Myerstown Nursing and Rehab LLC

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

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

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

55.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 55.0% 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 40 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.20 therapist hours per resident per day in 2026Q1 — more than 22% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 10% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 152 beds and averages 78.5 residents a day — about 52% occupied, or roughly 74 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.76 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.18 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 3.70 hrs/resident/day on weekends vs 3.78 on weekdays — 2% thinner on weekends. RN hours go from 0.76 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

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

Inspection trend

Deficiencies are 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.

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.

19 citations, most serious first. The 10 most serious are shown; the remaining 9 are one tap away and print in full.

• Potential for harm · Dcited before2026-06-18 · 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 — the official record, unedited, 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 follow physician orders for one of five sampled residents. (Resident 1) Findings include:Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses that included congestive heart failure and diabetes. On April 23, 2026, the physician ordered for staff to weigh Resident 1 daily. Review of Resident 1's care plan revealed he was at risk for a nutritional problem with an intervention for staff to weigh the resident at the same time of day and record the weight. Review of Resident 1's weight record revealed no documented evidence that weights were obtained per physician order on April 23, 25, 27, and 28, 2026. In an interview on June 18, 2026, at 12:05 p.m., the Director of Nursing confirmed that there was no documented evidence Resident 1's weights were obtained per physician order. 28 Pa. Code 211.12(d)(1)(5) Nursing services.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-18 · 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 facility policy review, clinical record review, and staff interview, it was determined that the facility failed to provide treatment, and assess and document the status of wounds for one of five sampled residents. (Resident 1)Findings include: Review of the facility policy entitled, Skin and Wound Management System, revealed that ongoing weekly evaluations of the resident's skin would be completed and documented in the electronic medical record on the Weekly Skin Evaluation form, that wound location and characteristics would be documented in the medical record, and that wound status would be evaluated and documented on the Wound Evaluation Flow Sheet form.Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], with diagnoses that included congestive heart failure and diabetes. Review of the admission Nursing Evaluation dated April 23, 2026, revealed that Resident 1 had pressure ulcers to the right and left heels. On April 23, 2026, the physician ordered for staff to apply…

  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 · D2026-06-18 · tag F0694 — isolated
  Provide for the safe, appropriate administration of IV fluids for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on facility policy review, clinical record review, observation, and resident and staff interview, it was determined that the facility failed to implement appropriate measures for the care and management of a peripherally inserted central catheter (PICC) (thin, flexible tube inserted into a vein that allows healthcare providers to deliver medications, fluids, blood products, or nutrition directly into the bloodstream over an extended period) in accordance with facility policy and physician's orders for one of five sampled residents. (Resident 2)Findings include: Review of the facility policy entitled, Catheter Insertion and Care - Midline Dressing Changes, revealed that catheter dressings would be changed at specific intervals, or when needed. Clinical record review revealed that Resident 2 was admitted to the facility on [DATE], with diagnoses that included osteomyelitis (infection). Review of Resident 2's care plan revealed Resident 2 had a PICC line with an intervention for staff to change 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 · Dcited before2026-04-03 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident interview, and observation, it was determined that the facility failed to provide timely assistance with care in a manner that maintained dignity for two of five sampled residents. (Residents 2, 5) Findings include:Clinical record review revealed that Resident 2 had diagnoses that included cervical disc disorder with myelopathy (a condition where the spinal cord compression in the neck leads to brain deficits) and cervicalgia (neck pain). Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed the resident had no cognitive impairment and was dependent on staff for toileting. According to the care plan, the resident was at risk for falls with an intervention for staff to encourage the resident to use the call bell for assistance and that the resident needed prompt response to all requests for assistance. During an interview on April 3, 2026, at 9:48 a.m., the resident stated he needed assistance with incontinence care. He activated his call bell at that…

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

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-04-03 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review and resident interview, it was determined that the facility failed to provide services to maintain adequate hygiene for one of five sampled residents. (Resident 2)Findings include:Clinical record review revealed that Resident 2 had diagnoses that included cervical disc disorder with myelopathy (a condition where the spinal cord compression in the neck leads to brain deficits) and cervicalgia (neck pain). Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed the resident had no cognitive impairment and was dependent on staff for toileting. According to the care plan, the resident was at risk for falls with an intervention for staff to encourage the resident to use the call bell for assistance and that the resident needed prompt response to all requests for assistance. The care plan also indicated that Resident 2 had a self care deficit and staff were to assist the resident with activities of daily living since the resident could not complete them independently.…

  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 · F2026-03-19 · tag F0919 — failed to provide a working call system — widespread
  Make sure that a working call system is available in each resident's bathroom and bathing area.
  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, observation, and resident and staff interviews, it was determined that the facility failed to provide a properly working call bell system on three of three units. (1st floor, 2nd floor, 3rd floor) Findings include:Observations on March 19, 2026, at 9:20 a.m., 10:00 a.m., and 10:10 a.m., revealed call bells in rooms 103, 105, 203, and 316 with lights in the corridor, but no audible sound when activated. Clinical record review revealed that Resident 2 had diagnoses that included chronic pain and dysphagia (difficulty swallowing). The Minimum Data Set (MDS) assessment dated [DATE], indicated that the resident was alert and oriented, and dependent on staff for toileting and dressing. Review of the care plan revealed Resident 2 was at risk for falls with an intervention for staff to ensure the call light was within reach and encourage it's use. In an interview on March 19, 2026, at 9:50 a.m., Resident 2 stated his call bell has not worked properly for two days. Observations at that…

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

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-24 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  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 notify the resident or responsible party of physician ordered changes for two of five sampled residents. (Residents 1, 3)Findings include:Clinical record review revealed that Resident 1 had diagnoses that included congestive heart failure and dementia. Further review of the clinical record revealed that on February 1, 2026, Resident 1 complained of pain to his sacrum and the physician ordered for staff to apply triad paste (wound dressing designed to maintain a moist healing environment). On February 4, 2026, the physician ordered for staff to apply calcium alginate (a specialized highly absorbent gel) to Resident 1's right heel wound. There was no documented evidence that Resident 1 or their responsible party was notified of the physician orders for triad paste or calcium alginate.Clinical record review revealed that Resident 3 had diagnoses that included dementia. On February 6, 2026, the physician ordered for staff to administer Mucinex (an expectorant medication) for five days 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 Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-01-23 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and resident and staff interviews, it was determined that the facility failed to maintain the resident environment in a clean and homelike manner for three of three nursing units (first, second and third floor nursing units) and for one of six sampled residents. (Resident 1) Findings include:In an interview on January 23, 2026, at 10:00 a.m., Resident 1 was in bed dressed in a hospital gown. He stated that he had been in the same gown as the day before because there was a lack of clean hospital gowns on the nursing unit. In an additional interview at 11:15 a.m., on the second floor nursing unit, Nurse Aid (NA) 1 stated that there were no hospital gowns available on the linen carts in the hallways. The linen carts were used to store linens needed to complete overall care for the residents. Observations on January 23, 2026, on the second floor nursing unit at 10:15 a.m., revealed that there were no clean resident gowns available on either of the two linen carts located on the unit in the hallways. Further observation of the clean linen room on the second floor…

  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 before2026-01-12 · tag F0755 — failed to provide safe pharmacy services — isolated
  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

  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 a medication was available from the pharmacy for administration as ordered by the physician for one of three sampled residents. (Resident 1)Findings include:Clinical record review revealed that Resident 1 was admitted to the facility on [DATE], at 11:51 a.m., and had diagnoses that included kidney failure, chronic obstructive pulmonary disease (COPD), respiratory failure, metabolic encephalopathy, and a urinary tract infection. The day of admission, at 12:06 p.m., the physician ordered that staff administer 0.25 milliliters (ml) of a morphine solution (20 milligrams (mg) per ml) every four hours. According to the Medication Administration Record, the resident did not receive the morphine on January 8 and 9, 2026, because it was not available from the pharmacy.In an interview on January 12, 2026, at 10:45 a.m., the Director of Nursing confirmed that the resident did not receive the medication as ordered…

  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 · Ecited before2025-08-21 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, it was determined that the facility failed to provide a safe, clean, and comfortable environment on one of two nursing units. (Healthcare 1)Findings include:Observations on August 19, 2025, from 9:45 a.m. through 10:45 a.m. and August 20, 2025, from 12:35 p.m. through 12:43 p.m. revealed the following: The top left edge of the windowsills were damaged in rooms 100, 101, 107, 112, 116, and on the window by the television and the left and right windows by the patio door in the dining room.The chair rail under the television in the dining room was damaged.The wall in the dining room opposite the wall with the television was damaged under the wooden shelf.Debris and a black substance were observed on the floors in rooms 104, 110, 111, 112, 114, 115, 116, and in elevator 1.28 Pa. Code 201.14(a) Responsibility of licensee. 28 Pa. Code 201.18(b)(1) Management.

  Resident Rights Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

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.

About 77% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $2.0M paid to related parties — landlords or management companies under common ownership — equal to about 22% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

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

Cost & finances

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

What families pay in PA