Myerstown Nursing and Rehab LLC

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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

Quality measures — how residents actually fare

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 0.13 therapist hours per resident per day in 2025Q4 — more than 10% of the 13,714 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% 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 14% — 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 2.67 hrs/resident/day on weekends vs 2.91 on weekdays — 8% thinner on weekends. RN hours go from 0.71 to 0.46 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.

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

• Potential for harm · D2026-07-27 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to report allegations of abuse to the State Survey Agency for two of eight sampled residents. (Residents 1 and 2)Findings Include: Review of the facility policy entitled, Abuse Policy, last reviewed July 8, 2026, revealed that immediately upon receiving information concerning a report of suspected or alleged abuse, the Administrator or designee would report allegations that involved abuse not later than two hours after the allegation was made and report allegations to the appropriate state and local authorities within 24 hours if the event did not result in serious bodily injury. Clinical record review revealed that Resident 2 had diagnoses that included chronic kidney disease, heart disease, type 2 diabetes, and dementia. Review of facility documentation revealed that on July 16, 2026, Resident 8 entered the room Resident 2 shares with Resident 1 and kissed her without her consent. Clinical record review revealed that 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-07-27 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  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 staff interview, it was determined that the facility failed to implement interventions to monitor and prevent behavioral symptoms for one of eight sampled residents. (Resident 8)Findings included:Clinical record review revealed that Resident 8 had diagnoses that included dementia with agitation, Alzheimer's disease, and colon and prostate cancer. Review of the Minimum Data Set (MDS) assessment dated [DATE], revealed that the resident was cognitively impaired. A physician's order dated February 18, 2026, directed staff to monitor and document agitated behaviors along with non-pharmacological interventions attempted every day and on every shift. Review of Resident 8's care plan initiated on February 18, 2026, included interventions for dementia that included engaging the resident in structured activities and to observe, document, and report behavioral changes to the physician. Review of facility documentation revealed that on February 9, 2026, Resident 8 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Fcited before2026-07-15 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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 policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department. Findings include:Review of the facility's policy entitled, General Food Preparation and Handling, dated July 18, 2025, revealed that when foods were received, staff were to check and store them as soon as they were delivered and that staff were to date leftover food items.Observations during the tour of the dietary department on July 12, 2026, at 10:06 a.m., revealed the following:In the dry storage room, there were two insects flying around the food area. There was an opened large shipment box of chocolate brownie mix directly touching the floor that contained four smaller boxes that were not stocked in the food storage area. There was a box of bananas directly touching the floor. There were two large juice shipment boxes directly touching the floor. One of the boxes was opened and had six smaller juice cartons left in the box that were not stocked in the food storage area. On a set of shelves, there…

  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 no plan of correction
• Potential for harm · Dcited before2026-07-15 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based observation and staff interview, it was determined that the facility failed to ensure that a safe, clean, and comfortable environment was maintained on one of four nursing units. (Third Floor)Findings include: Observations in the facility from July 13, 2026, at 11:15 a.m., through July 15, 2026, at 1:00 p.m., revealed the following: There were areas of dirty dried splatter and trash on the floors throughout four of four hallways. The handrails in four of four hallways were sticky and had an unpleasant odor. There was trash and a sticky substance on the floors in resident rooms [ROOM NUMBER]. The trash can was overflowing and dirty laundry was piled beneath the sink in resident room [ROOM NUMBER]. The plastic trim on front of the sink in room [ROOM NUMBER] was on the floor. A metal panel from the heater in the shower room was on the floor and a white substance was on the thermometer hanging in the shower stall. An orange substance was on the bottom of the refrigerator in the medication storage room. CFR…

  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 no plan of correction
• Potential for harm · Dcited before2026-07-15 · 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 clinical record review and staff interview, it was determined that the facility failed to ensure physicians' orders were implemented for two of 20 sampled residents. (Residents 1 and 74)Findings include:Clinical record review revealed that Resident 1 had diagnoses that included acute and chronic respiratory failure and congestive heart failure. A physician's order dated July 3, 2026, directed staff to administer a blood pressure medication (metoprolol) two times daily. The physician ordered that staff were not to administer the medication if the resident's systolic blood pressure (SBP, the first measurement of blood pressure when the heart beats and the pressure is at its highest) was lower than 110 millimeters of mercury (mm/Hg) or if Resident 1's heart rate was less than 60 beats per minute (bpm). Review of Resident 1's Medication Administration Record (MAR) for July of 2026, revealed that staff administered metoprolol seven times when Resident's 1's SBP was lower than 110mm/Hg. The metoprolol was withheld once when Resident 1's SBP was greater than 110mm/Hg and heart…

  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 · Dcited before2026-07-15 · 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 four sampled residents with pressure ulcers. (Resident 7)Findings include: Review of the facility policy entitled, Skin and Wound Management System, last reviewed July 18, 2026, revealed that ongoing weekly evaluations of the resident's skin would be completed and documented in the electronic medical record and if there were identified skin impairments, the wound location, characteristics, and wound status would be evaluated and documented in the resident's medical record. Clinical record review revealed that Resident 7 was admitted to the facility on [DATE], with diagnoses that included severe malnutrition and dementia (a severe, progressive decline in cognitive abilities that affect a person's ability to function). The Minimum Data Set assessment dated [DATE], indicated that the resident was cognitively impaired,…

  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 · D2026-07-15 · 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 — the official record, unedited, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation, and staff interview, it was determined the facility failed to implement safety interventions for one of 20 sampled residents. (Resident 34)Findings include: Clinical record review revealed that Resident 34 had diagnoses that included arthritis of the left knee and difficulty walking. The Minimum Data Set assessment dated [DATE], revealed that Resident 34 required assistance for transfers from one surface to another. Review of the care plan revealed that the resident had a history of falls and staff were instructed to place fall mats on both sides of the bed. Observations on July 12, 2026, at 11:32 a.m. and 2:10 p.m. and July 14, 2026, at 11:26 a.m. and 1:30 p.m., revealed that Resident 34 was in bed without the floor mats in place on either side of the bed. In an interview on July 15, 2026, at 10:52 a.m., the Director of Nursing confirmed that the floor mats should have been in place. 28 Pa. Code 211.12(d)(1)(5) Nursing services.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-07-15 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, clinical record review, observation, and resident and staff interview, it was determined that the facility failed to provide adequate respiratory care for two of 20 sampled residents. (Residents 1 and 74) Findings include: Review of the facility policy entitled,O2 Safe Solutions, Equipment Changing, last reviewed July 18, 2025, revealed that all equipment, including nasal cannulas, humidifiers, and oxygen tubing, should be changed weekly, and marked with the date it was changed. Clinical record review revealed that Resident 1 had diagnoses that included acute and chronic respiratory failure and congestive heart failure. On June 13, 2026, The physician ordered staff to administer oxygen via a nasal cannula every day on all three shifts. The order also instructed staff to change the oxygen tubing and humidification bottle, clean the oxygen filter, and date the tubing on the oxygen concentrator in Resident 1's room every Saturday night. On July 12, 2026, at 10:49 a.m., Resident 1 was observed in a wheelchair in the third floor dining room with the…

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

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-07-15 · tag F0698 — failed to provide proper dialysis care — isolated
  Provide safe, appropriate dialysis care/services for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to provide ongoing assessment and monitoring for one of one sampled resident receiving dialysis (process of removing excess toxins and water from the blood). (Resident 2)Findings include: A review of the facility policy entitled, Care Planning Special Needs - Dialysis, last reviewed July 18, 2025, revealed that nursing staff were to provide a report to the dialysis provider regarding the resident's condition and treatment provisions each dialysis treatment day and as needed. Clinical record review revealed that Resident 2 had diagnoses that included end-stage renal (kidney) disease and dependence on renal dialysis and had a physician's order for the resident to receive dialysis three days per week. There was no evidence in the clinical record or the pre-dialysis communication forms that staff obtained and/or provided Resident 2's vital signs, recorded the resident's condition, or noted treatments provided on the day of dialysis treatment to the dialysis provider…

  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 · D2026-07-15 · tag F0805 — failed to prepare food in a form residents can eat — isolated
  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation, observation, and staff interview, it was determined that the facility failed to serve food in a form prescribed to meet the needs of one of 20 sampled residents. (Resident 8)Findings include:Review of the facility's weekly menu revealed that the lunch meal for a mechanical soft diet texture (modified diet for people who have difficulty chewing and swallowing) on July 13, 2026, was ground chicken tenders, mashed potatoes, and broccoli.Clinical record review revealed that Resident 8 had a diagnoses that included malignant neoplasm of upper lobe, right bronchus, or lung (cancerous tumor that has formed in the upper part of the lung or in the main airway that leads into it) and dysphagia (difficulty in swallowing). A physician order dated August 23, 2025, instructed staff to provide a mechanical soft texture diet. Review of the Speech Therapy Discharge summary dated [DATE], revealed that Resident 8 still needed the mechanical soft ground texture diet. The care…

  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 no plan 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