review of the annual in-service documentation and personnel records did not include a…

    This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

    Nursing and Physician Services 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 VIBRA HEALTHCARE — 3 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 3 of 54.0-1.0 vs chain
Health inspection 2 of 53.3-1.3 vs chain
Staffing 3 of 53.7-0.7 vs chain
Quality measures 5 of 54.3+0.7 vs chain
The other 2 homes this chain runs (chain average 4.0★, per CMS)

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
MECHANICSBURG SENIOR CARE HOLDINGS LPOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%since 11/09/2012
MREC, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDEDsince 11/09/2012
BEAVER, MICHAELIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST14%since 11/09/2012
FEGAN, CLINTIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST5%since 11/09/2012
HAUCK, DAVIDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER13%since 10/26/2012
HOLLINGER, BRADIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST; CORPORATE OFFICER41%since 01/01/2023
KOVACS, PAULIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST7%since 11/09/2012
MID PENN BANKOrganization5% OR GREATER SECURITY INTERESTsince 11/09/2012
REESE, RALPHIndividualW-2 MANAGING EMPLOYEEsince 12/19/2018
HOLLINGER, KELLYIndividualCORPORATE OFFICERsince 01/01/2023
HOLLINGER MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLsince 01/01/2018

CMS files one row per role, so the 13 rows in the source record cover these 11 parties — each is shown once here with every role it holds. Nothing is omitted.

4 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.

$5.8M
Net patient revenuemost recent cost report
-54.8%
Operating marginrevenue minus expenses
Who pays — share of resident-days
Medicaid 0%Medicare 7%Other / private 93%

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$422per resident / day
operating cost
$12,842per month
≈ monthly operating cost
$273per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in PA

Paying with Medicaid

CMS lists this home as Medicare-certified only — it is not Medicaid-certified, so it generally cannot accept Medicaid as payment for a long-term stay. That makes it one of roughly 545 homes nationally where a Medicaid-funded placement is not an option. If you expect to rely on Medicaid, ask the home directly before you tour, and see the Pennsylvania Medicaid page for homes that do.

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 396133. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2025-08-28, 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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